阜阳市农村孕妇叶酸服用情况及影响因素

The prevalence and influencing factors of folic acid use among the rural pregnant women in Fuyang City

目的 了解阜阳市孕妇叶酸服用现状及影响因素,为制定科学有效的干预措施提高该市孕妇叶酸服用率提供科学依据。方法 整群抽取阜阳市4个县区的农村地区所有孕妇进行问卷调查,用非条件多因素Logistic回归分析叶酸服用影响因素。结果 有效调查3964名孕妇,2085名服用了叶酸（52.6%）,其中停经前至少3个月开始服用为562人,停经前1-2月服用为410人,停经后服用为1113人。孕妇的学历越高（OR=0.553,95%CI：0.324-0.941）,有自然流产史（OR=0.710,95%CI：0.544-0.927）,丈夫为其他职业（OR=0.103,95%CI：0.013-0.815）,以及丈夫饮酒者（OR=0.662,95%CI：0.583-0.751）,其更倾向于服用叶酸;而孕妇年龄（OR=1.205,95%CI：1.054-1.378）和丈夫的年龄（OR=1.162,95%CI：1.020-1.324）越大,以及孕妇为其他职业（OR=1.467,95%CI：1.041-2.068）,其更倾向于不服用叶酸。结论 阜阳市农村孕妇的叶酸服用率较低且受多种因素影响,相关部门应全面的对叶酸服用加强宣传,提高叶酸服用率。

Objective To investigate the prevalence and influencing factors of folic acid use among the rural pregnant women in Fuyang city to provide a scientific basis for the government to make scientific and effective intervention measures to improve the rate of folic acid use. Methods The method of cluster sampling was used to identify and investigate the rural pregnant women from four counties. The unconditioned multivariate Logistic regression was used to analyze the influencing factors. Results A total of 3 964 rural pregnant women were included,2 085（ 52. 6%） had taken the folic acid,562 used the folic acid three months before menelipsis,410 used it 1-2 months before menelipsis,and 1 113 after menelipsis. Higher education（ OR = 0. 553,95% CI： 0. 324-0. 941）,miscarriage history（ OR = 0. 710,95% CI： 0. 544-0. 927）,non-farmer husbands（ OR = 0. 103,95% CI; 0. 013-0. 815） and drinkers（ OR = 0. 662,95% CI： 0. 583-0. 751） were risk factors of taking folic acid; an elder age（ OR = 1. 205,95% CI： 1. 054-1. 378）,farmer（ OR = 1. 467,95% CI： 1. 041-2. 068）,elder husbands（ OR = 1. 162,95% CI： 1. 020-1. 324） were protective factors of taking folic acid. Conclusions Rate of taking folic acid is low among the rural pregnant women in Fuyang city and many factors can affect it. Therefore,education of folic acid intake should be given to the pregnant woman so as to prevent from folic acid deficiency.