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Abstract Objective:To understand the situation of folic acid release to pregnant women and folic acid intake of pregnant women in urban areas of Shanxi province, and to explore the influence factors on rate of standard intake folic acid. Methods: From April to June 2014, 1925 middle or late stage pregnant women with non agricultural domicile from 11 cities of Shanxi province were investigated by self designed questionnaire. Results: Of all the pregnant women, 94.5% took folic acid, but only 14.9% of them took folic acid based on standard. 43.1% of all women had received free folic acid, of which 97.0% took folic acid and only 16.4% took folic acid based on standard. Unconditional multivariate logistic regression analysis had showed that the pregnant women with 25 to 30 years old (OR=2.00, 95%CI=1.34-2.97) and women with >35 years old (OR=3.58 95%CI=1.89-6.76), the husband's education level equal to or above college (OR=1.80, 95%CI=1.04-3.11), accepted premarital examination (OR=1.58, 95%CI=1.19-2.11), and expected pregnancy (OR=3.80, 95%CI=2.31-6.26) were positively influence factors on the rate of standard intake folic acid. Conclusion: The pregnant women in urban areas have higher rate of folic acid intake, but have lower rate of folic acid intake based on standard. The free distribution of folic acid simply cannot improve folic acid intake based on standard. The health educations need to be strengthened to raise the rate of planning pregnancy and the rate of premarital examination, and also need to improve taking folic acid based on standard.
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