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Folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential introduction of mandatory fortification.
Asia Pac J Clin Nutr. 2012; 21(3):440-9.AP

Abstract

To reduce the risk of neural tube defects, the New Zealand Ministry of Health recommends women take supplemental folic acid from at least one month preconception until the end of the twelfth week of pregnancy, as well as consume folate-rich foods. A postpartum survey was conducted to describe folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential implementation of mandatory folic acid fortification of bread in May 2012. Increasing knowledge of folic acid recommendations was associated with higher supplement uptake among women who planned their pregnancies (p=0.001 for linear trend). Folic acid information failed to adequately reach some socio-demographic subgroups before conception, even when pregnancy was planned, including: indigenous Maori, Pacific and Asian women, younger women, women with large families, and women with lower educational attainment and income. Only half of all women surveyed knew some bread contained added folic acid, and among these women, less than 2% consistently chose voluntarily fortified bread during the periconceptional period by inspecting labels. Sixty-one percent of women indicated they were either in favour of mandatory fortification, or held no opinion on the matter, while 4% were opposed to the addition of folic acid to bread. Approximately one-third (35%) of women agreed with voluntary fortification. Future health promotion initiatives should be tailored toward women who are younger, less educated, with lower income, multiparous or of minority ethnicity status. Nonetheless, mandatory folic acid fortification may be required to attain the desired degree of equity.

Authors+Show Affiliations

Department of Human Nutrition, University of Otago, Dunedin, New Zealand.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22705436

Citation

Mallard, Simonette R., and Lisa A. Houghton. "Folate Knowledge and Consumer Behaviour Among Pregnant New Zealand Women Prior to the Potential Introduction of Mandatory Fortification." Asia Pacific Journal of Clinical Nutrition, vol. 21, no. 3, 2012, pp. 440-9.
Mallard SR, Houghton LA. Folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential introduction of mandatory fortification. Asia Pac J Clin Nutr. 2012;21(3):440-9.
Mallard, S. R., & Houghton, L. A. (2012). Folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential introduction of mandatory fortification. Asia Pacific Journal of Clinical Nutrition, 21(3), 440-9.
Mallard SR, Houghton LA. Folate Knowledge and Consumer Behaviour Among Pregnant New Zealand Women Prior to the Potential Introduction of Mandatory Fortification. Asia Pac J Clin Nutr. 2012;21(3):440-9. PubMed PMID: 22705436.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential introduction of mandatory fortification. AU - Mallard,Simonette R, AU - Houghton,Lisa A, PY - 2012/6/19/entrez PY - 2012/6/19/pubmed PY - 2012/8/31/medline SP - 440 EP - 9 JF - Asia Pacific journal of clinical nutrition JO - Asia Pac J Clin Nutr VL - 21 IS - 3 N2 - To reduce the risk of neural tube defects, the New Zealand Ministry of Health recommends women take supplemental folic acid from at least one month preconception until the end of the twelfth week of pregnancy, as well as consume folate-rich foods. A postpartum survey was conducted to describe folate knowledge and consumer behaviour among pregnant New Zealand women prior to the potential implementation of mandatory folic acid fortification of bread in May 2012. Increasing knowledge of folic acid recommendations was associated with higher supplement uptake among women who planned their pregnancies (p=0.001 for linear trend). Folic acid information failed to adequately reach some socio-demographic subgroups before conception, even when pregnancy was planned, including: indigenous Maori, Pacific and Asian women, younger women, women with large families, and women with lower educational attainment and income. Only half of all women surveyed knew some bread contained added folic acid, and among these women, less than 2% consistently chose voluntarily fortified bread during the periconceptional period by inspecting labels. Sixty-one percent of women indicated they were either in favour of mandatory fortification, or held no opinion on the matter, while 4% were opposed to the addition of folic acid to bread. Approximately one-third (35%) of women agreed with voluntary fortification. Future health promotion initiatives should be tailored toward women who are younger, less educated, with lower income, multiparous or of minority ethnicity status. Nonetheless, mandatory folic acid fortification may be required to attain the desired degree of equity. SN - 0964-7058 UR - https://www.unboundmedicine.com/medline/citation/22705436/Folate_knowledge_and_consumer_behaviour_among_pregnant_New_Zealand_women_prior_to_the_potential_introduction_of_mandatory_fortification_ L2 - http://apjcn.nhri.org.tw/server/APJCN/21/3/440.pdf DB - PRIME DP - Unbound Medicine ER -