บทบาทของความเชื่อด้านสุขภาพในพฤติกรรมการบริโภคอาหารของหญิงตั้งครรภ์ ที่มีค่าดัชนีมวลกายเกินมาตรฐาน กรณีศึกษาในเขตสุขภาพที่ 5: บทบาทของความเชื่อด้านสุขภาพในพฤติกรรมการบริโภคอาหารของหญิงตั้งครรภ์ ที่มีค่าดัชนีมวลกายเกินมาตรฐาน กรณีศึกษาในเขตสุขภาพที่ 5

Sarinthorn   Mungkhamanee; Kwanjai Pataipakaipet

Authors

Sarinthorn Mungkhamanee Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromarajchanok Institute
Kwanjai Pataipakaipet Boromarajonani College of Nursing, Ratchaburi, Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Health beliefs, Socioeconomic factors, Dietary behavior, Pregnant women, BMI above standard level

Abstract

This study aimed to examine the roles of health beliefs, socioeconomic factors, and health knowledge influencing dietary behavior among pregnant women with a body mass index (BMI) above the standard level in Health Region 5, covering Ratchaburi, Kanchanaburi, and Samut Sakhon provinces. The sample consisted of 300 pregnant women selected through stratified random sampling. Data were collected using a validated and reliable questionnaire. The analysis utilized frequency, percentage, mean, standard deviation, Pearson correlation, and multiple regression methods.

Pearson correlation analysis revealed that health belief variables, including perceived susceptibility (r = .448, p = .001), perceived severity (r = .522, p = .000), and perceived benefits (r = .530, p = .000), were moderately correlated with dietary behavior. Socioeconomic factors, such as education (r = .391, p = .000), income (r = .423, p = .000), and occupation (r = .363, p = .002), also demonstrated moderate correlations. Health knowledge (r = .613, p = .000) exhibited the highest positive correlation with dietary behavior. Moreover, the multiple regression analysis indicated that all independent variables had significant positive relationships with dietary behavior, with an R-Square of 0.567 and an Adjusted R-Square of 0.547, explaining 54.7% of the variance in dietary behavior.

The findings underscore the importance of enhancing health beliefs, improving health knowledge, and providing socioeconomic support to encourage pregnant women to recognize the importance of healthy dietary behavior. These measures can lead to improved maternal and infant health outcomes and contribute to long-term well-being.

References

Centers for Disease Control and Prevention . (2021). Obesity Among Women of Childbearing Age. https://www.cdc.gov/obesity/data/childbearing.html

Cochran, W. G. (1977). Sampling Techniques (3rd ed.). John Wiley & Sons.

Champion V., L. & Skinner C. S. (2008). The health belief model. In K. Glanz B. K. Rimer & K. Viswanath (Eds.) Health behavior and health education Theory research and practice (pp. 45-65). Jossey-Bass.

Duncanson, K., Burrows, T., Holman, B., & Collins, C. (2018). Family perceptions of benefits and challenges of child dietary behavior change. Health Education & Behavior, 45(4), 573–580.

Kominiarek M. A. & Peaceman A. M. (2017). Gestational weight gain. American Journal of Obstetrics and Gynecology 217(6) 642-651. https//doi.org/10.1016/j.ajog.2017.05.044

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267.

Likert, R. (1932). A Technique for the Measurement of Attitudes. Archives of Psychology, 140, 1-55.

Rasmussen K. M. & Yaktine A. L. (Eds.). (2009). Weight gain during pregnancy Reexamining the guidelines. National Academies Press.

Rudolph M. C. McManaman J. L. & Neville M. C. (2020). Obesity and pregnancy. Annual Review of Physiology 82 421-439. https//doi.org/10.1146/annurev-physiol-021119-

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175–183.

World Health Organization. (2020). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight