Yoshany Nooshin, Sharma Manoj, Bahri Narjes, Jambarsang Sara, Morowatisharifabad Mohammad Ali
Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
School of Public Health, University of Nevada, Las Vegas, United States.
Int Q Community Health Educ. 2021 Feb 1:272684X21991010. doi: 10.1177/0272684X21991010.
This cross-sectional study was conducted in 2019 on 204 postmenopausal women aged 45-55 years who referred to Yazd health centers to determine the predictors in initiating and sustaining nutritional behaviors to deal with menopausal symptoms based on the multi-theory model (MTM). The participants were required to complete the demographic information questionnaire and a researcher-made questionnaire over the effective nutritional behaviors in menopause based on the MTM. The data were summarized and analyzed using SPSS 18 and AMOS23 by running descriptive indicators and path analysis. Behavioral confidence (β = 0.61, P < 0.001) had a higher predictive power in initiating a nutritional behavior compared to the changes in the physical environment (β = 0.13, P < 0.05) and participatory dialogue (β = 0. 10, p < 0.05). Among the behavior-related constructs, only emotional transformation (β = 0.78, P < 0.001) could predict the behavioral sustaining. A positive and significant association was observed between nutritional behavior sustaining and quality of life (β = -0.41, P < 0.001). The MTM is an appropriate model for predicting the initiation and sustaining of the nutritional behaviors in dealing with menopause. The behavioral confidence, changes in physical environment, and participatory dialogue constructs played a significant role in predicting the initiation of behavior. The emotional transformation construct was also an important predictor in maintaining nutritional behaviors to deal with menopausal symptoms. So, future researchers are recommended to conduct MTM-based investigations according to the predictive constructs among menopausal women.
这项横断面研究于2019年对204名年龄在45至55岁之间的绝经后妇女进行，这些妇女前往亚兹德健康中心，以基于多理论模型（MTM）确定启动和维持营养行为以应对更年期症状的预测因素。参与者被要求填写人口统计学信息问卷以及一份基于MTM的、由研究人员制作的关于更年期有效营养行为的问卷。使用SPSS 18和AMOS23运行描述性指标并进行路径分析，对数据进行汇总和分析。与物理环境变化（β = 0.13，P < 0.05）和参与性对话（β = 0.10，p < 0.05）相比，行为信心（β = 0.61，P < 0.001）在启动营养行为方面具有更高的预测能力。在与行为相关的构念中，只有情绪转变（β = 0.78，P < 0.001）能够预测行为的维持。观察到营养行为维持与生活质量之间存在显著正相关（β = -0.41，P < 0.001）。MTM是预测应对更年期营养行为启动和维持的合适模型。行为信心、物理环境变化和参与性对话构念在预测行为启动方面发挥了重要作用。情绪转变构念也是维持应对更年期症状营养行为的重要预测因素。因此，建议未来的研究人员根据绝经后妇女中的预测构念进行基于MTM的调查。
