孕妇健康素养与赋权之间的关系：一项横断面研究。
The relationship between health literacy and empowerment in pregnant women: a cross-sectional study.
作者信息
Tavananezhad Nikta, Bolbanabad Amjad Mohamadi, Ghelichkhani Fatemeh, Effati-Daryani Fatemeh, Mirghafourvand Mojgan
机构信息
Department of Obstetrics, Islamic Azad University, Sanandaj Branch, Sanandaj, Iran.
Healthcare Services Management, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
出版信息
BMC Pregnancy Childbirth. 2022 Apr 22;22(1):351. doi: 10.1186/s12884-022-04686-z.
BACKGROUND
Maternal health literacy is defined as the acquisition of required cognitive and social skills to enable women to access, understand, appraise, and use the information needed to maintain and enhance their health conditions. The World Health Organization (WHO) proposes health literacy and women empowerment as two pivotal components of maternal health improvement programs. In this regard, providing women with education and training in various fields is a key factor for their empowerment, prosperity, and well-being. Therefore, the present study aimed to determine the relationship between health literacy and empowerment during pregnancy.
METHODS
This descriptive-analytical cross-sectional study examined 355 pregnant women, presented to different health centers in Sanandaj, Iran, in 2021. The cluster technique was used for sampling. For data collection, the socio-demographic and obstetrics characteristics, health literacy, and pregnant women's empowerment questionnaires were completed by interviewing research subjects. Data analysis was done using t-test, one-way ANOVA, Pearson correlation coefficient, and multivariate linear regression in STATA13.
RESULTS
The mean and standard deviation of health literacy and empowerment were 80.03 ± 12.79 (0-100) and 80.30 ± 8.14 (27-108), respectively. In terms of empowerment, the highest (19.50) and the lowest (12.92) scores were, respectively, observed in subdomains of "self-efficacy" and "the joy of an addition to the family." With respect to health literacy, the highest (88.52) and lowest (73.78) mean scores were, respectively, observed in the subdomains of "understanding" and "access." Pearson correlation test suggested that there was a significant direct correlation between the overall health literacy (r = 0.26; p < 0.001) and access (r = 0.18; p = 0.001), understanding (r = 0.11; p = 0.038), evaluation (r = 0.18; p = 0.001), and decision-making (r = 0.33; p < 0.001) with empowerment during pregnancy. Based on the multivariate linear regression model, empowerment during pregnancy improved with increasing health literacy (B = 0.16, 95% CI = 0.09 to 0.23; p < 0.001).
CONCLUSION
The results show a direct relationship between health literacy and its dimensions with empowerment during pregnancy. Therefore, it is recommended to improve the health literacy of all women of reproductive age.
背景
孕产妇健康素养被定义为获取必要的认知和社交技能，使女性能够获取、理解、评估和使用维持及改善自身健康状况所需的信息。世界卫生组织（WHO）将健康素养和妇女赋权作为孕产妇健康改善项目的两个关键组成部分。在这方面，为女性提供各领域的教育和培训是她们获得赋权、实现繁荣和幸福的关键因素。因此，本研究旨在确定孕期健康素养与赋权之间的关系。
方法
这项描述性分析横断面研究于2021年对355名前往伊朗萨南达杰不同健康中心就诊的孕妇进行了调查。采用整群抽样技术。为收集数据，通过对研究对象进行访谈，完成了社会人口学和产科特征、健康素养及孕妇赋权问卷。使用STATA13软件进行t检验、单因素方差分析、Pearson相关系数分析和多元线性回归分析。
结果
健康素养和赋权的均值及标准差分别为80.03±12.79（0 - 100）和80.30±8.14（27 - 108）。在赋权方面，“自我效能感”子领域得分最高（19.50），“添丁之喜”子领域得分最低（12.92）。在健康素养方面，“理解”子领域平均得分最高（88.52），“获取”子领域得分最低（73.78）。Pearson相关检验表明，总体健康素养（r = 0.26；p < 0.001）、获取（r = 0.18；p = 0.001）、理解（r = 0.11；p = 0.038）、评估（r = 0.18；p = 0.001）和决策制定（r = 0.33；p < 0.001）与孕期赋权之间存在显著的直接相关性。基于多元线性回归模型，孕期赋权随着健康素养的提高而改善（B = 0.16，95%置信区间 = 0.09至0.23；p < 0.001）。
结论
结果表明孕期健康素养及其维度与赋权之间存在直接关系。因此，建议提高所有育龄妇女的健康素养。
Zotero 插件