ArticleZhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences2026
[Development and validation of a comprehensive evaluation index system for preconception health behaviors in reproduc-tive-aged populations].
Article in Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo develop and validate a comprehensive evaluation index system for preconception health behaviors in reproductive-aged populations.
methodsAn initial indicator pool was established based on domestic and international preconception care guidelines and literature. After discussion by the indicator development group, a preliminary framework comprising 5 first-level and 22 second-level indicators was formed. Two rounds of Delphi expert consultation were conducted from October 2022 to March 2023. The coefficient of variation, Kendall's
resultsAfter two rounds of Delphi consultation (25 experts in the first round, 22 in the second; authority coefficients were 0.95 and 0.96, respectively), a final evaluation system was developed. The system consisted of 5 first-level indicators (pregnancy timing, healthcare-seeking behavior, health-promoting behavior, risk-avoidance behavior, and disease prevention/treatment behavior) and 26 second-level indicators, with a total score of 100. A total of 2072 valid questionnaires were collected (1120 from women, 952 from men). Among women, the median scores for the first-level indicators were 77.13, 29.43, 62.41, 74.51, and 85.88, respectively, with a composite score of 70.83±9.17. Among men, the corresponding median scores were 100.00, 39.24, 63.63, 70.32, and 83.63, with a composite score of 70.32±10.48. Educational level, self-rated health status, and planned pregnancy status were independent predictors of higher behavioral scores (all
conclusionsThe comprehensive evaluation index system for preconception health behaviors developed in this study demonstrates good scientific rigor and practical utility. The preconception health behaviors of reproductive-aged populations require improvement, with healthcare-seeking behavior being the weakest dimension. The concept of pregnancy planning represents a key target for improving these behaviors, while attention must also be focused on behavioral interventions for key populations, such as those with lower educational levels.
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