{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T05:39:57Z","timestamp":1777959597101,"version":"3.51.4"},"reference-count":22,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":531,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Strathlachlan fund"},{"DOI":"10.13039\/501100006346","name":"Faculty of Medical and Health Sciences, University of Auckland","doi-asserted-by":"publisher","award":["Summer studentship"],"award-info":[{"award-number":["Summer studentship"]}],"id":[{"id":"10.13039\/501100006346","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,19]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In Aotearoa New Zealand (NZ), there is inequity in rates of neural tube defects (NTDs). Among Maaori, NTD occur in 4.58\/10\u00a0000 live births, and for Pacific peoples, it is 4.09\/10\u00a0000 live births; this is compared to 2.81\/10\u00a0000 live births for non-Maaori, non-Pacific peoples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe self-reported pre-pregnancy folic acid supplementation and to determine the association between pregnancy intendedness, ethnicity, parity, maternal age, care provider and pre-pregnancy folic acid supplementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of postpartum survey data collected at Te Whatu Ora Te Toka Tumai and Counties Manukau birthing facilities in 2020 was conducted. Descriptive analyses explored pregnancy intendedness and self-reported folic acid use by demographic variables. Multivariable logistic regression explored independent associations between demographic variables and folic acid use among intended pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 398 participants completed the survey. The response rate was (140\/149) 94% at Counties Manukau and (258\/315) 82% at Te Toka Tumai. Pre-pregnancy supplementation was reported by 182 of 398 participants (46%). Use was higher among those who intended their pregnancy (151\/262, 58%) compared to those who were \u2018pregnancy ambivalent\u2019 (9\/33, 27%) or did not intend to become pregnant (22\/103, 21%). Factors independently associated with supplementation among intended pregnancies included: \u2018Other ethnicity\u2019 (European, Middle Eastern, Latin American, African) compared to Maaori (aOR 5.3 (95% CI 1.3, 21.8)), age \u226530 years compared to &amp;lt;30\u00a0years (aOR 2.1 (1.0, 4.1)), and private obstetrician compared to midwifery care (aOR 4.2 (1.6, 10.9)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Low rates of pre-pregnancy folic acid supplementation exist in Auckland with significant ethnic disparity. Mandatory fortification of non-organic wheat is important, but supplementation is still recommended to maximally reduce risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc23103","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:53:33Z","timestamp":1701910413000},"page":"308-315","source":"Crossref","is-referenced-by-count":1,"title":["Inequities in pre-pregnancy folic acid use in Central and South Auckland: secondary analysis from a postpartum contraception survey"],"prefix":"10.1071","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6997-6077","authenticated-orcid":true,"given":"Esther","family":"Tutty","sequence":"first","affiliation":[{"name":"ADepartment of Obstetrics and Gynaecology, Te Whatu Ora Counties Manukau Health, Auckland, New Zealand."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4465-3949","authenticated-orcid":true,"given":"Jordon","family":"Wimsett","sequence":"additional","affiliation":[{"name":"BDepartment of Obstetrics and Gynaecology, Waipapa Taumata Rau University of Auckland; 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