European questionnaire on health literacy - (HLS-EU-PT) in a sample of pregnant women

ABSTRACT

Introduction and objectives: The knowledge and skills that enable pregnant women to adopt healthy lifestyles is broad and complex. In addition to factual knowledge, the adoption of health behaviours also implies a set of emotional, cognitive and behavioural skills that allow the use of this knowledge in the context of pregnancy. Methodology: Cross-sectional, quantitative, descriptive-correlational study with non-probabilistic, intentional sample by convenience (n = 404 pregnant women) with a mean age of 32 years. They answered the sociodemographic, obstetrical and HLS-EU-PT questionnaire (National School of Public Health, 2014). Following the methodology used in the European Survey, four ways of dealing with relevant health information were recognized. Results and discussion: Overall, 36.9% of pregnant women presented a problematic level of health literacy, 40.1%, 39.9% and 38.4%, a sufficient level of health literacy in the area of Health Care, Disease Prevention and Health Promotion, respectively. The factorial analysis demonstrates the validity of its framework. The alpha values of the items are above 0.9. The correlations between the different domains and the overall value are all positive and above 0.8. All dimensions of the scale correlate with each other in a statistically significant way, with values for the different do-mains. The split-half coefficient was alfa = 0.939 in the first half and alfa = 0.930 in the second half. Conclusions: The results of the present study support the psychometric adequacy of the European Questionnaire on Health Literacy - (HLS-EU-PT) for the population of pregnant women, indicating that it could be used in future trials

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