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确定影响印度尼西亚马都拉农村地区母亲预防儿童发育迟缓行为的因素。

Determining factors affecting mother's behaviour in stunting prevention in rural Madura, Indonesia.

作者信息

Noviana Ulva, Devy Shrimarti Rukmini, Indriani Diah, Yasin Zakiyah

机构信息

Doctorate Degree Program in Public Health Faculty of public health, Universitas Airlangga Surabaya, 60115, Indonesia.

Faculty of public health, Universitas Airlangga Surabaya, 60115, Indonesia.

出版信息

Afr J Reprod Health. 2024 Oct 31;28(10s):100-110. doi: 10.29063/ajrh2024/v28i10s.12.

Abstract

Stunting is one of the consequences of chronic malnutrition whose prevalence continues to increase in Indonesia. This study used an observational analytical approach to develop a model of mother behaviour in stunting prevention in children. The population consisted of 215 mothers who had children aged 0-24 months. The variables included assessment of behavioural beliefs, behaviour outcomes, attitudes, demographics, perceived control, and intentions. The SEM - smartPLS4 was used for the analysis. The validity test results indicate that the values for Cronbach's alpha and Composite Reliability (C.R) are above 0.7, and the value for Average Variance Extracted (AVE) is above 0.50, indicating that all indicators are valid and reliable. The results revealed that a mother's behaviour in stunting prevention is directly influenced by her intention, whereas mother's intentions are influenced by attitudes, demography, and perceived control. We conclude that a mother who has high intentions to prevent stunting will be able to practice it because of having a positive attitude and a good perceived control. Behavioural intentions have been identified as the mediating variable of the transformation of behavioural attitudes into treatment, which is consistent with the TPB theory and other research on physician behaviour. In other words, intent can serve not only as an internal driving process of attitude, but also as a condition of preparation for behaviour.

摘要

发育迟缓是慢性营养不良的后果之一,在印度尼西亚,其患病率持续上升。本研究采用观察性分析方法,以建立预防儿童发育迟缓的母亲行为模型。研究对象包括215名有0至24个月大孩子的母亲。变量包括行为信念评估、行为结果、态度、人口统计学特征、感知控制和意图。分析采用结构方程模型 - 智能偏最小二乘法4(SEM - smartPLS4)。效度检验结果表明,克朗巴哈系数(Cronbach's alpha)和组合信度(C.R)的值均高于0.7,平均提取方差(AVE)的值高于0.50,表明所有指标均有效且可靠。结果显示,母亲预防发育迟缓的行为直接受其意图影响,而母亲的意图则受态度、人口统计学特征和感知控制的影响。我们得出结论,因态度积极且感知控制良好而有强烈预防发育迟缓意愿的母亲能够付诸实践。行为意图已被确定为将行为态度转化为行动的中介变量,这与计划行为理论(TPB)及其他关于医生行为的研究一致。换句话说,意图不仅可以作为态度的内部驱动过程,还可以作为行为准备的条件。

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