Rafat Nastaran, Bakouei Fatemeh, Adib-Rad Hajar, Nikbakht Hossein-Ali, Bakouei Sareh
Student Research Committee, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
Infertility and Reproductive Health Research Center, Health Research Institute, Faculty of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran.
Nurs Open. 2025 Jan;12(1):e70136. doi: 10.1002/nop2.70136.
Health literacy is considered as key factor to empower women to participate in self-care and child-care activities. The purpose of the present study is to determine the relationship between health-promoting behaviours and health literacy among pregnant women.
A cross-sectional study.
This study surveyed 308 pregnant women in 2022 using questionnaires, including the Health Promoting Lifestyle Profile II (HPLP II) and the Health Literacy for Iranian Adults (HELIA). Descriptive and inferential statistics were employed to analyse the data by IBM SPSS 23.0 statistics package program.
The mean scores for women's health literacy and health-promoting behaviours were 70.31 ± 13.56 and 135.56 ± 17.38, respectively. The lowest score in the health literacy subscales was related to the appraisal (66.07 ± 17.81) and in the health-promoting lifestyle dimensions was associated with the physical activity dimension (13.87 ± 3.87). There was a significant and positive correlation between health literacy and health-promoting behaviours (r = 0.53, p < 0.001). Among the health literacy dimensions, decision-making showed the strongest correlation with health-promoting lifestyle (r = 0.55, p < 0.001).
The results of this study demonstrated that pregnant women with higher health literacy scores exhibited a higher level of engagement in health-promoting behaviours. Assessing health-promoting behaviours in pregnant women by health providers during prenatal care helps identify dimensions receiving less attention during pregnancy, and solutions can be provided to women to address these issues.
健康素养被视为增强女性参与自我保健和儿童保健活动能力的关键因素。本研究的目的是确定孕妇的健康促进行为与健康素养之间的关系。
横断面研究。
本研究于2022年使用问卷对308名孕妇进行了调查，问卷包括健康促进生活方式量表II（HPLP II）和伊朗成年人健康素养量表（HELIA）。采用描述性和推断性统计方法，通过IBM SPSS 23.0统计软件包程序对数据进行分析。
女性健康素养和健康促进行为的平均得分分别为70.31±13.56和135.56±17.38。健康素养子量表中得分最低的是评估（66.07±17.81），健康促进生活方式维度中得分最低的是身体活动维度（13.87±3.87）。健康素养与健康促进行为之间存在显著正相关（r = 0.53，p < 0.001）。在健康素养维度中，决策与健康促进生活方式的相关性最强（r = 0.55，p < 0.001）。
本研究结果表明，健康素养得分较高的孕妇在健康促进行为方面的参与度更高。医疗服务提供者在产前检查期间对孕妇的健康促进行为进行评估，有助于识别孕期较少受到关注的方面，并可为女性提供解决这些问题的方案。
