The role of education and migration background in explaining differences in folic acid supplementation intake in pregnancy: results from a German birth cohort study

Miani, Céline; Ludwig, Angelique; Doyle, Ina-Merle; Breckenkamp, Jürgen; Hoeller-Holtrichter, Chantal; Spallek, Jacob; Razum, Oliver

doi:10.1017/s1368980021003621

Cited by 4 publications

(2 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Here, the women concerned stated that they no longer had enough time for the correct start of intake. Furthermore, a lack of information as well as the conscious decision not to take the medication was highlighted as a risk factor for insufficient supplementation [ 59 ]. Furthermore, another factor to be investigated could be that the cost of supplementation is usually borne by the pregnant woman herself.…”

Section: Resultsmentioning

confidence: 99%

Antenatal Care and Health Behavior of Pregnant Women—An Evaluation of the Survey of Neonates in Pomerania

et al. 2023

View full text Add to dashboard Cite

Background. The German maternity guidelines require regular medical checkup (MC) during pregnancy as a measure of prevention. Socioeconomic factors such as education, profession, income and origin, but also age and parity may influence the preventive and health behavior of pregnant women. The aim was to investigate the influence of these factors on the participation rate in MC of pregnant women. Method. The current analysis is based on the prospective population-based birth cohort study Survey of Neonates in Pomerania, which was conducted in Western Pomerania, Germany. The data of 4092 pregnant women from 2004 to 2008 were analyzed regarding the antenatal care and health behavior. Up to 12 MC were regularly offered; participation in 10 MC is defined as standard screening according to maternity guidelines. Results. Women participated in the first preventive MC on average in the 10th (±3.8 SD) week of pregnancy. 1343 (34.2%) women participated in standard screening and 2039 (51.9%) took a screening above standard. 547 (13.92%) women participated in less than the 10 standard MCs. In addition, about one-third of the pregnancies investigated in this study were unplanned. Bivariate analyses showed an association between better antenatal care behavior and higher maternal age, stabile partnerships and mother born in Germany, p < 0.05. On the contrary antenatal care below standard were more often found by women with unplanned pregnancies, less educational women and women with lower equivalent income, p < 0.001. Health behaviors also influenced antenatal care. Whereas the risk of antenatal care below standard increased by smoking during pregnancy (RRR 1.64; 95% CI 1.25, 2.14) and alcohol consumption (RRR 1.31; 95% CI 1.01, 1.69), supplementation intake was associated with decreased risk (iodine—RRR 0.66; 95% CI 0.53, 0.81; folic acid—RRR 0.56; 95% CI 0.44, 0.72). The health behavior of pregnant women also differs according to their social status. Higher maternal income was negatively correlated with smoking during pregnancy (OR 0.2; 95% CI 0.15, 0.24), but positively associated with alcohol consumption during pregnancy (OR 1.3; 95% CI 1.15, 1.48) and lower pre-pregnancy BMI (Coef. = 0.083, p < 0.001). Lower maternal education was positively correlated with smoking during pregnancy (OR 59.0; 95% CI 28.68, 121.23). Conclusions. Prenatal care according to maternity guidelines is well established with a high participation rate in MC during pregnancy of more than 85%. However, targeted preventive measures may address younger age, socioeconomic status and health-damaging behaviors (smoking, drinking) of the pregnant women because these factors were associated with antenatal care below standard.

show abstract

Section: Resultsmentioning

confidence: 99%

Antenatal Care and Health Behavior of Pregnant Women—An Evaluation of the Survey of Neonates in Pomerania

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Here, the women concerned stated that they no longer had enough time for the correct start of intake. Furthermore, a lack of information as well as the conscious decision not to take the medication was highlighted as a risk factor for insu cient supplementation [59]. Furthermore, another factor to be investigated could be that the cost of supplementation is usually borne by the pregnant woman herself.…”

Section: Health Care Behaviormentioning

confidence: 99%

Antenatal care and health behavior of pregnant women - An evaluation of the Survey of Neonates in Pomerania

Mahlo-Nguyen

Heckmann

Pierdant

et al. 2022

Preprint

View full text Add to dashboard Cite

Background. The German maternity guidelines require regular medical checkup (MC) during pregnancy as a measure of prevention. Socioeconomic factors such as education, profession, income and origin, but also age and parity may influence the preventive and health behavior of pregnant women. The aim was to investigate the influence of these factors on the participation rate in MC of pregnant women.Method. The current analysis is based on the prospective population-based birth cohort study Survey of Neonates in Pomerania, which was conducted in Western Pomerania, Germany. The data of 4092 pregnant women from 2004 to 2008 were analyzed regarding the antenatal care and health behavior. Up to 12 MC were regularly offered; participation in 10 MC is defined as standard screening according to maternity guidelines.Results. Women participated in the first preventive MC on average in the 10th (± 3.8 SD) week of pregnancy. 1343 (34.2 %) women participated in standard screening and 2039 (51.9 %) took a screening above standard. 547 (13.92 %) women participated in less than the 10 standard MCs. In addition, about one-third of the pregnancies investigated in this study were unplanned. Bivariate analyses showed an association between better antenatal care behavior and higher maternal age, stabile partnerships and mother born in Germany, p < .05. On the contrary antenatal care below standard were more often found by women with unplanned pregnancies, less educational women and women with lower equivalent income, p < .001. Health behaviors also influenced antenatal care. Whereas, the risk of antenatal care below standard increased by smoking during pregnancy (RRR 1.64; 95% CI 1.25, 2.14) and alcohol consumption (RRR 1.31; 95% CI 1.01, 1.69), supplementation intake was associated with decreased risk (iodine - RRR 0.66; 95% CI 0.53, 0.81; folic acid - RRR 0.56; 95% CI 0.44, 0.72). The health behavior of pregnant women also differs according to their social status. Higher maternal income was negatively correlated with smoking during pregnancy (OR 0.2; 95% CI 0.15, 0.24), but positively associated with alcohol consumption during pregnancy (OR 1.3; 95% CI 1.15, 1.48) and lower pre-pregnancy BMI (Coef. = .083, p < .001). Lower maternal education was positively correlated with smoking during pregnancy (OR 59.0; 95% CI 28.68, 121.23).Conclusions. Prenatal care according to maternity guidelines is well established with a high participation rate in MC during pregnancy of more than 85%. However, targeted preventive measures may address younger age, socioeconomic status and health-damaging behaviors (smoking, drinking) of the pregnant women because these factors were associated with antenatal care below standard.

show abstract

Are migrants during the periconception period less likely to be supplementing with folic acid: An Australian cohort study

Tang,

Elhindi,

Blumenthal

et al. 2024

Midwifery

View full text Add to dashboard Cite

The role of education and migration background in explaining differences in folic acid supplementation intake in pregnancy: results from a German birth cohort study

Cited by 4 publications

References 34 publications

Antenatal Care and Health Behavior of Pregnant Women—An Evaluation of the Survey of Neonates in Pomerania

Antenatal Care and Health Behavior of Pregnant Women—An Evaluation of the Survey of Neonates in Pomerania

Antenatal care and health behavior of pregnant women - An evaluation of the Survey of Neonates in Pomerania

Are migrants during the periconception period less likely to be supplementing with folic acid: An Australian cohort study

Contact Info

Product

Resources

About