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. 2024 Jun 11;25(1):209.
doi: 10.1186/s12875-024-02467-5.

Investigating the relationship between health literacy and preconceptual care components during the first 14 weeks of pregnancy: a cross-sectional study

Fatemeh Sajjadian  1 , Leila Amiri-Farahani  2 , Shima Haghani  3 , Sally Pezaro  4   5
Affiliations

Investigating the relationship between health literacy and preconceptual care components during the first 14 weeks of pregnancy: a cross-sectional study

Fatemeh Sajjadian et al. BMC Prim Care. .

Abstract

Background and aim: Preconceptual care aiming to improve health is influenced by various factors including health literacy. Considering the importance and necessity of high quality preconceptual care, this study aimed to determine the relationship between health literacy and receiving components of preconceptual care prior to pregnancy.

Methods: This cross-sectional study included 693 participants with pregnancies of less than 14 weeks gestation referred to health centers and gynecologists in Shiraz city, Iran. Multi-stage sampling was done from May 2021 to February 2022 in 18 comprehensive urban health centers and 20 gynecology offices via proportional allocation method. The data collection tool comprised a questionnaire consisting of 3 parts: (1) individual and fertility characteristics, (2) information related to the components of preconceptual care and (3) health literacy for Iranian adults. This was completed by individual participants via the self-reporting method.

Results: The majority of participants were between 30 and 34 years old. They also identified as women with a university education and were predominantly unemployed. The mean health literacy of participants was 76.81%. Health literacy obtained the highest mean score in the dimension of 'understanding' and the lowest mean score in the dimension of 'access'. The frequency of preconceptual counseling, folic acid supplement consumption, exercise, blood testing, dental visits, genetic counseling, Pap smear testing and rubella, diphtheria, and hepatitis vaccinations prior to pregnancy was 66.8%, 53.8%, 45.6%, 71.86%, 44.44%, 12%, 53.4%, 10.83%, respectively. Many (> 64%) received preconceptual care at specialist gynecology offices. Results demonstrated that health literacy had a statistically significant relationship with preconceptual care, folic acid consumption, exercise and dental care, (p < 0.001), along with blood testing and Pap smear testing (p < 0.05).

Conclusion: Overall, our results demonstrate that despite health literacy being optimal, uptakes of some components of preconceptual care are low. As such, it will be important to further raise awareness of the importance of preconceptual care for people prior to pregnancy as a priority in health promotion and education.

Keywords: Folic acid consumption; Health literacy; Preconceptual care; Pregnancy; Preventative healthcare.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Flow chart of participant selection
See this image and copyright information in PMC

References

    1. Ministry of Health TaME, Office of Family and Population Health, Department of Maternal Health . Safe Mother Country Program: Integrated Maternal Health Care. 7, editor. IRAN: PADIDEH GOYA; 2023.
    1. CDC. PERCONCEPTION CARE Content source: Centers for Disease Control and Prevention2020 [updated February 26,2020. https://www.cdc.gov/preconception/overview.html.
    1. de Lima A, Zelinkova Z, Mulders AGMGJ, van der Woude CJ. Preconception Care reduces relapse of inflammatory bowel disease during pregnancy. Clin Gastroenterol Hepatol. 2016;14(9):1285–e921. doi: 10.1016/j.cgh.2016.03.018. - DOI - PubMed
    1. Schummers L, Hutcheon JA, Bodnar LM, Lieberman E, Himes KP. Risk of adverse pregnancy outcomes by prepregnancy body mass index: a population-based study to inform prepregnancy weight loss counseling. Obstet Gynecol. 2015;125(1):133. doi: 10.1097/AOG.0000000000000591. - DOI - PMC - PubMed
    1. Bortolus R, Oprandi NC, Rech Morassutti F, Marchetto L, Filippini F, Agricola E et al. Why women do not ask for information on preconception health? A qualitative study. BMC Pregnancy Childbirth. 2017;17(1). - PMC - PubMed