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目的分析家人及专业人员对育龄妇女孕期叶酸服用行为的影响,为提高叶酸干预效果提供基础数据。方法采用医院及入户调查方法,抽取甘肃省两个县内2094名孕后三个月至产后一年的妇女进行面对面匿名问卷调查。结果 2094名调查对象叶酸知晓率为62.2%,叶酸服用率为25.4%。家人对叶酸较高的认知水平(OR=0.268,95%CI 0.208～0.346)、家人对叶酸服用持赞成态度(OR=0.103,95%CI 0.031～0.338)、家人的督促行为(OR=0.147,95%CI 0.115～0.190)、专业人员宣传(OR=0.252,95%CI 0.197～0.323)及督导行为(OR=0.168,95%CI 0.096～0.296)是妇女孕期叶酸服用行为的影响因素。结论家人及专业人员对妇女孕期叶酸服用行为具有影响,应将孕妇家人及专业人员纳入干预对象开展叶酸干预宣教,以提高叶酸服用率。
Objective To analyze the effect of family members and professionals on the taking of folic acid during pregnancy among women of childbearing age and provide the basic data for improving the effect of folic acid intervention. Methods A total of 2094 women in two counties of Gansu Province from the first trimester of pregnancy to the first year of postnatal year were sampled by face-to-face anonymous questionnaire using hospital and household survey methods. Results 2094 respondents were informed of the rate of folic acid 62.2%, folic acid intake was 25.4%. Family members had a favorable attitude toward folic acid (OR = 0.268, 95% CI 0.208-0.346), family members favored folic acid intake (OR = 0.103, 95% CI 0.031-0.338) (OR = 0.252, 95% CI 0.197-0.323) and supervision behavior (OR = 0.168, 95% CI 0.096-0.296) were the influencing factors of women taking folic acid during pregnancy. Conclusion Family members and professionals have an influence on women taking folic acid during pregnancy. Pregnant women and professionals should be included in the interventions to carry out leaflet intervention in order to improve the rate of taking folic acid.