Research on maternal health behaviors for Yi-nationality women in poor rural areas based on the theory of reasoned action
10.3760/cma.j.issn.0253-9624.2015.08.009
- VernacularTitle:基于理性行为理论的彝族贫困农村妇女孕产期保健行为研究
- Author:
Yuju WU
1
;
Gang HAO
;
Shuai SUN
;
Yuehui CHEN
;
Rui ZHANG
;
Qiaolan LIU
;
Yang YANG
;
Huan ZHOU
Author Information
1. 四川大学华西公共卫生学院健康与社会行为学系
- Keywords:
Models,statistical;
Epidemiologic factors;
Yi-nationality;
Poor rural areas;
Maternal health behaviors
- From:
Chinese Journal of Preventive Medicine
2015;(8):710-715
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the status of maternal health behaviors and it's risk factors for Yi-nationality women in poor rural areas of Sichuan province. Methods In 2012, multi-stage stratified cluster sampling method was used to select 14 villages of two poor counties in Liangshan Yi-nationality autonomous prefecture Sichuan province. At least 10 women who have infants aged 0-12 months were selected in each simple villages, a total of 284. The structured questionnaire was developed on the basis of the theory of reasoned action. Yi-nationality female college students were trained as investigators. Research indicators included prenatal care rate, hospital delivery rate, postpartum examination rate, socio-demographic characteristics, maternal health care knowledge. χ2 test was used to compare the differences of above indicators among different groups .The structural equation model were used to statistical analyze. Results In the 284 subject women, 51.7%(147/284) women owned more than 2 children, 41.6%(118/284)women were more than 30 years old, 87.3%(248/284)women were illiteracy. The prenatal care rate was 69.7%(197/284), the hospital delivery rate was 26.8%(76/284), and the postnatal check rate was 22.9%(65/284). The influence factors of maternal health behaviors included the number of children, age and education (χ2 were 10.92,13.24,9.58;P values were 0.027, 0.004, 0.008, respectively).The structural equation model analysis results showed that the maternal health behaviors were directly or indirectly affected by subjective norms (β= 0.236, P<0.001), women's cognition (β= 0.226,P=0.020) and women's attitudes on maternal health behavior (β=0.157, P=0.001). Among subjective norms, women have high compliance to their husbands (β=0.850, P<0.001), their peers (β=0.708, P<0.001), and their mothers-in-law (β=0.636, P<0.001). Conclusion There were still serious problems in maternal health behaviors for Yi- nationality women in poor rural areas. The main factors included not only the women's cognition and attitudes for maternal health, but also the attitudes of important social relationships.
