{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T23:14:26Z","timestamp":1783120466865,"version":"3.54.6"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T00:00:00Z","timestamp":1438819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100014175","name":"Shanghai Municipal Health and Family Planning Commission","doi-asserted-by":"crossref","award":["2013-KJ-09"],"award-info":[{"award-number":["2013-KJ-09"]}],"id":[{"id":"10.13039\/501100014175","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Recently, the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hinese government has promoted preconception care (<jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>) to prevent birth defects. The objective of this study was to evaluate the implementation of <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>hanghai, <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina, following a 3\u2010year municipal project providing \u2018<jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ree <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>re\u2010pregnancy <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>valuation <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>ervices\u2019 to 20\u2009000 residents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective questionnaire survey was undertaken among 12\u2009309 pregnant women and 8997 of their partners during their initial prenatal visit in six hospitals with the most births in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>hanghai.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 90% (<jats:italic>n<\/jats:italic>\u2009=\u200911\u2009113) of the women and 87% (<jats:italic>n<\/jats:italic>\u2009=\u20097856) of the men were aware of <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>, and 40% (<jats:italic>n<\/jats:italic>\u2009=\u20094890) of the women and 35% (<jats:italic>n<\/jats:italic>\u2009=\u20093185) of the men had previously participated in <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>. Logistic regression showed that <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content> participants were more likely to have a planned pregnancy, receive support from their partner for <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content> services, were older, and have higher educational attainment and higher household incomes. Regardless of gender, there were significant differences between the participating and non\u2010participating groups in terms of prepregnancy changes in lifestyle and behaviour, such as folic acid supplementation, smoking cessation (for men only), avoiding passive smoking, abstaining from alcohol\/drugs, and rubella\/hepatitis <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content> immunity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The government\u2010led efforts proved to be effective in promoting <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content> participation and positive lifestyle and behavioural changes in couples of childbearing age. Future efforts should target couples who are young, poorly educated, and\/or from low\u2010income families. Strategies must ensure that the couples' knowledge of and positive attitudes toward <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content> are translated into their practical participation in <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12218","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T20:00:29Z","timestamp":1438891229000},"page":"492-500","source":"Crossref","is-referenced-by-count":44,"title":["Survey on the Implementation of Preconception Care in <scp>S<\/scp>hanghai, <scp>C<\/scp>hina"],"prefix":"10.1111","volume":"29","author":[{"given":"Yan","family":"Ding","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Tian","family":"Li","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Xie","sequence":"additional","affiliation":[{"name":"School of Nursing Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Lin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Maternal and Child Health Care Shanghai Municipal Health and Family Planning Commission  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,6]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Ministry of Health of China.The report on the prevention of birth defects in China.2012."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68778-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-006-0110-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-7-41"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2008.09.006"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2008.00930.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.02.036"},{"key":"e_1_2_7_9_1","first-page":"169","article-title":"Preconception care","volume":"21","author":"Witters I","year":"2010","journal-title":"Genetic Counseling (Geneva, Switzerland)"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-006-0093-z"},{"key":"e_1_2_7_11_1","first-page":"338","article-title":"Preconception care: preliminary estimates of costs and effects of smoking cessation and folic acid supplementation","volume":"49","author":"Weerd S","year":"2004","journal-title":"The Journal of Reproductive Medicine"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.02.042"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b481"}],"container-title":["Paediatric and Perinatal Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fppe.12218","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ppe.12218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T08:15:17Z","timestamp":1696148117000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ppe.12218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,6]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1111\/ppe.12218"],"URL":"https:\/\/doi.org\/10.1111\/ppe.12218","archive":["Portico"],"relation":{},"ISSN":["0269-5022","1365-3016"],"issn-type":[{"value":"0269-5022","type":"print"},{"value":"1365-3016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,6]]}}}