Sociodemographic factors shaping knowledge-attitude-behaviour pathways in postpartum fall prevention.

IF 2.2 4区医学 Q4 OBSTETRICS & GYNECOLOGY

Journal of Obstetrics and Gynaecology Pub Date : 2026-12-01 Epub Date: 2026-06-23 DOI:10.1080/01443615.2026.2678173

Lan Yang, Li Xu

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引用次数: 0

Abstract

Background: Postpartum falls threaten maternal and infant safety, yet evidence on postpartum women's fall-prevention knowledge, attitude, and behaviour (KAB) and their sociodemographic correlates remains limited. This study examined postpartum fall-prevention KAB and associations among KAB dimensions and in-hospital fall occurrence.

Methods: In this cross-sectional study, 1,220 postpartum women from a tertiary hospital in Chengdu, China, completed a general questionnaire and a self-developed Postpartum Fall Prevention KAB Scale (Cronbach's α = 0.926). Multivariable linear regression examined associations of maternal education, companion education, and residence with KAB scores. Structural equation modelling examined associations among knowledge, attitude, behaviour, and in-hospital fall occurrence.

Results: Higher maternal education was associated with higher knowledge (B = 0.22, 95% CI 0.06 to 0.38; p = 0.009), attitude (B = 0.23, 95% CI 0.02 to 0.43; p = 0.030), and behaviour scores (B = 0.57, 95% CI 0.02 to 1.11; p = 0.044). Residence was associated with attitude score (B = 0.77, 95% CI 0.13 to 1.41; p = 0.020), but not with knowledge or behaviour. Companion education was associated with behaviour score (B = -0.67, 95% CI -1.15 to -0.20; p = 0.005), but not with knowledge or attitude. In the structural model, knowledge was associated with attitude (estimate = 0.289, 95% CI 0.206 to 0.379; p < 0.001) and behaviour (estimate = 0.663, 95% CI 0.455 to 0.908; p < 0.001), and attitude was associated with behaviour (estimate = 0.471, 95% CI 0.304 to 0.634; p < 0.001). behaviour was not associated with in-hospital fall occurrence (estimate = 0.001, 95% CI -0.001 to 0.002; p = 0.506).

Conclusions: Maternal education, residence, and companion education were associated with postpartum fall-prevention KAB scores. The findings support associations broadly consistent with the KAB framework, but causality cannot be inferred. Tailored fall-prevention education should be evaluated in longitudinal, multi-centre studies.

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影响产后跌倒预防的知识-态度-行为途径的社会人口因素。

背景：产后跌倒威胁到母婴安全，但关于产后妇女预防跌倒的知识、态度和行为（KAB）及其社会人口学相关因素的证据仍然有限。本研究探讨产后预防跌倒KAB及KAB维度与院内跌倒发生的关系。方法：采用横断面研究方法，对成都市某三级医院1220名产后妇女进行一般问卷调查和自行编制的产后预防跌倒KAB量表（Cronbach’s α = 0.926）。多变量线性回归检验了母亲教育、伴侣教育和居住地与KAB分数的关系。结构方程模型检验了知识、态度、行为和住院跌倒发生率之间的关系。结果：较高的母亲教育程度与较高的知识（B = 0.22, 95% CI 0.06 ~ 0.38; p = 0.009）、态度（B = 0.23, 95% CI 0.02 ~ 0.43; p = 0.030）和行为评分（B = 0.57, 95% CI 0.02 ~ 1.11; p = 0.044）相关。居住与态度评分相关（B = 0.77, 95% CI 0.13至1.41;p = 0.020），但与知识或行为无关。同伴教育与行为评分相关（B = -0.67, 95% CI = -1.15 ~ -0.20; p = 0.005），但与知识和态度无关。在结构模型中，知识与态度相关（估计值= 0.289,95% CI = 0.206 ~ 0.379; p p p = 0.506）。结论：母亲教育、居住地和陪伴教育与产后预防跌倒KAB评分相关。研究结果支持与KAB框架广泛一致的关联，但无法推断因果关系。量身定制的预防跌倒教育应在纵向、多中心研究中进行评估。

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

Journal of Obstetrics and Gynaecology 医学-妇产科学

CiteScore

2.40

自引率

7.70%

发文量

398

审稿时长

6 months

期刊介绍： Journal of Obstetrics and Gynaecology represents an established forum for the entire field of obstetrics and gynaecology, publishing a broad range of original, peer-reviewed papers, from scientific and clinical research to reviews relevant to practice. It also includes occasional supplements on clinical symposia. The journal is read widely by trainees in our specialty and we acknowledge a major role in education in Obstetrics and Gynaecology. Past and present editors have recognized the difficulties that junior doctors encounter in achieving their first publications and spend time advising authors during their initial attempts at submission. The journal continues to attract a world-wide readership thanks to the emphasis on practical applicability and its excellent record of drawing on an international base of authors.