陕西省孕妇叶酸服用状况分析

发布时间：2018-03-21 11:49

本文选题：叶酸　切入点：妊娠　出处：《中国公共卫生》2017年02期 　论文类型：期刊论文

【摘要】：目的了解陕西省孕妇叶酸服用状况及其影响因素,为进一步叶酸干预工作提供依据。方法分层随机多阶段抽取陕西省2010—2013年曾经怀孕的育龄妇女,通过问卷调查了解妇女围孕期叶酸使用情况以及影响因素。结果共调查29 818人,66.4%的妇女围孕期服用过叶酸。农村妇女围孕期叶酸服用率为63.4%,城市为72.6%,其中,孕前服用者占25.3%。19.9%围孕期服用叶酸持续时间≤30 d,56.8%持续时间为31~90 d,4.7%持续时间180 d。影响围孕期服用叶酸的积极因素有产检次数8次(OR_(调整)=2.25,95%CI=2.09~2.43),第一次产检时间在孕早期(OR_(调整)=1.91,95%CI=1.78~2.03),产检次数5~8次(OR_(调整)=1.68,95%CI=1.57~1.78),丈夫文化程度为大学及以上(OR_(调整)=1.67,95%CI=1.50~1.87),妇女文化程度为大学及以上(OR_(调整)=1.52,95%CI=1.36~1.71)及优生优育咨询(OR_(调整)=1.42,95%CI=1.33~1.51),妇女文化程度为高中(OR_(调整)=1.33,95%CI=1.23~1.44),丈夫文化程度为高中(OR_(调整)=1.26,95%CI=1.17~1.36),有不良孕产史(OR_(调整)=1.22,95%CI=1.10~1.35)和妇女年龄30~35岁(OR_(调整)=1.12,95%CI=1.04~1.20)。消极因素有妇女年龄20岁(OR_(调整)=0.60,95%CI=0.52~0.70),妇女年龄35岁(OR_(调整)=0.89,95%CI=0.80~1.00),经产妇(OR_(调整)=0.76,95%CI=0.72~0.81),城市孕妇(OR_(调整)=0.81,95%CI=0.76~0.86)。结论陕西省育龄妇女围孕期叶酸服用率及不规范服用率均较低,未达到国家90%服用率的要求。建议加强对孕期人群管理,特别是高风险人群(如低龄、高龄孕妇、经产妇等人群)孕期系统化管理及宣传教育工作。
[Abstract]:Objective to investigate the status of folic acid use among pregnant women in Shaanxi Province and its influencing factors, and to provide the basis for further intervention of folic acid. Methods the pregnant women of reproductive age in Shaanxi Province from 2010 to 2013 were selected by stratified random and multi-stage sampling. Results A total of 29 818 women (66.4%) took folic acid during pregnancy. The folic acid consumption rate of rural women during pregnancy was 63.4%, and that of urban women was 72.6%. 25.3.19.9% of patients took folic acid before pregnancy. The duration of folic acid was less than 30 days, 56.8% duration was 31 ~ 90 days and 4.7% duration was 180 days. The positive factors affecting folic acid use during pregnancy were: 8 times of perinatal examination (adjusting 2.2595% CI 2.092.43, the first time of birth examination was in the early stage of pregnancy). [adjustment 1.9195 CII 1.782.03] and the number of birth examinations 58 times. (adjustment 1.6895CI1.571.78), husband's education level is university and above (adjustment of 1.67 / 95CI1.501.87), women's education level is university and above (adjusted 1.529595 CI1.361.71C) and excellent birth and upbringing consultation org. The husband's education level is high school ORS (adjusted 1.2695 CI1.171.36, having a history of bad pregnancy and childbirth) and a woman aged 30 to 35. Negative factors include the woman's age of 20 years (adjust 0.6095 CI0.520.70), the woman's 35 years old (adjust 0.8995 / 95CI0.801.00), and the 0.7 org (adjust 0.7695CI0.7220.81), the negative factors are: the woman's age is 0.6095CI0.520.70, and the woman's age is 35 (adjusted 0.8995 / 95CI0.801.00). Conclusion the prevalence of folic acid and nonstandard folic acid in pregnant women of reproductive age in Shaanxi Province is lower than that in pregnant women. It is suggested to strengthen the management of pregnant women, especially for high-risk groups (such as young age, elderly pregnant women, pregnant women, etc.).
【作者单位】：西安交通大学医学部公共卫生学院流行病与卫生统计教研室;渭南职业技术学院;
【基金】：国家自然科学基金重点项目(81230016)
【分类号】：R715.3

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