Factors Affecting Health Behaviors in Overweight and Obese Pregnancy
Article Sidebar
Main Article Content
Abstract
The aim of this descriptive research were to find correlation and predicting power of personal factors which age, education level, occupation, income, family characteristics, gestational age, number of pregnancy and perceived self-efficacy to health behaviors in overweight and obese pregnancy. In this study, 120 overweight and obese pregnant women who attended antenatal care clinic at Phra-Chom-Klao hospital, Phetchaburi province and Huahin-Hospital PrachuapKhiri Khan province during September 2018-June 2019 were included to study.The sample size was calculated by using G* Power. Multi-stage and simple random
sampling were used. The data were collected by using questionnaire about perceived self-efficacy and health behavior of overweight and obese pregnancy and, which had a coefficient alpha of 0.84 and 0.82, respectively. Data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression analysis.
The study result showed that perceived self-efficacy and personal factors such as age, education level and income were positively correlated with health behavior among pregnant women with overweight and obese. (r= 0.636, 0.338, 0.431 and 0.359, respectively, p-value < 0.01). The factors predict health behaviors in overweight and obese pregnancy were perceived self-efficacy, ageand education level factor able to play a part as predicted the factor for the health behaviors in overweight and obese pregnancy 48.9% (p-value < 0.05).
Therefore, the health care providers who are caring for pregnant women should provide information specified to overweight and obese in pregnancy as well as develop program to enhance self-efficacy for optimized pregnancy outcomes.
Article Details
References
Institute of Medicine. Weight gain during pregnancy: Reexamining the guidelines: report brief May 2009 [internet].2009 [cited 2018 Nov 10]. Available from: www.nationalacademies.org
Siriarunrat S, Tachasuksri T, Deoisres W. Prevalence and factors affected to excessive gestational weight gain among pregnant women in the eastern part of Thailand. Journal of public health nursing 2018; 32(3): 19-36. (in Thai)
Boonyakiat S, Junyam P. Self-care behavior of nutrition among pregnant women at prenatal care clinic of Chaopaya Apaipubejhr Hospital. Prachin Buri province. The journal of Prapokklao Hospital Clinical Medical Education Center 2017; 34(4): 270-81. (in Thai)
Ngamchay C, Tachasuksri T, Siriarunrat S. Predicting factors of eating behaviors among pregnant women working in industrial factories. The journal of faculty of nursing Burapha University 2020; 28(1): 48-59.(in Thai)
Queensland Clinical Guidelines. Maternity and neonatal clinical guideline: Obesity in pregnancy [internet]. 2015 [cited 2019 May 4]. Available from: www.health.qld.gov.au
Gettong N, Rujiraprasert N. The relationships between knowledge about overweight during pregnancy, perceived self-efficacy and health behaviors among pregnant women with overweight. Srinagarind Medical Journal 2018; 33(2): 129-35.(in Thai)
Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs N.J: Prentice-Hall; 1986.
Sangsaiyart S, Teravecharoenchai S. Factors affected to health promotion behaviors of the pregnant in Somdetphraphuthalertla Hospital, Samut Songkhram province. Vajira nursing journal 2013; 15(1): 89-102. (in Thai)
Langlarlertsaku M, Imamee N, Therawiwat M, Kengganpanich T. Factors predicting self-care behavior on diet and exercise of diabetes risk group, Phuket province, Thailand. Journal of public health 2013; 43(1): 55-67. (in Thai)
Bandura A. self-efficacy: Toward a unifying theory of behavioral change. Psychological Review 1977 Mar; 84(2): 191-215. doi: 10.1037/0033-295X.84.2.191.
Satarak P, Therakulchai J, Khanobdee C. The influence of personal factors, perceived benefit, barrier, self-efficacy, and social support on weight control behaviors of pregnant women with over pre-pregnancy body mass index. Journal of health science research 2017; 11(2): 81-92. (in Thai)
Gojuntak R, Suppaseemanont W, Sangin S. Effects of a perceived self-efficacy in nutrition enhancement program on nutrition health behavior and weight gain of primigravida pregnant women with pre-pregnancy overweight. Nursing journal of the ministry of public health 2017; 27(3): 80-90. (in Thai)
Thato R, Nursing research: Concepts to application. 3th ed. Bangkok: Chulalongkorn University printing house; 2018. (in Thai)
