PDF(Pubmed)
Abstract：
OBJECTIVE: 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).
CONCLUSIONS: 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.
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).
CONCLUSIONS: 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.
摘要：
目标：旨在改善健康的概念前护理受各种因素的影响，包括健康素养。考虑到高质量概念前护理的重要性和必要性，本研究旨在确定健康素养与怀孕前接受概念前护理的关系.
方法：这项横断面研究包括693名怀孕少于14周的参与者，他们转诊至设拉子市的卫生中心和妇科医生，伊朗。2021年5月至2022年2月，采用比例分配法对18个城市综合卫生院和20个妇科办公室进行了多阶段抽样。数据收集工具包括由3部分组成的问卷：（1）个体和生育特征，（2）与伊朗成年人的概念前保健和（3）健康素养有关的信息。这是由个体参与者通过自我报告方法完成的。
结果：大多数参与者年龄在30至34岁之间。她们还被确定为受过大学教育的妇女，主要是失业者。参与者的平均健康素养为76.81％。健康素养在“理解”维度中获得最高平均得分，在“访问”维度中获得最低平均得分。前概念咨询的频率，补充叶酸的消费，锻炼,验血,牙科就诊,遗传咨询,巴氏涂片检查和风疹,白喉,怀孕前接种肝炎疫苗的比例为66.8%，53.8%,45.6%,71.86%,44.44%,12%,53.4%,10.83%,分别。许多（>64％）在专科妇科办公室接受了概念前护理。结果表明，健康素养与概念前护理有统计学上的显著关系，叶酸消费，锻炼和牙齿护理，（p<0.001），以及血液检测和巴氏涂片检测(p<0.05)。
结论：总体而言，我们的结果表明，尽管健康素养是最佳的，预科护理的某些组成部分的摄入量很低。因此，重要的是进一步提高对怀孕前概念护理重要性的认识，这是健康促进和教育的优先事项。
方法：这项横断面研究包括693名怀孕少于14周的参与者，他们转诊至设拉子市的卫生中心和妇科医生，伊朗。2021年5月至2022年2月，采用比例分配法对18个城市综合卫生院和20个妇科办公室进行了多阶段抽样。数据收集工具包括由3部分组成的问卷：（1）个体和生育特征，（2）与伊朗成年人的概念前保健和（3）健康素养有关的信息。这是由个体参与者通过自我报告方法完成的。
结果：大多数参与者年龄在30至34岁之间。她们还被确定为受过大学教育的妇女，主要是失业者。参与者的平均健康素养为76.81％。健康素养在“理解”维度中获得最高平均得分，在“访问”维度中获得最低平均得分。前概念咨询的频率，补充叶酸的消费，锻炼,验血,牙科就诊,遗传咨询,巴氏涂片检查和风疹,白喉,怀孕前接种肝炎疫苗的比例为66.8%，53.8%,45.6%,71.86%,44.44%,12%,53.4%,10.83%,分别。许多（>64％）在专科妇科办公室接受了概念前护理。结果表明，健康素养与概念前护理有统计学上的显著关系，叶酸消费，锻炼和牙齿护理，（p<0.001），以及血液检测和巴氏涂片检测(p<0.05)。
结论：总体而言，我们的结果表明，尽管健康素养是最佳的，预科护理的某些组成部分的摄入量很低。因此，重要的是进一步提高对怀孕前概念护理重要性的认识，这是健康促进和教育的优先事项。
