Diet during pregnancy: Women's knowledge of and adherence to food safety guidelines

Diet during pregnancy: Women's knowledge of and adherence to food safety guidelines
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DOI:
10.1111/ajo.12523
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发表时间:
2017-06-01
影响因子:
1.7
通讯作者:
Sanson-Fisher, Rob
Sanson-Fisher, Rob
中科院分区:
医学4区
文献类型:
--
作者:
Bryant, Jamie;Waller, Amy;Sanson-Fisher, Rob

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背景:为了预防感染食源性疾病,指南建议妇女在怀孕期间避免一些食物。目的:在接受产前护理的妇女中检查:(I)关于怀孕期间应避免饮食的指南的知识水平和自我报告的遵守情况;以及(Ii)相关的社会人口学特征。方法:在公立门诊就诊的妇女:怀孕或最近生过孩子;18岁或以上;能够在最小限度的帮助下完成英语调查;结果:共有223名孕妇(%的同意率)参加了调查。怀孕期间应避免食用的食物的知识很差,83%的妇女错误地将至少一种不安全的食物识别为可以安全食用。孕期应避免饮食的平均知识得分为7.9(标准差=3.4;中位数=9;四分位数范围:6-11;n=218)。有更多的全科医生(GP)产前检查和较少的第三次产前检查与更高的知识显著相关。去看全科医生次数较多的妇女和在高危诊所接受护理的妇女更有可能遵守指南。结论:大多数孕妇对食物避免指南知之甚少,并继续食用将她们置于危险之中的食物。
Background: As a precaution against acquiring food-borne illnesses, guidelines recommend women avoid some foods during pregnancy.Aims: To examine among women receiving antenatal care: (i) level of knowledge and self-reported adherence to guidelines about foods that should be avoided during pregnancy; and (ii) associated socio-demographic characteristics.Methods: Women attending a public outpatient clinic who were: pregnant or had recently given birth; 18 years or older; able to complete an English language survey with minimal assistance; and had at least one prior antenatal appointment for their current pregnancy, were asked to complete a cross-sectional survey.Results: In total 223 women (64% consent rate) participated. Knowledge of foods to avoid during pregnancy was poor, with 83% of women incorrectly identifying at least one unsafe food as safe to consume. The average knowledge score for foods to avoid during pregnancy was 7.9 (standard deviation = 3.4; median = 9; interquartile range: 6-11; n = 218) out of a possible score of 12. Having more general practice (GP) visits for antenatal care and fewer tertiary antenatal visits were significantly associated with higher knowledge. Women with a higher number of GP visits and those receiving care in a high-risk clinic were more likely to be adherent to guidelines.Conclusions: The majority of pregnant women have poor knowledge of food avoidance guidelines and continue to consume foods that put them at risk.