{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:35:11Z","timestamp":1747186511589,"version":"3.40.5"},"reference-count":33,"publisher":"Wiley","issue":"15-16","license":[{"start":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T00:00:00Z","timestamp":1669939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["HLC\u2010154502"],"award-info":[{"award-number":["HLC\u2010154502"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Optimising preconception health\u2014that is the health of women and men prior to a potential pregnancy\u2014is increasingly recognised as fundamental to improving maternal and infant health outcomes. To date, limited research has been conducted examining preconception knowledge and studies focusing on preconception health behaviours have targeted certain behaviours, while overlooking others, with limited attention given to the interconception period and differences between multiparous and primiparous\/nulliparous women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine predictors of preconception health knowledge among Canadian women and to examine whether parity modified the effect of predictors on preconception knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A cross\u2010sectional study reported according to STROBE was undertaken from May to June 2019 in Canada with 928 women. An online questionnaire was used including the Preconception Health Knowledge Questionnaire, demographic characteristics, current health status, previous pregnancy outcomes and use of preconception care services. Ordinary least squares regression was used to model knowledge scores. Predictors were entered using theoretically driven hierarchical entry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age of women was 34\u2009years and one in five were immigrants. In the final model, household income (<jats:italic>b<\/jats:italic>\u00a0=\u00a0.17, SE\u00a0=\u00a0.07; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.009), being born outside Canada (<jats:italic>b<\/jats:italic>\u00a0=\u00a0\u2212.75, SE\u00a0=\u00a0.25; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.003), miscarriage\/stillbirth history (<jats:italic>b<\/jats:italic>\u00a0=\u00a0.47, SE\u00a0=\u00a0.21; <jats:italic>p<\/jats:italic>\u00a0=\u00a0.027) and previous use of preconception care (<jats:italic>b<\/jats:italic>\u00a0=\u00a0.97, SE\u00a0=\u00a0.20, <jats:italic>p<\/jats:italic>\u2009\u27e9\u2009.001) were predictive of preconception health knowledge. Effect modification by parity was not statistically significant in the final model (<jats:italic>f<\/jats:italic>\u00a0=\u00a01.22, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.19).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Women at higher risk of poor preconception knowledge, and who therefore stand to gain from preconception knowledge interventions may include those who (1) are socially and economically disadvantaged; (2) have not engaged in preconception care previously and (3) were not born in Canada. Ensuring national promotion of and access to preconception care is an important strategy to prevent adverse pregnancy outcomes and optimise maternal and infant health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the need for national promotion of and access to preconception health care for all pregnancy\u2010planning families in order to improve perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance for clinical practice<\/jats:title><jats:p>When evaluating preconception health efforts, preconception health knowledge must be considered within the context of social determinants of health and individuals\u2019 abilities to act on their knowledge.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16584","type":"journal-article","created":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T02:17:56Z","timestamp":1670033876000},"page":"4843-4851","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predictors of preconception health knowledge among Canadian women: A nationwide cross\u2010sectional study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0135-7242","authenticated-orcid":false,"given":"Cindy\u2010Lee","family":"Dennis","sequence":"first","affiliation":[{"name":"Lawrence S. Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"},{"name":"Department of Psychiatry University of Toronto  Toronto Ontario Canada"},{"name":"Li Ka Shing Knowledge Institute St. Michael's Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Prioreschi","sequence":"additional","affiliation":[{"name":"SAMRC\/Wits Developmental Pathways for Health Research Unit, School of Clinical Medicine University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine S.","family":"Birken","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine University of Toronto  Toronto Ontario Canada"},{"name":"Hospital for Sick Children  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Brennenstuhl","sequence":"additional","affiliation":[{"name":"Lawrence S. Bloomberg Faculty of Nursing University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8690-5841","authenticated-orcid":false,"given":"Hilary K.","family":"Brown","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"},{"name":"Department of Health &amp; Society University of Toronto Scarborough  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda C.","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences University of Alberta  Edmonton Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"Marini","sequence":"additional","affiliation":[{"name":"Li Ka Shing Knowledge Institute St. Michael's Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie V.","family":"Wrottesley","sequence":"additional","affiliation":[{"name":"SAMRC\/Wits Developmental Pathways for Health Research Unit, School of Clinical Medicine University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15328031US0202_01"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03404379"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20107\u201041"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010015\u20100676\u2010z"},{"issue":"10","key":"e_1_2_13_7_1","first-page":"1037","article-title":"Preconception care: Call for national guidelines","volume":"59","author":"Bialystok L.","year":"2013","journal-title":"Canadian Family Physician"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010016\u20101198\u2010z"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890117120946682"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890117119835518"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932017000062"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201037"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009\u20101162B"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.07.013"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2017.08.004"},{"issue":"1","key":"e_1_2_13_17_1","first-page":"33","article-title":"Diabetes and pregnancy. 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