Translated Titles

A comparison of pregnancy intentions between women with and without children using the Theory of Planned Behavior: a sample of female nurses from a regional hospital in northern Taiwan





Key Words

計劃行為理論 ; 懷孕意圖 ; 有無子女 ; 女性護理人員 ; 台灣 ; Theory of Planned Behavior ; pregnancy intention ; women with and without children ; female nurses ; Taiwan



Volume or Term/Year and Month of Publication

37卷4期(2018 / 08 / 20)

Page #

394 - 406

Content Language


Chinese Abstract


English Abstract

Objectives: This study compared pregnancy intention and associated factors between women with and without children, using the constructs of the Theory of Planned Behavior (TPB): Attitude toward the Behavior, Subjective Norm, and Perceived Behavioral Control, in a sample of female nurses. Methods: Anonymous online survey data were collected from 20-40-year-old non-pregnant nurses working in a regional hospital in northern Taiwan (N=624). Multivariate logistic regression analyses were conducted. Results: Among childless nurses, their attitudinal evaluations of positive and negative behavioral outcomes (AOR=20.43 and 2.35, respectively), subjective norms (AOR=2.93-13.78), and perceived behavioral control under facilitating conditions (AOR=4.95) were significantly associated with their pregnancy intention. By contrast, among nurses who were already mothers, their attitudinal evaluations of positive behavioral outcomes (AOR=23.87–40.50), subjective norms (AOR=7.32), and perceived behavioral control under facilitating (AOR=0.16–0.12) and constraining (AOR=0.19) conditions were significantly related to their pregnancy intention. Conclusions: Pregnancy intention among childless nurses and those who were already mothers was differentially associated with the five TPB-based factors, both in terms of strength and direction of effect. To increase childless nurses' pregnancy intention, efforts should be made to foster their positive attitudes toward pregnancy, increase their perceived support from significant others, and provide facilitating conditions conducive to pregnancy. By contrast, for nurses who are already mothers, such initiatives should focus on emphasizing the positive outcomes of pregnancy, enhancing their perceived support from significant peers, and reducing the constraining conditions for pregnancy.

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
  1. 洪瑜嬬、林佩蓁、潘純媚、陳秋蓉、何啟功、吳明蒼(2007)。護理人員的輪班工作與睡眠品質、身心健康及家庭功能之間的相關性。勞工安全衛生研究季刊,15,17-30。
  2. 陳慈慧、許甘霖、吳孟興、劉志鴻(2009)。台灣地區25-44歲民眾的生育知識與態度調查。台灣衛誌,28,46-52。
  3. Ajzen, I,Fishbein, M(1980).Understanding Attitudes and Predicting Social Behavior.Englewood Cliffs, NJ:Prentice-Hall.
  4. Arslan Özkan, İ,Mete, S(2010).Pregnancy planning and antenatal health behaviour: findings from one maternity unit in Turkey.Midwifery,26,338-47.
  5. Billari, F,Philipov, D,Testa, M(2009).Attitudes, norms and perceived behavioural control: explaining fertility intentions in Bulgaria.Eur J Popul,25,439-65.
  6. Chang, CJ,Wang, SY,Liu, HW(1993).The effect of shift system on sleep quality, sleep quantity, psychological disturbance, and family function of workers in Taiwan.Gaoxiong Yi Xue Ke Xue Za Zhi,9,410-7.
  7. Cheng, CM,Huang, JH(2018).Moderating effects of sexual orientation and gender characteristic on condom use intentions among boys' senior high school students in Taiwan: an exploration based on the Theory of Planned Behavior.J Sex Res,55,902-14.
  8. Chu, JH,Huang, JH(2017).A theory-based exploration of condomless anal intercourse intention among young men who have sex with men of different sexual roles in Taiwan.Arch Sex Behav
  9. Dommermuth, L,Klobas, J,Lappegård, T(2011).Now or later? The Theory of Planned Behavior and timing of fertility intentions.Adv Life Course Res,16,42-53.
  10. El-Metwalli, AG,Badawy, AM,El-Baghdadi, LA,El-Wehady, A(2001).Occupational physical activity and pregnancy outcome.Eur J Obstet Gynecol Reprod Biol,100,41-5.
  11. Fishbein, M,Ajzen, I(1975).Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research.Reading, MA:Addison-Wesley.
  12. Fransman, W,Roeleveld, N,Peelen, S,de Kort, W,Kromhout, H,Heederik, D(2007).Nurses with dermal exposure to antineoplastic drugs: reproductive outcomes.Epidemiology,18,112-9.
  13. Frederiksen, LE,Ernst, A,Brix, N(2018).Risk of adverse pregnancy outcomes at advanced maternal age.Obstet Gynecol,131,457-63.
  14. Gravetter, FJ,Forzano, LAB(2011).Research Methods for the Behavioral Sciences: Cengage Learning.Belmont, CA:Wadsworth Publishing.
  15. Hatcher, L(1994).A Step-by-Step Approach to Using the SAS System for Factor Analysis and Structural Equation Modeling.Cary, NC:SAS Institute.
  16. Holden, RB(2010).Face Validity. The Corsini Encyclopedia of Psychology.Hoboken, New Jersey:John Wiley & Sons.
  17. Jansen, NW,van Amelsvoort, LG,Kristensen, TS,van den Brandt, PA,Kant, IJ(2003).Work schedules and fatigue: a prospective cohort study.Occup Environ Med,60(Suppl 1),i47-53.
  18. Lampic, C,Svanberg, AS,Karlstrom, P,Tyden, T(2006).Fertility awareness, intentions concerning childbearing, and attitudes towards parenthood among female and male academics.Hum Reprod,21,558-64.
  19. Langdridge, D,Sheeran, P,Connolly, K(2005).Understanding the reasons for parenthood.J Reprod Infant Psychol,23,121-33.
  20. Lin, HT,Lin, LC,Shiao, JS(2007).The impact of self-perceived job stress on menstrual patterns among Taiwanese nurses.Ind Health,45,709-14.
  21. Luke, B,Mamelle, N,Keth, L(1995).The association between occupational factors and preterm birth: a United States nurses' study.Obstet Gynecol,173,849-62.
  22. Marozio, L,Picardo, E,Filippini, C(2017).Maternal age over 40 years and pregnancy outcome: a hospital-based survey.J Matern Fetal Neonatal Med
  23. Mitchell, D,Gray, E(2007).Declining fertility: intentions, attitudes and aspirations.J Sociol,43,23-44.
  24. Schoen, R,Astone, NM,Kim, YJ,Nathanson, CA,Jason, MF(1999).Do fertility intentions affect fertility behavior?.J Marriage Fam,61,790-9.
  25. Shek, DTL(1996).The value of children to Hong Kong chinese parents.J Psychol,130,561-9.
  26. Simcox, AA,Jaakkola, JJ(2008).Does work as a nurse increase the risk of adverse pregnancy outcomes?.J Occup Environ Med,50,590-2.
  27. 內政部:人口統計資料。http://www.ris.gov.tw/fr/346。引用2018/03/18。Ministry of the Interior, R.O.C. (Taiwan). The population statistics. Available at: http://www.ris.gov.tw/fr/346. Accessed March 18, 2018.
  28. 吳淑蓉、王秀紅(2005)。護理人員情緒勞務及其相關因素探討。實證護理,1,243-52。
  29. 吳慧娜(2006)。台北=Taipei,國立台灣大學衛生政策與管理研究所=Institute of Health Policy and Management, National Taiwan University。
  30. 李佩珊、鍾佳雯、程小育、郭淑珍(2008)。輪班工作對生活品質的影響: 深度訪談護理人員。健康管理學刊,6,147-60。
  31. 林梅君(2008)。台北=Taipei,國立政治大學行政管理碩士學程=Master of Eminent Public Administrators, National Chengchi University。
  32. 楊廷芬、尹祚芊(2004)。護理人員自然流產率及其相關因素之探討。榮總護理,21,400-9。
  33. 鄭津珠(2011)。台北=Taipei,國立台灣師範大學健康促進與衛生教育學系=Department of Health Promotion and Health Education, National Taiwan Normal University。