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The relationship between health literacy and empowerment in pregnant women: a cross-sectional study

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...

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Autores principales: Tavananezhad, Nikta, Bolbanabad, Amjad Mohamadi, Ghelichkhani, Fatemeh, Effati-Daryani, Fatemeh, Mirghafourvand, Mojgan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9447403/
https://www.ncbi.nlm.nih.gov/pubmed/35459098
http://dx.doi.org/10.1186/s12884-022-04686-z
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author Tavananezhad, Nikta
Bolbanabad, Amjad Mohamadi
Ghelichkhani, Fatemeh
Effati-Daryani, Fatemeh
Mirghafourvand, Mojgan
author_facet Tavananezhad, Nikta
Bolbanabad, Amjad Mohamadi
Ghelichkhani, Fatemeh
Effati-Daryani, Fatemeh
Mirghafourvand, Mojgan
author_sort Tavananezhad, Nikta
collection PubMed
description 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.
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spelling pubmed-94474032022-09-07 The relationship between health literacy and empowerment in pregnant women: a cross-sectional study Tavananezhad, Nikta Bolbanabad, Amjad Mohamadi Ghelichkhani, Fatemeh Effati-Daryani, Fatemeh Mirghafourvand, Mojgan BMC Pregnancy Childbirth Research 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. BioMed Central 2022-04-22 /pmc/articles/PMC9447403/ /pubmed/35459098 http://dx.doi.org/10.1186/s12884-022-04686-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Tavananezhad, Nikta
Bolbanabad, Amjad Mohamadi
Ghelichkhani, Fatemeh
Effati-Daryani, Fatemeh
Mirghafourvand, Mojgan
The relationship between health literacy and empowerment in pregnant women: a cross-sectional study
title The relationship between health literacy and empowerment in pregnant women: a cross-sectional study
title_full The relationship between health literacy and empowerment in pregnant women: a cross-sectional study
title_fullStr The relationship between health literacy and empowerment in pregnant women: a cross-sectional study
title_full_unstemmed The relationship between health literacy and empowerment in pregnant women: a cross-sectional study
title_short The relationship between health literacy and empowerment in pregnant women: a cross-sectional study
title_sort relationship between health literacy and empowerment in pregnant women: a cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9447403/
https://www.ncbi.nlm.nih.gov/pubmed/35459098
http://dx.doi.org/10.1186/s12884-022-04686-z
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