ArticleFrontiers in public health2026
Psychosocial correlates of venous thromboembolism-preventive practices among pregnant and postpartum women in China: a cross-sectional structural equation modeling study.
Article in Frontiers in public health, 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
Background: Venous thromboembolism (VTE) is a major preventable cause of maternal morbidity. Preventive practices may be related to knowledge, attitudes, perceived support, family function, and confidence in performing recommended behaviors. This study examined the psychosocial correlates and prespecified indirect statistical pathways associated with VTE-preventive practices among pregnant and postpartum women in China. Methods: This hospital-based cross-sectional study was conducted from January to October 2023 among 1,384 pregnant and postpartum women at a tertiary women's and children's hospital in Chengdu, China. Participants completed questionnaires assessing venous thromboembolism knowledge, attitudes, preventive practices, self-efficacy, family function, and social support. A latent-variable structural equation modeling, guided primarily by the Information-Motivation-Behavioral Skills (IMB) model, was estimated using 5,000 bootstrap resamples. Multigroup and covariate-adjusted sensitivity analyses were conducted to assess robustness. Results: Attitude was the strongest correlate of preventive practices ( Conclusion: Attitude was the strongest psychosocial correlate of self-reported VTE-preventive practices in this sample. Knowledge, family function, and social support showed smaller indirect statistical associations through attitude. These cross-sectional findings do not establish temporal or causal mediation, but they support prospective evaluation of culturally sensitive, attitude-focused educational interventions that also involve family and social support.
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