Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China
ObjectiveThe main objectives of our study are evaluating the health literacy level among women with gestational diabetes mellitus (GDM) in Southwest China and explore the influencing factors, using a multidimensional health literacy assessment scale (Chinese version of the HLS-14). Given that the HL...
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Frontiers Media S.A.
2025-01-01
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| author | Fangmei Tang Fangmei Tang Li Gu Li Gu Xiujing Guo Xiujing Guo Wenjing Fu Wenjing Fu Benyi He Yuqing Song Yuqing Song Dehua Li Dehua Li |
| author_facet | Fangmei Tang Fangmei Tang Li Gu Li Gu Xiujing Guo Xiujing Guo Wenjing Fu Wenjing Fu Benyi He Yuqing Song Yuqing Song Dehua Li Dehua Li |
| author_sort | Fangmei Tang |
| collection | DOAJ |
| description | ObjectiveThe main objectives of our study are evaluating the health literacy level among women with gestational diabetes mellitus (GDM) in Southwest China and explore the influencing factors, using a multidimensional health literacy assessment scale (Chinese version of the HLS-14). Given that the HLS-14 has not been used in GDM previously, its reliability and validity testing was included as a secondary objective.MethodIt was a cross-sectional survey with 565 GDM pregnancies. The Maternal and child health information access questionnaire, Chinese version of the HLS-14, Perceived Social Support Scale (PSSS) and General Self-efficacy Scale (GSES) was used to collect health information access behaviors, health literacy, social support and self-efficacy levels, respectively. SPSS 21.0 was used for descriptive statistical, multiple stepwise linear regression analysis and exploratory factor analysis (EFA). Amos 26.0 was used for confirmatory factor analysis (CFA).ResultsThe Chinese version of HLS-14 has good reliability and validity in GDM pregnancies. The Cronbach’s α are 0.849, 0.866, 0.859, and 0.883, respectively. The exploratory factor analysis extracted three common factors with a cumulative variance contribution rate of 68.405%. The confirmatory factor analysis model fit was good (χ2/df = 2.595, RMSEA = 0.055, IFI = 0.970, TLI = 0.963, CFI = 0.970). The HL level in pregnancies with GDM was moderate with a mean score of 3.26 ± 0.41, of which 24.10% had limited HL, 41.87% had moderate HL, and 34.03% had adequate HL. Regression analysis showed that the women with higher family support (β = 0.298, p < 0.001), recording pregnancy management diary (β = 0.199, p < 0.001), higher the family income (β = 0.140, p < 0.001), lower pre-pregnancy BMI (β = −0.116, p = 0.004), longer time spent searching for health information (β = 0.111, p = 0.006), and searching for health information through a medical health information website (β = 0.093, p = 0.019) had higher HL levels. These variables explained 23.1% of the variance in HL.ConclusionThe Chinese version of the HLS-14 has good applicability in the GDM pregnancies. The HL level of them is moderate, needs to be improved. Healthcare professionals should focus on the GDM population with low family income and high pre-pregnancy BMI, fully mobilize their social support system, provide reliable access to information, encourage all GDM pregnancies to use pregnancy management diaries to record their self-management behaviors, and ensure the effectiveness of health education. |
| format | Article |
| id | doaj-art-e0da4c170d4b42c593b574dc4baf42fb |
| institution | Kabale University |
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| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-e0da4c170d4b42c593b574dc4baf42fb2025-01-07T06:40:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14777061477706Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest ChinaFangmei Tang0Fangmei Tang1Li Gu2Li Gu3Xiujing Guo4Xiujing Guo5Wenjing Fu6Wenjing Fu7Benyi He8Yuqing Song9Yuqing Song10Dehua Li11Dehua Li12Department of Obstetric Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Obstetric Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Hepatobiliary Pancreatic Vascular Surgery, The First Hospital of Kunming, Kunming, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaDepartment of Gynecological Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, ChinaOffice of Operations Management and Evaluation, West China Second University Hospital, Sichuan University, Chengdu, ChinaObjectiveThe main objectives of our study are evaluating the health literacy level among women with gestational diabetes mellitus (GDM) in Southwest China and explore the influencing factors, using a multidimensional health literacy assessment scale (Chinese version of the HLS-14). Given that the HLS-14 has not been used in GDM previously, its reliability and validity testing was included as a secondary objective.MethodIt was a cross-sectional survey with 565 GDM pregnancies. The Maternal and child health information access questionnaire, Chinese version of the HLS-14, Perceived Social Support Scale (PSSS) and General Self-efficacy Scale (GSES) was used to collect health information access behaviors, health literacy, social support and self-efficacy levels, respectively. SPSS 21.0 was used for descriptive statistical, multiple stepwise linear regression analysis and exploratory factor analysis (EFA). Amos 26.0 was used for confirmatory factor analysis (CFA).ResultsThe Chinese version of HLS-14 has good reliability and validity in GDM pregnancies. The Cronbach’s α are 0.849, 0.866, 0.859, and 0.883, respectively. The exploratory factor analysis extracted three common factors with a cumulative variance contribution rate of 68.405%. The confirmatory factor analysis model fit was good (χ2/df = 2.595, RMSEA = 0.055, IFI = 0.970, TLI = 0.963, CFI = 0.970). The HL level in pregnancies with GDM was moderate with a mean score of 3.26 ± 0.41, of which 24.10% had limited HL, 41.87% had moderate HL, and 34.03% had adequate HL. Regression analysis showed that the women with higher family support (β = 0.298, p < 0.001), recording pregnancy management diary (β = 0.199, p < 0.001), higher the family income (β = 0.140, p < 0.001), lower pre-pregnancy BMI (β = −0.116, p = 0.004), longer time spent searching for health information (β = 0.111, p = 0.006), and searching for health information through a medical health information website (β = 0.093, p = 0.019) had higher HL levels. These variables explained 23.1% of the variance in HL.ConclusionThe Chinese version of the HLS-14 has good applicability in the GDM pregnancies. The HL level of them is moderate, needs to be improved. Healthcare professionals should focus on the GDM population with low family income and high pre-pregnancy BMI, fully mobilize their social support system, provide reliable access to information, encourage all GDM pregnancies to use pregnancy management diaries to record their self-management behaviors, and ensure the effectiveness of health education.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1477706/fullhealth literacygestational diabetes mellitusGDMsocial supportself-efficacyHLS-14 |
| spellingShingle | Fangmei Tang Fangmei Tang Li Gu Li Gu Xiujing Guo Xiujing Guo Wenjing Fu Wenjing Fu Benyi He Yuqing Song Yuqing Song Dehua Li Dehua Li Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China Frontiers in Public Health health literacy gestational diabetes mellitus GDM social support self-efficacy HLS-14 |
| title | Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China |
| title_full | Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China |
| title_fullStr | Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China |
| title_full_unstemmed | Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China |
| title_short | Health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in Southwest China |
| title_sort | health literacy assessment and analysis of influencing factors in pregnant women with gestational diabetes mellitus in southwest china |
| topic | health literacy gestational diabetes mellitus GDM social support self-efficacy HLS-14 |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1477706/full |
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