An Integrative Review of Factors Influencing Preconception Health Behaviors among Women of Reproductive Age: A Health Promotion Model Approach
نویسندگان
1 PhD Student of Philosophy of Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
2 Associate Professor, Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
3 Lecturer, Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
4 Assistant Professor, Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
doi
10.22038/jmrh.2025.82824.2487چکیده
Background & aim: Despite the recognized significance of preconception health behaviors (PCHBs) in optimizing maternal and child health outcomes, women of reproductive-age often lack awareness of preconception health, leading to the practice of unhealthy behaviors before pregnancy. This study aimed to critically analyze and synthesize evidence from published studies regarding factors influencing PCHBs among women of reproductive age, based on the health promotion model (HPM).Methods: This integrative review followed the five-step method of Whittemore and Knafl (2005). After problem identification, a literature search was conducted using databases of ProQuest, PubMed, Cochrane Library, CINAHL, Ovid Medline, and ScienceDirect, searching for qualitative or quantitative articles published between June 2014 and June 2024 on preconception health behaviors among women of reproductive age (15-49 years). The QualSyst assessment tool was used for data evaluation. Data was analyzed and presented using narrative summarization and a constant comparison method.Results: The initial search resulted in 1,490 studies from those 515 duplicates were removed and out of 975 remained studies, 114 records were analyzed for eligibility and finally 22 articles were included in this review following a quality appraisal. The data from the included studies were systematically extracted and synthesized according to the constructs of the HPM. Three overarching categories of influencing factors including individual factors, cognitive factors, and social factors were identified. Conclusion: The study highlights the significant influence of individual, cognitive, and social factors on PCHBs among women of reproductive age, emphasizing the need for tailored health promotion strategies.