Neural Tube Defects: Knowledge and Preconceptional Prevention Practices in Minority Young Women

Chacko, Mariam R.; Anding, Roberta; Kozinetz, Claudia A.; Grover, Janice L.; Smith, Peggy B.

doi:10.1542/peds.112.3.536

Cited by 36 publications

(39 citation statements)

References 22 publications

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“…This showed significant increases four months after the intervention, with higher figures in those women who were not already taking a supplement. In the USA a trained health educator implemented a folic acid promotion programme at three clinics (Chacko et al) (58) . When a young woman indicated interest in taking a daily multivitamin, she was given a 3-month supply of multivitamin tablets.…”

Section: Systematic Reviewsmentioning

confidence: 99%

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Stockley

Lund

2008

Public Health Nutr.

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Objective: To provide a basis for making recommendations on the potential to improve use of folic acid supplements in the UK, particularly among low-income and young women. Design: Systematic reviews of relevant research from 1989 to May 2006 in Europe, the USA, Canada, Australia and New Zealand. Results: Twenty-six systematic reviews and/or meta-analyses were identified from the wider public health literature, and eighteen studies on the effectiveness of preconception interventions were included. Ninety studies were identified which were directly relevant to folic acid supplement intake. There were factors that are particularly associated with lower rates of use of folic acid supplements. One of the most important of these is the link with unintended pregnancy, followed by age, socio-economic and ethnic group. Integrated campaigns can increase the use of folic acid supplements to some extent. Research trials indicated that: (i) printed resources and the mass media used in isolation are not effective in the longer term; and (ii) health-care-based initiatives can be effective and are more likely to be successful if they include making supplements easily available. Conclusions: Campaigns and interventions have the potential to exacerbate socioeconomic inequalities in folic acid use. One way of addressing this is to include elements that specifically target vulnerable women. To achieve and maintain an effect, they need to be based on good health promotion practice and to be sustained over a long period. However, even high-quality campaigns that increase use result in under half of women in the target group taking supplements. Keywords Folate Folic acid Supplements Neural tube defects Public health policies/interventionsThe overall aim of the work described in the present paper was to use a systematic approach to carry out literature reviews of research that has been done on influencing low-income groups, particularly girls/young women, to change their behaviour in relation to health. The intention was to provide a basis for making evidencebased recommendations on the potential to improve use of folic acid supplements in the UK.This was achieved by carrying out three complementary reviews. The first two of these provided a basis for the main (third) review. They were intended to assess whether there are findings from the wider public health literature (rather than work focusing specifically on folic acid) that might inform the development of effective interventions to increase use of folic acid supplements. Review 1 identified published systematic reviews or meta-analyses of initiatives that required 'positive precautionary action' by women. Review 2 identified research relevant to the effectiveness of different approaches to preconception interventions on behaviour. Review 3 formed the main part of the work, and focused specifically on quantitative or qualitative research aimed at encouraging women, particularly girls/young women and those from low-income groups, to take folic acid in the periconceptional p...

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Section: Systematic Reviewsmentioning

confidence: 99%

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Stockley

Lund

2008

Public Health Nutr.

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“…Before the mandatory fortification of grains, the average consumption of folic acid was estimated to be 0.25mg/day and the fortification is estimated to add 0.1 mg/day, leaving many women of childbearing age under the recommended levels (Chacko et al, 2003). A study by Boushey and colleagues (2001) showed that 61% of women in childbearing age after fortification had intakes of folic acid below the recommended levels and those who achieved the guidelines were those who consumed supplements.…”

Section: Concernsmentioning

confidence: 99%

The Role of Folic Acid in the Prevention of Neural Tube Defects

García-Fragoso¹,

García‐García²,

Cadilla³

2012

Neural Tube Defects - Role of Folate, Prevention Strategies and Genetics

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“…A follow-up survey of the program indicated that the daily intake of FA increased from 9% at the time of enrollment to 67% within 3 months into implementation of the program. 24 The other type of campaign takes on a more passive approach, such as a mass media campaign. This type of campaign can be effective in reaching sizable population in short time and is less costly.…”

Section: Strategies To Promote Folate Consumptionmentioning

confidence: 99%

“…Furthermore, efforts spent to look at predictors of suboptimal use of periconceptional FA identified that women, who When young (13-22 years of age) and low-income women were targeted in the FA promotion program in Huston, Texas, the daily multivitamin intake increased from 9% to 67%. 24 In addition, racial and ethnic disparities were found to influence FA consumption. Nonwhite and Hispanic women were the least likely to be aware of FA.…”

Section: Predictors Of Suboptimal Use Of Famentioning

confidence: 99%

Folic acid supplementation for the prevention of neural tube defects: promotion and use

Shah¹

2010

NDS

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Observational and randomized controlled studies have shown that periconceptional folic acid (FA) supplementation can significantly reduce the risk of neural tube defects (NTDs). Countries across the world have adopted various strategies to increase awareness and to promote the use of FA. Nevertheless, health promotion and educational campaigns have proven to be ineffective in achieving the goal of increasing FA intake by the at-risk group. Mandatory FA fortification was a further step taken by some countries on the course toward improving folate status in the general population. Although some researchers advocate for extra folate to be added to the food supply, a number of governments have refrained from adopting the policy of mandatory fortification because of concerns raised over the potential side effects, such as cancer risk; however, epidemiological confirmation is inconsistent. After several years of the proven association between prenatal supplementation of FA and prevention of NTD, uncertainty, controversy, and indecision still hinder FA promotion and use. In this review, we summarize approaches taken by various countries and provide a framework for further steps in this area.

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Neural Tube Defects: Knowledge and Preconceptional Prevention Practices in Minority Young Women

Cited by 36 publications

References 22 publications

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

Use of folic acid supplements, particularly by low-income and young women: a series of systematic reviews to inform public health policy in the UK

The Role of Folic Acid in the Prevention of Neural Tube Defects

Folic acid supplementation for the prevention of neural tube defects: promotion and use

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