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. 2025 Jan;36(1):e902.
doi: 10.1002/hpja.902. Epub 2024 Jul 17.

Health literacy and non-communicable disease knowledge of pregnant women and mothers in Tasmania: Qualitative exploration

Satish Melwani  1   2 , Verity Cleland  3 , Kira Patterson  4 , Rosie Nash  1
Affiliations

Health literacy and non-communicable disease knowledge of pregnant women and mothers in Tasmania: Qualitative exploration

Satish Melwani et al. Health Promot J Austr. 2025 Jan.

Abstract

Issue addressed: The World Health Organisation is prioritising health literacy development to address the growing burden of non-communicable diseases (NCDs). Empowering pregnant women and mothers through health literacy development may help to reduce the intergenerational impact of NCDs. However, significant gaps exist in understanding the health literacy needs of this priority population globally.

Methods: This study aimed to qualitatively explore the health literacy strengths and challenges as well as NCDs knowledge and beliefs of pregnant women and mothers with young children (0-8 years) in Tasmania. Data were collected online using in-depth semi-structured interviews and analysed inductively using reflexive thematic analysis.

Results: Twenty women (mean age 35.5 years, standard deviation 5.13) participated. Four parent themes were generated from the data: perceived knowledge and awareness of NCDs and their causative factors; social determinants of health and the surrounding environment; social networks and peer support as health navigator; and trust in health services and social connections. These themes highlighted diverse factors that influenced the participant's access and use of health information and services and their engagement in healthy lifestyle practices and active health management.

Conclusion: Participants demonstrated good knowledge and awareness about NCDs and associated risk factors but experienced numerous health literacy strengths and challenges which influenced their access to health care and engagement in healthy lifestyle practices.

So what: This study highlights the need to address the diverse health literacy needs of pregnant women and mothers through codesigning locally informed health literacy development strategies combined with the creation of enabling service environments to reduce the growing burden of NCDs.

Keywords: health literacy; health needs; non‐communicable disease knowledge; pregnancy; women's health.

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Conflict of interest statement

Dr Rosie Nash is Editorial Board member of Health Promotion Journal of Australia and co‐author of this article. To minimise bias, they were excluded from all editorial decision‐making related to the acceptance of this article for publication.

Figures

FIGURE 1
FIGURE 1
Risk factors for non‐communicable diseases (NCDs) in pregnant women and mothers (adapted from Marmot & Bell, 2019 and WHO, 2022 6 ).
FIGURE 2
FIGURE 2
Connection between the four parent themes.
See this image and copyright information in PMC

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References

    1. World Health Organization . Shanghai Declaration on promoting health in the 2030 Agenda for Sustainable Development, 9th Global Conference on Health Pormotion, Shanghai, 21‐24 November 2016. 2016. Available from: https://www.who.int/publications/i/item/WHO-NMH-PND-17.5 - PubMed
    1. World Health Organization . Health literacy development for the prevention and control of noncommunicable diseases. 2022. Available from: https://www.who.int/groups/gcm/health‐literacy‐development‐for‐ncd‐preve...
    1. World Health Organization . Health literacy toolkit for low‐ and middle‐income countries: a series of information sheets to empower communities and strengthen health systems. India: World Health Organisation, Regional Office for South‐East Asia; 2015. Available from: https://apps.who.int/iris/bitstream/handle/10665/205244/B5148.pdf?sequen...
    1. Osborne RH, Cheng CC, Nolte S, Elmer S, Besancon S, Budhathoki SS, et al. Health literacy measurement: embracing diversity in a strengths‐based approach to promote health and equity, and avoid epistemic injustice. BMJ Glob Health. 2022;7(9):e009623.
    1. Trezona A, Dodson S, Osborne RH. Development of the organisational health literacy responsiveness (Org‐HLR) framework in collaboration with health and social services professionals. BMC Health Serv Res. 2017;17(1):513. - PMC - PubMed