Abstract
Objectives To assess undergraduate student awareness of issues related to preconception health and pregnancy and to investigate gender differences. Methods Two-hundred forty-one undergraduate students (137 females, 104 males) completed a questionnaire designed to assess awareness of issues related to preconception health and pregnancy. Results Overall, students demonstrated a low to moderate level of awareness, correctly answering 64% of items. Individual student scores varied a great deal, ranging from 33% to 89% correct. Students who had previously taken a course containing information on pregnancy and/or child development correctly answered a greater percentage of items than those who had not taken such a course. Females had slightly, but statistically significantly, higher awareness scores than males. Students self-reported ratings of awareness of behaviors that are dangerous during pregnancy were associated with their composite scores on the questionnaire. Awareness across individual items varied a great deal. Students demonstrated a high level of awareness for substance use, a moderate level of awareness for sexually transmitted diseases and preconception care, and lower levels of awareness for folic acid, prenatal development, health, and pregnancy spacing. Conclusions Efforts to improve preconception health should include increasing awareness of reproductive issues for both males and females. Existing efforts to provide information on reproductive health to students need to be expanded and new strategies developed. Particular attention should be paid to increasing awareness of the benefits of family planning, the early onset and rapid rate of organogenesis, the benefits of folic acid, and the importance of addressing health-related issues.
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References
Centers for Disease Control and Prevention. (2006). Recommendations to Improve Preconception Health and Health Care—United States: A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep. 55(No. RR-6), 1–23.
Anderson, J. E., Ebrahim, S., Floyd, L., & Atrash, H. (2006). Prevalence of risk factors for adverse pregnancy outcomes during pregnancy and the preconception period—United States, 2002–2004. Maternal and Child Health Journal, 10, S101–S106.
Konovalov, H. V., Kovetsky, N. S., Bobryshev, Y. V., & Ashwell, K. W. (1997). Disorders of brain development in the progeny of mothers who used alcohol during pregnancy. Early Human Development, 48, 153–166.
Roth, L. K., & Taylor, H. S. (2001). Risks of smoking to reproductive health: Assessment of women’s knowledge. American Journal of Obstetrics and Gynecology, 184, 934–939.
Frey, K. A., & Files, J. A. (2006). Preconception healthcare: What women know and believe. Maternal and Child Health Journal 10, S73–S77.
March of Dimes Folic Acid Surveys [homepage on the Internet]. White Plains (NY): March of Dimes Foundation; c2007 [cited 2007 Feb 21]. Folic acid awareness: US, 1995–2005; [about 2 screens]. Available from: http://www.marchofdimes.com/peristats.
Korenbrot, C. C., Steinberg, A., Bender, C., & Newberry, S. (2002). Preconception care: A systematic review. Maternal and Child Health Journal, 6, 75–88.
Atrash, H. K., Johnson, K., Adams, M., Cordero, J. F., & Howse, J. (2006). Preconception care for improving perinatal outcomes: The time to act. Maternal and Child Health Journal, 10, S3–S11.
Henshaw, S. K. (1998). Unintended pregnancy in the United States. Family Planning Perspectives, 30, 24–29 & 46.
Moos, M. K. (2004). Preconception health promotion: Progress in changing a prevention paradigm. The Journal of Perinatal & Neonatal Nursing, 18, 2–13.
Burdorf, A., Figà-Talamanca, I., Jensen, T. K., & Thulstrup, A. M. (2006). Effects of occupational exposure on the reproductive system: Core evidence and practical implications. Occupational Medicine, 56, 516–520.
Grant, S. G. (2005). Qualitatively and quantitatively similar effects of active and passive maternal tobacco smoke exposure on in utero mutagenesis at the HPRT locus. BMC Pediatrics. June 29[cited 2007 Feb 13];5:20[8 p]. Available from: http://www.biomedcentral.com/1471-2431/5/20.
U.S. Department of Health, Human Services. (2006). The health consequences of involuntary exposure to tobacco smoke: A report of the surgeon general. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Diseases Prevention and Health Promotion, Office on Smoking and Health.
McFarlane, J., Parker, B., & Soeken, K. (1996). Abuse during pregnancy: Associations with maternal health and infant birth weight. Nursing Research, 45, 37–42.
Parker, B., McFarlane, J., & Soeken, K. (1994). Abuse during pregnancy: Effects on maternal complications and birth weight in adult and teenage women. Obstetrics and Gynecology, 84, 323–328.
Conde-Agudelo, A., Rosas-Bermudez, A., & Karfury-Goeta, A. C. (2006). Birth spacing and risk of adverse perinatal outcomes: A meta-analysis. JAMA, 295, 1809–1823.
U.S. Department of Health, Human Services. (2006). Results from the 2005 National survey on drug use and health: Detailed tables. Rockville: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies.
U.S. Department of Health, Human Services. (2007). The national survey on drug use and health report. Rockville: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies.
Centers for Disease Control, Prevention. (2004). Alcohol consumption among women who are pregnant or who might become pregnant—United States, 2002. MMWR Morbidity and Mortality Weekly Report, 53, 1178–1181.
de Jong Potjer, L. C., de Bock, G. H., Zaadstra, B. M., de Jong, O. R. W., Verloove Vanhorick, S. P., & Springer, M. P. (2003). Women’s interest in GP-initiated pre-conception counseling in The Netherlands. Family Practice, 20, 142–146.
Potzsch, S., Hoyer-Schuschke, J., Seelig, M., & Steinbicker, V. (2006). Knowledge among young people about folic acid and its importance during pregnancy: a survey in the Federal State of Saxony-Anhalt (Germany). Journal of Applied Genetics, 47, 187–190.
Quillin, J. M., Silberg, J., Board, P., Pratt, L., & Bodurtha, J. (2000). College women’s awareness and consumption of folic acid for the prevention of neural tube defects. Genetics in Medicine, 2, 209–213.
Green-Raleigh, K., Carter, H., Mulinare, J., Prue, C., & Petrini, J. (2006). Trends in folic acid awareness and behavior in the United States: The Gallup organization for the March of Dimes Foundation surveys, 1995–2005. Maternal and Child Health Journal, 10, S177–S182.
Institute of Medicine, National Academy of Sciences. (1990). Nutrition during pregnancy. Washington, DC: National Academy Press.
Alcañiz, L. (2003). Waiting for Bebé: A Pregnancy Guide for Latinas. New York: Ballantine Books.
Born, D., & Barron, M. L. (2005). Herb use in pregnancy. MCN The American Journal of Maternal Child Nursing, 30, 201–206.
University of Miami. Admission statistics [homepage on the Internet]. Miami: University of Miami; 2006 [cited 2007 Feb 22]. Available from: http://www6.miami.edu/bondholder/Admissions2006.pdf.
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Delgado, C.E.F. Undergraduate Student Awareness of Issues Related to Preconception Health and Pregnancy. Matern Child Health J 12, 774–782 (2008). https://doi.org/10.1007/s10995-007-0300-6
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DOI: https://doi.org/10.1007/s10995-007-0300-6