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    Maternal Health Literacy Progression Among Rural Perinatal Women

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    Authors
    Mobley, Sandra C.
    Thomas, Suzanne Dixson
    Sutherland, Donald E.
    Hudgins, Jodi
    Ange, Brittany L.
    Johnson, Maribeth H.
    Issue Date
    2014-01-28
    URI
    http://hdl.handle.net/10675.2/313691
    
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    Abstract
    This research examined changes in maternal health literacy progression among 106 low income, high risk, rural perinatal African American and White women who received home visits by Registered Nurse Case Managers through the Enterprise Community Healthy Start Program. Maternal health literacy progression would enable women to better address intermediate factors in their lives that impacted birth outcomes, and ultimately infant mortality (Lu and Halfon in Mater Child Health J 7(1):13-30, 2003; Sharma et al. in J Natl Med Assoc 86(11):857-860, 1994). The Life Skills Progression Instrument (LSP) (Wollesen and Peifer, in Life skills progression. An outcome and intervention planning instrument for use with families at risk. Paul H. Brookes Publishing Co., Baltimore, 2006) measured changes in behaviors that represented intermediate factors in birth outcomes. Maternal Health Care Literacy (LSP/M-HCL) was a woman's use of information, critical thinking and health care services; Maternal Self Care Literacy (LSP/M-SCL) was a woman's management of personal and child health at home (Smith and Moore in Health literacy and depression in the context of home visitation. Mater Child Health J, 2011). Adequacy was set at a score of (≥4). Among 106 women in the study initial scores were inadequate (<4) on LSP/M-HCL (83 %), and on LSP/M-SCL (30 %). Significant positive changes were noted in maternal health literacy progression from the initial prenatal assessment to the first (p < .01) postpartum assessment and to the final (p < .01) postpartum assessment using McNemar's test of gain scores. Numeric comparison of first and last gain scores indicated women's scores progressed (LSP/M-HCL; p < .0001) and (LSP/M-SCL; p < .0001). Elevated depression scores were most frequent among women with <4 LSP/M-HCL and/or <4 LSP/M-SCL. Visit notes indicated lack or loss of relationship with the father of the baby and intimate partner discord contributed to higher depression scores.
    Citation
    Mobley, S. C., Thomas, S. D., Sutherland, D. E., Hudgins, J., & Johnson, M. H. (2014) Maternal Health Literacy Progression Among Rural Perinatal Women. Matern Child Health J, 18(2). Retrieved from Springerlink.com
    Affiliation
    Department of Obstetrics and Gynecology
    ae974a485f413a2113503eed53cd6c53
    10.1007/s10995-014-1432-0
    Scopus Count
    Collections
    Department of Obstetrics and Gynecology: Faculty Research and Presentations
    Department of Biostatistics and Epidemiology: Faculty Research and Publications

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