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Iranian Journal of Public Health، جلد ۴۷، شماره ۱۱، صفحات ۱۶۹۴-۱۷۰۲
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عنوان انگلیسی Patterns of Pre-pregnancy Care Usage among Reproductive Age Women in Kedah, Malaysia
چکیده انگلیسی مقاله Background: This cross-sectional was aimed to assess the prevalence of pre-pregnancy care services usage and its determinant factors among women of reproductive age in Kedah, Malaysia. Methods: Overall, 1347 respondents who attended 24 government health clinics, were chosen using systematic multistage random sampling. A validated self-administered questionnaire which consisted of sections including socio-demographic characteristics, social support, knowledge on pre-pregnancy care, perception on risk of pregnancy, health status, as well as intention and awareness on pre-pregnancy care services were distributed. Results: The prevalence of utilization of pre-pregnancy care services was still low i.e. 44.0%. Bivariate and multivariate analysis showed consistent significant level between all factors and pre-pregnancy care usage except for family planning practice. The factors that showed significant difference with the usage of pre-pregnancy care services were age of more than 35 (P< 0.001), high education level (P< 0.001), non-working mothers (P< 0.001), multipara (P=0.001), awareness on the existence of pre-pregnancy care services in government health facilities (P< 0.001), intention to use the services (P=0.0030), having medical illness (P=0.005), having social support (P=0.001), high knowledge (P< 0.001), and positive perception (P< 0.001). Conclusion: Low usage of pre-pregnancy care services can be improved through health screening on reproductive-aged women with positive determinant factors at the triage level in integrated clinics. Information and knowledge on pre-pregnancy services should be disseminated among community members through various means including roadshows and pre-wedding workshops.  
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نویسندگان مقاله | Rozaimah ABU TALIB
Kerian Health District, Parit Buntar, Perak, Malaysia


| Idayu Badilla IDRIS
Dept. of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia


| Rosnah SUTAN
Dept. of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia


| Norizan AHMAD
Family Health Development Division, Health Department of Kedah, Alor Star, Kedah, Malaysia


| Norehan ABU BAKAR
Bandar Baharu District Health Office, Kedah, Malaysia
نشانی اینترنتی http://ijph.tums.ac.ir/index.php/ijph/article/view/15158
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