Predictors of multivitamin use during pregnancy in Brazil |
| |
Authors: | George L Wehby PhD Eduardo E Castilla Jorge S Lopez-Camelo Jeffrey C Murray |
| |
Institution: | (1) College of Public Health, Department of Health Management and Policy, University of Iowa, E204, GH, Iowa City, IA 52242, USA;(2) Latin American Collaborative Study of Congenital Malformations (ECLAMC) at Instituto Oswaldo Cruz, Rio de Janeiro, Brazil;(3) ECLAMC at Center of Medical Studies and Clinical Investigations, Buenos Aires, Argentina;(4) College of Medicine, Department of Pediatrics, University of Iowa, Iowa City, Iowa, USA |
| |
Abstract: | Objectives: The study aimed at identifying predictors of multivitamin use during pregnancy in Brazil.
Methods: Birth registry data of 1,774 infants at maternity hospitals in Brazil were used. The effects of maternal health and fertility
risk indicators, enabling factors and other maternal characteristics on multivitamin use were evaluated both pooled and stratified
by African ancestry.
Results: About 14% of the women used multivitamins during pregnancy. Number of previous live births, maternal age and education, number
of ultrasound exams and year of pregnancy had significant effects on multivitamin use in the group reporting African ancestry.
Maternal acute illnesses and education had significant effects on use in the group without African ancestry. Significant geographic
variation in multivitamin use was observed in both groups.
Conclusions: The study identifies several risk indicators, health care access and enabling factors that are predictive of multivitamin
use with differences by African ancestry. The study highlights the importance of increasing the awareness of women of childbearing
age of the benefits of multivitamin use and identifies barriers that need to be addressed to promote use.
Submitted: 19 July 2008; revised: 03 December 2008; accepted: 23 January 2009 |
| |
Keywords: | :" target="_blank">: Multivitamins Reproductive health Health behavior Prenatal health South America |
本文献已被 SpringerLink 等数据库收录! |
|