Journal List > J Korean Acad Nurs > v.47(4) > 1003252

Kim and Song: Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis

Abstract

Purpose

This study aimed to identify the actor and partner effects of self-efficacy, marital adjustment, and social support on the health promoting behavior of Korean pregnant couples.

Methods

Participants were 132 couples who met the eligibility criteria. Data were collected from June to November, 2016 at a community health center. The Actor-Partner Interdependence Model was used for analyzing the actor and partner effects of self-efficacy, marital adjustment, and social support on health promoting behavior.

Results

The fitness indices for the model were GFI=0.90, NFI=0.92, CFI=0.91, TLI=0.90, and RMSEA=0.04, which satisfied the criteria. Self-efficacy had actor and partner effect on health promoting behavior of wives, but had only actor effect of on health promoting behavior of husbands. Marital adjustment showed actor and partner effect on the health promoting behavior of pregnant couples. Social support only had an actor effect on the health promoting behavior of wives. And, marital adjustment and social support had a mutual effect.

Conclusion

This study indicates that the partner involvement is needed to develop health promotion programs for pregnant couples.

References

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Figure 1.
Kenny's Actor-Partner Interdependence Model.
jkan-47-467f1.tif
Figure 2.
Model testing: Effects of the self-efficacy, marital adjustment, and social support on the health-promoting behavior of pregnant couples.
jkan-47-467f2.tif
Table 1.
General and Pregnancy-Related Characteristics of Participants (N=264)
Characteristics Categories Husbands (n=132) n (%) Pregnant women (n=132) n (%) χ2 p
Age (year) <35 82 (62.1) 95 (72.0) 2.90 .058
≥35 50 (37.9) 37 (28.0)
Educational level <College 24 (18.2) 12 (9.1) 4.63 .024
≥College 108 (81.8) 120 (90.9)
Employment status Unemployed 10 (7.6) 4 (3.0) 2.72 .084*
Employed 122 (92.4) 128 (97.0)
Religion No 55 (41.7) 51 (38.6) 0.25 .353
Yes 77 (58.3) 81 (61.4)
Monthly income (10,000 KRW) <200 22 (8.3)
200~500 178 (67.4)
>500 64 (24.2)
Marital period (year) <1 108 (40.9)
1~1.9 76 (28.8)
2~2.9 52 (19.7)
≥3 28 (10.6)
Parity Primipara 218 (82.6)
Multipara 46 (17.4)
Spontaneous abortion experience No 108 (40.9)
Yes 156 (59.1)
Artificial abortion experience No 214 (81.1)
Yes 50 (18.9)

KRW=Korean Won.

*Fisher’s exact test.

Table 2.
Differences Based on Gender (N=264)
Variables Husbands (n=132) M±SD Pregnant women (n=132) M±SD t p
Health Promotion Behavior 123.09±21.07 124.30±18.03 -0.47 .636
Self-Efficacy 24.60±3.37 23.69±2.17 2.51 .013
Marital Adjustment 67.88±7.08 65.74±6.91 2.48 .014
Social Support 47.67±7.37 45.47±7.22 2.45 .015

M=Mean; SD=Standard deviation.

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