{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:37:18Z","timestamp":1760661438545,"version":"build-2065373602"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Our preconception care (PCC) initiative in Akita (Japan) was previously reported to improve health literacy and motivate behavioral changes. To make the check\u2010up widely available, a more feasible and sustainable system is necessary. Our aim was to evaluate a resource\u2010efficient preconception check\u2010up implemented in Ehime Prefecture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Ehime PCC check\u2010up included female employees aged 18\u201339 and took place between July 2023 and January 2024. Participants attended a lecture, underwent blood tests, and received written feedback. Pre\u2010 and post\u2010intervention surveys were conducted for check\u2010up evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine women (median age: 31\u2009years) participated. The results revealed that their health was inadequate for future pregnancies, with 23% exhibiting anemia (hemoglobin &lt;12.0\u2009g\/dL) and 29% iron deficiency (serum ferritin &lt;12\u2009ng\/mL). Furthermore, all participants had low 25\u2010hydroxyvitamin D levels (&lt;30\u2009ng\/mL). After receiving written feedback, 66% manifested an intention to improve their lifestyle, 21% an intention to consult an obstetrician and gynecologist, and 32% expressed a desire to become pregnant sooner. The proportion of those without intention to change their future behavior was significantly higher in Ehime (23.7%) compared to Akita (4.9%, <jats:italic>p<\/jats:italic>\u2009=\u20090.018). Recommendation ratings were significantly lower in Ehime (strongly recommend: 18.2% vs. 65.9%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), with more reporting anxiety (10.5% vs. 4.9%, <jats:italic>p<\/jats:italic>\u2009=\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preconception check\u2010ups improved the intention to change behavior, even in resource\u2010efficient settings. However, individual counseling may be more effective than written feedback in increasing the intention to change behavior and satisfaction. A resource\u2010efficient feedback method that effectively motivates behavioral change and improves satisfaction is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16337","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T19:40:08Z","timestamp":1749584408000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preconception health assessments in occupational settings: Counseling versus written feedback"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8609-484X","authenticated-orcid":false,"given":"Akiko","family":"Fujishima","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Akita University Graduate School of Medicine  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eri","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Public Health Faculty of Medicine, Hokkaido University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koki","family":"Sato","sequence":"additional","affiliation":[{"name":"Specified Non\u2010Profit Organization FORECIA  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidekazu","family":"Saito","sequence":"additional","affiliation":[{"name":"ART Center Umegaoka Women's Clinic  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2396-7908","authenticated-orcid":false,"given":"Yuka","family":"Uchikura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ehime University Graduate School of Medicine  Toon Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ehime University Graduate School of Medicine  Toon Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2392-5498","authenticated-orcid":false,"given":"Yukihiro","family":"Terada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Akita University Graduate School of Medicine  Akita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization.Preconception care: maximizing the gains for maternal and child health\u2014Policy brief.2013[cited 6 Jan 2025]. 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