Path Analysis on Factors Associated with Healthy Prenatal Behavior among Pregnant Women in Bengkayang, West Kalimantan

Dayang Fitri Murdikawati1), Uki Retno Budihastuti2)Yulia Lanti Retno Dewi3)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta

3)Faculty of Medicine, Universitas Sebelas Maret



Background: Healthy behaviors in pregnant women have a major effect on pregnancy out­comes. However, only few studies have explored the relationship of multiple psy­cho­social factors with healthy lifestyles during pregnancy, using path analysis. The purpose of this study was to examine factors associated with healthy prenatal behavior among pregnant women in Beng­­kayang, West Kalimantan.

Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Bengkayang, West Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The depen­dent variable was healthy prenatal behavior. The independent variables were maternal education, family income, knowledge, religion and belief, health personnel support, family support, community leader support, and distance to posyandu. The data were collected by questionnaire and analyzed by path analysis.

Results: Healthy behavior was directly affected by family income(b= 1.86; 95% CI= 0.85 to 2.87; p<0.001), knowledge (b= 1.64; 95% CI= 0.62 to 2.67; p= 0.002), family support (b= 1.77; 95% CI= 0.72 to 2.82; p= 0.001), and community leader support (b= 1.62; 95% CI= 0.61 to 2.64; p= 0.002). Healthy behavior was indirectly affected by edu­ca­tion, religion and belief, health personnel support, and distance to posyandu.

Conclusion: Healthy behavior is directly affected by family income, knowledge, family support, and community leader support. Healthy behavior is indirectly affected by edu­cation, religion and belief, health personnel support, and distance to posyandu.

Keywords: healthy behavior, prenatal, path analysis

Correspondence: Dayang Fitri Murdikawati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Mobile: 08999988880


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