Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2015

Open Access 01-12-2015 | Research article

Knowledge on preconceptional folic acid supplementation and intention to seek for preconception care among men and women in an urban city: a population-based cross-sectional study

Authors: Sevilay Temel, Özcan Erdem, Toon A. J. J. Voorham, Gouke J. Bonsel, Eric A. P. Steegers, Semiha Denktaş

Published in: BMC Pregnancy and Childbirth | Issue 1/2015

Login to get access

Abstract

Background

To study the knowledge of a large city population on preconception folic acid supplementation and intention to seek for preconception care within an urban perinatal health program.

Methods

Cross-sectional surveys run in Rotterdam, the Netherlands, in 2007 and annually from 2009 to 2014. A random sample of residents aged between 16 and 85 years was taken each year from the municipal population register. Bivariate analysis, interaction analysis, trend analysis and logistic regression were performed.

Results

Knowledge on preconceptional folic acid supplementation significantly improved (+20 %) between 2007 and 2009, and the intention to consult a GP or midwife in the preconception period significantly increased (+53 %) from 2007 to 2012. Logistic regression analyses showed that low socio-economic status was significantly associated with low preconceptional folic acid knowledge, but with higher intention to seek out preconception care. An interaction effect was found between educational level and ethnicity, showing that the higher the educational level the lower the gap of level of knowledge between the different ethnic groups.

Conclusion

Despite campaigns about folic acid supplementation knowledge on this supplement remains low. The intention amongst men and women to seek out preconception care is still insufficient. Structural interventions to increase and maintain awareness on folic acid supplementation, especially among high-risk groups, are needed.
Literature
1.
go back to reference van der Zee B, de Beaufort I, Temel S, de Wert G, Denktas S, Steegers E. Preconception care: an essential preventive strategy to improve children’s and women’s health. J Public Health Policy. 2011;32(3):367–79.CrossRefPubMed van der Zee B, de Beaufort I, Temel S, de Wert G, Denktas S, Steegers E. Preconception care: an essential preventive strategy to improve children’s and women’s health. J Public Health Policy. 2011;32(3):367–79.CrossRefPubMed
2.
go back to reference Temel S, van Voorst SF, Jack BW, Denktas S, Steegers EA. Evidence-based preconceptional lifestyle interventions. Epidemiol Rev. 2014;36(1):19–30.CrossRefPubMed Temel S, van Voorst SF, Jack BW, Denktas S, Steegers EA. Evidence-based preconceptional lifestyle interventions. Epidemiol Rev. 2014;36(1):19–30.CrossRefPubMed
3.
go back to reference de Weerd S, Polder JJ, Cohen-Overbeek TE, Zimmermann LJ, Steegers EA. Preconception care: preliminary estimates of costs and effects of smoking cessation and folic acid supplementation. J Reprod Med. 2004;49(5):338–44.PubMed de Weerd S, Polder JJ, Cohen-Overbeek TE, Zimmermann LJ, Steegers EA. Preconception care: preliminary estimates of costs and effects of smoking cessation and folic acid supplementation. J Reprod Med. 2004;49(5):338–44.PubMed
4.
go back to reference van der Pal-de Bruin KM, le Cessie S, Elsinga J, de Jong-Potjer LC, van Haeringen A, Neven AK, et al. Pre-conception counselling in primary care: prevalence of risk factors among couples contemplating pregnancy. Paediatr Perinat Epidemiol. 2008;22(3):280–7.CrossRef van der Pal-de Bruin KM, le Cessie S, Elsinga J, de Jong-Potjer LC, van Haeringen A, Neven AK, et al. Pre-conception counselling in primary care: prevalence of risk factors among couples contemplating pregnancy. Paediatr Perinat Epidemiol. 2008;22(3):280–7.CrossRef
5.
go back to reference Delft M, van Ketting E. Anticonceptiegebruik in nederland. Houten (in dutch). Bohn Stafleu Loghum., 2002. Delft M, van Ketting E. Anticonceptiegebruik in nederland. Houten (in dutch). Bohn Stafleu Loghum., 2002.
6.
go back to reference van der Zee B, de Beaufort ID, Steegers EA, Denktas S. Perceptions of preconception counselling among women planning a pregnancy: a qualitative study. Fam Pract. 2013;30(3):341–6.CrossRefPubMed van der Zee B, de Beaufort ID, Steegers EA, Denktas S. Perceptions of preconception counselling among women planning a pregnancy: a qualitative study. Fam Pract. 2013;30(3):341–6.CrossRefPubMed
7.
go back to reference Temel S, Birnie E, Sonneveld HM, Voorham AJ, Bonsel GJ, Steegers EA, et al. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the netherlands. Int J Public Health. 2013;58(2):295–304.CrossRefPubMed Temel S, Birnie E, Sonneveld HM, Voorham AJ, Bonsel GJ, Steegers EA, et al. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the netherlands. Int J Public Health. 2013;58(2):295–304.CrossRefPubMed
8.
go back to reference Graham H. Understanding health inequalities. Maidenhaid: OUP; 2009. Graham H. Understanding health inequalities. Maidenhaid: OUP; 2009.
9.
go back to reference Czeizel AE, Dudas I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Engl J Med. 1992;327(26):1832–5.CrossRefPubMed Czeizel AE, Dudas I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Engl J Med. 1992;327(26):1832–5.CrossRefPubMed
10.
go back to reference De-Regil LM, Fernandez-Gaxiola AC, Dowswell T, Pena-Rosas JP. Effects and safety of periconceptional folate supplementation for preventing birth defects. Cochrane Database Syst Rev. 2010;10:CD007950.PubMed De-Regil LM, Fernandez-Gaxiola AC, Dowswell T, Pena-Rosas JP. Effects and safety of periconceptional folate supplementation for preventing birth defects. Cochrane Database Syst Rev. 2010;10:CD007950.PubMed
11.
go back to reference Olsen SF, Knudsen VK. Folic acid for the prevention of neural tube defects: the Danish experience. Food Nutr Bull. 2008;29(2 Suppl):S205–9.CrossRefPubMed Olsen SF, Knudsen VK. Folic acid for the prevention of neural tube defects: the Danish experience. Food Nutr Bull. 2008;29(2 Suppl):S205–9.CrossRefPubMed
12.
go back to reference Timmermans S, Jaddoe VW, Mackenbach JP, Hofman A, Steegers-Theunissen RP, Steegers EA. Determinants of folic acid use in early pregnancy in a multi-ethnic urban population in the Netherlands: the generation r study. Prev Med. 2008;47(4):427–32.CrossRefPubMed Timmermans S, Jaddoe VW, Mackenbach JP, Hofman A, Steegers-Theunissen RP, Steegers EA. Determinants of folic acid use in early pregnancy in a multi-ethnic urban population in the Netherlands: the generation r study. Prev Med. 2008;47(4):427–32.CrossRefPubMed
13.
go back to reference Denktas S, Bonsel GJ, Van der Weg EJ, Voorham AJ, Torij HW, De Graaf JP, et al. An urban perinatal health programme of strategies to improve perinatal health. Matern Child Health J. 2012;16(8):1553–8.CrossRefPubMed Denktas S, Bonsel GJ, Van der Weg EJ, Voorham AJ, Torij HW, De Graaf JP, et al. An urban perinatal health programme of strategies to improve perinatal health. Matern Child Health J. 2012;16(8):1553–8.CrossRefPubMed
14.
go back to reference Landkroon AP, de Weerd S, van Vliet-Lachotzki E, Steegers EA. Validation of an internet questionnaire for risk assessment in preconception care. Public Health Genomics. 2010;13(2):89–94.CrossRefPubMed Landkroon AP, de Weerd S, van Vliet-Lachotzki E, Steegers EA. Validation of an internet questionnaire for risk assessment in preconception care. Public Health Genomics. 2010;13(2):89–94.CrossRefPubMed
15.
go back to reference de Graaf JP, Ravelli AC, Wildschut HI, Denktas S, Voorham AJ, Bonsel GJ, et al. Perinatal outcomes in the four largest cities and in deprived neighbourhoods in the Netherlands. Ned Tijdschr Geneeskd. 2008;152(50):2734–40.PubMed de Graaf JP, Ravelli AC, Wildschut HI, Denktas S, Voorham AJ, Bonsel GJ, et al. Perinatal outcomes in the four largest cities and in deprived neighbourhoods in the Netherlands. Ned Tijdschr Geneeskd. 2008;152(50):2734–40.PubMed
17.
go back to reference Omnibus survey accountability 2007, 2010–2014 (in dutch: Enqueteverantwoording omnibus enquete 2007, 2010–2014). Omnibus survey accountability 2007, 2010–2014 (in dutch: Enqueteverantwoording omnibus enquete 2007, 2010–2014).
18.
go back to reference Temel S, Birnie E, Sonneveld HM, Voorham AJ, Bonsel GJ, Steegers EA, et al. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands. Int J Public Health. 2013;58(2):295–304.CrossRefPubMed Temel S, Birnie E, Sonneveld HM, Voorham AJ, Bonsel GJ, Steegers EA, et al. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands. Int J Public Health. 2013;58(2):295–304.CrossRefPubMed
19.
go back to reference Warner JN, Frey KA. The well-man visit: addressing a man’s health to optimize pregnancy outcomes. J Am Board Fam Med. 2013;26(2):196–202.CrossRefPubMed Warner JN, Frey KA. The well-man visit: addressing a man’s health to optimize pregnancy outcomes. J Am Board Fam Med. 2013;26(2):196–202.CrossRefPubMed
21.
go back to reference Mitchell EW, Levis DM, Prue CE. Preconception health: Awareness, planning, and communication among a sample of us men and women. Matern Child Health J. 2012;16(1):31–9.CrossRefPubMed Mitchell EW, Levis DM, Prue CE. Preconception health: Awareness, planning, and communication among a sample of us men and women. Matern Child Health J. 2012;16(1):31–9.CrossRefPubMed
22.
go back to reference Sharp GF, Naylor LA, Cai J, Hyder ML, Chandra P, Guillory VJ. Assessing awareness, knowledge and use of folic acid in Kansas women between the ages of 18 and 44 years. Matern Child Health J. 2009;13(6):814–21.CrossRefPubMed Sharp GF, Naylor LA, Cai J, Hyder ML, Chandra P, Guillory VJ. Assessing awareness, knowledge and use of folic acid in Kansas women between the ages of 18 and 44 years. Matern Child Health J. 2009;13(6):814–21.CrossRefPubMed
23.
go back to reference Baykan Z, Ozturk A, Poyrazoglu S, Gun I. Awareness, knowledge, and use of folic acid among women: a study from Turkey. Arch Gynecol Obstet. 2011;283(6):1249–53.CrossRefPubMed Baykan Z, Ozturk A, Poyrazoglu S, Gun I. Awareness, knowledge, and use of folic acid among women: a study from Turkey. Arch Gynecol Obstet. 2011;283(6):1249–53.CrossRefPubMed
24.
go back to reference Delgado CE. Undergraduate student awareness of issues related to preconception health and pregnancy. Matern Child Health J. 2008;12(6):774–82.CrossRefPubMed Delgado CE. Undergraduate student awareness of issues related to preconception health and pregnancy. Matern Child Health J. 2008;12(6):774–82.CrossRefPubMed
25.
go back to reference Kari JA, Bardisi ES, Baitalmal RM, Ageely GA. Folic acid awareness among female college students: neural tube defects prevention. Saudi Med J. 2008;29(12):1749–51.PubMed Kari JA, Bardisi ES, Baitalmal RM, Ageely GA. Folic acid awareness among female college students: neural tube defects prevention. Saudi Med J. 2008;29(12):1749–51.PubMed
26.
go back to reference Paudel P, Wing K, Silpakar SK. Awareness of periconceptional folic acid supplementation among Nepalese women of childbearing age: a cross-sectional study. Prev Med. 2012;55(5):511–3.CrossRefPubMed Paudel P, Wing K, Silpakar SK. Awareness of periconceptional folic acid supplementation among Nepalese women of childbearing age: a cross-sectional study. Prev Med. 2012;55(5):511–3.CrossRefPubMed
28.
go back to reference De Vries H, Mudde AN, Dijkstra A, Willemsen MC. Differential beliefs, perceived social influences, and self-efficacy expectations among smokers in various motivational phases. Prev Med. 1998;27(5 Pt 1):681–9.CrossRefPubMed De Vries H, Mudde AN, Dijkstra A, Willemsen MC. Differential beliefs, perceived social influences, and self-efficacy expectations among smokers in various motivational phases. Prev Med. 1998;27(5 Pt 1):681–9.CrossRefPubMed
29.
30.
go back to reference Baraka MA, Steurbaut S, Leemans L, Foulon W, Laubach M, Coomans D, et al. Determinants of folic acid use in a multi-ethnic population of pregnant women: a cross-sectional study. J Perinat Med. 2011;39(6):685–92.CrossRefPubMed Baraka MA, Steurbaut S, Leemans L, Foulon W, Laubach M, Coomans D, et al. Determinants of folic acid use in a multi-ethnic population of pregnant women: a cross-sectional study. J Perinat Med. 2011;39(6):685–92.CrossRefPubMed
31.
go back to reference van Eijsden M, van der Wal MF, Bonsel GJ. Folic acid knowledge and use in a multi-ethnic pregnancy cohort: the role of language proficiency. BJOG. 2006;113(12):1446–51.CrossRefPubMed van Eijsden M, van der Wal MF, Bonsel GJ. Folic acid knowledge and use in a multi-ethnic pregnancy cohort: the role of language proficiency. BJOG. 2006;113(12):1446–51.CrossRefPubMed
32.
go back to reference de Walle HE, de Jong-van den Berg LT. Growing gap in folic acid intake with respect to level of education in the Netherlands. Community Genet. 2007;10(2):93–6.PubMed de Walle HE, de Jong-van den Berg LT. Growing gap in folic acid intake with respect to level of education in the Netherlands. Community Genet. 2007;10(2):93–6.PubMed
33.
go back to reference Nelson CR, Leon JA, Evans J. The relationship between awareness and supplementation: which Canadian women know about folic acid and how does that translate into use? Can J Public Health. 2014;105(1):e40–6.PubMed Nelson CR, Leon JA, Evans J. The relationship between awareness and supplementation: which Canadian women know about folic acid and how does that translate into use? Can J Public Health. 2014;105(1):e40–6.PubMed
34.
go back to reference de Walle HE, de Jong-van den Berg LT. Ten years after the Dutch public health campaign on folic acid: the continuing challenge. Eur J Clin Pharmacol. 2008;64(5):539–43.CrossRefPubMedPubMedCentral de Walle HE, de Jong-van den Berg LT. Ten years after the Dutch public health campaign on folic acid: the continuing challenge. Eur J Clin Pharmacol. 2008;64(5):539–43.CrossRefPubMedPubMedCentral
35.
go back to reference Woude PA, Walle HE, Berg LT. Periconceptional folic acid use: still room to improve. Birth Defects Res A Clin Mol Teratol. 2012;94:96–101.CrossRefPubMed Woude PA, Walle HE, Berg LT. Periconceptional folic acid use: still room to improve. Birth Defects Res A Clin Mol Teratol. 2012;94:96–101.CrossRefPubMed
36.
go back to reference Kocken P, Voorham T, Brandsma J, Swart W. Effects of peer-led aids education aimed at Turkish and Moroccan male immigrants in the Netherlands. A randomised controlled evaluation study. Eur J Public Health. 2001;11(2):153–9.CrossRefPubMed Kocken P, Voorham T, Brandsma J, Swart W. Effects of peer-led aids education aimed at Turkish and Moroccan male immigrants in the Netherlands. A randomised controlled evaluation study. Eur J Public Health. 2001;11(2):153–9.CrossRefPubMed
37.
go back to reference Reijneveld SA, Westhoff MH, Hopman-Rock M. Promotion of health and physical activity improves the mental health of elderly immigrants: results of a group randomised controlled trial among Turkish immigrants in the Netherlands aged 45 and over. J Epidemiol Community Health. 2003;57(6):405–11.CrossRefPubMedPubMedCentral Reijneveld SA, Westhoff MH, Hopman-Rock M. Promotion of health and physical activity improves the mental health of elderly immigrants: results of a group randomised controlled trial among Turkish immigrants in the Netherlands aged 45 and over. J Epidemiol Community Health. 2003;57(6):405–11.CrossRefPubMedPubMedCentral
38.
go back to reference Peters IA, Schölmerich VLN, van Veen DW, Steegers EAP, Denktaş S. Reproductive health peer education for multicultural target groups. J Multicult Educ. 2014;8(3):162–78.CrossRef Peters IA, Schölmerich VLN, van Veen DW, Steegers EAP, Denktaş S. Reproductive health peer education for multicultural target groups. J Multicult Educ. 2014;8(3):162–78.CrossRef
39.
go back to reference Marteau TM, Ogilvie D, Roland M, Suhrcke M, Kelly MP. Judging nudging: can nudging improve population health? BMJ. 2011;342:d228.CrossRefPubMed Marteau TM, Ogilvie D, Roland M, Suhrcke M, Kelly MP. Judging nudging: can nudging improve population health? BMJ. 2011;342:d228.CrossRefPubMed
40.
go back to reference Tromp M, van Eijsden M, Ravelli AC, Bonsel GJ. Anonymous non-response analysis in the abcd cohort study enabled by probabilistic record linkage. Paediatr Perinat Epidemiol. 2009;23(3):264–72.CrossRefPubMed Tromp M, van Eijsden M, Ravelli AC, Bonsel GJ. Anonymous non-response analysis in the abcd cohort study enabled by probabilistic record linkage. Paediatr Perinat Epidemiol. 2009;23(3):264–72.CrossRefPubMed
Metadata
Title
Knowledge on preconceptional folic acid supplementation and intention to seek for preconception care among men and women in an urban city: a population-based cross-sectional study
Authors
Sevilay Temel
Özcan Erdem
Toon A. J. J. Voorham
Gouke J. Bonsel
Eric A. P. Steegers
Semiha Denktaş
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2015
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-015-0774-y

Other articles of this Issue 1/2015

BMC Pregnancy and Childbirth 1/2015 Go to the issue