Consumers' Perceptions of Preconception Health

Squiers, Linda; Mitchell, Elizabeth W.; Levis, Denise M.; Lynch, Molly; Dolina, Suzanne; Margolis, Marjorie; Scales, Monica; Kish-Doto, Julia

doi:10.4278/ajhp.120217-qual-95

Cited by 31 publications

(43 citation statements)

References 8 publications

(9 reference statements)

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“…The tendency to neglect healthy preconception behaviors has been found with other pregnancy-related behaviors as well: women of childbearing age intend to take folic acid; 21 cease alcohol consumption; 23 and, generally, practice healthy behaviors/stop unhealthy behaviors after finding out about pregnancy. 24 Pregnancy is a motivational trigger for women to change or adopt new behaviors. Messages about risks to the baby resonate with pregnant women, but not with non-pregnant women.…”

Section: Discussionmentioning

confidence: 99%

“…Messages about risks to the baby resonate with pregnant women, but not with non-pregnant women. 22,24 Unfortunately, by the time a woman finds out about her pregnancy and begins prenatal care, it may be too late to prevent some adverse outcomes. 25 Furthermore, women who decide to quit smoking prior to pregnancy have more treatment options; cessation medication is not recommended as first-line treatment for pregnant women and safety and efficacy of nicotine-replacement therapy during pregnancy has not been established.…”

Section: Discussionmentioning

confidence: 99%

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Women's Perspectives on Smoking and Pregnancy and Graphic Warning Labels

et al. 2014

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Objectives To explore women’s knowledge, attitudes, and beliefs about adverse outcomes associated with smoking during pregnancy and which outcomes might motivate cessation; to explore reactions to graphic warnings depicting 2 adverse outcomes. Methods Twelve focus groups were conducted with women of childbearing age who were current smokers. Results Participants had low to moderate awareness of many outcomes and believed it was acceptable to smoke in the first trimester before knowledge of pregnancy. Perceived susceptibility to outcomes was low. Motivators included risk-focused information, especially serious risks to the baby (eg, stillbirth, SIDS). Graphic warnings produced strong reactions, especially the warning with a real photo. Conclusions Despite barriers to reducing rates of smoking during pregnancy, educational information and photos depicting babies’ risks could motivate women to quit.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Women's Perspectives on Smoking and Pregnancy and Graphic Warning Labels

et al. 2014

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“…In most cases, information needs of target populations were assessed through interviews, surveys, and focus groups [11,12], yielding results that might not be generalizable to all population segments. Moreover, the public’s information needs may vary over time.…”

Section: Introductionmentioning

confidence: 99%

Web-Based Surveillance of Public Information Needs for Informing Preconception Interventions

et al. 2015

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BackgroundThe risk of adverse pregnancy outcomes can be minimized through the adoption of healthy lifestyles before pregnancy by women of childbearing age. Initiatives for promotion of preconception health may be difficult to implement. Internet can be used to build tailored health interventions through identification of the public's information needs. To this aim, we developed a semi-automatic web-based system for monitoring Google searches, web pages and activity on social networks, regarding preconception health.MethodsBased on the American College of Obstetricians and Gynecologists guidelines and on the actual search behaviors of Italian Internet users, we defined a set of keywords targeting preconception care topics. Using these keywords, we analyzed the usage of Google search engine and identified web pages containing preconception care recommendations. We also monitored how the selected web pages were shared on social networks. We analyzed discrepancies between searched and published information and the sharing pattern of the topics.ResultsWe identified 1,807 Google search queries which generated a total of 1,995,030 searches during the study period. Less than 10% of the reviewed pages contained preconception care information and in 42.8% information was consistent with ACOG guidelines. Facebook was the most used social network for sharing. Nutrition, Chronic Diseases and Infectious Diseases were the most published and searched topics. Regarding Genetic Risk and Folic Acid, a high search volume was not associated to a high web page production, while Medication pages were more frequently published than searched. Vaccinations elicited high sharing although web page production was low; this effect was quite variable in time.ConclusionOur study represent a resource to prioritize communication on specific topics on the web, to address misconceptions, and to tailor interventions to specific populations.

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“…This missed opportunity for prevention could be addressed through more effective messages about the importance of taking folic acid supplements. 37 …”

Section: Discussionmentioning

confidence: 99%

Discussing Appropriate Medication Use and Multivitamin Intake with a Healthcare Provider: An Examination of Two Elements of Preconception Care Among Latinas

Interrante

Flores

2018

Journal of Women's Health

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Background Counseling for appropriate medication use and folic acid consumption are elements of preconception care critical for improving pregnancy outcomes. Hispanic women receive less preconception care than women of other race/ethnic groups. The objective of this analysis is to describe differences in these two elements of preconception care among Hispanic subsegments. Materials and Methods Porter Novelli's 2013 Estilos survey was sent to 2,609 U.S. Hispanic adults of the Offerwise QueOpinas Panel. Surveys were completed by 1,000 individuals (calculated response rate 42%), and results were weighted to the 2012 U.S. Census Hispanic proportions for sex, age, income, household size, education, region, country of origin, and acculturation. Responses were analyzed with weighted descriptive statistics, linear regression, and Rao–Scott chi-square tests. Results Of the 499 female respondents, 248 had a child under the age of 18 years and were asked about healthcare provider discussions concerning medication use before or during their last pregnancy. Timing of discussions varied by maternal age, marital status, income, youngest child's country of birth, and acculturation. Discussions before pregnancy were reported by 47% of the female respondents; high acculturated women more often reported never having such discussions. Among female respondents, 320 were of reproductive age, and 27% of those reported daily multivitamin use. Multivitamin use varied by pregnancy intention and youngest child's country of birth, but did not vary significantly by acculturation. Conclusions Differences in discussions concerning medication use in pregnancy and multivitamin use exist among Hispanic subsegments based on pregnancy intention, marital status, income, youngest child's country of birth, and level of acculturation.

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Consumers' Perceptions of Preconception Health

Abstract: The results from this research will inform the development of a social marketing plan for PCH and the development of concepts that will be tested with consumers to determine their viability for use in a national campaign.

Cited by 31 publications

References 8 publications

Women's Perspectives on Smoking and Pregnancy and Graphic Warning Labels

Women's Perspectives on Smoking and Pregnancy and Graphic Warning Labels

Web-Based Surveillance of Public Information Needs for Informing Preconception Interventions

Discussing Appropriate Medication Use and Multivitamin Intake with a Healthcare Provider: An Examination of Two Elements of Preconception Care Among Latinas

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