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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Lawal, Taiwo Akeem Adeleye, Amos Olufemi |
| Spatial Coverage | Nigeria |
| Description | Country affiliation: Nigeria Author Affiliation: Lawal TA ( Division of Paediatric Surgery, Department of Surgery, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria.); Adeleye AO ( Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan, and Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.) |
| Abstract | INTRODUCTION: In order to identify targets for primary preventive strategies, we explored possible predictors of periconceptional folic acid (pFA) intake in a Nigerian population of reproductively active women. METHODS: A cross sectional study of mothers attending immunization clinics at two hospitals was conducted between May and November 2012. Information obtained included sociodemographic and obstetric details and periconceptional usage of FA. Independent variables were analysed as predictors of pFA intake using chi-square statistical test and multinomial logistic regression. RESULTS: The study involved 602 mothers aged 17 to 42 years; 23% had a university degree and 66% were in the working class. Preconceptional usage was proven in only 15 (2.5%). Periconceptional usage was more likely among professionals (X2=41.194, p<0.001), have university degree (X2=53.089, p<0.001), be primigravid (X2=18.415, p<0.001) and early antenatal clinic attendees (X2=355.9, p<0.001). Women were less likely to know that FA could prevent birth defects if in the working class (1.7% vs. 11.1%, X2=25.593, p<0.001), less educated (0.5 vs. 10.9%, X2=38.083, p<0.001) or booked late for antenatal care (2.0 vs. 5.9%, X2=5.767, p=0.016). The determinants of late commencement of FA were low social class (OR=4.29, 95% CI: 1.59, 11.31), lack of university education (OR=4.58, 95% CI: 3.06, 6.87) and late booking (OR=104.27, 95% CI: 53.09, 204.76). CONCLUSION: In this population of reproductively active women, pFA intake and knowledge of its health benefits are poor amongst mothers--in working class, with limited education, and who present late for antenatal care. |
| File Format | HTM / HTML |
| e-ISSN | 19378688 |
| DOI | 10.11604/pamj.2014.19.113.4448 |
| Journal | Pan African Medical Journal |
| Volume Number | 19 |
| Language | English |
| Publisher | African Field Epidemiology Network |
| Publisher Date | 2014-01-01 |
| Publisher Place | Uganda |
| Access Restriction | Open |
| Subject Keyword | Discipline Medicine Dietary Supplements Folic Acid Administration & Dosage Health Knowledge, Attitudes, Practice Preconception Care Statistics & Numerical Data Prenatal Care Adolescent Cross-sectional Studies Logistic Models Nigeria Pregnancy |
| Content Type | Text |
| Resource Type | Article |
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