Division of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynaecology, Erasmus MC, Room Wk-221, Westzeedijk 118, 3016 AH, Rotterdam, The Netherlands.
Int J Public Health. 2013 Apr;58(2):295-304. doi: 10.1007/s00038-012-0396-3. Epub 2012 Aug 8.
To investigate the determinants of the intention of preconception care use of women in a multi-ethnic urban population.
The ASE-model-a health behaviour model-was used as an explanatory framework. A representative sample was taken from the municipal population registers of two districts in Rotterdam, the Netherlands, 2009-2010. 3,225 women (aged 15-60 years) received a questionnaire, which was returned by 631: 133 Dutch, 157 Turkish and Moroccan, and 341 Surinamese and Antillean. Descriptive, univariate and multivariate analyses were performed.
The multiple logistic analyses showed that intention to attend preconception care was significantly higher in women with a Turkish and Moroccan background (β 1.02, P = 0.006), a higher maternal age (β 0.04, P = 0.008) and a positive attitude (β 0.50, P < 0.001). Having no relationship (β -1.16, P = 0.004), multiparity with previous adverse perinatal outcome (β -1.32, P = 0.001), a high educational level (β -1.23, P = 0.03), having paid work (β -0.72, P = 0.01) and experienced barriers level (β -0.15, P = 0.003) were associated with less intention to use preconception care.
Modifiable determinants as attitude and barriers can be addressed to enhance preconception care attendance.
调查多民族城市人群中女性进行孕前保健意愿的决定因素。
采用 ASE 模型（一种健康行为模型）作为解释框架。2009-2010 年，从荷兰鹿特丹两个区的市人口登记册中抽取了一个具有代表性的样本。3225 名年龄在 15-60 岁之间的妇女收到了一份问卷，其中有 631 名妇女做出了回应：133 名荷兰人、157 名土耳其人和摩洛哥人、341 名苏里南人和安的列斯人。进行了描述性、单变量和多变量分析。
多元逻辑分析表明，有土耳其和摩洛哥背景的女性（β1.02，P=0.006）、较高的母亲年龄（β0.04，P=0.008）和积极的态度（β0.50，P<0.001）更有可能打算接受孕前保健。没有关系（β-1.16，P=0.004）、多胎妊娠且有不良围产期结局（β-1.32，P=0.001）、较高的教育水平（β-1.23，P=0.03）、有带薪工作（β-0.72，P=0.01）和经历过障碍水平（β-0.15，P=0.003）与使用孕前保健的意愿较低相关。
可改变的决定因素如态度和障碍可以被用来提高孕前保健的参与度。
