Meeting paperPCOGS paperKnowledge and attitudes regarding preconception care in a predominantly low-income Mexican American population
Section snippets
Materials and Methods
This study was a cross-sectional survey of a convenience sample of female patients aged 18-45 years who presented for an appointment at the Women's Care Clinic at the Maricopa Medical Center during the winter and spring of 2008. Maricopa Medical Center is a public hospital in Phoenix, AZ, which serves the poor and indigent population of Phoenix and the surrounding area. Prisoners and women who had undergone surgical procedures for permanent sterilization were excluded.
The survey was adapted
Results
The majority of the 305 enrolled subjects were 35 years old or younger (84%), mostly Hispanic (88%), with low levels of education (75% high school education or less) and low levels of acculturation (Table 1). This is consistent with a clinic serving the poor and uninsured in our region of the United States. Also consistent with this finding are the low levels of home or automobile ownership.
The level of economic hardship was near the midpoint for both scales (Table 1). Consistent with a
Comment
Our study of a predominantly low-income, Mexican American population found levels of interest in preconception health education similar to those of a higher economic status population in the same region. Levels of knowledge were high overall but lower than those in the more affluent population. Given that many of the items related to pregnancy and that most of our subjects were pregnant, this was a somewhat disappointing finding. When predictors of knowledge were analyzed, the multivariate
References (20)
- et al.
Risks of smoking to reproductive health: assessment of women's knowledge
Am J Obstet Gynecol
(2001) - et al.
Knowledge regarding preconceptional folic acid use in a Hispanic patient population
Prim Care Update Ob Gyns
(2003) - et al.
Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age
Am J Obstet Gynecol
(2008) - et al.
The clinical content of preconception care: an overview and preparation of this supplement
Am J Obstet Gynecol
(2008) - et al.
Preconception care for improving perinatal outcomes: the time to act
Matern Child Health J
(2006) - et al.
Racial and ethnic disparities in birth outcomes: a life-course perspective
Matern Child Health J
(2003) Surveillance of preconception health indicators among women delivering live-born infants—Oklahoma 2000-2003
MMWR Morb Mortal Wkly Rep
(2007)Preconception care of women with diabetes: the unrevealed obstacles
J Matern Fetal Med
(2000)- et al.
Preconception healthcare: what women know and believe
Matern Child Health J
(2006) - et al.
Cancer risk reduction in Mexican American women: the role of acculturation, education, and health risk factors
Health Educ Q
(1995)
Cited by (40)
Preconception health behaviours: A scoping review
2017, Preventive MedicineCitation Excerpt :There is a dearth of research examining intentions to engage in specific PCH behaviours. While some studies broadly examined intentions to seek preconception care or counseling (e.g., Coonrod et al., 2009; Frey et al., 2012; Temel et al., 2013; Temel et al., 2015) or as the target of an intervention (see Table 5a), no published studies since 2010 examined any specific behavioural intentions. The goal of this scoping review was to determine the extent to which specific PCH behaviours have been examined in recent research on PCH knowledge, behaviours, and behavioural intentions, as well as to identify gaps in the literature.
Reprints not available from the authors.
Cite this article as: Coonrod DV, Bruce NC, Malcolm TD, et al. Knowledge and attitudes regarding preconception care in a predominantly low-income Mexican American population. Am J Obstet Gynecol 2009;200:686.e1-686.e7.