A Village‐Based Intervention: Promoting Folic Acid Use among Rural Chinese Women
Open accessAbstract
Background: Folic acid supplementation is effective in reducing the risk of neural tube defects (NTDs). However, the use of folic acid is low among rural women in China. Nutrition education can provide information about folic acid and encourage its use. The primary objective of this study was to test the effectiveness of a village‐based nutrition intervention on folic acid use among rural women. Methods: Sixty villages were randomly selected using multiple‐stage sampling and were divided into control and intervention groups. The intervention included nutritional education at village clinics, written materials, and text messages (SMS). Folic acid use knowledge and behavior was assessed at baseline and after the intervention. Results: Self‐reported compliance with folic acid supplement use increased from 17.0%–29.2% at baseline to 41.7%-59.2% one year post‐intervention. During the same period, the folic acid knowledge score in the intervention group increased from 3.07 to 3.65, significantly higher than the control group (3.11 to 3.35). Multivariate binary logistic regression showed that the women who received folic acid education and SMS intervention were more likely to comply with folic acid supplement recommendations. Conclusions: The results indicated that an integrated village‐based folic acid education intervention may be an effective way of promoting folic acid use for the prevention of NTDs in rural women.
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Maternal health was the most prevalent health outcome, with a frequency of 9 out of 30 articles (30%).
“Among the articles analyzed, maternal health was the most prevalent health outcome with a frequency of 9 out of the 30 articles (30%) [27-35].”
From Barriers to the Use of Mobile Health in Improving Health Outcomes in Developing Countries: Systematic Review (2019) · cites this paper as [35]
The use of SMS only was mentioned in 16 of 26 interventions (62%).
“The use of SMS only was mentioned in 16 of 26 interventions (62%) [28-31,35,37,38,40-43,45-47,50,52].”
From Barriers to the Use of Mobile Health in Improving Health Outcomes in Developing Countries: Systematic Review (2019) · cites this paper as [35]
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Cites
Use of Mobile Phone Text Message Reminders in Health Care Services: A Narrative Literature Review
Kannisto, K. A., Koivunen, M. H., & Välimäki, M. A. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3442 · Cited by 302 · see citing works
Lee, K., Hoti, K., Hughes, J. D., & Emmerton, L. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3706 · Cited by 284 · see citing works
Geographical, Seasonal and Gender Differences in Folate Status among Chinese Adults
Hao, L., Ma, J., Stampfer, M. J., Ren, A., Tian, Y., Tang, Y., Willett, W. C., & Li, Z. (2003) · Journal of Nutrition · doi:10.1093/jn/133.11.3630 · Cited by 138 · see citing works
Li, T., Lei, T., Xie, Z., & Zhang, T. (2015) · BMC Health Services Research · doi:10.1186/s12913-016-1276-y · Cited by 59 · see citing works
Ren, A., Zhang, L., Hao, L., Li, Z., Tian, Y., & Li, Z. (2007) · Public Health Nutrition · doi:10.1017/s1368980007246786 · Cited by 54 · see citing works
Health impact in China of folate-biofortified rice
Steur, H. D., Gellynck, X., Storozhenko, S., Liqun, G., Lambert, W. E., Straeten, D. V. D., & Viaene, J. (2010) · Nature Biotechnology · doi:10.1038/nbt0610-554 · Cited by 50 · see citing works
Cena, E. R., Joy, A. B., Heneman, K., Espinosa-Hall, G., Garcia, L. V., Schneider, C., Swanson, P. C. W., Hudes, M. L., & Zidenberg‐Cherr, S. (2008) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2008.07.017 · Cited by 34 · see citing works
Kim, M. H., Han, J. Y., Cho, Y., Ahn, H.-K., Kim, J.-O., Ryu, H., Kim, M. Y., Yang, J.-H., & Nava‐Ocampo, A. A. (2008) · Public Health Nutrition · doi:10.1017/s1368980008002115 · Cited by 32 · see citing works
Murphy, B. L., DiPietro, N. A., & Kier, K. L. (2010) · Pharmacy Practice · doi:10.4321/s1886-36552010000400003 · Cited by 10 · see citing works
Junlin, H., Liu, X., & RuFei, G. (2009) · Chongqing yixue · Cited by 2 · see citing works
Cognitive situation and knowledge needs of folic acid among pregnant women
Hu, X. (2011) · Chinese Journal of Public Health · Cited by 1 · see citing works
Self-citationStudy on Effectiveness of Nutrition Intervention of Fortified Flour on Rural Women in Western China
Li-ping, W. (2008) · Chinese Journal of Food Hygiene · Cited by 1 · see citing works
Lian-sheng, L. (2011) · Chinese Journal of Public Health · Cited by 1 · see citing works
Collaborating, W. (2013) · Cited by 1 · see citing works
Wang, J. (2011) · Zhongguo fuyou baojian · Cited by 1 · see citing works
Shang-gang, Z. (2011) · Chinese Journal of Public Health · Cited by 1 · see citing works
Flagged first, then by citations
1 of the 17 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [2]Cloherty J.P. Stark A. Eichenwald E. Manual of Neonatal Care Lippincott Williams & Wilkins Philadelphia, PA, USA 1998
Cited by
Sorted by citations
Kruse, C., Betancourt, J., Ortiz, S., Valdes Luna, S. M., Bamrah, I. K., & Segovia, N. (2019) · Journal of Medical Internet Research · doi:10.2196/13263 · Cited by 299 · see citing works
Kandel, P., Lim, S. S., Pirotta, S., Skouteris, H., Moran, L., & Hill, B. (2021) · Obesity Reviews · doi:10.1111/obr.13235 · Cited by 71 · see citing works
Effectiveness of preconception interventions in primary care: a systematic review
Withanage, N., Botfield, J. R., Srinivasan, S., Black, K. I., & Mazza, D. (2022) · The British journal of general practice : the journal of the Royal College of General Practitioners · doi:10.3399/bjgp.2022.0040 · Cited by 17 · see citing works
Cui, M., Lü, X., Lyu, Y., Wang, F., Xie, X., Cheng, X.-Y., & Zhang, T. (2021) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-021-03893-4 · Cited by 39 · see citing works
Dewidar, O., John, J., Baqar, A., Madani, M. T., Saad, A., Riddle, A. Y., Ota, E., Kung’u, J. K., Arabi, M., Raut, M. K., et al. (2023) · Campbell Systematic Reviews · doi:10.1002/cl2.1361 · Cited by 38 · see citing works
Fox, E., Davis, C., Downs, S., Schultink, W., & Fanzo, J. (2018) · Current Developments in Nutrition · doi:10.1093/cdn/nzy076 · Cited by 32 · see citing works
Silva, J. D., Amarasena, S., Jayaratne, K., & Perera, B. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-018-2163-9 · Cited by 16 · see citing works
Behavior changes to promote preconception health: a systematic review
Suto, M., Inaoka, K., Suzuki, D., Nitamizu, A., Arata, N., & Ota, E. (2025) · BMC Women s Health · doi:10.1186/s12905-024-03544-8 · Cited by 11 · see citing works
Yasmin, S., Siddiqa, A., Rockliffe, L., & Miyan, J. A. (2022) · International Journal of Women s Health · doi:10.2147/ijwh.s347887 · Cited by 7 · see citing works
Yasmin, S., Siddiqa, A., Rockliffe, L., & Miyan, J. A. (2022) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 7 · see citing works
Yang, J., Chen, J., Xie, Y., Liu, Y., Wu, J., Li, Y., & Nie, J. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1514522 · Cited by 9 · see citing works
Self-citationLiu, S., Augustin, G., Ning, N., & Ota, E. (2025) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2025.105134 · Cited by 9 · see citing works
Begashaw, B., Tariku, Z., & Berhane, A. (2022) · Journal of Nutritional Science · doi:10.1017/jns.2022.32 · Cited by 6 · see citing works
Ratelle, M., Skinner, K. A., Prieto, M. R., & Laird, B. D. (2023) · Current Developments in Nutrition · doi:10.1016/j.cdnut.2023.100055 · Cited by 4 · see citing works
A scoping review on health behavior changes in women toward preconception care
Suzuki, H., Shoki, R., Arata, N., & Ota, E. (2022) · Journal of Japan Academy of Midwifery · doi:10.3418/jjam.jjam-2021-0041 · Cited by 3 · see citing works
Chen, Q., Liu, X., Lin, L., Wang, X., Li, M., Dai, M., Cao, M., Li, X., Jin, J., Xu, H., et al. (2023) · Autism Research · doi:10.1002/aur.3070 · Cited by 3 · see citing works
Self-citationZhang, N., Liao, Y., & Ren, Z. (2020) · International Health · doi:10.1093/inthealth/ihaa035 · Cited by 2 · see citing works
Idris, N., Akhlak, S. M., Shdaifat, E. A., & Ahayalimudin, N. (2023) · The Malaysian Journal of Nursing · doi:10.31674/mjn.2023.v15i02.007 · Cited by 1 · see citing works
- Authors
- Lin, Q., Yang, L., Li, F., Qin, H., Li, M., Chen, J., Deng, J., & Hu, X.
- Affiliations
- Central South University (CN)
- Corresponding author
- Lin, Qian
- Yang, Lina
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2017-02-21
- Volume
- 9
- Issue
- 2
- Pages
- 174
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC5331605
- OpenAlex
- W2590027430
- Cited by
- 18
- References
- 17
- Citations by year
- 2025: 3 · 2023: 4 · 2022: 5 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- China Medical Board (CMB 991)
- Topics
- Health Sciences › Medicine › Rheumatology › Folate and B Vitamins Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- folic acid supplementation, neural tube defects, nutrition education, rural women, SMS reminders, supplement compliance, maternal nutrition, China
- MeSH terms
- Adult, China, Female, Folic Acid, Health Education, Health Promotion, Humans, Neural Tube Defects, Pregnancy, Rural Population, Vitamin B Complex, Logistic Models, Preconception Care, Dietary Supplements, Young Adult
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