基于分娩恐惧与社会支持的未育育龄夫妇生育行为路径分析  

Path analysis of fertility behavior influenced by childbirth fear and social support among nulliparous women of reproductive age

作　　者：段婵芝 王艳 李曼茹 李青 DUAN Chan-zhi;WANG Yan;LI Man-ru;LI Qing(Nursing School,Chengde Medical College,Chengde,Hebei 067000,China)

机构地区：[1]承德医学院护理学院,河北承德067000

出　　处：《现代预防医学》2025年第3期465-470,共6页Modern Preventive Medicine

基　　金：2023年度河北省社会科学发展研究课题(20230205120)。

摘　　要：目的构建结构方程模型,探讨未育育龄夫妇生育行为影响因素的作用路径,为探索生育路径的医学干预手段提供方向。方法通过横断面研究,采用便利抽样,选取河北省承德市常住居民中的未育育龄夫妇400名作为研究对象,采用一般资料调查问卷、孕前分娩恐惧量表、社会支持评定量表、育龄青年生育动机问卷、生育意愿-行为问卷进行调查;采用结构方程模型进行路径分析及中介效应检验。结果构建的结构方程模型整体适配度较好,分娩恐惧负向预测生育动机、意愿、行为(β值分别为-0.245、-0.120、-0.123),社会支持正向预测生育动机、意愿、行为(β值分别为0.247、0.145、0.149),生育动机正向预测生育意愿(β值为0.816),生育意愿正向预测生育行为(β值为0.760)。结论未育育龄夫妇的分娩恐惧与社会支持可通过生育动机、生育意愿间接影响生育行为。医疗机构应加强与社区工作的结合,制定针对性的干预措施,降低育龄人群的分娩之忧,促进积极的生育行为。Objective To construct a structural equation model to explore the pathways of factors influencing fertility behavior among nulliparous couples of reproductive ages,providing direction for medical interventions aimed at fertility pathways.Methods A cross-sectional study was conducted using convenience sampling,selecting 400 nulliparous couples of reproductive ages from the permanent residents of Chengde city,Hebei Province.Data were collected through general demographic questionnaires,the Childbirth Fear Scale,the Social Support Rating Scale,the Fertility Motivation Questionnaire,and the Fertility Intention-Behavior Questionnaire.Path analysis and mediation effect testing were performed using structural equation modeling.Results The constructed structural equation model demonstrated good overall fit.Childbirth fear negatively predicted fertility motivation,intention,and behavior(β values of-0.245,-0.120,and-0.123,respectively),while social support positively predicted fertility motivation,intention,and behavior(β values of 0.247,0.145,and 0.149,respectively).Fertility motivation positively predicted fertility intention(β value of 0.816),and fertility intention positively predicted fertility behavior(β value of 0.760).Conclusion Childbirth fear and social support among nulliparous couples of reproductive ages can indirectly influence fertility behavior through fertility motivation and intention.Medical institutions should strengthen collaboration with community efforts to develop targeted intervention measures that alleviate childbirth concerns among the reproductive population and promote positive fertility behaviors.

关 键 词：生育动机 生育意愿 生育行为 分娩恐惧 社会支持 

分 类 号：C924.21[社会学—人口学]