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


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


Maternal health literacy, Health behaviors during pregnancy, Pregnant women


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.


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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



Research Article