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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1007/bf01661299

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1573-6628

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US Provider Reported Folic Acid or Multivitamin

Authors: Heather H Burris Martha M Werler
Publish Date: 2010/03/05
Volume: 15, Issue: 3, Pages: 352-359
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Abstract

Folic acid use started prior to pregnancy confers a decreased risk of neural tube defects and yet 20–50 of pregnancies are unplanned We sought to determine whether medical providers order folic acid FA or folic acidcontaining multivitamins MVI for their nonpregnant female patients of childbearing age This is a crosssectional study using data from the CDC’s National Ambulatory Medical Care Survey NAMCS and National Hospital Ambulatory Medical Care Survey NHAMCS 2005 and 2006 Among nonpregnant female patients of childbearing age 15–44 the proportion of preventive visits during which a provider ordered FA/MVI supplements was determined and compared to pregnant patients Next the rates of FA/MVI orders were examined according to race/ethnicity age insurance status region of the country provider type contraceptive care income and education Analyses were conducted using SAScallable Sudaan to account for survey design and to obtain population estimates There were 4634 preventive visits for nonpregnant women of childbearing age representing 321 million visits nationally Of these visits 72 included providerordered FA/MVI Multivariable logistic regression analyses revealed that providerordered FA/MVI was most common for women ages 30–34 who receive Medicaid and whose race/ethnicity was other than White Black or Hispanic Preventive care visits represent an important venue for counseling regarding the benefits of FA for women of childbearing age but appear to be underutilized in all women Our findings suggest that annually there may be over 29 million missed opportunities to recommend folic acid to nonpregnant women seeking preventive careThe authors are grateful to the CDC and the participating patients and providers who contributed to NAMCS and NHAMCS The authors wish to acknowledge the AHRQ funded T32 training grant AHRQ T32 HS000063 and the Harvard Pediatric Health Services Research Fellowship Program that made it possible for Dr Burris to lead this study particularly Dr Burris’s advisor Tracy Lieu MD MPH Dr Burris also wishes to acknowledge the “Research with Large Databases” course at the Harvard School of Public Health given by Drs John Ayanian and Ellen McCarthy who provided the tools necessary to complete this project

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  2. A Perspective of Preconception Health Activities in the United States
  3. Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life
  4. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  5. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  6. Gestational Age at First Antenatal Care Visit in Malawi
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  9. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  10. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  11. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  12. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  13. The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study
  14. The Correlation Between Postpartum Depression and Health Status
  15. Preconception and the Young Cancer Survivor
  16. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers
  17. Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs
  18. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
  19. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women
  20. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
  21. Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy: Relations with Gestational Diabetes and Hypertension, and Birth Outcomes
  22. A Nationally Representative Study of Early Childhood Home Visiting Service Use in the United States
  23. Consultative Care Coordination Through the Medical Home for CSHCN: A Randomized Controlled Trial
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  27. Does a Medical Home Mediate Racial Disparities in Unmet Healthcare Needs Among Children with Special Healthcare Needs?
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  30. A Process Evaluation of the WV Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Dissemination Initiative: Assessing the Fidelity and Impact of Delivery for State-Wide, Home-Based Healthy Start Services
  31. Determinants of the Uptake of the Full Dose of Diphtheria–Pertussis–Tetanus Vaccines (DPT3) in Northern Nigeria: A Multilevel Analysis
  32. Awareness and Intake of Folic Acid for the Prevention of Neural Tube Defects Among Lebanese Women of Childbearing Age
  33. Exploring Maternal Patterns of Dietary Caffeine Consumption Before Conception and During Pregnancy
  34. Utilization of Folic Acid and Iron Supplementation Services by Pregnant Women Attending an Antenatal Clinic at a Regional Referral Hospital in Kenya
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  37. Health Behaviors Among Women Using Fertility Treatment
  38. Variation in Birth Outcomes by Mother’s Country of Birth Among Non-Hispanic Black Women in the United States
  39. Does Health Insurance Continuity Among Low-income Adults Impact Their Children’s Insurance Coverage?
  40. Preconception Care Between Pregnancies: The Content of Internatal Care
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  46. Measuring Women’s Cumulative Neighborhood Deprivation Exposure Using Longitudinally Linked Vital Records: A Method for Life Course MCH Research
  47. Afraid of Delivering at the Hospital or Afraid of Delivering at Home: A Qualitative Study of Thai Hmong Families’ Decision-Making About Maternity Services
  48. Association Between Low Dairy Intake During Pregnancy and Risk of Small-for-Gestational-Age Infants
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  51. Prevalence of Serious Psychological Distress and Mental Health Treatment in a National Sample of Pregnant and Postpartum Women
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  54. Smoking Among Pregnant Women with Medicaid Insurance: Are Mental Health Factors Related?
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  56. Screening Tests during Prenatal Care: Does Practice Follow the Evidence?
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