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

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  • Rafael Vila-Candel

    (Department of Obstetrics and Gynaecology, La Ribera University Hospital, FISABIO, Crta. Corbera km 1, 46600 Valencia, Spain
    Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, Jaume Roig, s/n, 46010 Valencia, Spain)

  • Esther Navarro-Illana

    (Department of Nursing, Catholic University of Valencia “San Vicente Mártir”, Espartero 7, 46007 Valencia, Spain)

  • Desirée Mena-Tudela

    (Department of Nursing, Jaume I University, Av de Vicent Sos Baynat, s/n, 12071 Castelló de la Plana, Spain)

  • Pilar Pérez-Ros

    (Department of Nursing, Catholic University of Valencia “San Vicente Mártir”, Espartero 7, 46007 Valencia, Spain)

  • Enrique Castro-Sánchez

    (NIHR Health Protection Research Unit (HPRU) in Healthcare Associated Infections (HCAI) and Antimicrobial Resistance (AMR) at Imperial College London, Du Cane Road, London W12 0NN, UK)

  • Francisco Javier Soriano-Vidal

    (Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, Jaume Roig, s/n, 46010 Valencia, Spain
    Department of Obstetrics and Gynaecology, Lluis Alcanyis Hospital, FISABIO. Crta Xàtiva, s/n, 46800 Valencia, Spain)

  • Jose Antonio Quesada

    (Department of Clinical Medicine, Miguel Hernández University, Av de la Universitat d’Elx s/n, 03202 Elche, Spain)

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.

Suggested Citation

  • Rafael Vila-Candel & Esther Navarro-Illana & Desirée Mena-Tudela & Pilar Pérez-Ros & Enrique Castro-Sánchez & Francisco Javier Soriano-Vidal & Jose Antonio Quesada, 2020. "Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study," IJERPH, MDPI, vol. 17(8), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:8:p:2910-:d:349189
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    References listed on IDEAS

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    Cited by:

    1. Rafael Vila-Candel & Francisco Miguel Martínez-Arnau & Juan María de la Cámara-de las Heras & Enrique Castro-Sánchez & Pilar Pérez-Ros, 2020. "Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-17, October.

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