Health Literacy and Pregnancy Preparedness in Pregestational Diabetes

Endres, Loraine; Haney, Elaine I.; Sharp, Lisa K.; Dooley, Sharon L.

doi:10.1097/00006254-200407000-00011

Cited by 28 publications

(42 citation statements)

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“…Self-reported co-morbidities included asthma (16.0%, n D 23), high blood sugar (15.4%, n D 22), infection of vagina or cervix (7.7%, n D 11), hypertension (5.6%, n D 8), and kidney stones or infection (2.1%, n D 3). Compared to the mean scores (Table 2) reported in other studies, this study sample had higher average scores on health literacy [32.35 vs. 28.6 reported by Black and White pregnant women with pre-pregnancy diabetes and 41% did not complete high school (Ender et al, 2004)], self-efficacy [19.4 vs. 10.69-13.64 reported by low-income Caucasian and African American women newly diagnosed with breast cancer (Gustafson et al, 2005)], chance fetal health locus of control [36.10 vs. 24.56-29.14 reported by nulliparas mostly less than 30 years old in the United Kingdom (Clarke & Gross, 2004) and married White middle class pregnant women in the U.S. (Labs & Wurtele, 1986)], and powerful others fetal health locus of control [31.22 vs. 20.17-26.76 (reported in Clarke & Gross, 2004;Labs & Wurtele, 1986)]. …”

Section: Characteristics Of Participantscontrasting

confidence: 74%

“…Future research may consider using a different instrument to measure other attributes of health literacy when testing this relationship, such as the Rapid Estimate of Adult Literacy in Medicine (Davis et al, 1993) that measures verbal pronunciation of medical words or the longer form of the TOFHLA, which assesses reading and comprehension as well as mathematical concepts used to make decisions about prescription medications around dosage and timing (Nurss, Parker, & Baker, 1995). Pregnant women in this study reported a higher mean score (32.35) on health literacy than Ender et al's sample (28.6) (Ender et al, 2004). The higher overall health literacy level of women in this study may have resulted in them being less likely to report variation in health information-seeking.…”

Section: Discussioncontrasting

confidence: 61%

“…In previous studies, pregnant women with low health literacy were more likely to have unplanned pregnancies, reported poor preconception communication with physicians about diabetic control, had inadequate knowledge about effects of prenatal smoking, and were less likely to breastfeed exclusively for the first two months postpartum (Arnold et al, 2001;Ender et al, 2004;Kaufman et al, 2001). Yet, none of these previous studies addressed the relationship between health literacy and health information-seeking.…”

Section: Health Literacy and Health Information-seekingmentioning

confidence: 95%

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Factors Associated with Health Information-Seeking in Low-Income Pregnant Women

2010

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The purpose of this study was to examine the relationships of health literacy, self-efficacy, and fetal health locus of control to health information-seeking in low-income pregnant women and the contribution from each factor alone or in combination to the variance in health information-seeking. This was a cross-sectional study of 143 English-speaking pregnant women who were recruited from a prenatal clinic and were 18 years of age or older in 2007-2008. Health literacy, self-efficacy, fetal health locus of control, and health information-seeking were measured using the Short Form of the Test of Functional Health Literacy in Adults, the Health Information Competence Scale, the Fetal Health Locus of Control Scale, and the Pregnancy Health Information-Seeking Scale. Health literacy was not significantly correlated with health information-seeking. Self-efficacy (r = .33) and internal fetal health locus of control (r = .27) demonstrated significant correlations with health information-seeking, and together they accounted for 15% of the variance in health information-seeking. After controlling for covariates, self-efficacy (p = .0006) and internal fetal health locus of control (p = .03) remained significantly associated with health information-seeking. In conclusion, pregnant women's characteristics, such as self-efficacy and internal fetal health locus of control belief, are associated with their health information-seeking during pregnancy.

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Section: Characteristics Of Participantscontrasting

confidence: 74%

Section: Discussioncontrasting

confidence: 61%

Section: Health Literacy and Health Information-seekingmentioning

confidence: 95%

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Factors Associated with Health Information-Seeking in Low-Income Pregnant Women

2010

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Section: Introductionmentioning

confidence: 99%

“…Health literacy is lower in women with type 2 diabetes compared to type 1 (34). Using a Test of Functional Health Literacy in Adults (TOFHLA) Endres identified that only 70% of pregnant women with type 2 diabetes, compared to 83% with type 1 diabetes had adequate health literacy (34). It is essential that providers assess patient recall/comprehension and tailor explanation to understanding, especially for those with low health literacy to aid adherence to recommendations (35).…”

Section: Introductionmentioning

confidence: 99%

Preconception Care for Women with Type 1 and Type 2 Diabetes—The Same But Different

Keely

2012

Canadian Journal of Diabetes

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Association of Health Literacy Among Nulliparous Individuals and Maternal and Neonatal Outcomes

et al. 2021

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IMPORTANCE Health literacy is considered an important social determinant of health that may underlie many health disparities, but it is unclear whether inadequate health literacy among pregnant individuals is associated with adverse maternal and neonatal outcomes.OBJECTIVE To assess the association between maternal health literacy and maternal and neonatal outcomes among nulliparous individuals. DESIGN, SETTING, AND PARTICIPANTSThis was a secondary analysis of a large, multicenter cohort study of 10 038 nulliparous individuals in the US (2010)(2011)(2012)(2013). Participants underwent 3 antenatal study visits and had detailed maternal and neonatal data abstracted. Data analysis was performed from July to December 2019.EXPOSURES Between 16 and 21 weeks of gestation, health literacy was assessed using the Rapid Estimate of Adult Literacy in Medicine-Short Form, a validated 7-item word recognition test. In accordance with standard scoring, results were dichotomized as inadequate vs adequate health literacy. MAIN OUTCOMES AND MEASURESOn the basis of theoretical causal pathways between health literacy and health outcomes, a priori maternal and neonatal outcomes (determined via medical records) were selected for this analysis. Multivariable Poisson regression models were constructed to estimate the associations between health literacy and outcomes. Sensitivity analyses in which education was removed from models and that excluded individuals who spoke English as a second language were performed. RESULTSOf 9341 participants who completed the Rapid Estimate of Adult Literacy in Medicine-Short Form, the mean (SD) age was 27.0 (5.6) years, and 2540 (27.4%) had publicly funded prenatal care. Overall, 1638 participants (17.5%) had scores indicative of inadequate health literacy. Participants with inadequate health literacy were more likely to be younger (mean [SD] age, 22.9 [5.0] vs 27.9 [5.3] years), have less educational attainment (some college education or greater, 1149 participants [73.9%] vs 5279 participants [94.5%]), have publicly funded insurance (1008 participants [62.2%] vs 1532 participants [20.0%]), and report they were a member of an underrepresented racial or ethnic group (non-Hispanic Black, 506 participants [30.9%] vs 780 participants [10.1%]; Hispanic, 516 participants [31.5%] vs 948 participants [12.3%]) compared with those with adequate health literacy. Participants who had inadequate health literacy had greater risk of cesarean delivery (adjusted risk ratio [aRR], 1.11; 95% CI, 1.01-1.23) and major perineal laceration (aRR, 1.44; 95% CI, 1.03-2.01). The adjusted risks of small-for-gestational-age status (aRR, 1.34; 95% CI, 1.14-1.58), low birth weight (aRR, 1.33; 95% CI, 1.07-1.65), and 5-minute Apgar score less than 4 (continued) Key Points Question Is maternal health literacy associated with maternal and neonatal health outcomes? Findings In this cohort study of 10 038 nulliparous individuals, those with inadequate health literacy had greater odds of cesarean delivery, major perineal lacerations, and ne...

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Health Literacy and Pregnancy Preparedness in Pregestational Diabetes

Cited by 28 publications

References 0 publications

Factors Associated with Health Information-Seeking in Low-Income Pregnant Women

Factors Associated with Health Information-Seeking in Low-Income Pregnant Women

Preconception Care for Women with Type 1 and Type 2 Diabetes—The Same But Different

Association of Health Literacy Among Nulliparous Individuals and Maternal and Neonatal Outcomes

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