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塔斯马尼亚孕妇和母亲的健康素养概况:一项聚类分析。

Health literacy profiles of pregnant women and mothers in Tasmania: A cluster analysis.

作者信息

Melwani Satish, Cleland Verity, Patterson Kira, Nash Rosie

机构信息

School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.

Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

出版信息

Health Promot J Austr. 2024 Oct;35(4):1206-1216. doi: 10.1002/hpja.854. Epub 2024 Feb 25.

Abstract

ISSUE ADDRESSED

Health literacy development can help to reduce the growing noncommunicable disease burden globally. However, less is known about the health literacy needs of pregnant women and mothers necessary to guide health literacy development in this priority population group. To enhance the understanding of the health literacy needs of pregnant women and mothers, this study aimed to develop data-informed health literacy profiles of pregnant women and mothers with children (0-8 years) in Tasmania, as well as data-informed vignettes describing the health literacy needs of women in the different health literacy profiles.

METHODS

An online cross-sectional survey was undertaken. The survey included demographic questions and the health literacy questionnaire (HLQ). The data were analysed using a cluster analysis to identify subgroups with varying health literacy needs. The clusters, in conjunction with demographic characteristics, were used to generate data-informed vignettes representing various health literacy profiles.

RESULTS

The cluster analysis generated seven health literacy profiles and five vignettes representing diverse health literacy needs of pregnant women and mothers in Tasmania. Each vignette tells a data-informed story of women in Tasmania experiencing diverse health literacy strengths and challenges influencing their access and use of health information and health services. This allowed deeper exploration of the health literacy needs of the subgroups within the target population.

CONCLUSION

A better understanding of the health literacy needs of pregnant women and mothers can provide policymakers and health care providers with the key insights needed to guide the planning and development of fit-for-purpose solutions. This understanding can also guide the tailoring of existing health and community services, to create a health literacy-responsive environment that is more likely to meet the diverse health needs of pregnant women and mothers.

SO WHAT

We must shift away from a 'one size fits all' approach and promote the development of a health literacy-responsive environment to improve health and equity outcomes for pregnant women and mothers in Tasmania.

摘要

解决的问题

健康素养的提升有助于减轻全球日益增长的非传染性疾病负担。然而,对于孕妇和母亲的健康素养需求,人们了解较少,而这些需求对于指导这一重点人群的健康素养发展至关重要。为了增进对孕妇和母亲健康素养需求的理解,本研究旨在制定基于数据的塔斯马尼亚州孕妇及有0至8岁子女的母亲的健康素养概况,以及描述不同健康素养概况女性健康素养需求的数据驱动的案例。

方法

开展了一项在线横断面调查。该调查包括人口统计学问题和健康素养问卷(HLQ)。使用聚类分析对数据进行分析,以识别具有不同健康素养需求的亚组。这些聚类与人口统计学特征相结合,用于生成代表各种健康素养概况的数据驱动的案例。

结果

聚类分析产生了七个健康素养概况和五个案例,代表了塔斯马尼亚州孕妇和母亲的不同健康素养需求。每个案例都讲述了一个基于数据的故事,即塔斯马尼亚州的女性在获取和使用健康信息及医疗服务时,经历着不同的健康素养优势和挑战。这使得能够更深入地探索目标人群中亚组的健康素养需求。

结论

更好地了解孕妇和母亲的健康素养需求,可以为政策制定者和医疗服务提供者提供指导量身定制解决方案的规划和发展所需的关键见解。这种理解还可以指导对现有健康和社区服务的调整,以创建一个响应健康素养的环境,更有可能满足孕妇和母亲的多样化健康需求。

那又如何

我们必须摒弃“一刀切”的方法,促进创建一个响应健康素养的环境,以改善塔斯马尼亚州孕妇和母亲的健康及公平结果。

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