219405 Preconception health of women with and without chronic health conditions

Tuesday, November 9, 2010

Pamela K. Xaverius, PhD , Dept of Family and Community Medicine, Saint Louis University, St. Louis, MO
Leigh Tenkku, PhD , Dept of Family and Community Medicine, St. Louis University, St. Louis, MO
Joanne Salas, BA , Dept of Family and Community Medicine, Saint Louis University, St. Louis, MO
Background: Women with chronic conditions are at an increased risk of complications, should they become pregnant. We hypothesized that preconception health status differed depending upon the presence or absence of a chronic condition (i.e., diabetes, hypertension, and obesity).

Methods: Secondary analysis of cross-sectional data from the BRFSS (2002-2008). Subjects were a sample of non-institutionalized, 18-44 year old, non-pregnant, fertile women (n = 422, 649). Women were grouped into two categories: Chronic condition (n = 118,857) and no chronic condition (n = 303,792). Logistic regression was used to calculate adjusted prevalence odds ratios (aPOR) and 95% confidence intervals (CI) for lifestyle and screening behaviors, using women without chronic conditions as the referent group.

Results: Women with chronic conditions represented 28% of the population and were 8% less likely to drink any alcohol (aPOR=0.91, CI: 0.85,0.98), 15% less likely to exercise (aPOR=0.85, CI: 0.79,0.92); and 33% less likely to have visited a dentist (aPOR=0.77, CI: 0.68, 0.88) than women without a chronic condition, after adjusting for demographic differences. Women with chronic conditions that were intending a pregnancy reported a lower prevalence of any alcohol use (48.8% vs. 58.9%), leisure activity (73.5% vs. 80.5%), folic acid consumption (46.1% vs. 61.3%), and dental visits (64.9% vs. 75.9%), and higher prevalence of having had an HIV test (66.4% vs. 61.5%), than women without a chronic condition that were intending a pregnancy, respectively.

Conclusions: Women with chronic conditions, especially those intending a pregnancy, represent an important group for preconception care and education.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the health status of non-pregnant women with and without a chronic condition. Identify opportunities for improving the preconceptional health status of women with and without chronic conditions.

Keywords: Women's Health, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted numerous studies in this area, published papers on this topic in peer reviewed journals, and have advanced studies in research methods (doctorate earned in 2001).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.