Pro‐environmental health behaviour and educational needs among pregnant women: A cross‐sectional survey

To investigate pro-environmental health perceptions, behaviour and educational needs among pregnant women in Korea.Based on concerns about the effects of environmental hazards and pollution on their babies and themselves, pregnant women behave in ways that protect their health. The framework of this study was based on Rogers' protection motivation theory.Cross-sectional survey using questionnaires.The sample comprised 358 pregnant women recruited from July - August 2018 in South Korea. Participants were recruited from prenatal classes at two healthcare centres and patients receiving prenatal check-ups at two women's hospitals.Perceived educational needs were ranked in the following order: particulate matter (23.7%), electromagnetic waves (11.7%), instant food (food additives) (9.0%) and environmental hormones (8.3%). Age (β = 0.17, p = .001), perceived severity (β = 0.19, p = .001) and response efficacy (β = 0.28, p .001) affected pro-environmental behaviour, which explained 23.0% of the variance.Educational programs are necessary for mitigating environmental risks during pregnancy. Pregnant women engage in pro-environmental behaviour influenced by pro-environmental perceptions, especially perceptions of severity regarding environmental diseases and the efficacy of health behavioural responses. Nursing professionals can use these results to promote pro-environmental health in pregnant women.This study demonstrated that pregnant women need environmental health programs in prenatal education. Pro-environmental perceptions regarding the severity of the environmental diseases and behavioural efficacy preceded the formation of environmental health behaviours. Nurses should support pregnant women's environmental health through educational interventions including air, electromagnetic, food pollution and endocrine disruptors.目的: 调查韩国孕妇对支持环保的健康认知、行为和教育需求。 背景: 基于对环境危害和污染对婴儿和自身影响的担忧,孕妇会采取偏向保护其自身健康的行为。本研究的框架基于罗杰斯的保护动机理论。 设计: 问卷形式的横断式调查。 方法: 对韩国2018年7月至8月招募的358名孕妇进行抽样调查。从两家保健中心参加产前课程和两家妇女医院接受产前检查的患者中招募受访者。 结果: 观念教育需求按以下顺序排列:颗粒物(23.7%)、电磁波(11.7%)、方便食品(食品添加剂)(9.0%)和环境激素(8.3%)。年龄(β = 0.17,p =0.001)、感知严重度(β = 0.19, p =0.001)和反应效能(β = 0.28, p0.001)对于支持环保的行为具有影响作用,共占23.0%。 结论: 教育计划是怀孕期间减轻环境风险的必要措施。参与支持环保行为的孕妇受到支持环保观念的影响,特别是对环境疾病的严重程度和健康行为反应的有效性的观念。护理专业人员可以利用这些结果来促进孕妇支持环保的健康行为。 影响: 本研究表明孕妇在产前教育中需要开展环保健康计划。在支持环保的健康行为形成前,需要建立对环境疾病的严重程度和行为效能相关支持环保的认识。护士应通过教育干预的方式,包括空气、电磁、食物污染和内分泌干扰物,支持孕妇的支持环保的健康行为。.