Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study
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Otros documentos de la autoría: Vila Candel, Rafael; Navarro-Illana, Esther; Mena Tudela, Desirée; Pérez-Ros, Pilar; Castro-Sánchez, Enrique; Soriano-Vidal, Francisco Javier; QUESADA, JOSE ANTONIO
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INVESTIGACIONMetadatos
Título
Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal StudyAutoría
Fecha de publicación
2020-04-23Editor
MDPICita bibliográfica
VILA-CANDEL, Rafael, et al. Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study. International Journal of Environmental Research and Public Health, 2020, vol. 17, no 8, p. 2910.Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
https://www.mdpi.com/1660-4601/17/8/2910Versión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Background: Despite the fact that tobacco use during pregnancy produces adverse perinatal effects, some women continue to smoke. Health literacy (HL) is essential for health outcomes in adults. However, little is known ... [+]
Background: Despite the fact that tobacco use during pregnancy produces adverse perinatal effects, some women continue to smoke. Health literacy (HL) is essential for health outcomes in adults. However, little is known about HL in pregnant women or postpartum women. The study aimed to analyse the relationship between the degree of HL of women during the early puerperium and tobacco use during pregnancy. Methods: A multicentre, descriptive, cross-sectional study was carried out with women in the early puerperium in a region of eastern Spain, between November 2017 and May 2018. Their HL level was obtained using the Newest Vital Sign (NVS) tool. Multivariate logistic models were adjusted to estimate the magnitude of association with tobacco use in pregnancy. Odds ratios (OR) were estimated with a 95% confidence interval. Results: 193 were included in the total. 29.5% (57) of pregnant women smoked tobacco during pregnancy, with a smoking cessation rate of 70.1% (40) while pregnant. 42.0% (81) of pregnant women had inadequate or limited HL. A low level of HL was strongly associated with tobacco use, adjusted by catchment area and age of first pregnancy (LRT p < 0.001; ROC curve = 0.71, 95% CI: 0.64–0.79). Conclusion: A low HL is associated with tobacco consumption during pregnancy. Whether low HL reflects the wide constellation of already-known socioeconomic, political and commercial determinants of tobacco use, or whether incorporating HL support interventions strengthens tobacco cessation activities in pregnancy, warrants further research. Still, it should be considered as essential to understanding the health disparities related to its consumption. [-]
Proyecto de investigación
National Institute for Health Research Health Protection Research Unit (NIHR HPRU) [grant number HPRU-2012-10047]Derechos de acceso
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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