Publication: Survey on knowledge, attitude, acceptance and related factors among pregnant women in Thailand regarding antenatal thalassaemia screening
1
0
Issued Date
2018
Resource Type
File Type
application/pdf
ISSN
1443615
Other identifier(s)
2-s2.0-85044313503
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Journal of Obstetrics and Gynaecology. Vol 38, No.7 (2018), p.950-955
Suggested Citation
Hanprasertpong T., Raungrongmorakot K., Geater A., Puapornpong P., Laosooksathit W., Hemachandra A., Suksamarnwong M. Survey on knowledge, attitude, acceptance and related factors among pregnant women in Thailand regarding antenatal thalassaemia screening. Journal of Obstetrics and Gynaecology. Vol 38, No.7 (2018), p.950-955. doi:10.1080/01443615.2018.1443060 Retrieved from: https://hdl.handle.net/20.500.14740/5822
Abstract
Thalassaemia is a common haematologic health condition in Southeast Asian countries (SEA) including Thailand. Reducing the birth of new thalassaemia cases is an effective method to control disease. The background level of knowledge and attitude of pregnant women on the disease influences their decision to perform antenatal screening. Unfortunately, the information about pregnant women’s knowledge and attitude on antenatal thalassaemia screening in a developing country such as Thailand is lacking. We therefore conducted this cross-sectional study to examine patients’ knowledge and to evaluate the factors which influence the patient’s knowledge and attitude on antenatal thalassaemia screening. 1006 pregnant women who attended antenatal care at the Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand were enrolled. We found that women’s knowledge on antenatal thalassaemia screening is low. A maternal age of ≥35 years was associated with a higher level of knowledge. A higher level of education and multigravidity, a family history of thalassaemia and a positive level of attitude were found more likely to have higher scores for knowledge. A higher level of education and level of knowledge score were also more likely to have a positive attitude score, but multigravidity negatively affected the attitude score. Effective counselling should be monitored among women with a lower levels of education, those with no family history of thalassaemia, and in primigravidas. Lastly, a concurrent Down syndrome screening or foetal sex determination may be useful incentives to encourage the decision to undergo screening.Impact statementWhat is already known about this subject? Screening for the paternal and maternal thalassaemia carrier status is important for reducing the incidence of severely thalassaemia-affected children. Poorer education and receiving genetic counselling for the first time were the predictive factors for the low post-counselling knowledge in genetic counselling before second trimester genetic amniocentesis. What do the results of this study add? Pregnant women’s knowledge of antenatal thalassaemia screening was low. We found that pregnant women aged ≥35 years had a higher level of knowledge. Women with a higher level of education, multigravidity, the presence of a family history of thalassaemia and a positive attitude were more likely to have higher scores for knowledge. A higher level of education and level of knowledge score were also more likely to have a positive attitude score but multigravidity negatively affected the attitude score. The encouraging factors, such as an adjunctive Down syndrome screening or foetal structural screening or foetal sex determination may be useful as the incentive tools. What are the implications of these finding for clinical practice and/or further research? The awareness of a possible incorrect understanding is important for the antenatal counselling in the developing countries. Intensive monitoring of effective counselling using a post-counselling test should be scheduled. The methods of effective counselling for antenatal thalassaemia in developing countries should be evaluated. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
Subject(s)
Adult
Amniocentesis
Article
Attitude to health
Awareness
Clinical practice
Comprehension
Cross-sectional study
Developing country
Educational status
Family history
Female
Fetus disease
Fetus malformation
Human
Income
Likert scale
Major clinical study
Maternal age
Multigravida
Parity
Patient attitude
Pregnancy
Pregnant woman
Prenatal care
Primigravida
Priority journal
Risk assessment
Second trimester pregnancy
Sex determination
Thailand
Thalassemia
Age
Heterozygote
Mass screening
Patient attitude
Pregnant woman
Prenatal diagnosis
Psychology
Questionnaire
Statistics and numerical data
Thalassemia
Young adult
Adult
Age Factors
Carrier State
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Mass Screening
Patient Acceptance of Health Care
Pregnancy
Pregnant Women
Prenatal Diagnosis
Surveys and Questionnaires
Thailand
Thalassemia
Young Adult
Amniocentesis
Article
Attitude to health
Awareness
Clinical practice
Comprehension
Cross-sectional study
Developing country
Educational status
Family history
Female
Fetus disease
Fetus malformation
Human
Income
Likert scale
Major clinical study
Maternal age
Multigravida
Parity
Patient attitude
Pregnancy
Pregnant woman
Prenatal care
Primigravida
Priority journal
Risk assessment
Second trimester pregnancy
Sex determination
Thailand
Thalassemia
Age
Heterozygote
Mass screening
Patient attitude
Pregnant woman
Prenatal diagnosis
Psychology
Questionnaire
Statistics and numerical data
Thalassemia
Young adult
Adult
Age Factors
Carrier State
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Mass Screening
Patient Acceptance of Health Care
Pregnancy
Pregnant Women
Prenatal Diagnosis
Surveys and Questionnaires
Thailand
Thalassemia
Young Adult