Change in Lifestyle Behaviors After Preconception Care: A Prospective Cohort Study
العنوان: | Change in Lifestyle Behaviors After Preconception Care: A Prospective Cohort Study |
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المؤلفون: | Loes C.M. Bertens, Lieke C de Jong-Potjer, Ageeth N. Rosman, Birgit C. P. Koch, Semiha Denktaş, Eric A.P. Steegers, Sabine F. van Voorst, Meertien K. Sijpkens |
المساهمون: | Obstetrics & Gynecology, Clinical Psychology, Pharmacy |
المصدر: | American Journal of Health Promotion American Journal of Health Promotion, 35(1), 116-120. SAGE Publishing |
سنة النشر: | 2020 |
مصطلحات موضوعية: | medicine.medical_specialty, Health (social science), health promotion, Health Behavior, Primary health care, Preconception Care, folic acid, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Intervention (counseling), medicine, Humans, Prospective Studies, 030212 general & internal medicine, Prospective cohort study, Life Style, preconception care, 030219 obstetrics & reproductive medicine, business.industry, Public Health, Environmental and Occupational Health, Applied Research Briefs, primary health care, Health promotion, Folic acid, Family medicine, Female, Health behavior, business |
الوصف: | Purpose: To evaluate the effects of preconception care (PCC) consultations by change in lifestyle behaviors. Setting and Intervention: Women in deprived neighborhoods of 14 Dutch municipalities were encouraged to visit a general practitioner or midwife for PCC. Sample: The study included women aged 18 to 41 years who had a PCC consultation. Design: In this community-based prospective cohort study, we assessed initiation of folic acid supplementation, cessation of smoking, alcohol consumption, and illicit drug use. Measures: Self-reported and biomarker data on behavioral changes were obtained at baseline and 3 months later. Analysis: The changes in prevalence were assessed with the McNemar test. Results: Of the 259 included participants, paired analyses were available in 177 participants for self-reported outcomes and in 82 for biomarker outcomes. Baseline self-reported prevalence of no folic acid use was 36%, smoking 12%, weekly alcohol use 22%, and binge drinking 17%. Significant changes in prevalence toward better lifestyle during follow-up were seen for folic acid use (both self-reported, P < .001; and biomarker-confirmed, P = .008) and for self-reported binge drinking ( P = .007). Conclusion: Our study suggests that PCC contributes to initiation of folic acid supplementation and cessation of binge drinking in women who intend to become pregnant. Although based on a small sample, the study adds to the limited body of evidence regarding the benefits of PCC in improving periconception health. |
وصف الملف: | application/pdf |
اللغة: | English |
تدمد: | 0890-1171 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5b9ac0a0f9d2b432ed94ad3bbebb48a7 https://doi.org/10.1177/0890117120927287 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....5b9ac0a0f9d2b432ed94ad3bbebb48a7 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 08901171 |
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