Do socioeconomic resources reshape maternal health behaviors? Evidence from a nationally representative network
Kyong Hee Park1, Chulhyo Jeon2
1College of Nursing, ShinHan University, Dongducheon-si, Republic of Korea.
Objective:
Maternal health behaviors may co-occur as interconnected patterns. This study, guided by the Family Health Development framework, examined these behaviors as an interconnected system and investigated whether network structure varied by socioeconomic status.
Methods:
We conducted a cross-sectional secondary analysis of nationally representative data from Korea (Korea National Health and Nutrition Examination Survey [KNHANES], 2022-2023). Seven binary health behaviors were modeled using pairwise φ-correlation networks, and permutation-based Network Comparison Tests compared income and education strata.
Results:
Fruit and vegetable intake and non-smoking were central to the network, showing multiple connections with other health behaviors. Network structure and global connectivity did not significantly differ by household income or maternal education.
Conclusions:
Maternal health behaviors operate as an integrated system rather than independent choices in Korea. Targeting central behaviors (dietary behavior and smoking cessation) may yield spillover benefits across multiple health behaviors.
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