دورية أكاديمية
Health Literacy and Associated Outcomes in the Postpartum Period at Grady Memorial Hospital.
| العنوان: | Health Literacy and Associated Outcomes in the Postpartum Period at Grady Memorial Hospital. |
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| المؤلفون: | Stafford JD; Department of Obstetrics and Gynecology, Emory University School of Medicine, 550 Peachtree St NE, MOT 8th Floor, Atlanta, GA, 30308, USA. jade.d.stafford@emory.edu., Goggins ER; Department of Obstetrics and Gynecology, Emory University School of Medicine, 550 Peachtree St NE, MOT 8th Floor, Atlanta, GA, 30308, USA., Lathrop E; Department of Obstetrics and Gynecology, Emory University School of Medicine, 550 Peachtree St NE, MOT 8th Floor, Atlanta, GA, 30308, USA., Haddad LB; Department of Obstetrics and Gynecology, Emory University School of Medicine, 550 Peachtree St NE, MOT 8th Floor, Atlanta, GA, 30308, USA. |
| المصدر: | Maternal and child health journal [Matern Child Health J] 2021 Apr; Vol. 25 (4), pp. 599-605. Date of Electronic Publication: 2020 Nov 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 9715672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6628 (Electronic) Linking ISSN: 10927875 NLM ISO Abbreviation: Matern Child Health J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers Original Publication: New York : Plenum Press, c1997- |
| مواضيع طبية MeSH: | Health Literacy*, Adult ; Breast Feeding ; Female ; Hospitals ; Humans ; Postpartum Period ; Pregnancy ; Prenatal Care |
| مستخلص: | Objectives: Many studies correlate lower health literacy with poorer health outcomes and inferior provider-patient communication. Little is known about how impaired health literacy among women receiving prenatal care at inner city public hospitals may impact reproductive health behaviors and outcomes. The objective of this study was to assess health literacy among postpartum women receiving care at a public tertiary care center and to explore the association of impaired health literacy with prenatal care attendance and postpartum outcomes. Methods: Written consent was obtained before completing the 7-item REALM-SF study tool to assess health literacy. A score of zero to three indicated low health literacy, four to six moderately low health literacy, and seven adequate health literacy. Patients completed a 25-item demographic questionnaire, and medical outcomes were obtained via this questionnaire and chart review. Descriptive statistics were generated, and bivariate and multivariate analyses evaluated the association between REALM-SF score and study outcomes. Results: We recruited 300 adult English-speaking postpartum women and 293 were included in the final analysis. The majority of participants (53.9%) experienced impaired health literacy (score zero to six). Most respondents completed high school or higher education (77.1%), 17.8% had no prenatal care, and 83.6% reported that this pregnancy was unplanned. After adjusting for age, race, and education, women in the lowest health literacy group were less likely to indicate a plan to exclusively breastfeed (aRR = 0.54, p = 0.03). Conclusions for Practice: Impaired health literacy affects a majority of our patients and is associated with reproductive health outcomes, including exclusive breastfeeding. Health care providers should attempt to overcome differences in health literacy through strong breastfeeding promotion. Verbal and written patient education materials should be tailored to the needs of patients with impaired health literacy. |
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| فهرسة مساهمة: | Keywords: Breastfeeding; Contraception; Health literacy; Postpartum |
| تواريخ الأحداث: | Date Created: 20201116 Date Completed: 20211015 Latest Revision: 20220421 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1007/s10995-020-03030-1 |
| PMID: | 33196925 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1573-6628 |
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| DOI: | 10.1007/s10995-020-03030-1 |