Relationships between Personal Factors, Perceptions of Pregnancy Risk and Health Behaviors Among Women of Advanced Maternal Age
Keywords:
Personal factors, perceptions of pregnancy risk, health behaviors, advanced maternal ageAbstract
The purposes of this descriptive correlational research were to examine the level of health
behaviors and relationships between personal factors, perceptions of pregnancy risk and health
behaviors among women of advanced maternal age. The participants were 190 women age 35 or
over who were attending antenatal care service in three tertiary hospitals in eastern Thailand.
Convenience sampling was used to recruit the sample. Data were collected from January to June
2018. The research instruments were a demographic data record form, perception of pregnancy risk
questionnaire, and health behavior of advanced maternal age questionnaire. For the latter two,
reliabilities were .90 and .92 respectively. The data were analyzed using descriptive statistics and
Pearson’s correlation coefficient.
Results found that participants had a mean health behavior score of 141.34 (SD = 18.70),
which was considered a high level. Factors related to health behaviors were educational attainment
(r = .167, p < .05), family income (r = .200, p < .01) and gestational age (r = .151, p < .05). However,
perceptions of pregnancy risk had no significant correlation with health behaviors (r = .059, p > .05).
The findings of this study can be used as a basis for promoting health behaviors among women of
advanced maternal age. In particular, health care providers should consider personal factors. Although
perceptions of pregnancy risk had no correlation with health behaviors, in practice perceptions of
pregnancy risk should be screened during prenatal visits to provide basic information for planning
health promotion among women of advanced maternal age.
References
Aldrighi, J. D., Wall, M. L., Souza, S. R. R. K., & Cancela, F. Z. V. (2016). The experiences of pregnant women at an advanced maternal age: an integrative review. Revista da Escola de Enfermagem da USP, 50(3). 509-518. doi: 10.1590S0080-623420160000400019
Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2012). Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger age. Journal of Midwifery & Women’s Health. 57(5), 445-453. doi: 10.1111/j.1542-2011.2012.00188.x.
Bootsri, W., & Sirisophon, A. (2020). Predicting factors of promoting behaviors among pregnant women receiving antenatal care services at community hospital, Nakhonsawan province. Journal of Allied Health Sciences Suan Sunandha Rajabhat University, 5(1), 60-70. [In Thai]
Chaiyingcheaw, K., Anusornteerakul, S., & Ungpansattawong, S. (2016). The relationship between perception of preterm labour and prevention behavior among women of advanced maternal age. Nursing Journal of the Ministry of Public Health, 26(3), 196-207. [In Thai]
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B.M., & Spong, C. Y. (2018). Williams obstetrics (25th ed.). New York: McGraw-Hill Education.
Ekakkatachit, V. (2016). Adversed pregnancy outcome of elderly pregnancy in Nangrong Hospital. Mahasarakham Hospital Journal, 13(3). 71-77. [In Thai]
Heaman, M., Gupton, A., & Gregory, D. (2004). Factors influencing pregnant women’s perceptions of risk. The American Journal of Maternal/Child Nursing, 29(2), 111-116. doi: 10.1097/00005721-200403000-00010
Heaman, M. I., & Gupton, A. L. (2009). Psychometric testing of the perception of pregnancy risk questionnaire. Research in nursing & health, 32(5), 493-503. doi: org/10.1002/nur.20342
Howell, A., & Blott, M. (2020). Very advanced maternal age. Royal College of Obstetricians and Gynaecologists. 23, 38-47. doi: 10.1111/tog.12710
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1-47.
Jittrapirom, A., Chareonsanti, J., & Sriarporn, P. (2014). Pregnancy risk perception, uncertainty, stress among gestational diabetic women. Nursing Journal, 41(1), 50-61. [In Thai]
Klaitabtim, B. (2018). Advanced maternal age: Nursing roles. Thai Red Cross Nursing Journal, 9(2), 36-48. [In Thai]
Laopaiboon, M., Lumbiganon, P., Intarut, N., Mori, R., Ganchimeg, T., Vogel, J. P., Gulmezoglu, A.M. (2014). Advanced maternal age and pregnancy outcomes: A multicountry assessment. An International Journal of Obstetrics & Gynecology, 121(1), 49-56. doi: 10.1111/1471-0528.12659
Lean, S. C., Derricott, H., Jones, R. L., & Heazell, A. E. (2017). Advanced maternal age and adverse pregnancy outcomes: A systematic review and meta-analysis. PLoS One, 12(10), 1-15. doi: 10.1371/journal.pone.0186287
Loke, A. Y., & Poon, C. F. (2011). The health concerns and behaviours of primigravida: Comparing advanced age pregnant women with their younger counterparts. Journal of clinical nursing, 20(7-8), 1141-1150. doi:10.1111/j.1365-2702.2010.03433.x.
Lonuch, S., Khampalikit S., & Nirattharador, M. (2011). Predicting factors of nutritional promoting behaviors among pregnant women over 35 years of age. Journal of Nursing and Education, 4, 79-93. [In Thai]
Martin, J. A., Hamilton, B. E., Michelle J. K. Osterman, M. J. K., & Driscol, T. K. (2021). Births fnal data for 2019. National Vital Statistics Reports, 70(2). 1-50. Retrieved from https://www.cdc.gov/nchs/data/nvsr/nvsr70/nvsr70-02-508.pdf
Ministry of Public Health. (2020). Public health statistics A.D. 2019. Retrieved from https://dohdatacenter.anamai.moph.go.th
Murakami, K., Turale, S., Skirton, H., Doris, F., Tsujino, K., Ito, M., & Kutsunugi, S. (2016). Experiences regarding maternal age-specifc risks and prenatal testing of women of advanced maternal age in Japan. Nursing & health sciences, 18(1), 8-14. doi: 10.1111/nhs.12209
Phumesawat, S., Suvithayasiri, K., & Chaisup, V. (2013). Perceived benefts and health promoting behaviors in pregnant women at antenatal clinic of Rajavithi hospital. Journal of Boromarajonani College of Nursing, 29(2), 80-94. [In Thai]
Pimsuwan, P., Baosoung, C., & Sansiriphun, N. (2020). Pregnancy-related anxiety, risk knowledge, and pregnancy risk perception among advanced age pregnant women. Nursing Journal, 41(3), 50-60. [In Thai]
Polprasarn, P., Chareonsanti, J., & Sriarporn, P. (2019). Pregnancy risk perception, time of pregnancy recognition, and frst antenatal care visit of adolescent pregnant women. Kuakarun Journal of Nursing, 26(1), 107-120. [In Thai]
Prechakornkanokkul, P., Wanniyom, N., & Rattanareaung, P. (2018). Pregnancy outcomes in advanced maternal age in Maharat Nakhon Ratchasima hospital. Journal of Sakon Nakhon Hospital, 21(1), 1-9. [In Thai]
Pungsuwan, P., & Srisupundit, K. (2017). Pregnancy in advanced maternal age. Retrieved from https://w1.med.cmu.ac.th/obgyn/index.php?option=com_content&view=article&id=1388: pregnancy-in-advanced-maternalag
Srisawad, K., Panyapinitnukul, C., & Sonnark. N. (2018). Health promoting behavior in pregnancy. Songklanagarind Journal of Nursing, 38(2),95-109. [In Thai]
Thaewpia, S., Clark, M. J., Howland, L. C., & James, K. S. (2012). Factors predicting health promoting behaviors among older pregnant Thais. Pacifc Rim International Journal Nursing Research, 16(2). 113-123.
Thaewpia, S., Howland, L. C., Clark, M. J., & James, K. S. (2013). Relationships among health promoting behaviors and maternal and infant birth outcomes in older pregnant Thais. Pacifc Rim International Journal of Nursing Research, 17(1), 28-38.
Thaewpia, S., Deeying, C., Potchana, R., Khunudom, C., & Jearanaithanakit, P. (2020). Impact of maternal age on obstetric complications among women. The Southern College Network Journal of Nursing and Public Health, 7(2), 300-311. [In Thai]
Walker, S. N., Sechrist, K. R., & Pender, N. J. (1995). Health promotion model- Instruments to measure health promoting lifestyle: Health-promoting lifestyle profle [HPLP II] (Adult version). Retrieved from https://deepblue.lib.umich.edu/handle/2027.42/85349
Bayrampour, H., Heaman, M., Duncan, K. A., & Tough, S. (2012). Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger age. Journal of Midwifery & Women’s Health. 57(5), 445-453. doi: 10.1111/j.1542-2011.2012.00188.x.
Bootsri, W., & Sirisophon, A. (2020). Predicting factors of promoting behaviors among pregnant women receiving antenatal care services at community hospital, Nakhonsawan province. Journal of Allied Health Sciences Suan Sunandha Rajabhat University, 5(1), 60-70. [In Thai]
Chaiyingcheaw, K., Anusornteerakul, S., & Ungpansattawong, S. (2016). The relationship between perception of preterm labour and prevention behavior among women of advanced maternal age. Nursing Journal of the Ministry of Public Health, 26(3), 196-207. [In Thai]
Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B.M., & Spong, C. Y. (2018). Williams obstetrics (25th ed.). New York: McGraw-Hill Education.
Ekakkatachit, V. (2016). Adversed pregnancy outcome of elderly pregnancy in Nangrong Hospital. Mahasarakham Hospital Journal, 13(3). 71-77. [In Thai]
Heaman, M., Gupton, A., & Gregory, D. (2004). Factors influencing pregnant women’s perceptions of risk. The American Journal of Maternal/Child Nursing, 29(2), 111-116. doi: 10.1097/00005721-200403000-00010
Heaman, M. I., & Gupton, A. L. (2009). Psychometric testing of the perception of pregnancy risk questionnaire. Research in nursing & health, 32(5), 493-503. doi: org/10.1002/nur.20342
Howell, A., & Blott, M. (2020). Very advanced maternal age. Royal College of Obstetricians and Gynaecologists. 23, 38-47. doi: 10.1111/tog.12710
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11(1), 1-47.
Jittrapirom, A., Chareonsanti, J., & Sriarporn, P. (2014). Pregnancy risk perception, uncertainty, stress among gestational diabetic women. Nursing Journal, 41(1), 50-61. [In Thai]
Klaitabtim, B. (2018). Advanced maternal age: Nursing roles. Thai Red Cross Nursing Journal, 9(2), 36-48. [In Thai]
Laopaiboon, M., Lumbiganon, P., Intarut, N., Mori, R., Ganchimeg, T., Vogel, J. P., Gulmezoglu, A.M. (2014). Advanced maternal age and pregnancy outcomes: A multicountry assessment. An International Journal of Obstetrics & Gynecology, 121(1), 49-56. doi: 10.1111/1471-0528.12659
Lean, S. C., Derricott, H., Jones, R. L., & Heazell, A. E. (2017). Advanced maternal age and adverse pregnancy outcomes: A systematic review and meta-analysis. PLoS One, 12(10), 1-15. doi: 10.1371/journal.pone.0186287
Loke, A. Y., & Poon, C. F. (2011). The health concerns and behaviours of primigravida: Comparing advanced age pregnant women with their younger counterparts. Journal of clinical nursing, 20(7-8), 1141-1150. doi:10.1111/j.1365-2702.2010.03433.x.
Lonuch, S., Khampalikit S., & Nirattharador, M. (2011). Predicting factors of nutritional promoting behaviors among pregnant women over 35 years of age. Journal of Nursing and Education, 4, 79-93. [In Thai]
Martin, J. A., Hamilton, B. E., Michelle J. K. Osterman, M. J. K., & Driscol, T. K. (2021). Births fnal data for 2019. National Vital Statistics Reports, 70(2). 1-50. Retrieved from https://www.cdc.gov/nchs/data/nvsr/nvsr70/nvsr70-02-508.pdf
Ministry of Public Health. (2020). Public health statistics A.D. 2019. Retrieved from https://dohdatacenter.anamai.moph.go.th
Murakami, K., Turale, S., Skirton, H., Doris, F., Tsujino, K., Ito, M., & Kutsunugi, S. (2016). Experiences regarding maternal age-specifc risks and prenatal testing of women of advanced maternal age in Japan. Nursing & health sciences, 18(1), 8-14. doi: 10.1111/nhs.12209
Phumesawat, S., Suvithayasiri, K., & Chaisup, V. (2013). Perceived benefts and health promoting behaviors in pregnant women at antenatal clinic of Rajavithi hospital. Journal of Boromarajonani College of Nursing, 29(2), 80-94. [In Thai]
Pimsuwan, P., Baosoung, C., & Sansiriphun, N. (2020). Pregnancy-related anxiety, risk knowledge, and pregnancy risk perception among advanced age pregnant women. Nursing Journal, 41(3), 50-60. [In Thai]
Polprasarn, P., Chareonsanti, J., & Sriarporn, P. (2019). Pregnancy risk perception, time of pregnancy recognition, and frst antenatal care visit of adolescent pregnant women. Kuakarun Journal of Nursing, 26(1), 107-120. [In Thai]
Prechakornkanokkul, P., Wanniyom, N., & Rattanareaung, P. (2018). Pregnancy outcomes in advanced maternal age in Maharat Nakhon Ratchasima hospital. Journal of Sakon Nakhon Hospital, 21(1), 1-9. [In Thai]
Pungsuwan, P., & Srisupundit, K. (2017). Pregnancy in advanced maternal age. Retrieved from https://w1.med.cmu.ac.th/obgyn/index.php?option=com_content&view=article&id=1388: pregnancy-in-advanced-maternalag
Srisawad, K., Panyapinitnukul, C., & Sonnark. N. (2018). Health promoting behavior in pregnancy. Songklanagarind Journal of Nursing, 38(2),95-109. [In Thai]
Thaewpia, S., Clark, M. J., Howland, L. C., & James, K. S. (2012). Factors predicting health promoting behaviors among older pregnant Thais. Pacifc Rim International Journal Nursing Research, 16(2). 113-123.
Thaewpia, S., Howland, L. C., Clark, M. J., & James, K. S. (2013). Relationships among health promoting behaviors and maternal and infant birth outcomes in older pregnant Thais. Pacifc Rim International Journal of Nursing Research, 17(1), 28-38.
Thaewpia, S., Deeying, C., Potchana, R., Khunudom, C., & Jearanaithanakit, P. (2020). Impact of maternal age on obstetric complications among women. The Southern College Network Journal of Nursing and Public Health, 7(2), 300-311. [In Thai]
Walker, S. N., Sechrist, K. R., & Pender, N. J. (1995). Health promotion model- Instruments to measure health promoting lifestyle: Health-promoting lifestyle profle [HPLP II] (Adult version). Retrieved from https://deepblue.lib.umich.edu/handle/2027.42/85349
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Published
2021-06-29
How to Cite
Phonkusol, C. ., & Sangin, S. . (2021). Relationships between Personal Factors, Perceptions of Pregnancy Risk and Health Behaviors Among Women of Advanced Maternal Age. The Journal of Faculty of Nursing Burapha University, 29(2), 24–35. retrieved from https://he02.tci-thaijo.org/index.php/Nubuu/article/view/251843
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