Low health literacy can present significant risks throughout pregnancy, impacting both maternal and fetal health outcomes. Those who do not speak the main language of their country of residence are more likely to have lower health literacy. Considering the heightened challenges faced by this demographic in accessing, understanding, and engaging with health information and services, designing and implementing tailored interventions is crucial to mitigate health disparities. This review aims to identify and examine health literacy interventions developed for pregnant women whose first language differs from the language predominantly spoken in their residing country. Electronic databases of Embase and Medline were searched using relevant search terms from their inception to July 2023. Data were extracted and analysed using narrative synthesis. Of the 1964 identified records, three were included. The studies were conducted in Australia and Denmark, and ranged in design, including: a cluster randomised controlled trial, mixed methods design; and qualitative design. Health literacy intervention modalities included midwifery education combined with a smartphone application and leaflet, culturally adapted group classes, and informative videos. The interventions were translated into various languages to cater to the target populations. Two studies used the Health Literacy Questionnaire to assess the intervention effectiveness, yielding contrasting results: one showed no improvement, while the other reported increased post-intervention health literacy scores. The third had not yet evaluated intervention effectiveness. This review identifies a significant scarcity in health literacy interventions for pregnant women whose first language differs to the predominant language of the country they live in, despite their greater need for support. While few studies were found, their diversity suggests multiple strategies for enhancing health literacy. Bridging this health literacy gap for linguistically diverse pregnant populations could reduce disparities in maternal and fetal outcomes, underscoring the need for targeted, evaluated interventions that actively engage affected women and their support networks. Registered with PROSPERO: CRD42023475511. Date of registration: 10.11.23.

中文翻譯：

對其居住國語言能力有限的孕婦的健康素養(yǎng)干預：系統(tǒng)評價

健康素養(yǎng)低會在整個懷孕期間帶來重大風險，影響母體和胎兒的健康結果。那些不會說居住國主要語言的人更有可能具有較低的健康素養(yǎng)。考慮到這一人群在獲取、理解和參與健康信息和服務方面面臨的巨大挑戰(zhàn)，設計和實施量身定制的干預措施對于減輕健康差異至關重要。本綜述旨在確定和檢查為第一語言與其居住國主要使用的語言不同的孕婦開發(fā)的健康素養(yǎng)干預措施。使用相關檢索詞檢索了 Embase 和 Medline 的電子數(shù)據庫，檢索時間從建庫到 2023 年 7 月。使用敘述綜合提取和分析數(shù)據。在 1964 年確定的記錄中，包括 3 項。這些研究在澳大利亞和丹麥進行，設計范圍廣泛，包括：整群隨機對照試驗，混合方法設計;和定性設計。健康素養(yǎng)干預方式包括助產教育與智能手機應用程序和傳單相結合、適應文化的小組課程和信息視頻。干預措施被翻譯成各種語言，以迎合目標人群。兩項研究使用健康素養(yǎng)問卷來評估干預效果，得出了截然不同的結果：一項顯示沒有改善，而另一項報告干預后健康素養(yǎng)得分增加。第三項研究尚未評估干預效果。 本綜述發(fā)現(xiàn)，盡管她們更需要支持，但對于第一語言與所居住國家的主要語言不同的孕婦，健康素養(yǎng)干預措施非常稀缺。雖然發(fā)現(xiàn)的研究很少，但它們的多樣性表明了提高健康素養(yǎng)的多種策略。彌合語言多樣化的孕婦群體的健康素養(yǎng)差距可以減少母體和胎兒結局的差異，強調需要有針對性、經過評估的干預措施，以積極參與受影響的婦女及其支持網絡。在 PROSPERO 注冊：CRD42023475511。注冊日期：10.11.23。

相關知識

Oral Health Education in Patients with Diabetes: A Systematic Review
Pregnant women: addressing maternal mental health in Africa
Health coaching interventions for persons with chronic conditions: a systematic review and meta
Language: A Powerful Tool in Promoting Healthy Behaviors
Disrupting diagnostic hegemony: reimagining mental health language with British South Asian communities
Technology innovation to reduce health inequality in skin diagnosis and to improve patient outcomes for people of color: a thematic literature review and future research agenda
Defining a Healthy Diet: Evidence for the Role of Contemporary Dietary Patterns in Health and Disease
Assessing the impact of nutrition interventions on health and nutritio
Development and validation of the Chinese Health Literacy Scale for Chronic Care
Language interpreting and translation: migrant health guide

網址: Health literacy interventions for pregnant women with limited language proficiency in the country they live in: a systematic review,BMC Public Health http://m.u1s5d6.cn/newsview1706457.html