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Effective Factors on Nutrition Behaviors of Pregnant Women Based on the Beliefs, Attitudes, Subjective Norms, and Enabling Factors Model: A Cross-Sectional Study Publisher



Mohammadi A1 ; Effatidaryani F2 ; Ghelichkhani F3 ; Zarei S4, 5 ; Mirghafourvand M6
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Authors Affiliations
  1. 1. Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Midwifery, Reproductive Health Research Center, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
  3. 3. Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Midwifery Department, Emam Sajad Hospital, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Midwifery, Shohada Hospital, Qom University of Medical Sciences, Qom, Iran
  6. 6. Department of Midwifery, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Source: Journal of Education and Health Promotion Published:2022


Abstract

BACKGROUND: One of the useful models in health education is the Beliefs, Attitudes, Subjective Norms, and Enabling Factors (BASNEF) model. The model is used to study behavior and to plan for change it and to determine the factors that influence people's decision-making. The aim of this study was to investigate the factors affecting the nutritional behavior of pregnant women based on BASNEF model. MATERIALS AND METHODS: This cross-sectional study was performed on 360 pregnant women referring to health centers of Tabriz-Iran by two-stage cluster sampling method from April to December 2016. Data were collected using sociodemographic, nutrition subdomain of Health Promoting Lifestyle-II (HPLP-II), and researcher-made questionnaire based on constructs of BASNEF model. Data were analyzed using the SPSS software version 21 and Pearson correlation test and General Linear Model (GLM). RESULTS: Mean ± standard deviation (SD) of nutrition subdomain of HPLP-II was 24.65 ± 4.75 within the range 9-36. Mean ± SD of BASNEF model constructs (score range) was also obtained as 45.30 ± 10.80 (0-100), 17.98 ± 2.40 (8-24), 9.30 ± 2.82 (0-20) and 2.47 ± 1.74 (0-6) for belief, attitude, subjective norms, and enabling factors, respectively. Based on the GLM, there was significant relationships between nutritional behavior and BASNEF model constructs (belief [P < 0.001], attitude [P = 0.043], enabling factors [P < 0.001], and subjective norms [P = 0.038]) as well as the variables of job, husband's education, and job and sufficiency of income for expenses. CONCLUSION: The results of the present study showed the impact of BASNEF model constructs and some sociodemographic variables on nutrition behaviors in pregnant women. Therefore, in order to improve nutrition behaviors of pregnant women, designing and implementation of interventions based on the BASNEF model are recommended. © 2022 Journal of Pathology Informatics | Published by Wolters Kluwer - Medknow.
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