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Published in:

01-11-2011

Association Between Health Beliefs and Health Behavior in Early Pregnancy

Authors: Tamás Bödecs, Boldizsár Horváth, Enikő Szilágyi, Marietta Diffellné Németh, János Sándor

Published in: Maternal and Child Health Journal | Issue 8/2011

Abstract

Folate-supplementation significantly reduces the risk of neural tube defects. The aim of this research was to reveal associations between health beliefs and folate -supplementation as well as other elements of health behavior among Hungarian women early in their pregnancy. Three-hundred and seven women in early pregnancy completed the second part of Health and Illness Scale. Factor structure of health beliefs was established and associations of factors with pregnancy planning, folate-intake, vitamin-intake, smoking-habits and alcohol-consumption were tested. A six factor health model was formulated; the factor named ‘mental capacities and abilities’ was associated with greater chance on folate-intake, vitamin-intake and prepared pregnancy, as well as a reduced chance of smoking. The factors ‘destiny’, ‘measures aiming at prevention’, and ‘relatives and acquaintances’ related to lower chance on folate-intake. The health belief factor representing Internal Health Locus of Control was associated with more than one component of healthy behavior, while factors of external dimensions (Powerful Others Health Locus of Control and Chance Health Locus of Control) were predictive on unhealthy behavioral tendencies. New approaches aiming to shift one’s health beliefs and health locus of control from external causes to internal dimensions are needed in order to reach greater openness towards health-improving interventions.

Czeizel, A. E. (1995). Folic acid in prevention of neural tube defects. Journal of Pediatric Gastroenterology and Nutrition, 20(1), 416.CrossRef

Medical Research Council. (1991). Vitamin prevention of neural tube defects: Results of the medical research council vitamin study. MRC vitamin study research group. Lancet, 338, 131–137.CrossRef

Czeizel, A. E., & Dudas, I. (1992). Prevention of the first occurrence of neural tube defects by periconceptional vitamin supplementation. New England Journal of Medicine, 327, 1832–1835.PubMedCrossRef

De Regil, L. M., Fernández-Gaxiola, A. C., Dowswell, T., Peña-Rosas, J. P. (2009). Effects and safety of periconceptional folate supplementation for preventing birth defects (Protocol). Cochrane Database of Systematic Reviews 3. Art. No.: CD007950. doi: 10.1002/14651858.

Busby, A., Abramsky, L., Dolk, H., Armstrong, B., Addor, M. C., Anneren, G., et al. (2005). Preventing neural tube defects in Europe: A missed opportunity. Reproductive Toxicology, 20, 393–402.PubMedCrossRef

Botto, L. D., Lisi, A., Bower, C., Canfield, M. A., Dattani, N., De Vigan, C., et al. (2006). Trends of selected malformations in relation to folic acid recommendations and fortification: An international assessment. Birth Defects Research. Part A, Clinical and Molecular Teratology, 76(10), 693–705.PubMedCrossRef

CDC (2008). Use of supplements containing folic acid among women of childbearing age—United States, 2007. Morbidity and Mortality Weekly Report, 57, 5–8.

EUROCAT. (2009). Survey of folic acid policy and practice in European countries. http://www.eurocat.ulster.ac.uk/pubdata/Special-Reports.html.

Ray, J. G., Singh, G., & Burrows, R. F. (2004). Evidence for suboptimal use of periconceptional folic acid supplements globally. BJOG, 111, 399–408.PubMedCrossRef

10.

Coll, O., Pisa, S., Palacio, M., Quinto, L., & Cararach, V. (2004). Awareness of the use of folic acid to prevent neural tube defects in a Mediterranean area. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 115, 173–177.PubMedCrossRef

11.

Ward, M., Hutton, J., McDonnell, R., Bachir, N., & Scallan, E. (2004). Folic acid supplements to prevent neural tube defects: Trends in East of Ireland 1996–2002. Irish Medical Journal, 97, 274–276.PubMed

12.

De Jong-van den Berg, L. T. W., Hernandez-Diaz, S., Werler, M. M., Louik, C., & Mitchell, A. A. (2005). Trends and predictors of folic acid awareness and periconceptional use in pregnant women. American Journal of Obstetrics and Gynecology, 192, 121–128.PubMedCrossRef

13.

Busby, A., Abramsky, L., & Dolk, H. (2005). Armstrong B and a eurocat folic acid working group. Preventing neural tube defects in Europe: Population based study. BMJ, 330, 574–575.PubMedCrossRef

14.

Sillender, M., & Pring, D. W. (2000). How effective was the health education authority’s folic acid campaign? Journal of Obstetrics and Gynaecology, 20, 271–276.PubMedCrossRef

15.

van der Pal-de Bruin, K. M., de Walle, H. E., Jeeninga, W., et al. (2000). The Dutch folic acid campaign—have the goals been achieved? Paediatric and Perinatal Epidemiology, 14, 111–117.CrossRef

16.

de Walle, H. E., van der Pal, K. M., den Berg, L. T., et al. (1999). Effect of mass media campaign to reduce socioeconomic differences in women’s awareness and behaviour concerning use of folic acid: Cross sectional study. BMJ, 319, 291–292.PubMed

17.

de Walle, H. E., Cornel, M. C., & den Berg, L. T. (2002). Three years after the Dutch folic acid campaign: Growing socioeconomic differences. Preventive Medicine, 35, 65–69.PubMedCrossRef

18.

Canefield, M. A., Przybyla, S. M., Case, A. P., Ramadhani, T., Suarez, L., & Dyer, J. (2006). Folic acid awareness and supplementation among Texas women of childbearing age. Preventive Medicine, 43, 27–30.CrossRef

19.

De Weerd, S., Thomas, C. M. G., Cikot, R. J. L., Steegers-Theunissen, R. P. M., de Boo, T. M., & Steegers, E. A. P. (2002). Preconception counseling improves folate status of women planning pregnancy. Obstetrics and Gynecology, 99(1), 45–50.PubMedCrossRef

20.

Robbins, J. M., Cleves, M. A., Collins, H. B., Andrews, N., Smith, L. N., & Charlotte, A. (2005). Randomized trial of a physician-based intervention to increase the use of folic acid supplements among women. American Journal of Obstetrics and Gynecology, 192(4), 1126–1132.PubMedCrossRef

21.

Schwarz, E. B., Sobota, M., Gonzales, R., & Gerbert, B. (2008). Computerized counseling for folate knowledge and use—A randomized controlled trial. American Journal of Preventive Medicine, 35(6), 568–571.PubMedCrossRef

22.

Connera, M., Kirk, S. F. L., Cade, J. E., & Barrett, J. H. (2001). Why do women use dietary supplements? The use of the theory of planned behaviour to explore beliefs about their use. Social Science and Medicine, 52, 621–633.CrossRef

23.

Pawlak, R., Brown, D., Meyer, M. K., Connell, C., Yadrick, K., & Johnson, J. T. (2008). Theory of planned behaviour and multivitamin supplement use in Caucasian college females. The Journal of Primary Prevention, 29, 57–71.PubMedCrossRef

24.

Gatewood, J. G., Litchfield, R. E., Ryan, S. J., Myers Geadelmann, J. D., Pendergast, J. F., & Ullom, K. K. (2008). Perceived barriers to community-based health promotion program participation. American Journal of Health Behavior, 32(3), 260–271.PubMed

25.

Ewles, L., & Simnett, I. (1996). Promoting health. A practical guide. London: Bailliére Tindall.

26.

Kressin, N. R., Clark, J. A., Whittle, J., et al. (2002). Racial differences in health-related beliefs, attitudes, and experiences of VA cardiac patients. Medical Care, 40(Suppl 1), I-72–I-85.

27.

Spoont, M., Sayer, N., & David, N. (2005). PTSD and treatment adherence: The role of health beliefs. Journal of Nervous and Mental Disease, 193(8), 515–522.PubMedCrossRef

28.

Hughner, R. S., & Kleine, S. S. (2004). Views of health in the lay sector: A compilation and review of how individuals think about health. Health (London), 8(4), 395–422.CrossRef

29.

Ready, A. E., Butcher, J., Naímark, B., Onysko, J., Segall A. (2001). Health beliefs, practices, and status of moderate and vigorous leisure-time exercisers. Medicine and Science in Sports and Exercise, 33(5), (Suppl 1), 5115.

30.

Furnham, A. (1994). Explaining health and illness: Lay perceptions on current and future health, the causes of illness, and the nature of recovery. Social Science and Medicine, 39(5), 715–725.PubMedCrossRef

31.

Rogers, W. S. (1991). Explaining health and illness: An exploration of diversity. London: Wheatsheaf.

32.

Carmichael, S. L., Shaw, G. M., Yang, W., Laurent, C., Herring, A., Royle, M. H., et al. (2006). Correlates of intake of folic acid-containing supplements among pregnant women. American Journal of Obstetrics and Gynecology, 194, 203–210.PubMedCrossRef

33.

Faden, V. B., Hanna, E., & Graubard, B. I. (1997). The effect of positive and negative health behaviour during gestation on pregnancy outcome. Journal of Substance Abuse, 9, 63–76.PubMedCrossRef

34.

Haslam, C., & Lawrence, W. (2004). Health related behavior and beliefs of pregnant smokers. Health Psychology, 23(5), 486–491.PubMedCrossRef

35.

Kaneita, Y., Tomofumi, S., Takemura, S., Suzuki, K., Yokohama, E., & Miyake, T. (2007). Prevalence of smoking and associated factors among pregnant women in Japan. Preventive Medicine, 45(1), 15–20.PubMedCrossRef

36.

Kloeblen, A. S. (1999). Folate knowledge, intake from fortified grain products and periconceptional supplementation patterns of a sample of low-income pregnant women according to the health belief model. Journal of the American Dietetic Association, 99, 33–38.PubMedCrossRef

37.

Orr, S. T., James, S. A., & Reiter, J. P. (2008). Unintended pregnancy and prenatal behavior among urban, black women in Baltimore, Maryland: The Baltimore preterm birth study. Annals of Epidemiology, 18, 545–551.PubMedCrossRef

38.

Özkan, I. A., Mete, S. (2009). Pregnancy planning and antenatal health behaviour: Findings from one maternity unit in Turkey. Midwifery 2008. doi:10.1016/j.midw.2008.07.005, July 07, 2009.

39.

Paulik, E., Császár, J., Kozinszky, Z., & Nagymajtényi, L. (2009). Preconceptional and prenatal predictors of folic acid intake in Hungarian pregnant women. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 145, 49–52.PubMedCrossRef

40.

Wallston, K. A., Wallston, B. S., & De Vellis, R. (1978). Development of the multidimensional health locus of control (MHLOC) scales. Health Education Monographs, 6, 160–170.PubMed

41.

Németh, E. (Ed.). (2009). Statistical yearbook of Hungary, 2008. Budapest: Hungarian Central Statistical Office.

Title: Association Between Health Beliefs and Health Behavior in Early Pregnancy
Authors: Tamás Bödecs
Boldizsár Horváth
Enikő Szilágyi
Marietta Diffellné Németh
János Sándor
Publication date: 01-11-2011
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 8/2011
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-010-0698-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Association Between Health Beliefs and Health Behavior in Early Pregnancy

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Keynote webinar | Spotlight on medication adherence

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