Application of the health belief model to explain pre-conception care among women with sickle cell disease: a cross-sectional study.

IF 2.7 2区医学 Q1 OBSTETRICS & GYNECOLOGY

BMC Pregnancy and Childbirth Pub Date : 2025-09-02 DOI:10.1186/s12884-025-08070-5

Asiyeh Pormehr-Yabandeh, Teamur Aghamolaei, Zahra Hosseini, Nasibeh Roozbeh, Amin Ghanbarnezhad

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Abstract

Background: Pre-conception care (PCC) in mothers with sickle cell disease (SCD) is essential to reduce the risk of morbidity and mortality. PCC is not commonly utilized by women of reproductive age. The reason behind this should be assessed using health education theories. This study aims to apply the health belief model (HBM) to explain the adoption of PCC among SCD women.

Methods: A cross-sectional study was conducted in Iran from March 2021 to June 2021. Women with SCD were selected through a systematic sampling framework using the Iranian integrated health system. A demographic, knowledge, HBM, and PCC questionnaire were used as instruments. Pearson's correlation was used to investigate the relationship between HBM constructs and PCC. The effect of health beliefs on PCC was analyzed using a path model, in which the observed HBM variables predicted PCC behavior.

Results: Out of 413 participants, 13 incomplete questionnaires were excluded (Response rate 96.8%). A significant association was observed between women's and husbands' education with the PCC adoption. Pearson correlation test revealed a significant relationship between PCC and HBM constructs; with positive and significant correlation coefficients of 0.651 and 0.599, self-efficacy and perceived susceptibility had the highest correlation with the PCC. Based on the path model analysis, perceived susceptibility (0.26) and self-efficacy (0.36) substantially influenced adopting PCC. The fit indices of this model were acceptable (GFI = 0.98, AGFI = 0.95, CFI = 0.99, and RMSEA = 0.04).

Conclusions: Knowledge, perceived susceptibility, and self-efficacy are the most important determinants of performing PCC. Knowing PCC's most influential and decisive components will help us plan educational content and effective interventions.

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应用健康信念模型解释镰状细胞病妇女孕前护理：一项横断面研究。

背景：孕前护理（PCC）的母亲镰状细胞病（SCD）是必不可少的，以降低发病率和死亡率的风险。育龄妇女通常不使用PCC。这背后的原因应该用健康教育理论来评估。本研究旨在运用健康信念模型（health belief model， HBM）来解释SCD女性对PCC的采用。方法：2021年3月至2021年6月在伊朗进行了一项横断面研究。通过使用伊朗综合卫生系统的系统抽样框架选择患有SCD的妇女。采用人口统计、知识、HBM和PCC问卷作为工具。采用Pearson相关法研究HBM结构与PCC之间的关系。采用路径模型分析健康信念对PCC的影响，其中观察到的HBM变量预测PCC行为。结果：共纳入问卷413份，剔除不完整问卷13份（回复率96.8%）。观察到妇女和丈夫的教育程度与PCC的采用之间存在显著关联。Pearson相关检验显示PCC与HBM结构之间存在显著相关；自我效能感和感知易感性与PCC的相关性最高，相关系数分别为0.651和0.599，呈显著正相关。通过通径模型分析，感知易感性（0.26）和自我效能感（0.36）对采用PCC有显著影响。该模型的拟合指标可接受（GFI = 0.98, AGFI = 0.95, CFI = 0.99, RMSEA = 0.04）。结论：知识、感知易感性和自我效能感是实施PCC的最重要决定因素。了解PCC最具影响力和决定性的组成部分将有助于我们规划教育内容和有效的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-

CiteScore

4.90

自引率

6.50%

发文量

845

审稿时长

3-8 weeks

期刊介绍： BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.