Research On The Influence Factors Of Folic Acid Compliance Among Rural Periconceptional Women In Gansu Province

Objective To investigate the congnitive and intake status of folic acid among periconceptional women, explore the factors which influence the behavior and attitude of periconceptional women, and find the main factors which affect the compliance of folic acid intake.Methods According to the economic situation and geographic distribution of Gansu province, two counties were selected, one of which carried out folic acid intervention, the other didn’t. the on-site investigation was conducted in 2009,from july to september.Women, ranging from three months pregnant to a year after delivery, were surveyed. Face-to-face interviews was conducted to acquire information with annoymous questionnaire.Results (1) The time that periconceptional women intake folic acid mainly focus on four periods which are 2 to 3 months after pregnancy,2 months before pregnancy to 3 months after pregnancy respectively,1 to 3 months after pregnancy and the last menstruation to three months after pregnancy,the propotion of the four period among the intaking population is 31.07%.11.68%.11.68%.8.47%,respectively. The intake behavior that last for two months is the highest time of duration which accounts for 47.46%.The rate of invalid compliance behavior accounts for 67.80%, the effective compliance behavior accounts for 10.55%.(2)The Factors influence the valid compliance behavior of folic acid intaking among periconceptional women are the score of knowledge about folic acid(OR=1.47), the attitude on whether should intake folic acid before pregnancy or not and whether should see doctors before pregnant,OR 3.97 and 2.14.Conclusions The main reasons of high incidence of neural tube defects are poor folic acid intaking status of periconceptional women and wrong intaking time.Hence, the key to reduce the incidence of neural tube defects is to improve folic acid intaking rate and ensure the compliance,which is mainly rely on professional education that makes periconceptional women and their families understand correctly and master the knowledge of folic acid preventing neural tube defects, in order to guarantee the correct behavior of intake folic acid and right periods before or after pregnancy,then accomplish the purpose of reducing the incidence of neural tube defects.