Puerto Rican primary physicians' knowledge about folic acid supplementation for the prevention of neural tube defects.
BACKGROUND
We conducted a study of a group of primary physicians in Puerto Rico to evaluate their knowledge about folic acid supplementation to prevent neural tube defects.


METHODS
The study design was transverse-correlational. A total of 66 primary physicians in two hospitals (public and private) participated in the study. The sample was nonrandom and opportunistic, and only those physicians present in the hospitals at the moment of distribution of the questionnaires participated. A self-administered and anonymous questionnaire was used. Descriptive statistics and cross-tabular analysis were used to describe the results of this study. Inferential statistics were also used, including Chi square and t-tests to establish the associations/differences between physician knowledge and the independent variables.


RESULTS
Of the participants, 87.9% demonstrated an inadequate knowledge about folic acid supplementation for the prevention of neural tube defects as part of preconception care and only 12.1% demonstrated adequate knowledge. Older physicians had greater knowledge about folic acid. Also, women demonstrated greater knowledge about folic acid than did men. Most of the physicians who always recommend supplementation to their patients demonstrated a greater knowledge about folic acid, and all participants with adequate knowledge came from the public hospital.


CONCLUSIONS
Despite a concerted effort by the Health Department of Puerto Rico to provide education in the importance of folic acid supplementation to reduce the incidence of neural tube defects, primary physicians in two Puerto Rican hospitals generally have not availed themselves of this training and showed a lack of knowledge on this important clinical issue.
Miranda
Ana
A
Maternal and Child Health Program, Graduate School of Public Health, University of Puerto Rico, San Juan, Puerto Rico, USA.
Dávila Torres
René R
RR
Gorrín Peralta
José J
JJ
Montes de Longo
Idalina
I
D000328:Adult; D000367:Age Factors; D000368:Aged; D002983:Clinical Competence / Q000706:statistics & numerical data; D005260:Female; D005492:Folic Acid / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009436:Neural Tube Defects / Q000178:diet therapy / Q000517:prevention & control*; D010821:Physicians, Family; D011647:Puerto Rico; D012737:Sex Factors; D011795:Surveys and Questionnaires
D005492:Folic Acid