Schoenaker, DAJM;
Stephenson, J;
Connolly, A;
Shillaker, S;
Fishburn, S;
Barker, M;
Godfrey, KM;
... UK Preconception Partnership, .; + view all
(2021)
Characterising and monitoring preconception health in England: a review of national population-level indicators and core data sources.
Journal of Developmental Origins of Health and Disease
pp. 1-14.
10.1017/S2040174421000258.
(In press).
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Abstract
Initiatives to optimise preconception health are emerging following growing recognition that this may improve the health and well-being of women and men of reproductive age and optimise health in their children. To inform and evaluate such initiatives, guidance is required on indicators that describe and monitor population-level preconception health. We searched relevant databases and websites (March 2021) to identify national and international preconception guidelines, recommendations and policy reports. These were reviewed to identify preconception indicators. Indicators were aligned with a measure describing the prevalence of the indicator as recorded in national population-based data sources in England. From 22 documents reviewed, we identified 66 indicators across 12 domains. Domains included wider (social/economic) determinants of health; health care; reproductive health and family planning; health behaviours; environmental exposures; cervical screening; immunisation and infections; mental health, physical health; medication and genetic risk. Sixty-five of the 66 indicators were reported in at least one national routine health data set, survey or cohort study. A measure of preconception health assessment and care was not identified in any current national data source. Perspectives from three (healthcare) professionals described how indicator assessment and monitoring may influence patient care and inform awareness campaign development. This review forms the foundation for developing a national surveillance system for preconception health in England. The identified indicators can be assessed using national data sources to determine the population's preconception needs, improve patient care, inform and evaluate new campaigns and interventions and enhance accountability from responsible agencies to improve preconception health.
| Type: | Article |
|---|---|
| Title: | Characterising and monitoring preconception health in England: a review of national population-level indicators and core data sources. |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1017/S2040174421000258 |
| Publisher version: | https://doi.org/10.1017/S2040174421000258[Opens in... |
| Language: | English |
| Additional information: | © The Author(s), 2021. Published by Cambridge University Press in association with International Society for Developmental Origins of Health and Disease. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Preconception, indicators, reproductive health, surveillance |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10129749 |
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