Department of Nursing, Catholic Kwandong University, Gangneung-si, Gangwon-do, Republic of Korea.
College of Nursing, Gachon University, Incheon, Republic of Korea.
Front Public Health. 2023 Jun 15;11:1179416. doi: 10.3389/fpubh.2023.1179416. eCollection 2023.
To determine the association between psychosocial factors and health-promoting and health-impairing behaviors in pregnant women of advanced maternal age (AMA) in Korea.
A cross-sectional survey study.
Online survey.
A total of 217 pregnant women aged 35 and older agreed to participate in the study, with 207 participants completing the self-report questionnaires.
We collected self-reported data on demographic, obstetric, and psychosocial factors and prenatal health behaviors using standardized measures. We conducted a descriptive analysis of the collected data and a linear regression to identify significant associations with health-promoting and health-impairing behaviors.
We found that maternal-fetal attachment (β = 0.43, < 0.001) and "social atmosphere" of pregnancy stress (β = 0.13, = 0.047) were positively associated with prenatal health-promoting behaviors. We found that artificial conception (β =-0.16, = 0.011) was negatively associated with prenatal health-impairing behaviors and that multiparity (β = 0.23, = 0.001) and "maternal role" of pregnancy stress (β = 0.27, = 0.003) positively associated with prenatal health-impairing behaviors.
Health-impairing behaviors of pregnant AMA women need assessment and the importance of health-promoting behaviors for maternal and infant health need reinforcing. We recommend pregnancy stress assessments at prenatal checkups and stress relief interventions that consider cultural differences and contexts rather than standardized interventions.
探讨韩国高龄产妇（AMA）的心理社会因素与促进健康和损害健康行为之间的关系。
横断面调查研究。
在线调查。
共有 217 名年龄在 35 岁及以上的孕妇同意参与研究，其中 207 名参与者完成了自我报告问卷。
我们使用标准化量表收集了人口统计学、产科和心理社会因素以及产前健康行为的自我报告数据。我们对收集的数据进行了描述性分析，并进行了线性回归，以确定与促进健康和损害健康行为相关的显著因素。
我们发现母婴依恋（β=0.43，<0.001）和妊娠压力的“社会氛围”（β=0.13，=0.047）与产前促进健康的行为呈正相关。我们发现，人工受孕（β=-0.16，=0.011）与产前损害健康的行为呈负相关，多胎妊娠（β=0.23，=0.001）和妊娠压力的“母亲角色”（β=0.27，=0.003）与产前损害健康的行为呈正相关。
需要评估 AMA 孕妇的损害健康行为，并加强促进健康行为对母婴健康的重要性。我们建议在产前检查中评估妊娠压力，并实施考虑文化差异和背景的缓解压力干预措施，而不是采用标准化的干预措施。
