Document Type : Original Article
Authors
1 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran, Department of Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2 Shohada Kargar Hospital, Midwifery Ward, Yazd, Iran
3 Midwifery Faculty, Kerman Branch, Islamic Azad University, Kerman, Iran
Abstract
BACKGROUND: Health literacy is the capacity to acquire, process, and understand basic information
and services necessary for appropriate health decisions. Given the importance of health literacy in
women, the aim of the present study was to determine the effect of health literacy level on improving
the quality of care during pregnancy in pregnant women.
MATERIALS AND METHODS: The present study was a cross‑sectional analytical study. In this
study, 130 women referred to Yazd health centers were examined. Health literacy questionnaires
and a researcher‑made checklist of the quality of pregnancy care were used to gather information.
The researcher‑made checklist of the quality of pregnancy care was in accordance with the standard
protocol of the Ministry of Health and Medical Education, entitled Integrated Health Care for Pregnant
Mothers, which was validated and reliable. SPSS statistical software version 19 and t‑test and ANOVA
statistical tests were used to analyze the data.
RESULTS: According to the findings, the average score of health literacy in pregnant women was
74.09, which showed that the level of health literacy was in the marginal or border range. People
with higher health literacy received significantly more prenatal counseling than other women and
had a planned pregnancy (P = 0.04).
CONCLUSION: The level of health literacy in pregnant women is unfavorable. Given that the high
level of health literacy in women in society can lead to an increase in the quality of pregnancy care, so
to increase health literacy in women, it is recommended that regular training in society by health‑care
providers be given more attention.
Keywords
the relationship between health literacy and general health status
and health behaviors elderly in Isfahan. J Health Syst 2011;4:1‑11.
2. Khalili HM, Papi A, Sharifirad GH, Farashbandi FZ, Hasanzade A.
A survery on health literacy of in patients educational hospitals
of Isfahan University of Medical Sciences. Health Inform Manage
2014;11:464‑73.
3. Ghanbari SH, Majlesi F, Ghaffari M, Majdabadi MM. Pregnant
women under the guise of health literacy martyr Beheshti
University of medical sciences health centers. Sci J Shahed Univ
2012;97:1‑12.
4. Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K,
Ebadi M, et al. Health literacy for Iranian adults (HELIA):
Development and psychometric properties. Payesh J
2014;13:589‑99.
5. Reban IZ, Izadirad H. Evaluation of health literacy, health status
and health services utilization in women in Baluchistan region
of Iran. J Health Lit 2016;1:71‑82.
6. Dadipoor S, Ramezankhani A, Aghamolaei T, Rakhshani F,
Safari‑Moradabadi A. Evaluation of health literacy in the Iranian
population. Health Scope. 2018;7(3):e62212.
7. Jovic‑Vranes A, Bjegovic‑Mikanovic V. Which women patients
have better health literacy in Serbia? Patient Educ Couns
2012;89:209‑12.
8. Bakhshian F, Jabbari H. Effectiveness of health services for
mothers in Iran health system. Iran J Nurs 2009;22:43‑54.
9. TabriziJ S, Gholipour K, Alipour R, Farahbakhsh M,
Asghari-Jafarabadi M, Hghaei M. Customer quality in pregnancy
care in health centers and health centers in Tabriz. Health Image
Magazine 2019;1:1-3.
10. Mirzaee M, Yarahmadi A. An analysis of women's Education and
Economic Status in healthcare use during pregnancy. Women
Develop Politics 2011:8;183-202.
11. Tehrani Banihashemi A, Amirkhani M, Haghdust A, Alavian M,
Asgharifard H, Baradaran H, et al. Health literacy in five provinces
of the country and its determinants. Strides Develop Med Educ
2007;1:1-9.
12. Hom JM, Lee JY, Divaris K, Baker AD, Vann WF Jr. Oral health
literacy and knowledge among patients who are pregnant for the
first time. J Am Dent Assoc 2012;143:972‑80.
13. Abdolmalaki B, Peyman N, Esmaeili H. Evaluation of health
literacy rate of postmenopausal women covered by Mashhad
Health Centers in 2018. J Health Lit 2018;3:33‑41.
14. Sorlie V, Lopez RA. When language, health literacy, and
miscommunication collide: Tremors versus seizures. Fam Med
2011;43:48‑50.
15. Cho YI, Lee SY, Arozullah AM, Crittenden KS. Effects of health
literacy on health status and health service utilization amongst
the elderly. Soc Sci Med 2008;66:1809‑16.
16. Mohseni M, Khanjani N, Iranpour A, Tabe R, Borhaninejad VR.
The relationship between health literacy and health status among
elderly people in Kerman. Iranian Journal of Ageing. 2015 Jul
10;10(2):146‑55.
17. Lupattelli A, Picinardi M, Einarson A, Nordeng H. Health literacy
and its association with perception of teratogenic risks and health
behavior during pregnancy. Patient Educ Couns 2014;96:171‑8.
18. Muralidharan S, Mallaiah P, Garale S, Acharya A. Oral health
literacy and oral health knowledge among 2,263 first‑time
pregnant Urban Women: A cross‑sectional questionnaire study.
J Contemp Dent Pract 2019;20:1029‑32.
19. Muir KW, Lee PP. Health literacy and ophthalmic patient
education. Surv Ophthalmol 2010;55:454‑9.
20. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K.
Low health literacy and health outcomes: An updated systematic
review. Ann Intern Med 2011;155:97‑107.
21. Mojoyinola JK. Influence of maternal health literacy on healthy
pregnancy and pregnancy outcomes of women attending Public
Hospitals in Ibadan, Oyo State, Nigeria. Afr Res Rev 2011;5:28‑39.
22. Safari‑Moradabadi A, Aghamolaei T, Ramezankhani A,
Dadipoor S. The health literacy of pregnant women in Bandar
Abbas, Iran. Sci J Sch Public Health 2017;15:121‑32.
23. MClaghlin RA. Association among Health Literacy Levels and
Health Outcomes in Pregnant Women with Pregestational and
Gestational Diabetes in an Urban Setting PhD Dissertation. Health
Science Center University of Tennessee; 2009.
24. Endres LK, Sharp LK, Haney E, Dooley SL. Health literacy and
pregnancy preparedness in pregestational diabetes. Diabetes Care
2004;27:331‑4.
25. Sahidi SH, Aqdak P, Izadi M. Effect of pre‑conception care
protocol on women’s awareness. Iran J Med Educ 2010;10:525‑32.
26. Bagherzadeh Z, Aghakhani R, Bagherzadeh A. Report on the
Experience and Function of Investigating the Factors Affecting
Unwanted Pregnancies in Shirvan City During the Years
2009-2010 and Performing Interventions to Reduce it. Abstracts
of the Second National Conference and the First International
Conference on Experiences and Optimal Functions of the Primary
Health Care System; 2013. p. 1.
27. Shahi A, Kamjo A. Spacing between pregnancy and pregnancy
outcome in women referred to Hospital in Bandar Abbas.
Hormozgan Med J 2005;197-201.
28. Zibellini J, Muscat DM, Kizirian N, Gordon A. Effect of health
literacy interventions on pregnancy outcomes: A systematic
review. Women Birth 2020. pii: S1871‑5192(19)30854‑6.