育龄女性生育力保存行动意向及其影响因素研究OA
Study on the intentions and influencing factors of fertility preservation among women of childbearing age
目的 了解育龄女性卵巢健康相关风险特征及生育力保存相关行动意向的影响因素.方法 采用结构化问卷于2025年11月对南宁市283名育龄期女性开展横断面调查,构建结构方程模型(structural equation model,SEM)检验健康信念模型(health belief model,HBM)对行动意向的直接与间接效应,并采用多因素线性回归分析其独立影响因素.结果 共回收有效问卷256份,问卷有效率为90%.256名育龄女性近1年卵巢功能/生育力相关检查率为32.4%.SEM路径分析结果显示,感知易感性、感知获益与自我效能对行动意向具有显著正向影响.多因素线性回归分析感知易感性、感知获益与自我效能仍与行动意向呈显著正相关.结论 育龄女性近1年卵巢功能/生育力相关检查率偏低,HBM心理因素中自我效能、感知易感性与感知获益是推动生育力保存相关行动意向形成的关键因素,获益与障碍在一定程度上通过自我效能间接影响意向.
Objective To identify risk factors associated with ovarian health in women of childbearing age and the factors influencing their intentions regarding fertility preservation.Methods A cross-sectional survey was conducted in November 2025 using a structured questionnaire among 283 women of childbearing age in Nanning.A structural equation model(SEM)was constructed to test the direct and indirect effects of health belief model(HBM)constructs on behavioral intention,and multiple linear regression was used to analyze the independent influencing factors.Results A total of 256 valid questionnaires were collected,with a validity rate of 90%,with a rate of ovarian function/fertility-related examinations within the past year at 32.4%.SEM path analysis revealed that perceived susceptibility,perceived benefits,and self-efficacy exerted significant positive effects on behavioral intention.Multivariate linear regression analysis confirmed that perceived susceptibility,perceived benefits,and self-efficacy remained significantly positively correlated with behavioral intention.Conclusion The rate of ovarian function/fertility-related examinations among women of childbearing age has been low over the past year.Among the psychological factors in the HBM,self-efficacy,perceived susceptibility,and perceived benefits are key determinants in shaping intentions toward fertility preservation actions.Benefits and barriers indirectly influence these intentions to some extent through self-efficacy.
易芬芬;林忠;宾力;姜显春;朱雪红
广西中医药大学研究生院,广西 南宁 530200广西壮族自治区生殖医院生殖科,广西 南宁 530218广西壮族自治区生殖医院生殖科,广西 南宁 530218广西中医药大学研究生院,广西 南宁 530200广西壮族自治区生殖医院生殖科,广西 南宁 530218
医药卫生
育龄女性生育力保存健康信念模型结构方程模型
Women of childbearing ageFertility preservationHealth belief modelStructural equation model
《中国现代医生》 2026 (20)
17-21,5
广西壮族自治区卫生健康委自筹经费科研课题项目(Z-A20230440)、广西壮族自治区卫生健康委自筹经费科研课题项目(Z-A20220375
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