Folate use in women with epilepsy: Predictors of adherence in a specialized tertiary outclinic

被引：3
作者：
Passarelli, Valmir [1 ]
Visona de Figueiredo, Nathalia Stela [1 ]
Moraes Angst, Debora Bartzen [1 ]
Baldocchi, Meire Argentoni [1 ]
Guimaraes Rocha, Maria Sheila [1 ]
机构：
[1] Hosp Santa Marcelina, Dept Neurol, Sao Paulo, SP, Brazil
来源：
EPILEPSY & BEHAVIOR | 2015年 / 43卷
关键词：
Epilepsy; Folate; Women's health; Anticonvulsants; Teratogenesis; Adherence; TECHNOLOGY-ASSESSMENT SUBCOMMITTEE; QUALITY STANDARDS SUBCOMMITTEE; UPDATE MANAGEMENT ISSUES; MAJOR CONGENITAL-MALFORMATIONS; FOLIC-ACID; ANTIEPILEPTIC DRUGS; AMERICAN ACADEMY; PREGNANCY; THERAPEUTICS; NEUROLOGY;
D O I：
10.1016/j.yebeh.2014.12.006
中图分类号：
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号：
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要：
Purpose of the study: The aims of this study were to determine the percentage of women with epilepsy (WWE) taking folic acid (FA) in an outpatient epilepsy tertiary hospital at Sao Paulo, Brazil, and to identify the possible predictors of adherence. Method: Five hundred seventy-six medical records of patients followed in our service were reviewed. Sixty-six WWE using antiepileptic drugs with age between 16 and 52, sexually active but not in menopausal period, not pregnant, and not sterilized or with vasectomized partners underwent direct interviews with a prestructured questionnaire. Logistic regression with clinical and demographic variables using a stepwise method was performed to identify predictable variables of folate use. Results: We found 42.40% of FA intake. Hormonal contraceptive method use was an independent variable negatively associated with adherence to folate. Additionally, educational level was an independent variable positively associated with adherence to folate in WWE above 35 years of age. Conclusion: We found low folate adherence. Improved planning pre-conception for WWE should improve rates of effective folate supplementation. (C) 2014 Elsevier Inc. All rights reserved.
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收藏
页码：74 / 76
页数：3
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