Melwani Satish, Cleland Verity, Patterson Kira, Nash Rosie
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.
Health Promot J Austr. 2025 Jan;36(1):e902. doi: 10.1002/hpja.902. Epub 2024 Jul 17.
The World Health Organisation is prioritising health literacy development to address the growing burden of non-communicable diseases (NCDs). Empowering pregnant women and mothers through health literacy development may help to reduce the intergenerational impact of NCDs. However, significant gaps exist in understanding the health literacy needs of this priority population globally.
This study aimed to qualitatively explore the health literacy strengths and challenges as well as NCDs knowledge and beliefs of pregnant women and mothers with young children (0-8 years) in Tasmania. Data were collected online using in-depth semi-structured interviews and analysed inductively using reflexive thematic analysis.
Twenty women (mean age 35.5 years, standard deviation 5.13) participated. Four parent themes were generated from the data: perceived knowledge and awareness of NCDs and their causative factors; social determinants of health and the surrounding environment; social networks and peer support as health navigator; and trust in health services and social connections. These themes highlighted diverse factors that influenced the participant's access and use of health information and services and their engagement in healthy lifestyle practices and active health management.
Participants demonstrated good knowledge and awareness about NCDs and associated risk factors but experienced numerous health literacy strengths and challenges which influenced their access to health care and engagement in healthy lifestyle practices.
This study highlights the need to address the diverse health literacy needs of pregnant women and mothers through codesigning locally informed health literacy development strategies combined with the creation of enabling service environments to reduce the growing burden of NCDs.
世界卫生组织将提高健康素养作为优先事项,以应对日益加重的非传染性疾病负担。通过提高健康素养来增强孕妇和母亲的能力,可能有助于减少非传染性疾病的代际影响。然而,在全球范围内,对于这一重点人群的健康素养需求的理解仍存在重大差距。
本研究旨在定性探索塔斯马尼亚州有幼儿(0至8岁)的孕妇和母亲的健康素养优势与挑战,以及她们对非传染性疾病的知识和信念。通过深入的半结构化访谈在线收集数据,并使用反思性主题分析进行归纳分析。
20名女性(平均年龄35.5岁,标准差5.13)参与了研究。数据产生了四个主要主题:对非传染性疾病及其致病因素的认知知识和意识;健康的社会决定因素和周围环境;作为健康导航者的社会网络和同伴支持;以及对医疗服务和社会联系的信任。这些主题突出了影响参与者获取和使用健康信息及服务,以及参与健康生活方式实践和积极健康管理的各种因素。
参与者对非传染性疾病及相关风险因素表现出良好的知识和意识,但经历了众多影响其获得医疗保健和参与健康生活方式实践的健康素养优势和挑战。
本研究强调需要通过共同设计基于当地情况的健康素养发展战略,并创建有利的服务环境,来满足孕妇和母亲多样化的健康素养需求,以减轻日益加重的非传染性疾病负担。