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黄 燕, 罗碧如.基于理性行为理论的孕妇饮食行为调查研究.四川大学学报(医学版),2015,46(3):444-448
基于理性行为理论的孕妇饮食行为调查研究
A Survey of Maternal Dietary Behavior Based on Theory of Reasoned Action
  
中文关键词:  孕妇 膳食 理性行为理论
英文关键词:Pregnant women Diet The theory of reasoned action
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中文摘要:
      目的 研究孕妇饮食行为及其影响因素。方法 对624名早期妊娠孕妇、619名中期妊娠孕妇及738名晚期妊娠孕妇进行饮食行为问卷调查研究。结果 被调查的孕妇年龄18~45岁,74%的孕妇体质量指数(BMI)在正常范围,超过43%的孕妇由母亲照顾,其次是丈夫。在合理营养方面,妊娠各期孕妇碳水化合物、脂肪和蛋白质摄入与推荐值比较,差异无统计学意义(P>0.05)。在食物选择上,妊娠中晚期进食谷类、奶类、水产品、豆类量不足,各期进食水果、坚果过多(P<0.05)。结构方程模型分析结果显示,主观行为规范并不直接影响膳食行为,而是通过对行为态度及行为意向的影响间接影响孕妇的膳食行为,标准化回归系数分别为0.245(P=0.000)和0.718(P=0.000)。结论 研究对象的膳食行为较好,但在食物的选择和合理搭配上存在问题,特别是水果进食过多。主观行为规范通过对行为态度及行为意向的影响间接影响孕妇的膳食行为,与孕妇直接接触的人中,孕妇的母亲对其膳食态度和行为意向的影响最明显。
英文摘要:
      Objective To detect the diet behavior and influencing factors of related behavior at different stages among pregnant women. Methods Based on the Theory of Reasoned Action (TRA), literature review, expert evaluation and preliminary investigation, we designed and finalized three questionnaires. Diet behaviors among women in early term, medium term and late term were investigated by using the questionnaires. Results 624 early term, 619 medium term and 738 late term valid questionnaires were returned. Participants ranged from 18 to 45 years of age. 74% pregnancy body mass index (BMI) was within the normal range. More than 43% care taking was provided by the mother, followed by the husband. The participants had a good eating behavior on the whole. At 3 stages, carbohydrate intake, protein intake and fat intake were no significant difference when compared with that of recommended value (P>0.05). The pregnant women intaked insufficient cereal, beans, dairy and aquatic products, while fruit and nuts were more than needed (P<0.05). Subjective norms influenced their eating behavior indirectly through influencing their behavior attitude and behavioral intention. The attitude could influence behavior directly without involving the intention. Conclusion The participants had relatively good diet behavior, but still had problems on food choice and a reasonable combination of a variety of food. Subjective norms influenced their behavior attitude and behavioral intention. The mother had the strongest influence on the pregnant woman’s diet attitude and behavioral intention among all those had direct contact with the pregnant woman.
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