Predicting factors influencing prenatal care based on Health Literacy in Balochistan primigravida Women

Document Type : Original Article

Authors

1 Zahedan University of Medical Sciences

2 Ph.D. Dept. of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran

Abstract

Background and Objective: Maternal health literacy is a key and important factor in ensuring prenatal care, prenatal health, and the successful outcomes of this period. The aim of this study was to determine the predicting factors of prenatal care based on health and demographic factors in Balochistan pregnant women.
Materials and Methods: This analytical cross-sectional study was performed on 430 primigravida womenreferring to Balochistan urban health centers in Iran, who were selected by multi-stage cluster sampling, between June and September of 2017. The data collection tool was Health Literacy for Iranian Adults (HELIA) questionnaire, and a researcher-made questionnaire for measuring prenatal care. Data analysis was performed using descriptive statistics and binomial logistic regression analysis.
Results: The mean (standard deviation) of prenatal care behaviors and health literacy were 13.11 (2.18) of 22 and 65.97 (17.49) of 100, respectively. In this study, 17.3% (75 people) of pregnant women had low health literacy, 30.6% (132 people) had inadequate health literacy, 35.5% (153 persons) had adequate health literacy and 16.27% (70 people) had high health literacy. Among variables, only health literacy was predicting of prenatal care behaviors (P = 0.004, OR = 027/1), indicating that with 1 unit increase in this variable, prenatal care behaviors were 1.027 times higher.
Conclusion: Regarding the predictability of health literacy on prenatal care behaviors, it is essential to develop education program using health literacy strategies  for improving prenatal care.
Paper Type: Research Article

Keywords


1. Roozbeh N, Nahidi F, Hajiyan S. Barriers related to prenatal care utilization among women. Saudi Med J 2016; 37(12): 1319–1327.
2.  Bostani Khalesi Z, Rafat F, Pakseresht S. Relationship between adequacy of prenatal care utilization index and neonatal outcomes. J Holist Nurs 2015; 25(76): 8-15.
3.  Centers for Disease Control and Prevention. Core State Preconception Health Indicators Pregnancy Risk Assessment Monitoring System and Behavioral Risk Factor Surveillance System, 2009. Morb Mortal Wkly Rep 2014; 63(3): 1-62.
4.  Kim J, Chagarlamudi H, Patil S, Bray E. Gestational Weight Gain and Pregnancy Risk Factors among Low Income women. The FASEB Journal 2017; 31(1): 789-97.
5.  Jabbari-Beyrami H,  Alizadeh M, Bakhshian F,  Khanlarzadeh E,  Heidari F, Khamnian Zh. Adequacy of prenatal care and its association with pregnancy outcomes: A comparison of indices in Tabriz, Iran. J Anal Res Clin MED 2015; 3(1): 12-6.
6.  Zhianian A, Zareban I, Ansari-Moghaddam A, Rahimi S. Improving Self-care Behaviors in Pregnant Women in Zahedan: Applying Self-efficacy Theory. Caspian J Intern Med 2015; 1(1): 18-26.
7. ShamshiriMilani H, Khazaie F, Rassouli M, Ramezankhani A. Explanation of women’s and family health care personnel’s perception of the barriers of pre-pregnancy care coverage: a qualitative study. Journal of Health in the Field 2016; 4(3): 18-27.
8.  Pandey S, Karki S. Socio-economic and Demographic Determinants of Antenatal Care Services Utilization in Central Nepal. IJMA 2014; 2 ( 2): 212-19.
9. Jody RL, Henrietta OD, Carol JB,Tanima B, Richard  MK. Improving health literacy through group antenatal care: a prospective cohort study. BMC Pregnancy and Childbirth 2017; 17  (228): 1-9.
10. World Health Organization. Health promotion glossary. Geneva [Switzerland]: World Health Organization; 1998. Available at: http://www.who.int/healthpromotion/about/HPG/en/.Accessed May 6, 2016
11. Kharazi SS, Peyman N, Esmaily H. An Evaluation of the Validity and Reliability of the Maternal Health Literacy and Pregnancy Outcome Questionnaire. J Health Syst Res 2017; 12(4): 512-9.
12. Kharazi SS, Peyman N, Esmaily H. Association between maternal health literacy level with pregnancy care and its outcomes. IJOGI  2016; 19(37): 40-50.
13.  Mojoyinola  JK. Influence of  Maternal Health Literacy on Healthy Pregnancy and Pregnancy Outcomes of Women Attending Public Hospitals in Ibadan, Oyo State, Nigeria. AFRREV 2011; 5(3): 28-39.
14. Sajjadi H, Hosseinpour N, Sharifian Sani M, Mahmoodi Z. Association between Health Literacy and Life Style in Married Rural Women in Izeh, Iran. Journal of Health 2016; 7(4): 479- 89.
15. Safari –Moradabadi A, Aghamolaei T, Ramezankhani  A, Dadipoor  S. The Health  Literacy of Pregnant Women in Bandar Abbas, Iran. J Sch Public Health Inst Public Health Res 2017; 15 (2): 121-32.
16.  Montazeri A, Tavousi M, Rakhshani F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy for Iranian Adults (HELIA): develoment and psychometric properties. Payesh 2014; 13(5): 589-600.
17.  Zareban I, Izadirad H, Araban M. Psychometric evaluation of health literacy for adults (HELIA) in urban area of Balochistan. Payesh 2016; 15)6): 669-76.
18. Izadirad H, Niknami Sh, Zareban I, Hidarnia AR. Investigating Women's Pregnancy Care Behaviors Based on the Health Belief Model and Social Support Patterns in Pregnant Women Referring to Health Centers Covered. PCNM  2017; 7(1): 59-66.
19. Izadirad H, Zareban I. The Relationship of Health Literacy with Health status, Preventive Behaviors and Health services Utilization in Baluchistan, Iran. J Educ Community Health  2015; 2(3): 43-50.
20.  Zareban I, Izadirad H, jadgal K. Evaluation of health literacy, health status and health services utilization in women in Baluchistan region of Iran. Jhl  2016; 1(2): 71-82.
21.  Amiresmaili M, Nekoei Moghadam M, Saberi anari SH, Sadeghi A, Saber M,Taheri G, et al. Study of health literacy level of women referring to health centers-2010. J North Khorasan Univ Med Sci 2013; 5(3): 1071-8.
22. Jacqueline MH, Jessica YL, Kimon D, Diane B, William F, Vann J. Oral health literacy and knowledge among patients who are pregnant for the first time. JADA 2012; 143(9): 972-80.
23.  Paasche-Orlow MK,  Parker RM,  Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The preva-lence of limited health literacy. J Gen Intern Med 2005; 20(2): 175-84.
24. Afshari M, Khazaei S, Bahrami M, Merati H. Investigating Adult Health Literacy in Tuyserkan City. JECH 2014; 1(2): 48-55.
25. Kimberly AK, Michelle VB, Rachel O, Stacy CB. Health Literacy and Women’s Reproductive Health: A Systematic Review. J Womens Health  2016; 25(12): 1237–55.
26. Solhi M, Abbasi K, Ebadi Fard Azar F, Hosseini A. Effect of Health Literacy Education on Self-Care in Pregnant Women: A Randomized Controlled Clinical Trial. IJCBNM 2019;7(1):2-12.
27.  Ashraf-Ganjoei T,  Mirzaei F,  Anari-Dokht F.  Relationship between prenatal care and the outcome of pregnancy in low-risk pregnancies. Open J Obstet Gynecol 2011; 1(3): 109-12.
28.  Panahi R,  Ramezankhani A,  Tavousi M,  Osmani F,  Ghazanfari E,  Niknami Sh. Evaluation of Health Literacy and its Influencing Factors on Dormitory Students of Shahid Beheshti University of Medical Sciences in Tehran. JECH 2016; 3(3): 30-6
29.  Panahi R, Ramezankhani A, Tavousi M, Koosehloo A, Niknami Sh. Relationship of Health Literacy with Knowledge and Attitude toward the Harms of Cigarette Smoking among University Students. J Educ Community Health 2016;3(4): 38-44.