【摘要】 目的了解云南省建水县农村育龄妇女叶酸服用情况及其影响因素,为提高叶酸干预效果提供科学依据。方法采用整群抽样的方法,选取云南省建水县2014年1-12月产生妊娠结局并建立健康档案的2 680名农村妇女作为研究对象。结果叶酸正确开始服用率为33.80%,经多因素Logistic回归分析显示,年龄越大(OR=1.03,95%CI:1.01~1.06)、末次月经准确(OR=3.41,95%CI:1.61~7.23)的育龄妇女叶酸正确开始服用率越高;叶酸规律服用率为90.07%,经多因素Logistic分析显示,年龄越大(OR=1.07,95%CI:1.04~1.10)、无不良妊娠史(OR=1.45,95%CI:1.11~1.89)、末次月经准确(OR=3.18,95%CI:2.08~4.86)的农村育龄妇女叶酸规律服用率越高。结论云南省建水县农村育龄妇女正确开始服用叶酸率较低,规律服用率较高;年龄越大、末次月经准确者叶酸正确开始服用率及规律服用率越高;无不良妊娠史的农村育龄妇女叶酸规律服用率越高。更多还原

【Abstract】 Objective To understand folic acid intake status and the influencing factors among rural women of childbearing age in Jianshui county of Yunnan province,provide a scientific basis for improving intervention effect of folic acid.Methods A cluster sampling method was used to select 2 680 rural women who gave birth to their babies and established health records in Jianshui county of Yunnan province from January to December in 2014.Results The rate of starting folic acid intake correctly was 33.80%.Multivariate logistic regression analysis showed that the rate of starting folic acid intake correctly was high among the women with advanced age( OR = 1.03,95%CI:1.01-1.06) and accurate last menstrual period( OR = 3.41,95%CI:1.61-7.23).The rate of regular folic acid intake was 90.07%.Multivariate logistic regression analysis showed that the rate of regular folic acid intake was high among the women with advanced age( OR = 1.07,95%CI:1.04-1.10),no adverse pregnancy history( OR = 1.45,95% CI:1.11-1.89),and accurate last menstrual period( OR = 3.18,95% CI:2.08-4.86).Conclusion The rate of starting folic acid intake correctly among rural women of childbearing age in Jianshui county of Yunnan province was low,while the rate of regular folic acid intake was high;the rates of starting folic acid intake correctly and regular folic acid intake were high among the women with advanced age and accurate last menstrual period;the rate of regular folic acid intake was high among the rural women without adverse pregnancy history.更多还原