Document Type : Original Article


1 Department of Health Education, Health School, Hormozgan University of Medical Sciences

2 Social Determinants on Health Promotion Research Center, Hormozgan University of Medical Sciences

3 Fertility and Infertility Research Centre, Hormozgan University of Medical Sciences, Bandar Abbas

4 Student Research Committee, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran


BACKGROUND: Consuming fish plays a key role in human health and prevention of diseases. The
aim of this study was using transtheoretical model to analyze the trend of fish consumption among
MATERIALS AND METHODS: In this descriptive‑analytic research, 383 housewives who referred
to health centers in Bandar Abbas were selected through a stratified sampling method. Data were
collected by a questionnaire to determine fish consumption based on transtheoretical model and
analyzed by using SPSS software version 19.0. with the significance level of P < 0.05.
RESULTS: Nearly 11.7% of the patients were found to be at the precontemplation stage; 3.9% were
at the contemplation stage; 13.6% were at the preparation stage; 7.3% showed to be at the action
stage, and 63.4% were at the maintenance stage. The results showed a significant relation of the
constructs of the model with the stages of change of consuming one or two meals of fish a week.
Moving through the stages of change from the precontemplation stage to maintenance stage was
accompanied by an increase in decisional balance, self‑efficacy, and processes of change (P < 0.05).
CONCLUSION: It is suggested that in designing educational interventions in the light of this model,
more emphasis is placed on perceived benefits and self‑efficacy. The processes of change are
advised to be used more often, and perceived barriers to fish consumption need to be reduced as
far as possible.


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