title: [Research on maternal health behaviors for Yi-nationality women in poor rural areas based on the theory of reasoned action].
abstract: OBJECTIVE
  To analyze the status of maternal health behaviors and it's risk factors for Yi-nationality women in poor rural areas of Sichuan province.
  
  
  METHODS
  In 2012, multi-stage stratified cluster sampling method was used to select 14 villages of two poor counties in Liangshan Yi-nationality autonomous prefecture Sichuan province. At least 10 women who have infants aged 0-12 months were selected in each simple villages, a total of 284. The structured questionnaire was developed on the basis of the theory of reasoned action. Yi-nationality female college students were trained as investigators. Research indicators included prenatal care rate, hospital delivery rate, postpartum examination rate, socio-demographic characteristics, maternal health care knowledge. χ² test was used to compare the differences of above indicators among different groups. The structural equation model were used to statistical analyze.
  
  
  RESULTS
  In the 284 subject women, 51.7% (147/284) women owned more than 2 children, 41.6% (118/284) women were more than 30 years old, 87.3% (248/284) women were illiteracy. The prenatal care rate was 69.7% (197/284), the hospital delivery rate was 26.8% (76/284), and the postnatal check rate was 22.9% (65/284). The influence factors of maternal health behaviors included the number of children, age and education (χ² were 10.92, 13.24, 9.58; P values were 0.027, 0.004, 0.008, respectively).The structural equation model analysis results showed that the maternal health behaviors were directly or indirectly affected by subjective norms (β = 0.236, P < 0.001), women's cognition (β = 0.226, P = 0.020) and women's attitudes on maternal health behavior (β = 0.157, P = 0.001). Among subjective norms, women have high compliance to their husbands (β = 0.850, P < 0.001), their peers (β = 0.708, P < 0.001), and their mothers-in-law (β = 0.636, P < 0.001).
  
  
  CONCLUSIONS
  There were still serious problems in maternal health behaviors for Yi-nationality women in poor rural areas. The main factors included not only the women's cognition and attitudes for maternal health, but also the attitudes of important social relationships.
authors.affiliation: West China School of Public Health, Sichuan University, Chengdu 610041, China.
authors.forename: Yuju
authors.initials: Y
authors.lastname: Wu
authors.forename: Gang
authors.initials: G
authors.lastname: Hao
authors.forename: Shuai
authors.initials: S
authors.lastname: Sun
authors.forename: Yuehui
authors.initials: Y
authors.lastname: Chen
authors.forename: Rui
authors.initials: R
authors.lastname: Zhang
authors.forename: Qiaolan
authors.initials: Q
authors.lastname: Liu
authors.forename: Yang
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Email: zhouhuan@scu.edu.cn.
authors.forename: Huan
authors.initials: H
authors.lastname: Zhou
mesh_terms: D002648:Child; D002681:China; D005006:Ethnicity; D005190:Family; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D007223:Infant; D000068097:Maternal Health / Q000208:ethnology*; D008427:Maternal Health Services; D049590:Postpartum Period; D011247:Pregnancy; D011295:Prenatal Care; D012307:Risk Factors; D012424:Rural Population