Personal and environmental predictors of the intention to use maternal healthcare services in Kalomo, Zambia.
Personal and environmental predictors of the intention to use maternal healthcare services in Kalomo, Zambia.
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DOI：
10.1093/her/cyu057
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发表时间：
2014-12-01
影响因子：
2.4
通讯作者：
Ruiter, Robert A C
中科院分区：
文献类型：
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作者：
Sialubanje, Cephas;Massar, Karlijn;Ruiter, Robert A C
孕产妇保健服务利用率低是赞比亚农村孕产妇和新生儿健康状况不佳的原因之一。这项研究的目的是查明影响赞比亚卡洛莫妇女使用这些服务的意图的重要因素。访谈管理的问卷调查，收集数据，从1007名育龄妇女（15 - 45岁）从13个农村卫生中心的服务利用率最低的地区。问题包括（过去）寻求医疗保健行为的测量、心理社会变量（态度、感知的社会规范、感知的行为控制）、后勤障碍（例如，到诊所的距离）和社会人口变量（例如，年龄、收入和教育水平）。整体而言，我们的调查结果显示，大多数受访者有很高的意愿使用医疗服务。意向与态度、个人规范、行为控制、教育和收入水平呈正相关。相反，意图是负相关的感知社会规范，年龄和距离。多变量回归分析表明，这些变量共同解释了41.8%的意向方差，其中感知行为控制是意向的最强预测因子，其次是地理距离和感知社会规范。这些研究结果表明，公共卫生计划减轻这些重要因素可能会激励孕妇使用孕产妇保健服务。
Low maternal healthcare service utilization contributes to poor maternal and new born health outcomes in rural Zambia. The purpose of this study was to identify important factors influencing women's intention to use these services in Kalomo, Zambia. An interviewer-administered questionnaire was used to collect data from 1007 women of reproductive age (15-45 years) from 13 rural health centres with the lowest service utilization rates in the district. Questions included measures of (past) healthcare seeking behaviour, psychosocial variables (attitude, perceived social norms, perceived behavioural control), logistical barriers (e.g., distance to the clinic) and sociodemographic variables (e.g., age, income and education level). Overall, our findings showed that most respondents had high intention to use healthcare services. Intention was positively associated with attitude, personal norms, behavioural control, education and income levels. Conversely, intention was negatively related to perceived social norms, age and distance. Multivariate regression analysis showed that, together, these variables accounted for 41.8% of the variance in intention, with perceived behavioural control being the strongest predictor of intention, followed by geographical distance and perceived social norms. These findings suggest that public health programmes mitigating these important factors are likely to motivate pregnant women to use maternal healthcare services.