Medical,behavioural and social preconception and interconception risk factors among pregnancy planning and recently pregnant Canadian women  

作　　者：Cindy-Lee Dennis Alessandra Prioreschi Hilary K Brown Sarah Brennenstuhl Rhonda C Bell Stephanie Atkinson Dragana Misita Flavia Marini Sarah Carsley Nilusha Jiwani-Ebrahim Catherine Birken 

机构地区：[1]Lawrence S.Bloomberg Faculty of Nursing,University of Toronto,Toronto,Ontario,Canada [2]St Michael's Hospital Li Ka Shing Knowledge Institute,Toronto,Ontario,Canada [3]SAMRC/Wits Developmental Pathways for Health Research Unit,Department of Paediatrics and Child Health,Faculty of Health Sciences,University of the Witwatersrand,Johannesburg-Braamfontein,Gauteng,South Africa [4]Dalla Lana School of Public Health,University of Toronto,Toronto,Ontario,Canada [5]Department of Health&Society,University of Toronto,Toronto,Ontario,Canada [6]Department of Agricultural,Food and Nutritional Sciences,University of Alberta,Edmonton,Alberta,Canada [7]Paediatrics,McMaster University,Hamilton,Ontario,Canada [8]Public Health Ontario,Toronto,Ontario,Canada [9]York Region Public Health,Vaughan,Ontario,Canada [10]Paediatric Medicine,The Hospital for Sick Children,Toronto,Ontario,Canada [11]Faculty of Medicine,University of Toronto,Toronto,Ontario,Canada

出　　处：《Family Medicine and Community Health》2022年第3期7-19,共13页家庭医学与社区卫生（英文）

基　　金：a Canadian Institutes of Health Research Healthy Life Trajectories Initiative grant(grant#HLC-154502)。

摘　　要：Objectives The objective of this study is to describe the clustering of medical,behavioural and social preconception and interconception health risk factors and determine demographic factors associated with these risk clusters among Canadian women.Design Cross-sectional data were collected via an online questionnaire assessing a range of preconception risk factors.Prevalence of each risk factor and the total number of risk factors present was calculated.Multivariable logistic regression models determined which demographic factors were associated with having greater than the mean number of risk factors.Exploratory factor analysis determined how risk factors clustered,and Spearman’s r determined how demographic characteristics related to risk factors within each cluster.Setting Canada.Participants Participants were recruited via advertisements on public health websites,social media,parenting webpages and referrals from ongoing studies or existing research datasets.Women were eligible to participate if they could read and understand English,were able to access a telephone or the internet,and were either planning a first pregnancy(preconception)or had≥1 child in the past 5 years and were thus in the interconception period.Results Most women(n=1080)were 34 or older,and were in the interconception period(98%).Most reported risks in only one of the 12 possible risk factor categories(55%),but women reported on average 4 risks each.Common risks were a history of caesarean section(33.1%),miscarriage(27.2%)and high birth weight(13.5%).Just over 40%had fair or poor eating habits,and nearly half were not getting enough physical activity.Three-quarters had a body mass index indicating overweight or obesity.Those without a postsecondary degree(OR 2.35;95%CI 1.74 to 3.17)and single women(OR 2.22,95%CI 1.25 to 3.96)had over twice the odds of having more risk factors.Those with two children or more had 60%lower odds of having more risk factors(OR 0.68,95%CI 0.52 to 0.86).Low education and being born outside Canada were correla

关 键 词：CANADA behaviour CONCEPTION 

分 类 号：R714[医药卫生—妇产科学]