背景:健康素养,受种族等社会人口统计学特征的影响,经济手段和社会因素,影响孕妇保持健康的方式;这反过来可能会增加不良妊娠结局的风险。
目的:探讨在社会经济地位低或少数民族背景的孕妇中,个人健康素养对预防死产和相关不良结局的影响。
方法:MEDLINE,CINAHL,心理信息,检索CENTRAL以及纳入研究的参考文献列表和灰色文献。
方法:纳入的研究集中在围产期低社会经济或少数民族背景的妇女的个人健康素养和死产预防。
方法:采用荟萃方法进行定性,观察,描述性,描述性和审计研究。提取了干预研究的结果,并在可能的情况下进行荟萃分析。主要结局是死产;产妇死亡率和新生儿死亡率是次要结局。
结果:41项研究来自不同的地理环境。元摘要综合了五个抽象的陈述。这些公认的较低的个人健康素养和与所研究人群中的医疗保健服务互动的更大困难,主要是由于健康知识有限,对卫生服务缺乏积极的看法,语言障碍,文盲,依靠朋友或家人获取健康信息。干预研究的荟萃分析显示,当前旨在提高个人健康素养的干预措施与死产风险之间没有关联(相对风险[RR]1.04,95%置信区间[CI]0.96-1.12)。新生儿死亡率(RR0.88,95%CI0.75-1.03),和孕产妇死亡率(RR0.87,95%CI0.63-1.22)。
结论:各种因素表明,社会经济地位低或少数民族妇女的个人健康素养较低,这会增加死产的风险。然而,这篇综述发现,目前的健康教育干预措施对死产风险没有显著影响,或新生儿或产妇死亡率。虽然没有直接测量,预计健康教育干预措施将提高个人健康素养.有必要对本次范围审查的主题进行进一步研究,特别是在资源较低的环境中,以及电子扫盲和组织健康素养对改善妊娠结局的潜在作用。为了解决健康素养不足的问题,必须努力为孕妇提供新颖的健康信息,可访问的方式。
BACKGROUND: Health literacy, influenced by sociodemographic characteristics such as ethnicity, economic means and societal factors, affects the ways in which pregnant women maintain their health; this in turn may increase risk of adverse pregnancy outcomes.
OBJECTIVE: To explore what is known about the impact of personal health literacy on prevention of stillbirth and related adverse outcomes in pregnant women of low socioeconomic status or from ethnic minority backgrounds.
METHODS: MEDLINE, CINAHL, PsychINFO, and CENTRAL were searched as well as reference lists of included studies and gray literature.
METHODS: Included studies focused on personal health literacy and stillbirth prevention in women from low socioeconomic or ethnic minority backgrounds in the perinatal period.
METHODS: A meta-summary approach was adopted for qualitative, observational, descriptive, and audit studies. Findings of intervention studies were extracted, and meta-analyses were conducted where possible. The primary outcome was stillbirth; maternal mortality and neonatal mortality were secondary outcomes.
RESULTS: Forty-one studies were included from diverse geographical settings. The meta-summary synthesized five abstracted statements. These recognized lower personal health literacy and greater difficulty interacting with healthcare services in the studied populations, primarily as the result of limited health knowledge, lack of positive perception towards health services, language barriers, illiteracy, and relying on friends or family members for health information. Meta-analysis of intervention studies revealed no association between current interventions that aimed to increase personal health literacy and the risk of stillbirth (relative risk [RR] 1.04, 95% confidence interval [CI] 0.96-1.12), neonatal mortality (RR 0.88, 95% CI 0.75-1.03), and maternal mortality (RR 0.87, 95% CI 0.63-1.22).
CONCLUSIONS: Various factors suggest lower personal health literacy in women of low socioeconomic status or ethnic minority, which can increase the risk of stillbirth. However, this review identified no significant impact of current health education interventions on the risk of stillbirth, or neonatal or maternal mortality. Although not directly measured, the health education interventions were anticipated to increase personal health literacy. Further research on the topic of this scoping review is warranted, particularly in lower-resource settings and regarding the potential role of e-literacy and organizational health literacy to improve pregnancy outcomes. To address deficits in health literacy, efforts must be made to provide pregnant women with health information in novel, accessible ways.