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A structural equation modeling of reproductive health promoting behaviors among female adolescents in the Philippines

Authors
 Yoona Choi  ;  Taewha Lee 
Citation
 JAPAN JOURNAL OF NURSING SCIENCE, Vol.19(2) : e12463, 2022-04 
Journal Title
JAPAN JOURNAL OF NURSING SCIENCE
ISSN
 1742-7932 
Issue Date
2022-04
MeSH
Adolescent ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Latent Class Analysis ; Philippines ; Reproductive Health* ; Sexual Behavior*
Keywords
adolescent ; reproductive health ; structural equation model
Abstract
Aims: Integrated reproductive health promoting behaviors, including safe sexual intercourse, preventing sexually transmitted diseases, sexual responsibility, and genital health management, are essential for adolescents in developing countries. The Philippines is currently facing several reproductive health threats. The aim of this study was to identify factors affecting reproductive health promoting behaviors based on a theoretical model using structural equation modeling.

Methods: In this cross-sectional study and a structural equation modeling, a total of 227 female adolescents in the Philippines participated in a self-reported questionnaire survey.

Results: The results indicated that reproductive health knowledge (β = .14, p = .033), attitudes regarding reproductive health behaviors (β = .31, p = .027), and reproductive health self-efficacy (β = .31, p = .002) influenced participants' reproductive health promoting behaviors. Social norms (β = .31, p = .021) influenced reproductive health self-efficacy and indirectly influenced reproductive health promoting behaviors. Attitude toward gender roles (β = .20, p = .020) was associated with reproductive health knowledge.

Conclusions: This study confirmed the direct effect of reproductive health knowledge, attitudes regarding reproductive behaviors, and reproductive health self-efficacy, as well as the indirect effect of social norms, on reproductive health promoting behaviors using structural equation modeling.
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/jjns.12463
DOI
10.1111/jjns.12463
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Tae Wha(이태화) ORCID logo https://orcid.org/0000-0003-2568-3074
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188431
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