Objectives: To investigate the determinants of the intention of preconception care use of women in a multi-ethnic urban population. Methods: The ASE-model-a health behaviour model-was used as an explanatory framework. A representative sample was taken from the municipal population registers of two districts in Rotterdam, the Netherlands, 2009-2010. 3,225 women (aged 15-60 years) received a questionnaire, which was returned by 631: 133 Dutch, 157 Turkish and Moroccan, and 341 Surinamese and Antillean. Descriptive, univariate and multivariate analyses were performed. Results: The multiple logistic analyses showed that intention to attend preconception care was significantly higher in women with a Turkish and Moroccan background (β 1.02, P = 0.006), a higher maternal age (β 0.04, P = 0.008) and a positive attitude (β 0.50, P < 0.001). Having no relationship (β -1.16, P = 0.004), multiparity with previous adverse perinatal outcome (β -1.32, P = 0.001), a high educational level (β -1.23, P = 0.03), having paid work (β -0.72, P = 0.01) and experienced barriers level (β -0.15, P = 0.003) were associated with less intention to use preconception care. Conclusions: Modifiable determinants as attitude and barriers can be addressed to enhance preconception care attendance.

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doi.org/10.1007/s00038-012-0396-3, hdl.handle.net/1765/34897
International Journal of Public Health
Erasmus School of Health Policy & Management (ESHPM)

Temel, S., Birnie, E., Sonneveld, H., Voorham, A. J., Bonsel, G., Steegers-Theunissen, R., & Denktaş, S. (2013). Determinants of the intention of preconception care use: lessons from a multi-ethnic urban population in the Netherlands. International Journal of Public Health, 58(2), 295–304. doi:10.1007/s00038-012-0396-3