Maternal Health Literacy and Health Behaviors During Pregnancy of First-Time Pregnant Women

Authors

  • Patcharida Yeethohun Faculty of Nursing, Chiang Mai University
  • Nantaporn Sansiriphun Faculty of Nursing, Chiang Mai University
  • Jirawan Deeluea Faculty of Nursing, Chiang Mai University

Keywords:

Maternal health literacy, Health behaviors during pregnancy, Pregnant women

Abstract

Maternal health literacy and health behaviors during pregnancy are very important for the health status of pregnant women and their fetus. The purpose of this descriptive correlational research was to explore the relationship between maternal health literacy and health behaviors during pregnancy of first-time pregnant women. The participants were 84 primigravida pregnant women attending antenatal care at Maharaj Nakorn Chiang Mai Hospital and Health Promotion Center Region 1 Chiang Mai. The research instruments consisted of 1) a personal information questionnaire; 2) the maternal health literacy scale by Guttersrud et al., translated into Thai by Waraphok et al., with reliability determined by a Cronbach’s alpha coefficient of .88; and 3) a questionnaire on the health behavior of pregnant women developed by the researchers, with content validity of 1. The questionnaire’s reliability was tested by Cronbach’s alpha coefficient, yielding a value of .86. Data were analyzed by descriptive statistics and Spearman’s rank correlation coefficient.

The research found that:
1. Participants (63.10%) had a high level of maternal health literacy with a mean score of 64.02 (SD = 11.67).
2. Participants (79.76%) had a high level of health behaviors during pregnancy with a mean score of 176.15 (SD = 23.77).
3. Maternal health literacy had a statistically significant positive correlation with health behaviors during pregnancy of first-time pregnant women at a high level (r = .81, p < .001).

The results of this study can be used as basic information and as a guideline for healthcare personnel to improve maternal health literacy. This can improve health behaviors during pregnancy among first-time pregnant women.

References

Addila, A. E., Azale, T., Gete, Y. K., & Yitayal, M. (2021). The effects of maternal alcohol consumption during pregnancy on adverse fetal outcomes among pregnant women attending antenatal care at public health facilities in Gondar town, Northwest Ethiopia: A prospective cohort study. Substance Abuse Treatment, Prevention, and Policy, 16(1), 64. https://doi.org/10.1186/s13011-021-00401-x

Bello, C. B., Esan, D. T., Akerele, S. A., & Fadare, R. I. (2022). Maternal health literacy, utilisation of maternal healthcare services and pregnancy outcomes among newly delivered mothers: A cross-sectional study in Nigeria. Public Health in Practice, 3, 100266. https://doi.org/10.1016/j.puhip.2022.100266

Bennett, I. M., Culhane, J. F., McCollum, K. F., Mathew, L., & Elo, I. T. (2007). Literacy and depressive symptomatology among pregnant Latinas with limited English proficiency. American Journal of Orthopsychiatry, 77(2), 243-248.

Blackburn, S. T. (2018). Maternal, fetal, & neonatal physiology: A clinical perspective (5th ed.). Saunders.

Bouwland-Both, M. I., Steegers-Theunissen, R. P. M., Vujkovic, M., Lesaffre, E. M. E. H., Mook-Kanamori, D. O., Hofman, A., Lindemans, J., Russcher, H., Jaddoe, V. W. V., & Steegers, E. A. P. (2012). A periconceptional energy-rich dietary pattern is associated with early fetal growth: The generation R study. BJOG: An International Journal of Obstetrics & Gynaecology, 120(4), 435-445.

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.

Gochman, D. S. (Ed.). (1997). Handbook of health behavior research II: Provider determinants. Springer.

Grieger, J. A., Grzeskowiak, L. E., & Clifton, V. L. (2014). Preconception dietary patterns in human pregnancies are associated with preterm delivery. The Journal of Nutrition, 144(7), 1075-1080.

Guttersrud, Ø., Naigaga, M. D. A. S., & Pettersen, K. S. (2015). Measuring maternal health literacy in adolescents attending antenatal care in Uganda: Exploring the dimensionality of the health literacy concept studying a composite scale. Journal of Nursing Measurement, 23(2), 50E-66.

Harsch, S., Jawid, A., Jawid, E., Saboga-Nunes, L., Sørensen, K., Sahrai, D., & Bittlingmayer, U. H. (2021). Health literacy and health behavior among women in Ghazni, Afghanistan. Frontiers Public Health, 9, 629334. https://doi.org/10.3389/fpubh.2021.629334

Indhraratana, A. (2014). Health literacy of health professionals. Journal of The Royal Thai Army Nurses, 15(3), 174-178. (in Thai)

Kaeodumkoeng, K. (2018). Health literacy: Access, understand and application. (2nd ed.). Amarin Printing and Publishing Public. (in Thai)

Kaeodumkoeng, K., & Triphetseurai, N. (2011). Health literacy. New Thammada press. (in Thai)

Kammeeon, S., & Rujiraprasert, N. (2016). Relationship between maternal age, gestational age, number of pregnancies and fears associated with pregnancy and childbirth. Journal of Nursing and Health Care, 34(2), 77-86. (in Thai)

Kamphuis, C. B. M., Groeniger, J. O., Poelman, M. P., Beenackers, M. A., & Lenthe, F. J. (2019). How does bridging social capital relate to health-behavior, overweight and obesity among low and high educated groups? A cross-sectional analysis of GLOBE-2014. BMC Public Health, 19(1), 1635. https://doi.org/10.1186/s12889-019-8007-3

Khwanprom, R., Chareonsanti, J., & Sriarporn, P. (2021). Health literacy and exercise behaviors among pregnant women. Nursing Journal, 48(1), 210-221. (in Thai)

Lowdermilk, D. L., Perry, S. E., Cashion, M. C., & Alden, K. R. (2016). Maternity and women’s health care (11th ed.). Mosby.

Lupattelli, A., Picinardi, M., Einarson, A., & Nordeng, H. (2014). Health literacy and its association with perception of teratogenic risks and health behavior during pregnancy. Patient Education and Counseling, 96(2), 171-178.

Modh, C., Lundgren, I., & Bergbom, I. (2011). First time pregnant women’s experiences in early pregnancy. International Journal of Qualitative Studies on Health and Well-Being, 6(2). https://doi.org/10.3402/qhw.v6i2.5600

Moya, J., Phillips, L., Schuda, L., Sanford, J. D., Wooton, M. A., & Gregg, A. (2015). Issue paper on physiological and behavioral changes in pregnant and lactating women and available exposure factors. https://cfpub.epa.gov/ncea/risk/hhra/recordisplay.cfm?deid=310325

Olander, E. K., Smith, D. M., & Darwin, Z. (2018). Health behaviour and pregnancy: A time for change. Journal of Reproductive and Infant Psychology, 36(1), 1-3.

Poorman, E., Gazmararian, J., Elon, L., & Parker, R. (2014). Is health literacy related to health behaviors and cell phone usage patterns among the text 4 baby target population? Archives of Public Health, 72(1), 13. https://doi.org/10.1186/2049-3258-72-13

Preesong, K. (2015). Factors related to self-care behaviors of pregnant women at Bangna 5 hospital, Samutprakarn Province. Romphruek Journal of the Humanities and Social Sciences, 33(3), 116-136. (in Thai)

Sakcharoen, P. (2015). Adult learning theory and self-directed learning concept: Learning process for promoting lifelong learning. Journal of The Royal Thai Army Nurses, 16(1), 8-13. (in Thai)

Sobh, E., Mohammed, A. M., Adawy, Z., Nassef, A. H., & Hasheesh, A. (2021). The impact of secondhand smoke exposure on the pregnancy outcome: A prospective cohort study among Egyptian community. The Egyptian Journal of Bronchology, 15, 50. https://doi.org/10.1186/s43168-021-00097-4

Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12, 80. https://doi.org/10.1186/1471-2458-12-80

Surita, F. G., Paulino, D. S. M., & Pinho-Pompeu, M. (2020). Health-related behaviors in pregnancy: A key to achieve better outcomes. Revista Brasileira de Ginecologia e Obstetrícia, 42(3), 121-123.

Thiansawat, S. (2007). Content validity index: Critique and recommendation for computation. Nursing Journal, 34(4), 1-9. (in Thai)

Waraphok, S., Ratinthorn, A., & Limruangrong, P. (2020). Factors influencing maternal health literacy in pregnant women. Journal of Thailand Nursing and Midwifery Council, 35(1), 86-98. (in Thai)

World Health Organization. (1998). Health promotion glossary. https://www.naspa.org/images/uploads/kcs/World_Health_Organization_-_Health_Promoting_Glossary_%281998%29.pdf

World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. https://www.who.int/publications/i/item/9789241549912

World Health Organization. (2021). New brief outlines devastating harms from tobacco use and exposure to second-hand tobacco smoke during pregnancy and throughout childhood - report calls for protective policies. https://www.who.int/news/item/16-03-2021-new-brief-outlines-devastating-harms-from-tobacco-use-and-exposure-to-second-hand-tobacco-smoke-during-pregnancy-and-throughout-childhood

Downloads

Published

2024-03-27

How to Cite

Yeethohun, P., Sansiriphun, N., & Deeluea, J. (2024). Maternal Health Literacy and Health Behaviors During Pregnancy of First-Time Pregnant Women. Nursing Journal CMU, 51(1), 223–236. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/265801

Issue

Section

Research Article