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Prise de suppléments multivitaminiques pour la prévention primaire des anomalies congénitalies

Application d'une pratique clinique préventive

Karine Demers and Christine Giguère, MSc
Département des sciences cliniques

Denise St-Cyr Tribble, PhD
Professeure au Département des sciences infirmières

Julie Lane
Département de l’éducation, toutes à l’Université de Sherbrooke

Correspondance à: D^re Pascale Morin, Centre de santé et de services sociaux, Institut universitaire de gériatrie de Sherbrooke, 500 rue Murray, Bureau 100, Sherbrooke, QC J1G 2K6; téléphone 819 562-9121, poste 47111; télécopieur 819 780-1303; courriel pmorin.csss-iugs{at}ssss.gouv.qc.ca

OBJECTIVE To determine whether the recommendations health care professionals make to women of childbearing age on the importance of taking folic acid encourage these women to take folic acid supplements.

DESIGN Survey.

SETTING The Centre de santé et de services sociaux at the Institut universitaire de gériatrie de Sherbrooke in Sherbrooke, Que.

PARTICIPANTS A total of 323 Francophone women 18 to 45 years old.

MAIN OUTCOME MEASURES Whether or not women had consumed vitamin and mineral supplements during the past year. Descriptive, bivariate statistical analyses and logistic regression modeling were carried out to determine whether the association between health care professionals’ recommendations and the consumption of vitamin and mineral supplements persisted after controlling for certain variables (consulting documentation, knowledge, sources of information, perception, age, education, income, marital status, and plans to become pregnant).

RESULTS About 41% of the women reported that their physicians had recommended that they take vitamin and mineral supplements. After adjusting for all the variables in the model, it became clear that there was a significant association between the recommendations of healthcare professionals and the consumption of vitamins and minerals by women of childbearing age.

CONCLUSION Health care professionals can improve the health of the population through preventive clinical practices. It is important that we support them in their efforts to integrate and apply scientific knowledge in their practice.