Kang Saem Yi, Kim Hae Won
College of Nursing, Seoul National University, Seoul, Korea.
College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
J Korean Acad Nurs. 2019 Dec;49(6):690-700. doi: 10.4040/jkan.2019.49.6.690.
The purpose of this study was to examine the awareness of alcohol use during pregnancy and factors influencing the intention to abstain from alcohol during pregnancy by drinking levels.
Utilizing a comparative descriptive design, a total of 359 female college students were recruited. Measurements were Theory of Planned Behavior (TPB) variables related awareness of alcohol use during pregnancy, Korean Version of the Alcohol Use Disorders Identification Test, knowledge about alcohol use during pregnancy, and socio-demographic factors. Main variables were compared by drinking levels. The factors influencing the intention to abstain from alcohol during pregnancy were identified using hierarchical regression analysis.
Non-problematic alcohol behavior group (n=185) had higher the intention to abstain from alcohol during pregnancy than problematic alcohol behavior group (n=174) (t=3.13, =.002). The significant TPB variables influencing the intention to abstain from alcohol during pregnancy were that attitudes (β =-.44, <.001), subjective norms (β =.14, =.026), and perceived behavior control (β =.19, =.002) in non-problematic alcohol behavior group, whereas the corresponding variables in the problematic alcohol behavior group were attitudes (β =-.51, <.001) and subjective norms (β =.21, =.006).
It is necessary to increase the intention to abstain from alcohol during pregnancy for the female college students having problematic alcohol behavior. The following strategies are recommended for them; decreasing acceptable attitudes toward alcohol use during pregnancy and reinforcing the influence of social pressure toward to abstain from alcohol during pregnancy.
本研究旨在通过饮酒水平来考察孕期饮酒意识以及影响孕期戒酒意愿的因素。
采用比较描述性设计,共招募了359名女大学生。测量内容包括与孕期饮酒意识相关的计划行为理论(TPB)变量、韩国版酒精使用障碍识别测试、孕期饮酒知识以及社会人口学因素。主要变量按饮酒水平进行比较。使用层次回归分析确定影响孕期戒酒意愿的因素。
无问题饮酒行为组(n = 185)在孕期戒酒的意愿高于有问题饮酒行为组(n = 174)(t = 3.13,p =.002)。影响无问题饮酒行为组孕期戒酒意愿的显著TPB变量为态度(β = -.44,p <.001)、主观规范(β =.14,p =.026)和感知行为控制(β =.19,p =.002),而有问题饮酒行为组的相应变量为态度(β = -.51,p <.001)和主观规范(β =.21,p =.006)。
对于有问题饮酒行为的女大学生,有必要提高其孕期戒酒的意愿。建议为她们采取以下策略;降低对孕期饮酒的可接受态度,并加强社会压力对孕期戒酒的影响。