CAJ | 학술논문

目的：了解江门地区育龄及孕期妇女增补叶酸预防神经管畸形（NTDs）的知、信、行现况。方法随机选取我市育龄及孕期妇女为调查对象，采用自行编制的问卷对其叶酸增补的知、信、行状况进行调查，并对数据进行单因素分析。结果获得1003份有效调查问卷，愿意服用叶酸的比率为98．60％，763名妊娠期妇女的叶酸服用率为79．16％。既往怀孕和生育次数可显著影响妇女对叶酸增补知识的知晓率和增补行为，文化程度高者和年龄高者对叶酸增补知识的知晓率更高、增补行为更正确科学，但本科学历以上者对于基层医院提供免费叶酸的知晓率最低。结论实施出生缺陷“三级干预措施”，加强叶酸增补预防 NTDs 的宣教，普及优生知识有待进一步提高。
목적：료해강문지구육령급잉기부녀증보협산예방신경관기형（NTDs）적지、신、행현황。방법수궤선취아시육령급잉기부녀위조사대상，채용자행편제적문권대기협산증보적지、신、행상황진행조사，병대수거진행단인소분석。결과획득1003빈유효조사문권，원의복용협산적비솔위98．60％，763명임신기부녀적협산복용솔위79．16％。기왕부잉화생육차수가현저영향부녀대협산증보지식적지효솔화증보행위，문화정도고자화년령고자대협산증보지식적지효솔경고、증보행위경정학과학，단본과학력이상자대우기층의원제공면비협산적지효솔최저。결론실시출생결함“삼급간예조시”，가강협산증보예방 NTDs 적선교，보급우생지식유대진일보제고。
Objective To investigate the knowledge,attitude and practice (KAP)about the folic acid supplement to prevent neural tube defects (NTDs)in child-bearing age and pregnant women of Jiangmen city. Methods The child-bearing age and pregnant women were randomly selected in Jiangmen.The KAP infor-mation of them were investigated by self-developed questionnaires.A univariate analysis was performed on collected relevant indexes. Results The rate of willingness to folic acid supplement was 98.60% in 1003 women (from valid questionnaires).There were 763 pregnant women in the survey and the rate of folic acid supplement was 79.16%.The pregnant history and labor frequency had an significant influence on the KAP a-bout folic acid supplement.Further,women who had higher education and older were more likely to have deep knowledge and correctly scientific knowledge about folic acid supplement.However,the awareness rate of free-issue folic acid by primary hospital among highly educated women was the lowest. Conclusion It will be further improved in taking Tri-grade intervention measures to prevent birth defects and in strengthening prop-aganda and education of folic acid supplement and popularizing the Eugenics knowledge.