title: Effects of folic acid awareness on knowledge and consumption for the prevention of birth defects among Hispanic women in several U.S. Communities.
abstract: BACKGROUND
  The neural tube defects (NTDs) anencephaly and spina bifida, are serious birth defects of the brain and spine that affect about 3000 pregnancies per year in the United States. Research has found a strong link between periconceptional folic acid consumption and NTD prevention.
  
  
  METHODS
  Because Hispanic women have higher rates of NTD-affected births, targeted folic acid promotion efforts were conducted in several major cities from 1999 to 2002. Efforts included paid and unpaid placements of Spanish language public service announcements (PSAs) and community-level education through the use of promotoras. Analyses focused on whether or not women's reported awareness of folic acid, regardless of promotion type, impacted their knowledge or behavior.
  
  
  CONCLUSIONS
  Women who reported awareness of folic acid had greater folic acid knowledge and use of vitamins containing folic acid than those not aware. Analyses also examined the use of vitamins containing folic acid by pregnancy intention among women who reported awareness of folic acid. The results were varied. Pregnancy wanters were most likely to use vitamins containing folic acid daily. For this group, however, awareness did not play as large a role in whether they reported consuming a vitamin containing folic acid or not, as it did for pregnancy waiters and avoiders.
authors.affiliation: National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: Christine E
authors.initials: CE
authors.lastname: Prue
authors.forename: Heather C
authors.initials: HC
authors.lastname: Hamner
authors.forename: Alina L
authors.initials: AL
authors.lastname: Flores
mesh_terms: D000328:Adult; D000757:Anencephaly / Q000517:prevention & control; D001364:Awareness; D019587:Dietary Supplements / Q000706:statistics & numerical data; D005260:Female; D005492:Folic Acid / Q000627:therapeutic use*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006306:Health Surveys; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D009436:Neural Tube Defects / Q000517:prevention & control*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011247:Pregnancy; D016135:Spinal Dysraphism / Q000517:prevention & control; D014481:United States; D014803:Vitamin B Complex / Q000627:therapeutic use*; D055815:Young Adult
chemical_list: D014803:Vitamin B Complex; D005492:Folic Acid