Applying the Health Belief Model to Examine the Intention of Using Cesarean Section before Laboring among Pregnant Women: an example from Taipei Municipal Women and Children Hospital

• Main Authors: Hung, Wei-che, 洪偉哲
• Other Authors: Ming-Chin Yang
• Format: Others
• Language: zh-TW
• Published: 2002
• Online Access: http://ndltd.ncl.edu.tw/handle/58448913438732012090

碩士 === 國立臺灣大學 === 醫療機構管理研究所 === 90 === The purpose of the research was to apply the health belief model (HBM) to examine the intention of using cesarean section (C/S) before laboring among pregnant women and the associated factors. This study used a cross-sectional survey. All of the 330 pregnant women who gave birth at Taipei Municipal Women and Children Hospital in May 2002 were asked to fill out a self-administered questionnaire. Totally there were 169 returned questionnaires (the response rate was 51.2%). The following are the major findings of the research: 1.In terms of modifying factors in the HBM, pregnant women who were multiparous, had C/S previously, or elder had a higher intention to choose C/S before giving birth. 2.The factors associated with “the perceived susceptibility of having difficulty during delivery” was "medical insurance”. Compared with those who didn’t have additional medical insurance, the pregnant women who had additional medical insurance perceived higher susceptibility. 3.The factors associated with “the perceived severity if having difficulties during delivery” were “medical insurance” and “marriage”. (1)Compared with the women who didn’t have additional medical insurance, the pregnant women who had additional medical insurance perceived higher severity. (2)Compared with the unmarried women, the married women perceived higher severity. 4.The factors associated with “the perceived benefits of having C/S” were “age” and “marriage”. (1)Compared with younger pregnant women, older women considered “physiological factor” as a more important benefit. (2)Compared with the unmarried pregnant women, the married women considered “quality of life” as a more important benefit. 5.The factors associated with “the perceived barriers of having C/S” were “occupation” and “level of education”. (1)Compared with the pregnant women who were students, the pregnant women who had work considered “medical factor ” as a more important barrier. (2)Compared with the pregnant women who had lower level of education, the pregnant women who had higher level of education considered “medical factor ” as a more important barrier. 6.According to the results of multiple regression analysis, the pregnant women who were multiparous, or had higher perceived susceptibility, or considered medical quality as an important factor, had higher intention to choose C/S before giving birth. According to the results mentioned above, the research suggested that: 1.The health authorities could try to decline the C/S rate by changing the health believes of the pregnant women through health education or mass media campaign. 2.In order to make most of the important variables concerned about the health believes of the pregnant involved, future researchers may consider to use a qualitative study first before the quantitative study was conducted. In addition, future researchers can expand research structure by including other non-medical factors, like the characteristics of the medical care system or physicians