Factors Predicting Preconception Health Behaviors Among Primiparous Women Attending Antenatal Clinic in Nakhon Nayok Province
Keywords:
Preconception health behaviors, Primiparous women, Antenatal careAbstract
This predictive research aimed to study preconception health behaviors and the factors that can predict preconception health behaviors among primiparous women attending antenatal care at Nakhon Nayok Hospital. The participants were selected using a systematic random sampling method. The sample size of 121 participants was calculated using the G*Power program. Data were collected using questionnaires consisting of: (1) personal and obstetric information, (2) preconception health behavior questionnaire, (3) knowledge about preconception health care questionnaire, (4) perceived risk of pregnancy questionnaire, (5) perceived benefits of preconception health care questionnaire, and (6) perceived barriers to preconception health care questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis with backword variable selection.
The results revealed that the overall mean score of preconception health behaviors was 50.98 (Mean= 1.83, SD = 7.68), indicating a moderate level of preconception health behaviors. The significant predictors of preconception health behaviors among primiparous women at the 0.05 level were educational level, perceived benefits, and age. These factors together could predict 22.2% of the variance in preconception health behaviors among primiparous women. These findings could be applied to improve preconception health promotion and service planning, particularly for primiparous women in similar contexts.
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References
World Health Organization. Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. Geneva: WHO; 2013.
World Health Organization. Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. Geneva: WHO; 2012.
Department of Health. Maternal and child health information system (Dashboard). Ministry of Public Health; 2024.
Strategy and Planning Division. Annual health statistics report. Bangkok: Ministry of Public Health; 2020.
Dean SV, Lassi ZS, Imam AM, & Bhutta ZA. Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Report Health. 2014;11(3): 1-8.
Cawley S, Mullaney L, Kennedy R, Farren M, McCartney D, & Turner MJ. Preconception folic acid supplementation and its association with pregnancy outcomes. European Journal of Clinical Nutrition. 2019;73(2): 281–8.
Toivonen KI, Oinonen KA, & Duchene KM. Preconception health behaviors: A scoping review. Preventive Medicine. 2017;96(1): 1-15.
Blencowe H, Kancherla V, Moorthie S, Darlison MW, & Modell B. Estimates of global and regional prevalence of neural tube defects for 2015: a systematic analysis. Annals of the New York Academy of Sciences. 2018;1414(1): 31–46.
Department of Health. National Reproductive Health Action Plan, Phase II (2023–2027). Ministry of Public Health; 2022.
Poels M, Koster PHM, Boeije RH, Franx A, & Vanstel FH. Why do women not use preconception care? A systematic review on barriers and facilitators. Obstetrical & Gynecological Survey. 2016;71(10), 603-12.
Ministry of Public Health, Thailand. National reproductive health development policy and strategy. Bureau of Reproductive Health, Department of Health. 2018.
World Health Organization. Trends in maternal mortality 2000–2020. World Health Organization. 2023.
Nakhon Nayok Provincial Public Health Office. Maternal and child health situation report, Nakhon Nayok Province. Nakhon Nayok Provincial Public Health Office. 2022.
Phungrassami T, Chokkanapitak J, & Chaisiri K. Preconception health behaviors among women of reproductive age in Bangkok. Thai Journal of Nursing Research. 2018;22(3): 45–58.
Sirinapa Kaewpoung, Nujaree K, & Jansang A. Preconception preparation behaviors among pregnant women in Chonburi Province. Journal of Nursing Science and Health. 2019;42(4): 23–35.
Charoenrat S, Sirattanapathum B, & Wimonmala K. Health screening behaviors before marriage among Thai women. Journal Public Health Nursing. 2017;31(2): 67–79. (in Thai)
Liu X, Li Y, Zhang W, Wang Y, & Zhang J. Risk factors of hypertensive disorders of pregnancy: a systematic review. BMC Pregnancy and Childbirth. 2020;20(1): 1–10.
Vogel JP, Torloni MR, Seuc A, Betrán AP, Widmer M, Souza JP, et al. Maternal complications and adverse pregnancy outcomes: global evidence. The Lancet Global Health. 2018;6(1): e26–36.
Janz NK, & Becker MH. The Health Belief Model: a decade later. Health Education Quarterly. 1984;11(1): 1–47.
Om A, Rattanamongkolgul S, & Taneepanichskul S. Knowledge and practices related to preconception care among women of reproductive age. Journal of Public Health and Development. 2018;16(3): 45–56.
Chawanpaiboon S, Vogel JP, Moller AB, Lumbiganon P, Petzold M, Hogan D, et al. Factors related to preconception preparation behaviors among women of reproductive age. Thai Journal of Nursing Research. 2019;23(2): 45–58. (in Thai)
Poels M, Koster MPH, Franx A, & Van Stel HF. Facilitators and barriers to preconception care: a systematic review. BMC Pregnancy and Childbirth. 2017;17(1): 1–14.
Lassi ZS, Kedzior SG, Tariq W, Jadoon Y, Das JK, & Bhutta ZA. Effects of preconception care and periconception interventions on maternal nutritional status and birth out come in low- and middle-income countries: A systematic review. Nutrients. 2020;12(3): 1-18.
Yeom J, & Kim H. Factors influencing preconception health behaviors among women of reproductive age. Journal of Women’s Health. 2020;29(9): 1171–9.
Toivonen KI, Oinonen KA, & Duchene KM. Preconception health behaviours: A scoping review. Preventive Medicine. 2017;96(1): 1–15.
Yeom J, & Kim H. Factors influencing preconception health behaviors among women ofreproductive age. Journal of Women’s Health. 2019;28(4): 514–21.
Best JW. Research in Education. 3rd ed. Englewood Cliffs, New Jersey, United States of America: Prentice-Hall; 1977.
Centers for Disease Control and Prevention. Preconception health and health care: information for health professionals. Atlanta: Centers for Disease Control and Prevention; 2016.
Anchan Jitrapiroam, Wipawee Srisuphan, & Supaporn Phumdoung . Translation and validation of the Pregnancy Perception of Risk Questionnaire (PPRQ) among Thai pregnant women. Thai Journal of Nursing Research. 2014;18(3): 203–16. (in Thai)
Nualanong L, Panpilai S, & Sukanya P. Perceived benefits and barriers of preconception of preconception health care among reproductive females. Journal of Nursing, Burapha University. 2021;18(3): 1-16. (in Thai)
Stephenson J, Heslehurst N, Hall J, Schoenaker DAJM, Hutchinson J, Cade JE, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. The Lancet. 2018;391(10132): 1830–41.
Hill B, Hall J, Skouteris H, & Currie S. Defining preconception: exploring the concept of preconception health and care. BMC Pregnancy and Childbirth. 2020;20(1): 1–10.
Sohi I, Franklin A, Chrystoja B, Wettlaufer A, Rehm J, & Shield K. The globalimpact of alcohol consumption on premature mortality and health in pregnancy. Nutrients. 2021;13(9): 1-13.
Flores AL, Isenburg J, Hillard CL, deRosset L, Colen L, Bush T, et al. Folic acid education for Hispanic women: The promotora de salud model. Journal of Women’s Health. 2017;26(2): 186-94.
Nabil Aboushady MR, Hegazy AEK, & M Ebrahim Abd Elnabi M. Knowledge, believes and behaviors toward preconception care among women at childbearing period: Suggested plan of action. Egyptian Journal of Health Care. 2021;12(1): 1463-74.
Turan JM, Hatcher AM, Odero M, Onono M, Kodero J, & Romito P. A community-based study on preconception health behaviors and associated factors among women of reproductive age. BMC Public Health. 2019;19(1): 1–9.
Amaje E, Fikrie A, & Utura T. Utilization of preconception care and its associated factors among pregnant woman of West Guji Zone, Oromia, Ethiopia, 2021: A community based cross- sectional study. Health Service Research and Managerial Epidemiology. 2022;1(9): 1-10.
Kanchana P, & Rungnapa S. Preconception health behaviors among women of reproductive age. Journal Royal Thai Army Nurses. 2019;20(2): 45–56. (In Thai)
Talib H, Idris IB, Sutan R, Ahmad N, & Bakar NA. Patterns of preconception care utilization among reproductive-age women in Kedah, Malaysia. Iranian journal of public health. 2018;47(11): 1694-702.
Borges AL, Santos OA, Nascimento Nde C, Chofakian CB, & Gomes Sponholz FA. Preconception health behaviors associated with pregnancy planning status among Brazilian women. Revista da Escola de Enfermagem da USP. 2016;50(02): 208-16.
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