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

Document Type : Original Article


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


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


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