Knowledge and attitudes regarding preconception care in a predominantly low-income Mexican American population

Am J Obstet Gynecol. 2009 Jun;200(6):686.e1-7. doi: 10.1016/j.ajog.2009.02.036. Epub 2009 Apr 19.

Abstract

Objective: The objective of the study was to determine knowledge and attitudes regarding preconception care in a low-income Mexican American population.

Study design: This was a cross-sectional survey of 305 reproductive-age women at an urban public hospital.

Results: The sample was mostly Hispanic (88%) and pregnant (68%); 35% had not completed high school. Eighty-nine percent agreed that improving preconception health benefits pregnancy. Seventy-seven percent expressed some interest in preconception health care with the obstetrics gynecology office at the preferred location. The average knowledge of preconception care score was 76% (higher score more favorable). Areas of higher knowledge included the effects on pregnancy of folic acid; alcohol use; substance use; and verbal, physical, and sexual abuse; lower knowledge was found for the effects of cat litter and fish products.

Conclusion: There was interest in preconception education and agreement that preconception health has a positive effect on pregnancy. Fewer respondents agreed that it had a good effect than a suburban sample in the same region (89% vs 98%).

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Mexican Americans*
  • Middle Aged
  • Poverty
  • Preconception Care*
  • Surveys and Questionnaires
  • Young Adult