Measuring maternal health literacy in adolescents attending antenatal care in a developing country – the impact of selected demographic characteristics

Naigaga, Mpolampola Desire Alice Sandra; Guttersrud, Øystein; Pettersen, Kjell Sverre

doi:10.1111/jocn.12796

Cited by 31 publications

(42 citation statements)

References 21 publications

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“…Students not confident in filling out forms were also more likely to be younger, not use a rescue medication, and have mothers with little formal education. Our findings are consistent with previous studies demonstrating that younger adolescents are more likely to have lower health literacy than their older counterparts [26,32]. Some authors suggest that this may be due to the fact that older adolescents, particularly those with chronic illness, have more experience with the health care system [30,43] or have been socialized about health, via media and interpersonal experiences, longer than their younger counterparts [30,26].…”

Section: Discussionsupporting

confidence: 92%

“…Other studies have examined the association between adolescent health literacy medication adherence [21,22] and chronic illness outcomes [21,23,24]. More recently, the role of the Internet on adolescent health-information seeking and health literacy has received increased attention in the literature [25–29], as has the role of cultural factors and socialization on adolescent health literacy [26,30–32]. …”

Section: Introductionmentioning

confidence: 99%

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Examining health literacy among urban African-American adolescents with asthma

et al. 2016

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Objective This exploratory study assessed health literacy among urban African-American high school students to improve understanding of the association between adolescent health literacy and asthma. Methods We conducted a secondary data analysis of the control group (n = 181) of the Puff City randomized controlled trial (2006–2010), a web-based intervention to promote asthma management among students, grades 9 through 12. A validated self-report 3-item health literacy screening instrument was completed at final online follow-up survey. Logistic regression was used to explore the association between health literacy, demographic characteristics, quality of life, asthma management, and health care utilization. Results Multivariate analysis revealed that an overall inadequate health literacy score was associated with students who were more likely to be younger (OR 0.61; 95% CI 0.44–0.84), not on Medicaid (OR 0.36; 95% CI 0.17–0.76), have at least one hospitalization (OR 1.29; 95% CI 1.07–1.56); and a lower overall quality of life (OR 0.75; 95% CI 0.59–0.95). Those lacking confidence in filling out medical forms, needing help reading hospital materials, and having difficulty understanding written information were more likely to not have a rescue inhaler (OR 0.49; 95% CI 0.25–0.94), have one or more emergency visits (OR 1.21–95% CI 1.02–1.43), and one or more hospitalizations (OR 1.19; 95% CI 1.01–1.41), respectively. Conclusions The findings indicate a significant association between inadequate health literary and suboptimal asthma management. It is important to advance understanding of adolescent health literacy, especially those at-risk, as they assume asthma self-management tasks and move toward independent adult self-care.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Examining health literacy among urban African-American adolescents with asthma

et al. 2016

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“…Likewise, no significant association was found in this study between health literacy and missing appointments. This is in contrast to much of the literature that has identified low health literacy during pregnancy as a reason for missing appointments [26,31]. However, delaying care was associated with a lower literacy level, which has been identified previously in a systematic review as a barrier to timely care attendance [32].…”

Section: Discussioncontrasting

confidence: 73%

Individual and healthcare system factors influencing antenatal care attendance in Saudi Arabia

Alanazy

Brown

2020

BMC Health Serv Res

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Background: The World Health Organisation recommends women have at least four antenatal care visits (ANC) during a low risk pregnancy. However, in Saudi Arabia, many mothers miss these appointments, placing their health and that of their baby at risk. Limited research which has explored why this is happening has focused on low maternal education or personal barriers such as lack of transport. The aim of the current research was therefore to understand what factors at the individual and healthcare systems level were associated with missing antenatal care in Saudi Arabia. Methods: Two hundred and forty-two pregnant women in their third trimester completed a questionnaire examining their care attendance (appointments missed, planned future attendance, timing of first appointment) alongside barriers to attending care. These included maternal demographic background, health literacy, personal barriers, health care system factors and staff communication). Results: Over half of women surveyed had missed at least one appointment and a third had delayed their care. Mothers who had missed or delayed appointments blamed health care system factors such as poor clinic facilities and waiting times. Attending care was not associated with maternal education or literacy, although mothers with a lower level of literacy were more likely to delay care. However, perceptions of staff communication, consistency and care were lower amongst mothers who had missed at least one appointment. Conclusions: Although in previous research health professionals believe it is maternal education that leads to poor attendance, in our sample at least, perceptions of staff communication and clinic facilities were instead associated with attendance. Making changes at the health care level e.g. through adapting clinic times and investing in staff training may increase antenatal care attendance in Saudi Arabia.

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“…Likewise, no significant association was found in this study between health literacy and missing appointments. This is in contrast to much of the literature that identified that low health literacy during pregnancy as a reason for missing appointments 26,31 . However, delaying care was associated with a lower literacy level, which has been extensively identified in review papers as a barrier to timely care attendance 32 .…”

Section: Discussioncontrasting

confidence: 83%

Individual and healthcare system factors influencing antenatal care attendance in Saudi Arabia

Alanazy

Brown

2019

Preprint

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Background The World Health Organisation recommends women have at least 4 antenatal care visits (ANC) during a low risk pregnancy. However, in Saudi Arabia, many mothers miss these appointments placing their health and that of their baby at risk. Limited research exploring why this is happening usually focuses on low maternal education or personal barriers such as lack of transport. The aim of the current research was therefore to understand what factors at the individual and healthcare systems level were associated with missing antenatal care in Saudi Arabia.Methods Two hundred and forty two pregnant women in their third trimester completed a questionnaire examining their care attendance alongside barriers to attending care. These included maternal demographic background, health literacy, personal barriers, health care system factors and staff communication).Results Over half of women had missed at least one appointment and a third had delayed their care. Mothers who had missed appointments blamed health care system factors such as poor clinic facilities and waiting times. Attending care was not associated with maternal education or literacy. However perceptions of staff communication, consistency and care were lower amongst those who had missed at least one appointment.Conclusions Although in previous research health professionals believe it is maternal education that leads to poor attendance, in our sample at least, it is in fact perceptions of staff communication that affect attendance. Making changes at the health care level e.g. through adapting clinic times and investing in staff training may increase antenatal care attendance in Saudi Arabia.

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Measuring maternal health literacy in adolescents attending antenatal care in a developing country – the impact of selected demographic characteristics

Cited by 31 publications

References 21 publications

Examining health literacy among urban African-American adolescents with asthma

Examining health literacy among urban African-American adolescents with asthma

Individual and healthcare system factors influencing antenatal care attendance in Saudi Arabia

Individual and healthcare system factors influencing antenatal care attendance in Saudi Arabia

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