Maternal and Child Health Journal

, Volume 16, Issue 1, pp 31–39

Preconception Health: Awareness, Planning, and Communication Among a Sample of US Men and Women

  • Elizabeth W. Mitchell
  • Denise M. Levis
  • Christine E. Prue
Article

Abstract

It is important to educate both men and women about preconception health (PCH), but limited research exists in this area. This paper examines men’s and women’s awareness of exposure to PCH information and of specific PCH behaviors, PCH planning, and PCH discussions with their partners. Data from Porter Novelli’s 2007 Healthstyles survey were used. Women and men of reproductive age were included in the analysis (n = 2,736) to understand their awareness, planning, and conversations around PCH. Only 27.9% of women and men reported consistently using an effective birth control method. The majority of men (52%) and women (43%) were unaware of any exposure to PCH messages; few received information from their health care provider. Women were more aware than men of specific pre-pregnancy health behaviors. Women in the sample reported having more PCH conversations with their partners than did men. PCH education should focus on both women and men. Communication about PCH is lacking, both between couples and among men and women and their health care providers. PCH education might benefit from brand development so that consumers know what to ask for and providers know what to deliver.

Keywords

Preconception Pregnancy Knowledge Awareness Communication 

References

  1. 1.
    Johnson, K., et al. (2006). Recommendations to improve preconception health and health care–United States. Morbidity and Mortality Weekly Report, 55(RR-6), 1–23.Google Scholar
  2. 2.
    Jack, B., & Atrash, H. (2008). Preconception health and health care: The clinical content of preconception care. American Journal of Obstetrics and Gynecology, 199(6B Suppl), S257–S395.Google Scholar
  3. 3.
    Andreasen, A. (1995). Marketing social change: Changing behavior to promote health, social development, and the environment. San Francisco: Jossey Bass.Google Scholar
  4. 4.
    Prue, C. E., & Daniel, K. L. (2006). Social marketing: Planning before conceiving preconception care. Maternal and Child Health Journal, 10(5 Suppl), S79–S84.PubMedCrossRefGoogle Scholar
  5. 5.
    Frey, K., & Files, J. (2006). Preconception healthcare: What women know and believe. Maternal and Child Health Journal, 10(5 Suppl), S73–S77.PubMedCrossRefGoogle Scholar
  6. 6.
    Delgado, C. (2008). Undergraduate student awareness of issues related to preconception health and pregnancy. Maternal and Child Health Journal, 12(6), 774–782.PubMedCrossRefGoogle Scholar
  7. 7.
    Canady, R. B., et al. (2008). Preconception care & pregnancy planning: Voices of African American women. MCN; American Journal of Maternal Child Nursing, 33(2), 90–97.CrossRefGoogle Scholar
  8. 8.
    Flay, B. R., et al. (1980). Mass media in health promotion: An analysis using an extended information-processing model. Health Education Quarterly, 7(2), 127–147.PubMedCrossRefGoogle Scholar
  9. 9.
    McGuire, W. J. (1972). Attitude change: The information processing paradigm. In C. G. McClintock (Ed.), Experimental Social Psychology. New York: Holt, Rinehart, & Winston.Google Scholar
  10. 10.
    Biermann, J., et al. (2006). Promising practices in preconception care for women at risk for poor health and pregnancy outcomes. Maternal and Child Health Journal, 10(5 Suppl), S21–S28.PubMedCrossRefGoogle Scholar
  11. 11.
    Henderson, J. T., et al. (2002). Are two doctors better than one? Women’s physician use and appropriate care. Maternal Child Health Journal, 12(3), 138–149.Google Scholar
  12. 12.
    Goetzel, R. Z. (2009). Do prevention or treatment services save money? The wrong debate. Health Affairs, 28(1), 37–41.PubMedCrossRefGoogle Scholar
  13. 13.
    Wise, P. H. (2008). Transforming preconceptional, prenatal, and interconceptional care into a comprehensive commitment to women’s health. Womens Health Issues, 18(6 Suppl), S13–S18.PubMedGoogle Scholar
  14. 14.
    Howse, J. L. (2008). Marching forward: Action steps to optimize the health of women and babies. Womens Health Issues, 18(6 Suppl), S10–S12.PubMedGoogle Scholar
  15. 15.
    Moos, M. K. (2006). Preconception health: Where to from here? Womens Health Issues, 16(4), 156–158.PubMedCrossRefGoogle Scholar
  16. 16.
    Godfrey, J. R., & Nachtigall, M. J. (2009). Toward optimal health: An update on preconception care. Journal of Womens Health (Larchmt), 18(6), 779–783.CrossRefGoogle Scholar
  17. 17.
    Frey, K., et al. (2008). The clinical content of preconception care: Preconception care for men. American Journal of Obstetrics and Gynecology, 199(6B), S389–S395.PubMedCrossRefGoogle Scholar
  18. 18.
    Minkler, M. (1981). Applications of social support theory to health education: Implications for work with the elderly. Health education quarterly, 8(2), 147–165.PubMedCrossRefGoogle Scholar
  19. 19.
    Satariano, W. A., & Syme, S. L. (1981). Life change and disease in elderly populations. McGough, J., et al. (Eds.). New York: Academic Press.Google Scholar
  20. 20.
    Katz, E., & Lazarsfeld, P. F. (1955). Personal influence: the part played by people in the flow of mass communication. Glencoe, IL: Free Press.Google Scholar
  21. 21.
    Rogers, E. M. (2003). Diffusion of innovation (5th ed.). New York: Free Press.Google Scholar
  22. 22.
    Kelley, H. H., & Thibaut, J. W. (1978). Interpersonal relations: A theory of interdependence. New York: Wiley.Google Scholar
  23. 23.
    Dollar, K., et al. (2009). Spousal and alcohol-related predictors of smoking cessation: A longitudinal study in a community sample of married couples. American Journal of Public Health, 99(2), 231–233.PubMedCrossRefGoogle Scholar
  24. 24.
    Homish, G., & Leonard, K. (2005). Spousal influence on smoking behaviors in a US community sample of newly married couples. Social Science and Medicine, 61, 2557–2567.PubMedCrossRefGoogle Scholar
  25. 25.
    Homish, G., & Leonard, K. (2007). Alcohol use and partner expectations among newly married couples. Substance Use and Misuse, 42, 1427–1441.PubMedCrossRefGoogle Scholar
  26. 26.
    Lee, S., et al. (2005). Effects of marital transitions on changes in dietary and other health behaviours in US women. International Journal of Epidemiology, 34, 69–78.PubMedCrossRefGoogle Scholar
  27. 27.
    Milligan, R., et al. (2002). Perceptions about prenatal care: View of urban vulnerable groups. BMC Public Health, 2(25).Google Scholar
  28. 28.
    Pollard, W. E. (2007). Evaluation of consumer panel survey data for public health communication planning: An analysis of annual survey data from 1995–2006. In American statistical association 2007 proceedings of the section on health policy statistics 2007, p. 1528–33.Google Scholar
  29. 29.
    Pollard, W. E. (2002). Use of consumer panel survey data for public health communication planning: An evaluation of survey results. In American statistical association 2002 proceedings of the section on health policy statistics 2002, pp. 2720–2724.Google Scholar
  30. 30.
    Gallup Organization, & March of Dimes Foundation. (2008). Improving preconception health: Women’s knowledge and use of folic acid. March of Dimes Foundation.Google Scholar
  31. 31.
    Evans, W. D., & Hastings, G. (2008). Public health branding. Recognition, promise, and delivery of healthy lifestyles. In W. D. Evans, & G. Hastings (Eds.), Public health branding: Applying marketing for social change (pp. 3–24). Oxford: Oxford University Press.Google Scholar
  32. 32.
    Klerman, L. V. (2006). Family planning services: An essential component of preconception care. Maternal and Child Health Journal, 10(5 Suppl), S157–S160.PubMedCrossRefGoogle Scholar
  33. 33.
    Finer, L. B., & Henshaw, S. K. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38(2), 90–96.PubMedCrossRefGoogle Scholar
  34. 34.
    Coker, A. L. (2007). Does physical intimate partner violence affect sexual health? A systematic review. Trauma Violence Abuse, 8(2), 149–177.PubMedCrossRefGoogle Scholar
  35. 35.
    Raj, A., et al. (2005). South Asian victims of intimate partner violence more likely than non-victims to report sexual health concerns. Journal of Immigrant Health, 7(2), 85–91.PubMedCrossRefGoogle Scholar
  36. 36.
    Lindsey, L. L., et al. (2007). Understanding optimal nutrition among women of childbearing age in the United States and Puerto Rico: Employing formative research to lay the foundation for national birth defects prevention campaigns. Journal of Health Communication, 12(8), 733–757.PubMedCrossRefGoogle Scholar
  37. 37.
    Moos, M. K., et al. (2008). Healthier women, healthier reproductive outcomes: Recommendations for the routine care of all women of reproductive age. American Journal of Obstetrics and Gynecology, 199(6 Suppl 2), S280–S289.PubMedCrossRefGoogle Scholar

Copyright information

© US Government 2010

Authors and Affiliations

  • Elizabeth W. Mitchell
    • 1
  • Denise M. Levis
    • 1
    • 2
  • Christine E. Prue
    • 3
  1. 1.Prevention Research Branch, National Center on Birth Defects and Developmental DisabilitiesCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Oak Ridge Institute for Science and EducationOak RidgeUSA
  3. 3.National Center for Emerging and Zoonotic Infectious DiseasesCenters for Disease Control and PreventionAtlantaUSA

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