Abstract
Objectives
To investigate the determinants of the intention of preconception care use of women in a multi-ethnic urban population.
Methods
The ASE-model—a health behaviour model—was used as an explanatory framework. A representative sample was taken from the municipal population registers of two districts in Rotterdam, the Netherlands, 2009–2010. 3,225 women (aged 15–60 years) received a questionnaire, which was returned by 631: 133 Dutch, 157 Turkish and Moroccan, and 341 Surinamese and Antillean. Descriptive, univariate and multivariate analyses were performed.
Results
The multiple logistic analyses showed that intention to attend preconception care was significantly higher in women with a Turkish and Moroccan background (β 1.02, P = 0.006), a higher maternal age (β 0.04, P = 0.008) and a positive attitude (β 0.50, P < 0.001). Having no relationship (β −1.16, P = 0.004), multiparity with previous adverse perinatal outcome (β −1.32, P = 0.001), a high educational level (β −1.23, P = 0.03), having paid work (β −0.72, P = 0.01) and experienced barriers level (β −0.15, P = 0.003) were associated with less intention to use preconception care.
Conclusions
Modifiable determinants as attitude and barriers can be addressed to enhance preconception care attendance.
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Acknowledgments
Data collection for this study has been carried out in cooperation with the Municipal Health Service Rotterdam-Rijnmond and the Centre for Research and Statistics. This study was commissioned and funded by the Municipality of Rotterdam and the boroughs of the northern and southern districts.
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The authors declare that they have no competing interests.
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Temel, S., Birnie, E., Sonneveld, H.M. et al. Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands. Int J Public Health 58, 295–304 (2013). https://doi.org/10.1007/s00038-012-0396-3
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DOI: https://doi.org/10.1007/s00038-012-0396-3