Maternal Knowledge and Beliefs About Child Growth Monitoring and Promotion Program Based on the Health Belief Model and Its Relationship With Child Growth Parameters

Raziye Tahmasebi, Fatemeh Najafi Sharjabad, M. Seyedtabib, M. Araban, K. Ahmadi Angali, Fatemeh Borazjani
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Abstract

Introduction: The efficacy of Growth Monitoring and Promotion (GMP) program depends on active participation. However, its low acceptance by mothers is believed to reduce their participation in the program. Objective: This study aims to assess maternal beliefs and knowledge about GMP and examine its association with the child growth parameters. Materials and Methods: This cross-sectional study was conducted on 470 mother-child dyads who were recruited from public health centers of Ahvaz and Bushehr cities from August 2018 to February 2019 using a convenient sampling method. A questionnaire surveying anthropometric and socio-demographic characteristics as well as maternal knowledge and beliefs based on the Health Belief Model (HBM) was used to gather data. Child growth parameters were obtained from their medical records. Multinomial logistic regression was applied to determine the predictors of child growth parameters from among the HBM domains. Results: The mothers had a mean age of 29.56±5.10 years, and 92% had a planned pregnancy. Favorable growth percentage based on parameters of length-for-age, weight-for-age, weight-for-length and head circumference-for-age was 94.3%, 93.2%, 90.6%, and 93.1%, respectively. The mean scores for HBM constracts of self-efficacy, cues to action, risk susceptibility, barriers to action, benefits to action, risk severity, and GMP knowledge were 64.09±9.92, 89.95±11.77, 44.71±6.73, 54.81±10.52, 60.23±9.59, 66.52±9.33, and 46.83±5.44, respectively. Higher GMP knowledge was associated with higher weight-for-length (β=0.345, 95%CI; 0.064- 0.625, P=0.016) and head circumference-for-age (β=0.287, 95%CI; 0.022- 0.596, P=0.025). Higher weight-for-age was significantly associated with higher scores of GMP knowledge (β=0.409, 95%CI; 0.011-0.806, P=0.044), barriers to action (β=0.155, 95%CI; 0.025-0.284, P=0.019) and cues to action (β=0.190, P=0.03, 95%CI; 0.017- 0.362). Conclusion: Mothers’ beliefs and knowledge about GMP can affect child growth and should be considered in educational interventions to increase their participation in GMP program and ultimately improve their child growth.
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基于健康信念模型的母亲对儿童生长监测和促进计划的知识信念及其与儿童生长参数的关系
引言:生长监测和促进(GMP)计划的有效性取决于积极参与。然而,据信,它在母亲中的接受度较低,会减少她们对该项目的参与。目的:本研究旨在评估母亲对GMP的信念和知识,并检查其与儿童生长参数的关系。材料和方法:这项横断面研究采用方便的抽样方法,对2018年8月至2019年2月从阿瓦兹市和布什尔市公共卫生中心招募的470对母子进行了研究。使用基于健康信念模型(HBM)的问卷调查人体测量和社会人口学特征以及母亲的知识和信念来收集数据。儿童生长参数是从他们的医疗记录中获得的。应用多项式逻辑回归来确定HBM领域中儿童生长参数的预测因素。结果:母亲的平均年龄为29.56±5.10岁,92%的母亲有计划妊娠。基于长度与年龄、体重与年龄、重量与长度和头围与年龄的参数,有利生长率分别为94.3%、93.2%、90.6%和93.1%。HBM自我效能、行动线索、风险易感性、行动障碍、行动益处、风险严重程度和GMP知识的平均得分分别为64.09±9.92、89.95±11.77、44.71±6.73、54.81±10.52、60.23±9.59、66.52±9.33和46.83±5.44。更高的GMP知识与更高的体重、身高(β=0.345,95%CI;0.064-0.625,P=0.016)和头围(β=0.287,95%CI,0.022-0.596,P=0.025)相关。更高的重量、年龄与更高GMP知识得分显著相关(β=0.409,95%CI;0.011-0.806,P=0.044),行动障碍(β=0.155,95%CI;0.025-0.284,P=0.019)和行动线索(β=0.190,P=0.03,95%CI,0.017-0.362)。
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来源期刊
Journal of Holistic Nursing and Midwifery
Journal of Holistic Nursing and Midwifery Nursing-Maternity and Midwifery
CiteScore
0.80
自引率
0.00%
发文量
36
审稿时长
53 weeks
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