Original Article

The Relationship of the Prenatal Distress with Health Literacy and Health Perception of Pregnant Women

Abstract

Background: The effects of health-literacy and health-perception on prenatal distress levels of pregnant women were not investigated. We aimed to examine the relationship between pregnant women’s prenatal distress levels with their health-literacy and health-perception and affecting factors.

Methods: This descriptive and correlational study was conducted with 223 pregnant women in Ankara, Turkey in 2021. Data were collected with a personal information form, Health Literacy Scale (HLS), Health Perception Scale (HPS), and Prenatal Distress Scale (PDS).

Results: Participants’ mean score on the PDS was 11.39±6.17. Participants who had a high level of education (P=0.040), working (P=0.026), no history of miscarriage/abortion (P=0.040), and a bad relationship with their spouses (P<0.001) had significantly higher mean scores on the PDS. There was a significant negative correlation between total PDS and HLS scores (P<0.001) and a positive correlation between total PDS and HPS scores (P<0.001). Total HLS and HPS scores, spousal relationship status, education level, and employment had an effect on the mean PDS score and that the explanatory power of the model was found 21.5% (R2=0.215).

Conclusion: Pregnant women had a moderate level of prenatal distress. While the prenatal distress levels of pregnant women with high health-literacy levels decreased, the levels of those who were employed, had a higher level of education, and had a bad relationship with their spouses increased. Awareness of the factors affecting pregnant women’s prenatal distress can guide the provision of adequate care and support interventions during pregnancy.

1. Atasever İ, Sis Çelik A (2018). Effect of pre-natal stress on maternal-child health. J Nursol, 21(1):60-8.
2. Ayu IP, Rachmawati IN, Ungsianik T (2019). Maternal age as a main factor influencing prenatal distress in Indonesian primigrav-ida. Enfermerm Clin, 29:310-14.
3. Yılmaz EB, Şahin E (2019). Factors associat-ed with prenatal distress levels of preg-nant women. J Psychiatr Nurs, 10(3):197-203.
4. Yilmaz FA, Gözüyeşil E, Köse Tuncer S, et al (2021). Prenatal distress levels of preg-nant women in Turkey and affecting fac-tors: a multicentre study. J Obstet Gynaecol, 41(5):708-13.
5. Akça E, Gökyıldız Sürücü Ş, Akbaş M (2020). Health perception, health literacy and related factors in pregnant women. Journal of Inonu University Health Services Vo-cational School, 8(3):630-42.
6. Tugut N, Yesildag Celik B, Yılmaz A (2021). Health literacy and its association with health perception in pregnant women. Journal of Health Literacy, 6(2):9-20.
7. Aramide O, Samson OO, Tomori O, et al (2018). Health information literacy and maternal anxiety of rural childbearing women in Nigeria: an exploratory study. IOSR-JBM, 20(8):1-6.
8. Masoudiyekta L, Nosratabadi M, Tayebpour M. et al (2022). Relationship between health literacy and pregnancy conse-quences in women referring to compre-hensive health service centers. Journal of Health Literacy, 6(4):69-76.
9. Yali MA, Lobel M (1999). Coping and dis-tress in pregnancy: An investigation of medically high-risk women. J Psychosom Obstet Gynaecol, 20(1):39-52.
10. Yüksel F, Akin S, Durna Z (2011). The Tur-kish adaptation of the revised prenatal distress questionnaire: A reability/validity and factor analysis study. Journal of Educa-tion and Research in Nursing, 8(3):43-51.
11. Sorensen K, Van den Broucke S, Pelikan JM, et al (2013). Measuring health literacy in populations: illuminating the design and development process of the Europe-an Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health, 13:948.
12. Aras Z, Bayık Temel A (2017). Evaluation of validity and reliability of the Turkish ver-sion of health literacy scale. Florence Night-ingale J Nurs, 25(2):85-94.
13. Diamond JJ, Becker JA, Arenson CA, et al (2007). Development of a scale to meas-ure adults’ perceptions of health: prelimi-nary findings. J Community Psychol, 35(5):557-61.
14. Kadioǧlu H, Yildiz A (2012). Validity and re-liability of Turkish version of perception of health scale. Turkiye Klinikleri J Med Sci, 32(1):47-53.
15. Gozuyesil E, Arioz Duzgun A (2021). Prena-tal distress and the contributing factors in high-risk pregnant Women. Journal of Edu-cation and Research in Nursing, 18(2):183-89.
16. Akinsulore A, Temidayo AM, Oloniniyi IO, et al (2021). Pregnancy-related anxiety symptoms and associated factors amongst pregnant women attending a tertiary hospital in south-west Nigeria. S Afr J Psychiatr, 27:1616.
17. Kabukçu C, Sert C, Güneş C, et al (2019). Predictors of prenatal distress and fear of childbirth among nulliparous and parous women. Niger J Clin Pract, 22(12):1635-43.
18. Mercan Y, Selcuk TK, Dıgın F, et al (2021). Prenatal distress level and its predictors according to the gestational age in preg-nant women. Annals of Clinical and Analyti-cal Medicine, 12(01):54-9.
19. Yuksel F, Akin S, Durna Z (2014). Prenatal distress in Turkish pregnant women and factors associated with maternal prenatal distress. J Clin Nurs, 23(1-2):54-64.
20. Gunaydin S, Zengin N (2022). Relationship of the prenatal psychosocial profile with postpartum maternal duties and newborn care. Rev Assoc Med Bras, 68(2):152-58.
21. Bilgen Ö, Tekin U (2020). Marriage satisfac-tion in the last three months of pregnan-cy the effect on depression. USBED, 2(2):138-53.
22. Zibellini J, Muscat DM, Kizirian N, et al (2021). Effect of health literacy interven-tions on pregnancy outcomes: A system-atic review. Women Birth, 34(2):180-86.
23. Filiz E, Bodur S (2022). Evaluation of the re-lationship of health literacy and health perception in pregnant and non-pregnant women. Journal of Selcuk Health, 3(1):17-33.
Files
IssueVol 52 No 9 (2023) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v52i9.13573
Keywords
Pregnant women Health literacy Prenatal distress Health perception

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Ugurlu M, Kul Uctu A. The Relationship of the Prenatal Distress with Health Literacy and Health Perception of Pregnant Women. Iran J Public Health. 2023;52(9):1917-1924.