The Effect of Health Literacy on Obstetric Decisions of Women in Reproductive Age

Mahsun, Esra Beşir; Demirci, Hakan

doi:10.29228/ehlj.52485

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Adequate HL increases participation in cancer screening ( 26 ). In a study questioning the relationship between HL and health screening in women, it was shown that improving HL should be an integral part of breast and cervical cancer screening programs.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study

Türe

Bhattacharya

Demirci

et al. 2022

Front. Public Health

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AimThis study aimed to evaluate the relationship between health literacy (HL) and chronic obstructive pulmonary disease (COPD) severity.MethodsPulmonary function test, sociodemographic features, Modified Medical Research Council (mMRC) dyspnea scale, COPD assessment test (CAT), and the European Health Literacy Survey Questionnaire were used. The study examined 13,760 patients who underwent a pulmonary function test. Out of 13,760 patients, 673 patients had FEV1/FVC values less than 70%. Those with FEV1/FVC< 0.70 (n = 336) after the reversibility test were included in the study.ResultsThere was a significant decrease in HL and an increase in COPD severity (p < 0.001). In multivariate analysis, the risk of severe COPD was 2.74 times higher in patients in the poor income level than in patients in the good income level. In patients with inadequate HL, the risk of developing severe COPD was 1.80 times higher. A significant difference was found in HL index scores among the groups in terms of education level and income level (p < 0.001; p < 0.001, respectively). The most difficult topics for patients with COPD were periodic health examinations, good practices in mental health, and adult vaccinations.ConclusionsPatients with COPD were found to be at a HL level well below the expected level. The risk of severe COPD increased with poor income and inadequate HL. Healthcare providers should be careful in accessing, understanding, and interpreting the health information of patients with inadequate HL. Therefore, patient education should be prioritized in the follow-up and in the treatment of patients with COPD. Physicians should pay maximum attention to patients with COPD in the regular use of drugs, their proper use, in taking preventive measures, and in adult vaccination.

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Section: Discussionmentioning

confidence: 99%

Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study

Türe

Bhattacharya

Demirci

et al. 2022

Front. Public Health

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A Prospective Evaluation of Health Literacy Levels of Pregnant Women in Antenatal Classes: Impact on Delivery Outcomes in Nulliparous and Multiparous Women

Rahimli Ocakoglu,

Atak,

Uyaniklar

et al. 2024

Diagnostics

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Backgrounds/Objectives: Modern technology and educational activities, such as antenatal classes (ACs), increase patient informedness in medicine and improve collaboration between physicians and patients. The present study aimed to evaluate and compare the impact of maternal health literacy (HL) on delivery outcomes between nulliparous and multiparous women who attended antenatal classes. Methods: This prospective study recruited 281 pregnant women who regularly attended ACs, but only 188 who gave birth at our academic tertiary hospital were included in the final analysis. Socio-demographic characteristics, peripartum data (cervical dilatation at the time of admission to the hospital, duration of labor, and mode of delivery), and obstetric interventions (cesarean section (C/S) rate and rate of instrumental vaginal birth and episiotomy) were recorded, and the level of HL was assessed using the European Health Literacy Survey Questionnaire (HLS-EU-Q16). HL levels did not significantly affect peripartum and postpartum outcomes. Results: The study results showed that HL levels did not impact labor duration and newborn Apgar scores (p > 0.05). Patient education levels and employment status affected the peripartum duration of labor (p = 0.048 and p = 0.001, respectively). There were no differences in the HL total score and subscale scores (p > 0.05) between nulliparous and multiparous patients, and the rate of primary C/S was similar in both groups. Conclusions: HL levels did not impact delivery (peripartum) outcomes in pregnant women who attended antenatal classes. However, the primary C/S rate was similar between the nulliparous and multiparous groups, which may indicate that antenatal education services can correct the negative impact of low HL levels on the primary C/S rate.

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The Effect of Health Literacy on Obstetric Decisions of Women in Reproductive Age

Cited by 2 publications

References 12 publications

Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study

Health Literacy and Health Outcomes in Chronic Obstructive Pulmonary Disease Patients: An Explorative Study

A Prospective Evaluation of Health Literacy Levels of Pregnant Women in Antenatal Classes: Impact on Delivery Outcomes in Nulliparous and Multiparous Women

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