Improvement in maternal health literacy among pregnant women who did not complete compulsory education: policy implications for community care services
Improvement in maternal health literacy among pregnant women who did not complete compulsory education: policy implications for community care services
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DOI：
10.1016/j.healthpol.2004.11.007
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发表时间：
2005-05-01
期刊：
影响因子：
3.3
通讯作者：
Takano, T
中科院分区：
文献类型：
--
作者：
Ohnishi, M;Nakamura, K;Takano, T
本文考察了影响巴拉圭孕妇孕产妇保健知识普及程度提高的因素，包括那些没有完成义务教育但参加了社区产前保健方案的孕妇。进行了结构化访谈，以评估孕妇在第一次、第二次和第三次访问Caazapa地区该方案期间的孕产妇保健素养。采用多元回归分析方法，分析个体孕产妇保健知识得分与孕产妇保健知识增益、卫生保健人员能力、现有卫生设施设备、社区社会网络和生活环境之间的关系。完成连续三次评估的124名妇女的平均产妇保健知识得分在第一次和第三次访谈之间有所增加。医护人员能力的提高和生活环境的改善与孕产妇保健知识得分的提高有显著相关（p < 0.01）。更广泛地实施以社区为基础的产前保健方案，以满足那些不懂该国标准语言的功能性文盲的需求，培训社区保健人员以提高能力，并为社区社会网络提供资源，这些都将有助于提高孕产妇保健知识。2004爱思唯尔爱尔兰有限公司版权所有。
This paper examined factors that influence the improvement in maternal health literacy among pregnant women in Paraguay, including those who did not complete compulsory education but participated in a community-based antenatal care program. Structured interviews were conducted to evaluate the pregnant women's maternal health literacy during their first, second, and third visits to the program in the Caazapa Region. The associations between individual maternal health knowledge scores and its gains, healthcare personnel capabilities, available health facility equipment, community social network, and living environment were analyzed by multiple regression analysis. The mean maternal health knowledge score from 124 women who completed three-consecutive assessments increased between the first and third interviews. Higher capabilities of healthcare personnel and better living environment were significantly related to gains in the maternal health knowledge score (p < 0.01). Wider application of a community-based antenatal care program to meet the needs of those who are functionally illiterate in the standard language of the country, training for community healthcare personnel to improve capabilities, and resources for social network in the community would contribute to the improvement in maternal health literacy. (c) 2004 Elsevier Ireland Ltd. All rights reserved.