Department of Obstetrics and Gynaecology, La Ribera University Hospital, FISABIO, Crta. Corbera km 1, 46600 Valencia, Spain.
Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, Jaume Roig, s/n, 46010 Valencia, Spain.
Int J Environ Res Public Health. 2020 Apr 23;17(8):2910. doi: 10.3390/ijerph17082910.
: Despite the fact that tobacco use during pregnancy produces adverse perinatal effects, some women continue to smoke. Health literacy (HL) is essential for health outcomes in adults. However, little is known about HL in pregnant women or postpartum women. The study aimed to analyse the relationship between the degree of HL of women during the early puerperium and tobacco use during pregnancy.
A multicentre, descriptive, cross-sectional study was carried out with women in the early puerperium in a region of eastern Spain, between November 2017 and May 2018. Their HL level was obtained using the Newest Vital Sign (NVS) tool. Multivariate logistic models were adjusted to estimate the magnitude of association with tobacco use in pregnancy. Odds ratios (OR) were estimated with a 95% confidence interval.
193 were included in the total. 29.5% (57) of pregnant women smoked tobacco during pregnancy, with a smoking cessation rate of 70.1% (40) while pregnant. 42.0% (81) of pregnant women had inadequate or limited HL. A low level of HL was strongly associated with tobacco use, adjusted by catchment area and age of first pregnancy (LRT < 0.001; ROC curve = 0.71, 95% CI: 0.64-0.79).
A low HL is associated with tobacco consumption during pregnancy. Whether low HL reflects the wide constellation of already-known socioeconomic, political and commercial determinants of tobacco use, or whether incorporating HL support interventions strengthens tobacco cessation activities in pregnancy, warrants further research. Still, it should be considered as essential to understanding the health disparities related to its consumption.
分析早孕期妇女健康素养水平与孕期吸烟的关系。
采用多中心、描述性、横断面研究方法，于 2017 年 11 月至 2018 年 5 月在西班牙东部某地区调查早孕期妇女。采用最新生命体征（NVS）工具评估其健康素养水平。采用多变量逻辑回归模型调整模型估计孕期吸烟与健康素养水平的关联强度。采用比值比（OR）及其 95%置信区间估计。
共纳入 193 例孕妇。29.5%（57 例）孕妇孕期吸烟，戒烟率为 70.1%（40 例）。42.0%（81 例）孕妇健康素养水平不足或有限。低水平健康素养与孕期吸烟显著相关，经地区和首次妊娠年龄调整后（似然比检验，LRT <0.001；ROC 曲线=0.71，95%CI：0.64-0.79）。
低水平健康素养与孕期吸烟相关。低水平健康素养是否反映了已知的与吸烟相关的广泛的社会经济、政治和商业决定因素，或者是否纳入健康素养支持干预措施可以加强孕期戒烟活动，值得进一步研究。但它应被视为理解与吸烟相关的健康差异的重要因素。
