Knowledge and Practices on Periconceptional use of Folic Acid for the Prevention of Neural Tube Defects Among Women in Childbearing Age in Boralesgamuwa Medical Officer of Health Area, Sri Lanka

M.A.S.R Ariyadasa, W.W.W.Y Nandana, N. W. Bogahawaththa, Banda R.M.S.K, P. J. Nethsara, D.M.N.D Senevirathna, M.R.S Jayathilake, Sri Lankan
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Abstract

Introduction: Neural Tube Defects (NTD) remain a major public health burden globally. It is widely acknowledged that folic acid plays a vital role to reduce the risk of developing NTDs. The study aimed to determine knowledge, and practice regarding periconceptional use of folic acid for the prevention of NTD among women in childbearing age at Boralesgamuwa Medical Officer of Health (MOH) area, Sri Lanka.Methods: A descriptive cross-sectional study was carried out among randomly selected 422 women in childbearing age in the said MOH area. Data were collected through a pre-tested interviewer administered questionnaire. The overall knowledge level was classified as adequate (>75%), moderately adequate (50-75%) and inadequate (<50%).Results: Out of 422 participants, the majority was Sinhalese (95.7%), married (66.8%) and unemployed (62.1%). Mean age was 32.02 ±8.625 years. Nearly 56 % had heard about NTDs and 95.5% had heard about folic acid. A majority (279, 66.1%) had ‘inadequate’ level of knowledge, 120 (28.4%) had ‘moderately adequate’ knowledge and only 5.5% (n=23) had ‘adequate’ knowledge. Approximately 60% had taken folic acid and out of them only 42.4% had started folic acid before pregnancy. Age (p<0.001), marital status (p<0.001), parity (p<0.001), educational qualification of participants (p<0.001), monthly household income (p=0.004) and where health services sought from (p <0.001) were associated with the level of knowledge.Conclusions: Majority of participants had inadequate knowledge regarding periconceptional use of folic acid for the prevention of NTDs. However, out of those who have used FA, majority had started to take it before pregnancy. The study findings warrant more educational programmes on the topic bridging the gap of knowledge among women in childbearing age in the study setting.
斯里兰卡 Boralesgamuwa 卫生保健医官地区育龄妇女围孕期服用叶酸预防神经管畸形的知识和做法
导言:神经管缺陷(NTD)仍然是全球主要的公共卫生负担。叶酸在降低罹患 NTD 的风险方面发挥着至关重要的作用,这一点已得到广泛认可。本研究旨在了解斯里兰卡 Boralesgamuwa 卫生局(MOH)地区育龄妇女围孕期使用叶酸预防 NTD 的知识和做法:在上述 MOH 地区随机抽取的 422 名育龄妇女中开展了一项描述性横断面研究。数据通过预先测试的访谈者管理问卷收集。总体知识水平分为充分(>75%)、适度充分(50-75%)和不足(<50%):在 422 名参与者中,大多数为僧伽罗人(95.7%),已婚(66.8%),失业(62.1%)。平均年龄为 32.02 ±8.625 岁。近 56% 的人听说过 NTD,95.5% 的人听说过叶酸。大多数人(279 人,66.1%)的知识水平 "不足",120 人(28.4%)的知识水平 "适中",只有 5.5%(23 人)的知识水平 "足够"。约 60% 的人服用过叶酸,其中只有 42.4% 的人在怀孕前开始服用叶酸。年龄(p<0.001)、婚姻状况(p<0.001)、胎次(p<0.001)、参与者的教育程度(p<0.001)、家庭月收入(p=0.004)和寻求医疗服务的地点(p<0.001)与知识水平有关:大多数参与者对围产期服用叶酸预防 NTD 的知识不足。然而,在使用过叶酸的人中,大多数人都是在怀孕前开始服用叶酸的。研究结果表明,有必要开展更多有关该主题的教育计划,以缩小研究环境中育龄妇女的知识差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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