Alfabetismo em saúde e fatores associados em gestantes adolescentes e adultas jovens residentes na região do Trairi no estado do Rio Grande do Norte
Introduction: Health literacy is the cognitive ability to understand and interpret the meaning of health information in written, spoken and digital, and low health literacy has been associated with adverse health outcomes. Adolescent pregnancy is also related to poorer health outcomes for mother...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/31439 |
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| Resumo: | Introduction: Health literacy is the cognitive ability to understand and interpret the
meaning of health information in written, spoken and digital, and low health
literacy has been associated with adverse health outcomes. Adolescent
pregnancy is also related to poorer health outcomes for mother and child
compared to adulthood pregnancy and low health literacy may be a contributor
to these outcomes. Objective: To evaluate health literacy of pregnant adolescents
and young adults from rural area of northeastern Brazil and its associated factors.
Methods: This is an observational and analytical cross-sectional study, which is
part of a longitudinal pilot study, AMOR (Adolescence and Motherhood
Research). The sample consisted of 41 pregnant adolescents (13 to 18 years
old) and 45 pregnant young adults (23 to 28 years old) living in the Trairi region,
located in the Rio Grande do Norte state, during the third trimester of their first
pregnancy. Health literacy was assessed by the Short Assesment of Health
Literacy for Portuguese-Speaking Adults (SAHLPA, score from 0-18, inadequate
if <15). In addition, we collected sociodemographic data, prenatal information and
social support though the Social Networks and Social Support of the International
Mobility in Aging Study. Multiple linear regression models were used to assess
which variables remained associated with the SAHLPA-18 score. Results:
Adolescents had worse SAHLPA scores than adults (p <0.001), as well as a
higher percentage of inadequate literacy (95.1% versus 53.3%, p <0.001). In the
multivariate analysis, poorer health literacy results were also found among those
who reported that their school performance was lower when compared to peers
(β= -2.843, p <0.001) and who reporting insufficient income (β= -2.775, p =0.014).
Conclusion: Higher rates of inadequate health literacy were found, mainly among
adolescent mothers. Policies targeting to improve health information access for
young populations from rural low-income areas are needed. |
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