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目的:了解新《婚姻登记条例》实施前后孕早期妇女叶酸知信行变化状况。方法:采用横断面调查与对比研究,对无锡市新《婚姻登记条例》实施前登记结婚的75例和实施后52例孕早期妇女的叶酸知识的了解情况、服用叶酸增补剂的态度及叶酸增补剂服用情况进行了问卷调查。结果:实施后组孕早期妇女对于叶酸增补剂最佳服用时期的知晓率为42.31%,低于实施前的66.67%(P<0.01);实施后组妇女叶酸增补剂服用率为44.23%,低于实施前的62.67%(P<0.05);实施后组从卫生保健机构获得叶酸知识的构成比例为28.95%,低于实施前的82.76%(P<0.01);实施后组孕早期妇女听说过叶酸的比例(73.08%)、知道叶酸预防神经管畸形作用的比例(55.77%)和有必要服用叶酸增补剂的比例(65.38%),均低于实施前组妇女(分别为77.33%、66.67%和73.33%),但差别无统计学意义。结论:新《婚姻登记条例》实施后,无锡市孕早期妇女叶酸相关知识、叶酸增补剂服用率呈现下降趋势。应积极探索新的知识传播途径,增加育龄妇女的叶酸知识,提高叶酸增补剂服用率。
OBJECTIVE: To understand the changes of folic acid in early pregnancy before and after the implementation of the new Marriage Registration Ordinance. Methods: A cross-sectional survey and comparative study were conducted to investigate the association between folic acid supplementation and folate supplementation in 75 cases of pre-registration marriage and 52 cases of first trimester women in Wuxi City after the implementation of the new Marriage Registration Ordinance Agent taking a questionnaire survey. Results: The awareness rate of optimal dosage for folic acid supplementation was 42.31% in women of early pregnancy after pregnancy, which was lower than 66.67% before the implementation (P <0.01). After taking the women, the rate of taking folic acid supplementation was 44.23% (62.67%) before implementation (P <0.05). After the implementation, the percentage of folic acid knowledge obtained from health care institutions was 28.95%, lower than 82.76% before implementation (P <0.01) The percentage of folic acid (73.08%), the percentage of folic acid in prevention of neural tube defects (55.77%) and the need for folic acid supplementation (65.38%) were lower than those of the former group (77.33%, 66.67 % And 73.33%), but the difference was not statistically significant. Conclusion: After the implementation of the new Marriage Registration Ordinance, the prevalence of folate-related knowledge and folic acid supplementation in pregnant women in Wuxi early pregnancy showed a downward trend. Should actively explore new ways of knowledge transmission, increase women’s knowledge of folic acid in women of childbearing age, increase the rate of folic acid supplements.