Sakarya Training and Research Hospital, Sakarya University, Sakarya, Turkey.
Faculty of Health Sciences, Ankara Yıldırım Beyazıt University Ankara, Turke.
Health Soc Care Community. 2021 Nov;29(6):1815-1823. doi: 10.1111/hsc.13291. Epub 2021 Jan 23.
Health literacy has a direct impact on pregnancy from the perspectives of both the mother and the baby. This study aimed to determine the level of health literacy and assess the knowledge of antenatal care among pregnant women. From among all pregnant women who presented to the hospital's obstetric polyclinic during the study's timeline, the study group consisted of 460 women who agreed to take part (492 women were invited and a response rate of 93.5% was achieved). A questionnaire prepared based on the literature in line with the study's objectives was completed by the participants under supervision. The Turkish Health Literacy Scale (THLS-32) was used to assess health literacy. In order to determine the women's prenatal care knowledge levels, a total of 20 knowledge-testing statements prepared using the literature were applied, 14 of which were true and six of which were false. The internal consistency of antenatal information questions during pregnancy was made and the Cronbach alpha coefficient was calculated as 0.77. It was determined that 33.9% of the participants had a sufficient level of health literacy. Health literacy was sufficient in young married women (19 years and less) in their first pregnancy and those who had regular reading habits, participated in healthcare activities and received postpartum care at a family health clinic (p < 0.05 for each). While the most accurately evaluated statement about antenatal care was 'It is normal to experience nausea/vomiting in the first trimester of pregnancy', the least accurately evaluated statement was 'Over 35% of women incorrectly believed it was normal to gain 20 kg of weight during pregnancy'. It was found that pregnant women with sufficient health literacy had higher levels of knowledge about antenatal care (p < 0.05). In this study, it was determined that approximately two-thirds of the participants had insufficient health literacy and the women with insufficient health literacy had low levels of knowledge about antenatal care.
健康素养从母亲和婴儿两个角度直接影响妊娠。本研究旨在确定健康素养水平，并评估孕妇的产前保健知识。在研究期间，从到医院妇产科就诊的所有孕妇中，研究组由 460 名同意参与的孕妇组成（邀请了 492 名女性，应答率为 93.5%）。参与者在监督下根据文献和研究目标完成了一份基于文献的问卷。使用土耳其健康素养量表（THLS-32）评估健康素养。为了确定女性的产前保健知识水平，使用文献编制了总共 20 个知识测试陈述，其中 14 个是正确的，6 个是错误的。在怀孕期间对产前信息问题进行了内部一致性检验，并计算了 Cronbach alpha 系数为 0.77。结果表明，33.9%的参与者具有足够的健康素养。在第一次怀孕的年轻已婚妇女（19 岁及以下）和有定期阅读习惯、参加医疗保健活动和在家庭健康诊所接受产后护理的妇女中，健康素养是足够的（每项均为 p<0.05）。虽然关于产前保健评估最准确的陈述是“在妊娠早期经历恶心/呕吐是正常的”，但评估最不准确的陈述是“超过 35%的女性错误地认为在怀孕期间体重增加 20 公斤是正常的”。结果发现，具有足够健康素养的孕妇对产前保健的知识水平更高（p<0.05）。在这项研究中，大约三分之二的参与者健康素养不足，健康素养不足的女性对产前保健的知识水平较低。
