Conditions and Dynamics That Impact Maternal Health Literacy among High Risk Prenatal-Interconceptional Women

International Journal of Environmental Research and Public Health
Suzanne D ThomasBrittany L Ange

Abstract

The purpose of the study was to describe conditions and dynamics in the lives of high-risk, low-income, Southern United States prenatal-interconceptional women (n = 37) in a home visiting program that promoted maternal health literacy progression. In the Life Course Health Development (LCHD) Model, conditions were risk and protective factors that impacted health. Dynamics drove the complex, epigenetic relationships between risk and protective factors. Maternal health literacy promotion helped participants address conditions and dynamics to create positive life changes. This research was a retrospective, mixed methods study of women's service records documenting care from prenatal admission to 24 months post-delivery. The Life Skills Progression Instrument (LSP) was scored to measure maternal health literacy progression. Ethnographic content analysis of visit notes triangulated with quantitative data enabled specificity of critical data elements. Subsequently, a complementary focus group was conducted with the Registered Nurse Case Managers (RNCM). Severe social conditions included devastating poverty, low educational achievement, transient housing, unstable relationships, incarceration, lack of continuous health insurance, and ...Continue Reading

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Citations

Aug 4, 2020·Global Health Action·Phonevilai SantisoukNguyen Thanh Huong
Nov 30, 2018·International Journal of Environmental Research and Public Health·Don NutbeamGill Rowlands
Apr 8, 2020·International Journal of Environmental Research and Public Health·Liesbeth de WitLouise Meijering

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