|Factors influencing the quality of preconception healthcare in China: applying a preconceptional instrument to assess healthcare needs|
|Zhao, Xinliang1,2,9,10,11; Jiang, Xiaoqing3; Zhu, Junzhen4,5; Li, Guozheng6; He, Xiaoyan7; Ma, Fengying8; Meng, Qian9; Cao, Qinying5; Meng, Yucui5; Howson, Christopher10; Zhong, Nanbert2,9,10,11,12,13; Tian, Yaping1|
|关键词||Preconception healthcare Maternal health Survey China|
|刊名||BMC PREGNANCY AND CHILDBIRTH|
|WOS标题词||Science & Technology|
|类目[WOS]||Obstetrics & Gynecology|
|研究领域[WOS]||Obstetrics & Gynecology|
|关键词[WOS]||CLINICAL-FEATURES ; PREGNANCY ; OUTCOMES ; ALCOHOL ; PROMOTION ; WEIGHT|
Background: Preconception care is defined as the promotion of the health and well-being of a woman and her partner before pregnancy. Improving preconception health can result in improved reproductive health outcomes. China has issued latest version official guideline for preconception care in 2011. The objective of this cross-sectional study is to determine whether there is a variation in the quality of preconception healthcare services in distinct eastern and northern populations of China, and what factors are associated with such variation.
Methods: A cross-sectional survey using our previously developed preconception instrument was conducted. Women at reproductive age planning for pregnancy were surveyed along with their partners at hospitals during their pre-pregnancy health examination. Data collected include general health/life profiles, pregnancy history, alcohol/tobacco/drug exposures, immunizations, micronutrient supplements and the demands in preconception care. After quality assessment, statistical analysis were applied to evaluate the variations in preconception factors between people from Hebei and Jiangsu Provinces.
Results: 3202 women of reproductive age in from eastern province, Jiangsu, and in a northern province, Hebei, participated this study. 2806 of them and their partners have completed the questionnaire, at a rate of 87.6%, 1011 were from Jiangsu and 1795 were from Hebei. Statistical significance was obtained for maternal age (P < 0.001), body mass index (u = 13.590, P < 0.001), education (chi(2) = 916.33, P < 0.001), occupation (chi(2) = 901.78, P < 0.001), health status/common disease, immunization status, and need for preconception care.
Conclusions: For a country as large as China, the centralized guideline for standardized preconception healthcare does have a very crucial positive role in reproductive healthcare, but it may not be suited for all populations. Regional authorities should consider the demographics and healthcare needs of the local population and modify the centralized guideline accordingly, as well as provide a better education and professional services for the public, to improve the quality of preconception services at both the regional and the national level.
|资助机构||March of Dimes Global Network for Maternal and Infant Health (MOD-GNMIH) ; Peking University Center of Medical Genetics (PUCMG) ; Jiangsu Provincial Department of Maternal and Children Healthcare ; New York State Office for People with Developmental Disabilities (NYS OPWDD)|
|作者单位||1.China Fdn Birth Defect Intervent & Aid, Beijing, Peoples R China|
2.Wuxi Municipal Maternal & Childrens Hosp, Wuxi, Jiangsu, Peoples R China
3.March Dimes Global Network Maternal & Infants Hlt, White Plains, NY USA
4.4 Hosp Shijiazhuang City, Shijiazhuang, Hebei Province, Peoples R China
5.Peking Univ, Ctr Med Genet, Beijing 100871, Peoples R China
6.Hebei Prov Peoples Hosp, Shijiazhuang, Hebei Province, Peoples R China
7.Chinese Peoples Liberat Army Gen Hosp, Med Sch Chinese PLA, Beijing, Peoples R China
8.Jiangsu Prov Ctr Maternal & Childrens Hlth, Nanjing, Jiangsu, Peoples R China
9.Hebei Inst Reprod Sci & Technol, Shijiazhuang, Hebei Province, Peoples R China
10.Yangzhou Municipal Maternal & Childrens Hosp, Yangzhou, Jiangsu, Peoples R China
11.Lianyungang Municipal Maternal & Childrens Hosp, Lianyungang, Jiangsu, Peoples R China
12.Shanghai Jiao Tong Univ, Childrens Hosp, Shanghai 200030, Peoples R China
13.New York State Inst Basic Res Dev Disabil, Staten Isl, NY 10314 USA
|Zhao, Xinliang,Jiang, Xiaoqing,Zhu, Junzhen,et al. Factors influencing the quality of preconception healthcare in China: applying a preconceptional instrument to assess healthcare needs[J]. BMC PREGNANCY AND CHILDBIRTH,2014,14(0).|
|APA||Zhao, Xinliang.,Jiang, Xiaoqing.,Zhu, Junzhen.,Li, Guozheng.,He, Xiaoyan.,...&Tian, Yaping.(2014).Factors influencing the quality of preconception healthcare in China: applying a preconceptional instrument to assess healthcare needs.BMC PREGNANCY AND CHILDBIRTH,14(0).|
|MLA||Zhao, Xinliang,et al."Factors influencing the quality of preconception healthcare in China: applying a preconceptional instrument to assess healthcare needs".BMC PREGNANCY AND CHILDBIRTH 14.0(2014).|
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