Endres Loraine K, Sharp Lisa K, Haney Elaine, Dooley Sharon L
Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Diabetes Care. 2004 Feb;27(2):331-4. doi: 10.2337/diacare.27.2.331.
We investigated the association between functional health literacy and markers of pregnancy preparedness in women with pregestational diabetes.
English- and Spanish-speaking pregnant women with pregestational diabetes were recruited. Women completed the Test of Functional Health Literacy in Adults (TOFHLA) short form and a questionnaire. A TOFHLA score of < or =30 was defined as low functional health literacy.
Of 74 women participating in the study, 16 (22%) were classified as having low functional health literacy. Compared with women with adequate health literacy, those with low health literacy were significantly more likely to have an unplanned pregnancy (P = 0.02) and significantly less likely to have either discussed pregnancy ahead of time with an endocrinologist or obstetrician (P = 0.01) or taken folic acid (P = 0.001).
The results of this study suggest that low functional health literacy among women with pregestational diabetes is associated with several factors that may adversely impact birth outcomes.
我们研究了孕前糖尿病女性的功能性健康素养与妊娠准备指标之间的关联。
招募了说英语和西班牙语的孕前糖尿病孕妇。这些女性完成了成人功能性健康素养测试（TOFHLA）简表和一份问卷。TOFHLA得分≤30被定义为低功能性健康素养。
在参与研究的74名女性中，16名（22%）被归类为具有低功能性健康素养。与健康素养充足的女性相比，健康素养低的女性意外怀孕的可能性显著更高（P = 0.02），提前与内分泌科医生或产科医生讨论妊娠的可能性显著更低（P = 0.01），服用叶酸的可能性也显著更低（P = 0.001）。
本研究结果表明，孕前糖尿病女性的低功能性健康素养与若干可能对分娩结局产生不利影响的因素相关。
