Abstract：Objective To investigate the level of maternal and infant health literacy and its influencing factors among rural pregnant and lying-in women in Guian New Area, Guiyang City, so as to provide insights into maternal and infant health education. Methods All pregnant and lying-in women included in health management in township hospitals of Guian New Area from October to December 2021 were selected using a stratified cluster random sampling method. Participants' basic features, maternal and infant health literacy and health education needs were collected using electronic questionnaires, and factors affecting maternal and infant health literacy were identified among pregnant and lying-in women using unconditioned multivariable logistic regression model. Results A total of 918 valid questionnaires were recovered, and the participants included 325 pregnant women (35.40%), 823 married women (89.65%), 466 women with an educational level of junior high school and below (50.76%), 847 rural household registration (92.27%), 695 women with monthly family income of 3 200 Yuan and less (75.71%), and 267 women with maternal and infant health literacy (29.08%). Multivariable logistic regression analysis identified pluripara (OR=3.418, 95%CI: 1.689-6.919), educational level (diploma, OR=2.901, 95%CI: 1.230-6.842; bachelor and above, OR=6.282, 95%CI: 2.548-15.489), household monthly income per capita (3 201-5 000 Yuan, OR=2.373, 95%CI: 1.499-3.757; 5 001 Yuan and more, OR=7.752, 95%CI: 3.072-19.558), a disease history (OR=3.045, 95%CI: 1.175-5.406), use of maternal and child health manuals (OR=1.881, 95%CI: 1.345-2.632) and emphasizing health education (OR=1.735, 95%CI: 1.122-2.463) as factors promoting for the level of maternal and infant health literacy. In addition, pregnant and lying-in women's major maternal and infant health education needs included infant growth and development knowledge (745 women, 81.15%), management of common infant diseases (719 women, 78.32%), daily infant nursing (651 women, 70.92%) and infant nutrition and feeding (646 women, 70.37%). Conclusions The level of maternal and infant health literacy is low among rural pregnant and lying-in women in Guian New Area, and there is a high demand for health education. High attention should be paid to rural pregnant and lying-in women with a low educational level, low incomes, and primipara.
贺丹, 朱焱, 卢芸, 何万娅, 覃会玲. 贵安新区农村孕产妇母婴健康素养及健康教育需求调查[J]. 预防医学, 2022, 34(12): 1283-1288.
HE Dan, ZHU Yan, LU Yun, HE Wanya, QIN Huiling. Maternal and infant health literacy and health education needs among rural pregnant and lying-in women in Guian New Area. Preventive Medicine, 2022, 34(12): 1283-1288.
[1] 刘小燕,卢德梅,刘惠桃.佛山市流动人口产妇母婴健康素养及影响因素分析[J].预防医学,2020,32(7):736-739. LIU X Y,LU D M,LIU H T.Status and influencing factors of maternal and infant health literacy among migrant puerperae in Foshan[J].Prev Med,2020,32(7):736-739. [2] CREEDY D K,GAMBLE J,BOORMAN R,et al.Midwives' self-reported knowledge and skills to assess and promote maternal health literacy:a national cross-sectional survey[J].Women Birth,2021,34(2):e188-e195. [3] 中华人民共和国卫生部.国家卫生健康委关于印发《母婴安全行动提升计划(2021—2025年)》的通知[EB/OL].[2022-10-17].http://www.gov.cn/zhengce/zhengceku/2021-10/15/content_5642740.htm. [4] 谈笑,陆一鸣,马文君,等.2017年兰州市孕产妇母婴健康素养状况及影响因素[J].中国初级卫生保健,2021,35(4):64-66. TAN X,LU Y M,MA W J,et al.Study on maternal and infant health literacy and influencing factors among maternal in Lanzhou,2017[J].Chin Prim Health Care,2021,35(4):64-66. [5] 万立新,苑晶惠,邴佳,等.吉林省孕产妇母婴健康素养影响因素调查分析[J].中国妇幼保健,2020,35(3):529-532. WAN L X,YUAN J H,BING J,et al.Investigation and analysis on influencing factors of maternal and child health literacy of pregnant and parturient women in Jilin Province[J].Matern Child Health Care China,2020,35(3):529-532. [6] 童锦锦,华旖雯,全晓平,等.温州市孕产妇母婴健康素养调查[J].预防医学,2019,31(2):206-208. TONG J J,HUA Y W,QUAN X P,et al.The maternal and child health literacy among pregnant and lying-in women in Wenzhou[J].Prev Med,2019,31(2):206-208. [7] 齐力,石建辉,李玉青,等.北京市产妇健康素养水平及其影响因素分析[J].中国健康教育,2020,36(1):36-39. QI L,SHI J H,LI Y Q,et al.Analysis on status of maternal health literacy and its influence factors in Beijing[J].Chin J Health Educ,2020,36(1):36-39. [8] 郭克强,李宇阳,郁希阳,等.家庭社会资本通过健康素养对健康状况影响的路径研究[J].中国全科医学,2021,24(10):1249-1253. GUO K Q,LI Y Y,YU X Y,et al.Paths for family social capital affecting health status mediated by health literacy[J].Chin Gen Pract,2021,24(10):1249-1253. [9] 杨静逸,姚建森,邱亨嘉.社会经济地位与老年人身心健康:兼论社会交往的中介效应[J].卫生经济研究,2021,38(4):12-15,20. YANG J Y,YAO J S,QIU H J.Socioeconomic status and physical and mental health of the elderly:the mediating effects of social communication[J].Health Econ Res,2021,38(4):12-15,20. [10] 赵春妮,曾庆.大学生家庭功能与家庭社会经济地位及父母教养方式的关系[J].中国健康心理学杂志,2022,30(1):143-148. ZHAO C N,ZENG Q.Relationships of family function with family socioeconomic status and parental rearing style[J].China J Health Psychol,2022,30(1):143-148. [11] 王溢,夏经炜,薛琨.2018—2019年上海市黄浦区产后妇女母婴健康素养水平调查分析[J].中国健康教育,2021,37(6):531-535. WANG Y,XIA J W,XUE K.Analysis of health literacy on maternal and infant health among postpartum women in Huangpu District, Shanghai from 2018 to 2019[J].Chin J Health Educ,2021,37(6):531-535. [12] 卢一萍,卢芸,罗筷,等.贵阳市母子健康手册使用情况调查与分析[J].现代预防医学,2021,48(20):3703-3708. LU Y P,LU Y,LUO K,et al.Survey and analysis on the use of maternal and child health handbook in Guiyang[J].Mod Prev Med,2021,48(20):3703-3708.
