Document Detail

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.
MedLine Citation:
PMID:  18030639     Owner:  NLM     Status:  MEDLINE    
Neural tube defects (NTDs) are serious birth defects of the brain and spine that affect approximately 3,000 pregnancies in the United States each year and affected 404 pregnancies in Puerto Rico from 1996 to 2002. Consuming the B vitamin folic acid can reduce the incidence of NTDs 50%-70%, and recent efforts to reduce NTD rates have focused on increasing the number of childbearing-aged women who take a vitamin containing folic acid every day. As the first stage of formative research in campaign planning, two exploratory, qualitative studies were conducted in order to (a) understand the complexity of vitamin use among women in the United States and Puerto Rico and (b) serve as a foundation on which to develop national communication and education interventions. Also, this information shed light on theories that might be used to guide campaign development. Results indicated that campaign messages designed to increase folic acid use through multivitamin supplementation in the United States must address women's barriers to vitamin use (e.g., cost, time), increase women's perceived need for multivitamins (e.g., identify immediate, tangible results from taking a daily multivitamin), and address the relationship between daily food choices and the need for supplementation. Future campaign messages in Puerto Rico must focus on many of these same issues, in addition to increasing women's knowledge about when folic acid should be taken in relation to pregnancy and addressing women's perceptions that vitamins cause weight gain (an undesirable outcome for most participants). The practical and theoretical implications of these results are discussed in terms of their contribution to the development of a creative new approach to increase multivitamin consumption among women of childbearing age in the United States and Puerto Rico.
Lisa L Massi Lindsey; Heather C Hamner; Christine E Prue; Alina L Flores; Diana Valencia; Elia Correa-Sierra; Jenifer E Kopfman
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of health communication     Volume:  12     ISSN:  1081-0730     ISO Abbreviation:  J Health Commun     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-21     Completed Date:  2008-01-29     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9604100     Medline TA:  J Health Commun     Country:  England    
Other Details:
Languages:  eng     Pagination:  733-57     Citation Subset:  T    
Michigan State University, College of Communication Arts & Sciences, East Lansing, Michigan 48824, USA.
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MeSH Terms
Attitude to Health*
Focus Groups
Folic Acid / therapeutic use*
Health Education
Middle Aged
Neural Tube Defects / epidemiology,  prevention & control*
Prenatal Nutritional Physiological Phenomena*
Puerto Rico / epidemiology
United States / epidemiology
Vitamins / administration & dosage*,  economics
Reg. No./Substance:
0/Vitamins; 59-30-3/Folic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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