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Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study

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Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study

dc.contributor.author	Vila Candel, Rafael
dc.contributor.author	Navarro Illana, Esther
dc.contributor.author	Mena-Tudela, Desirée
dc.contributor.author	Pérez Ros, Pilar
dc.contributor.author	Castro Sánchez, Enrique
dc.contributor.author	Soriano-Vidal, Francisco Javier
dc.contributor.author	Quesada Rico, Jose Antonio
dc.date.accessioned	2021-03-08T18:13:35Z
dc.date.available	2021-03-08T18:13:35Z
dc.date.issued	2020
dc.identifier.citation	Vila Candel, Rafael Navarro Illana, Esther Mena-Tudela, Desirée Pérez Ros, Pilar Castro Sánchez, Enrique Soriano-Vidal, Francisco Javier Quesada Rico, Jose Antonio 2020 Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study International Journal Of Environmental Research And Public Health 17 2910
dc.identifier.uri	https://hdl.handle.net/10550/78198
dc.description.abstract	Abstract: 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.
dc.language.iso	eng
dc.relation.ispartof	International Journal Of Environmental Research And Public Health, 2020, vol. 17, p. 2910
dc.subject	Educació sanitària
dc.subject	Embaràs
dc.subject	Tabac
dc.title	Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study
dc.type	journal article	es_ES
dc.date.updated	2021-03-08T18:13:35Z
dc.identifier.doi	10.3390/ijerph17082910
dc.identifier.idgrec	139007
dc.rights.accessRights	open access	es_ES