Preconception counselling for low health literate women: an exploration of determinants in the Netherlands

• DOI: 10.1186/s12978-018-0617-1
• Publication Date: 2018-11-23T06:33:12Z
• Authors: Mirjam P. Fransen; Miriam E. Hopman; Laxsini Murugesu; Ageeth N. Rosman; Sian K. Smith
• Keywords: Adult; Counseling; Health Knowledge, Attitudes, Practice; Adolescent; Theoretical framework; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Patient Education as Topic; Pregnancy; Humans; Determinants; Netherlands; Research; 4. Education; Health literacy; Gynecology and obstetrics; 16. Peace & justice; Self Efficacy; Health Literacy; 3. Good health; Expert review; Family Planning Services; Preconception counselling; RG1-991; Women's Health; Female; Preconception Care

Women from lower socioeconomic groups tend to be at greater risk of adverse perinatal outcomes, but are less likely participate in preconception counselling compared higher groups. This could partly because their limited skills assess, understand and use health related information ways that promote maintain good (health literacy skills). In this study we explored determinants participation among women with low The Netherlands.Potential were derived the literature, mapped onto a theoretical framework, which was tested for perceived relevance completeness an expert review (n = 20). framework used prepare face-to-face interviews wish conceive 139). awareness, knowledge, considerations, subjective norms, self-efficacy, attitude, intention. Linear regression analyses test associations intention counselling.Most (75%) unaware concept provision counselling, even if they lived areas where written invitations had been disseminated. Common considerations were: preparation pregnancy; lack information; problems previous pregnancy. Considerations not mostly sufficient knowledge problems. Respondents generally positive attitude towards themselves, 41% reported would counselling.Women seemed interested participation. Further research should investigate how effectively reach inform group about counselling. is essential evidence-based development interventions increase accessibility understanding