中国全科医学2025，Vol.28Issue(32)：4082-4088,7.DOI:10.12114/j.issn.1007-9572.2024.0615
孕产妇中医药使用意愿及影响因素研究
Pregnant and Postpartum Women's Intention to Use Traditional Chinese Medicine and Its Influencing Factors
摘要
Abstract
Background Traditional Chinese medicine(TCM)has a profound theoretical basis and extensive practical application in maternal and child health.China has been actively promoting TCM integration in this field.However,insufficient perinatal TCM knowledge and safety concerns among pregnant and postpartum women pose challenges to its development.Research on TCM utilization behaviors is essential to improve service uptake in this population.Objective To investigate the TCM utilization patterns and intention among perinatal women,and identify influencing factors.Methods A cross-sectional study was conducted among 264 perinatal women receiving care at maternal and child health institutions across multiple regions of China from June to October 2023.An extended Theory of Planned Behavior(TPB)questionnaire assessed four TPB constructs(attitude,subjective norms,perceived behavioral control,intention)and past TCM use.Data were analyzed using SPSS 20.0 and AMOS 26.0,with structural equation modeling(SEM)to examine path relationships.Results All 264 questionnaires were valid(100%response rate).99(37.5%)pregnant or breastfeeding women reported having used TCM.Multivariate Logistic regression analysis indicated that the stage of pregnancy and childbirth(OR=0.519,95%CI=0.386-0.697)and previous history of using TCM(OR=9.399,95%CI=4.500-19.633)were influencing factors for the use of TCM by pregnant and postpartum women(P<0.05).Participants demonstrated relatively positive attitude(5.49±1.13),strong usage intention(4.95±1.04),high perceived control(5.22±1.12),high subject norms(4.99±1.12),and satisfaction with prior TCM experiences(4.90±1.16).SEM indicated all TPB constructs and past experiences significantly predicted intention to use TCM(P<0.001),with subjective norms exhibiting the strongest effect(β=0.435).Conclusion Low TCM utilization rates and regional disparities exist among perinatal women,with intention heavily influenced by significant others'opinions and prior TCM experiences.It is crucial to implement tailored interventions,including region-specific TCM service reforms,enhance focus on subjective norms in perinatal care,and life cycle-oriented TCM service systems,then optimize TCM utilization and advance its role in maternal and child health.关键词
中医药服务/孕产妇健康管理/行为意向/计划行为理论/横断面研究Key words
Traditional Chinese medicine services/Maternal health management/Behavioral intention/Theory of planned behavior/Cross-sectional study分类
医药卫生引用本文复制引用
李赞梅,李姣,杨林,马良坤,宣磊,姚伟伟..孕产妇中医药使用意愿及影响因素研究[J].中国全科医学,2025,28(32):4082-4088,7.基金项目
北京市科技计划项目(Z231100004623010) （Z231100004623010）
