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孕期健康素养对孕期风险认知及孕期焦虑的影响。

The effect of pregnancy health literacy on risk perception in pregnancy and pregnancy anxiety.

作者信息

Uyanik Abdurrahim, Koç Gülten, Ardiç Mesut

机构信息

Institute of Health Sciences, Department of Obstetrics and Gynecology Nursing, Hacettepe University, Ankara, Türkiye, 06100, Turkey.

Gaziosmanpaşa University, Tokat, Türkiye.

出版信息

BMC Pregnancy Childbirth. 2025 Jun 7;25(1):664. doi: 10.1186/s12884-025-07792-w.

DOI:10.1186/s12884-025-07792-w
PMID:40483496
Abstract

BACKGROUND

Health literacy during pregnancy is essential for maintaining and improving a healthy life. This study aims to examine the effect of health literacy on pregnancy-related anxiety and risk perception during pregnancy.

METHODS

This was a cross-sectional study. 204 pregnant women (24-37 weeks of gestation) were included in the study. The study data were collected using the descriptive information form, Maternal Health Literacy in Pregnancy Scale, Risk Perception in Pregnancy Scale, and Pregnancy-Related Anxiety Scale. Data were analyzed using Statistical Package for the Social Sciences (SPSS) (IBM SPSS Statistics for Windows, version 26.0. Armonk, NY: IBM Corp.) software and SPSS Amos.

RESULTS

The average age of the participants was 28.2; the average age at marriage was 22.76; and the average gestational week was 25.93. 38.7% of the participants were high school graduates. According to the study results, there were significant positive relationships between health literacy and pregnancy anxiety during pregnancy (r =.340, p <.01) and negative relationships between risk perception (r = -.212, p <.05). These findings indicate that while increased health literacy is associated with lower risk perception, it may paradoxically be linked to higher pregnancy-related anxiety.

CONCLUSIONS

This study has shown that health literacy can reduce risk perception while increasing pregnancy anxiety. This situation suggests that increasing knowledge should be considered together with anxiety management.

摘要

背景

孕期的健康素养对于维持和改善健康生活至关重要。本研究旨在探讨健康素养对孕期与妊娠相关的焦虑及风险认知的影响。

方法

这是一项横断面研究。研究纳入了204名孕周为24 - 37周的孕妇。研究数据通过描述性信息表、孕期孕产妇健康素养量表、孕期风险认知量表和妊娠相关焦虑量表收集。数据使用社会科学统计软件包(SPSS)(IBM SPSS Statistics for Windows,版本26.0。纽约州阿蒙克:IBM公司)软件和SPSS Amos进行分析。

结果

参与者的平均年龄为28.2岁;平均结婚年龄为22.76岁;平均孕周为25.93周。38.7%的参与者为高中毕业生。根据研究结果,孕期健康素养与妊娠焦虑之间存在显著正相关(r = 0.340,p < 0.01),与风险认知之间存在负相关(r = -0.212,p < 0.05)。这些发现表明,虽然健康素养的提高与较低的风险认知相关,但矛盾的是,它可能与较高的妊娠相关焦虑有关。

结论

本研究表明,健康素养可以降低风险认知,同时增加妊娠焦虑。这种情况表明,增加知识应与焦虑管理一并考虑。

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本文引用的文献

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The Relationship of the Prenatal Distress with Health Literacy and Health Perception of Pregnant Women.产前困扰与孕妇健康素养及健康认知的关系
Iran J Public Health. 2023 Sep;52(9):1917-1924. doi: 10.18502/ijph.v52i9.13573.
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The Turkish validity and reliability of the maternal health literacy inventory in pregnancy.孕期孕产妇健康素养量表的土耳其语信度和效度。
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Risk perception in pregnancy: Patient-physician discrepancies, information consumption, and mental health outcomes.
孕期风险认知:医患差异、信息获取与心理健康结果
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Int J Reprod Med. 2022 Dec 13;2022:6847867. doi: 10.1155/2022/6847867. eCollection 2022.
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Health literacy and related behaviour among pregnant women with obesity: a qualitative interpretive description study.健康素养与肥胖孕妇相关行为:定性阐释描述研究。
BMC Pregnancy Childbirth. 2022 Sep 19;22(1):712. doi: 10.1186/s12884-022-05023-0.
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Predictors of eHealth literacy in pregnant women: A structural equation model analysis.预测孕妇电子健康素养的因素:结构方程模型分析。
Int J Gynaecol Obstet. 2023 Mar;160(3):783-789. doi: 10.1002/ijgo.14416. Epub 2022 Sep 8.
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Health Literacy in Pregnant Women: A Systematic Review.孕妇健康素养:系统评价。
Int J Environ Res Public Health. 2021 Apr 6;18(7):3847. doi: 10.3390/ijerph18073847.
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