Psychosocial determinants of the intention and self-efficacy to attend antenatal appointments among pregnant adolescents and young women in Cape Town, South Africa: a cross-sectional study

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dc.date.accessioned 2022-10-20T13:01:06Z
dc.date.available 2022-10-20T13:01:06Z
dc.date.issued 2022-10-20 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/19538
dc.description.abstract Background: Antenatal care is imperative for adolescents and young women, due to their increased risk of pregnancy-related complications. Evidence on the psychosocial determinants of antenatal attendance among this vulnerable group is lacking. This study assessed the relevance of the psychosocial sub-determinants of intention and self-efficacy to attend antenatal appointments among pregnant adolescents and young women in Cape Town, South Africa; with a view to informing behaviour change interventions. Methods: Pregnant women and girls aged 13-20 years were recruited to complete a cross-sectional questionnaire assessing their pregnancy experiences, pregnancy-related knowledge and psychosocial determinants related to antenatal care seeking. Confidence Interval Based Estimation of Relevance (CIBER) analysis was used to examine the association of the psychosocial sub-determinants with the intention and self-efficacy to attend antenatal appointments, and to establish their relevance for behaviour change interventions. The psychosocial sub-determinants comprised knowledge, risk perceptions, and peer, partner, family and individual participant attitudes. Results: The mean gestation age of participants (n=575) was 18.7 weeks, and the mean age was 18 years. Risk perceptions of experiencing preeclampsia and heavy bleeding during pregnancy or childbirth if clinic appointments are not attended had moderate mean scores and were positively correlated with intention and self-efficacy, which makes them relevant intervention targets. Several family, peer, partner and individual participant attitudes that affirmed timely appointment attendance had strong positive associations with intention and self-efficacy but their mean score were already high. en
dc.format.medium Print en
dc.subject PREGNANT WOMEN en
dc.subject ANTENATAL CARE en
dc.subject ADOLESCENTS en
dc.subject CAPE TOWN en
dc.title Psychosocial determinants of the intention and self-efficacy to attend antenatal appointments among pregnant adolescents and young women in Cape Town, South Africa: a cross-sectional study en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber PPBAAA en
dc.Volume 22 en
dc.BudgetYear 2022/23 en
dc.ResearchGroup Human and Social Capabilities en
dc.SourceTitle BMC Public Health en
dc.ArchiveNumber 9812454 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=25947 en
dc.PageNumber Online en
dc.outputnumber 13958 en
dc.bibliographictitle Sewpaul, R., Crutzen, R. & Reddy, P. (2022) Psychosocial determinants of the intention and self-efficacy to attend antenatal appointments among pregnant adolescents and young women in Cape Town, South Africa: a cross-sectional study. BMC Public Health. 22:Online. en
dc.publicationyear 2022 en
dc.contributor.author1 Sewpaul, R. en
dc.contributor.author2 Crutzen, R. en
dc.contributor.author3 Reddy, P. en


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