Factors Influencing Health Literacy in Self-Care Among Pregnant Women in Suphanburi Province
ปัจจัยที่มีอิทธิพลต่อความรอบรู้ด้านสุขภาพในการดูแลตนเองของหญิงตั้งครรภ์ จังหวัดสุพรรณบุรี
Keywords:
Health Literacy, Self-Care for Pregnant Women, Maternal and Infant HealthAbstract
This predictive correlational research aimed to examine factors influencing health literacy in self-care among pregnant women in Suphanburi province. The sample consisted of 119 pregnant women aged 20 years and above. Data were collected using a questionnaire comprising four sections: (1) personal factors, (2) health promotion motivation, (3) social support, and (4) health literacy in self-care among pregnant women. The reliability coefficients of the questionnaires were .92, .92, and .94. Data collection was conducted from October to December 2025. Data were analyzed using descriptive statistics and ordinal logistic regression.
The study revealed that personal factors, health promotion motivation, and social support significantly influenced health literacy in self-care among pregnant women at the .05 level. Regarding personal factors, educational level was positively correlated with health literacy in self-care among pregnant women at a statistically significant level (r = .182, p = .048). In addition, pregnant women with high levels of health promotion motivation were 11.11 times more likely to possess high health literacy in self-care compared to those with moderate health promotion motivation (OR = 0.090, 95% CI = 0.009–0.877, p = .038). Similarly, those receiving high social support were 17.24 times more likely to exhibit high health literacy in self-care than those with moderate social support (OR = 0.058, 95% CI = 0.008–0.451, p = .006).
Health literacy is an individual’s ability that influences self-care, particularly among pregnant women who continuously experience physical, psychological, and social changes. The findings of this study indicate that enhanced health promotion motivation and social support contribute to improved health literacy in self-care among pregnant women. Therefore, enhancing health promotion motivation and social support should be prioritized to promote favorable long-term health outcomes for both mothers and infants.
Downloads
References
Chandrakar A, Ramasamy S, Galhotra A, Shenoy MS. Maternal health literacy (MHL) for improved maternal and child outcomes: A scoping review. Indian Journal of Community Medicine. 2025; 50(5): 733–8. DOI: 10.4103/ijcm.ijcm_390_24
World Health Organization. Maternal mortality [Internet] 2025 [cited 2025 Nov 24]. Available from: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
World Health Organization, United Nations Children’s Fund (UNICEF), United Nations Population Fund (UNFPA), World Bank Group, United Nations Department of Economic and Social Affairs/ Population Division. Trends in maternal mortality estimates 2000 to 2023 [Internet] 2025 [cited 2026 Jan 5]. Available from: https://data.unicef.org/resources/trends-in-maternal-mortality-2000-to-2023/
กรมอนามัย. ระบบสารสนเทศสนับสนุนงานส่งเสริมสุขภาพและอนามัยสิ่งแวดล้อม [อินเทอร์เน็ต]. กระทรวงสาธารณสุข. 2568 [อ้างเมื่อ 1 มีนาคม 2568]. จาก: https://dashboard.anamai.moph.go.th/
อัญญา ปลดเปลื้อง, สุพรรณี กัณหดิลก, เพ็ญพักตร์ ลูกอินทร์, ณัฐพร อุทัยธรรม, พรพรรณ พรมประยูร, จิริยา อินทนา. การวิเคราะห์เส้นทางปัจจัยที่ส่งผลต่อคุณภาพชีวิตของหญิง ตั้งตั้งครรภ์. วารสารพยาบาลกระทรวงสาธารณสุข. 2560; 27(3): 42–56.
กรมสนับสนุนบริการสุขภาพ. คู่มือการประเมินความรอบรู้ด้านสุขภาพของคนไทย. นนทบุรี: กรมสนับสนุนบริการสุขภาพ กระทรวงสาธารณสุข; 2556.
สินีนาท วราโภค, เอมพร รตินธร, ปิยะนันท์ ลิมเรืองรอง. ปัจจัยที่มีอิทธิพลต่อความรอบรู้ด้านสุขภาพมารดาในสตรีตั้งครรภ์. วารสารสภาการพยาบาล. 2563; 35(1): 86–98.
Naigaga MDAS, Guttersrud Ø, Pettersen KS. Measuring maternal health literacy in adolescents attending antenatal care in a developing country - the impact of selected demographic characteristics. Journal of Clinical Nursing [Internet]. 2015; 24(17–18): 2402–9.
DOI: 10.1111/jocn.12796
Tavananezhad N, Bolbanabad AM, Ghelichkhani F, Effati-Daryani F, Mirghafourvand M. The relationship between health literacy and empowerment in pregnant women: a cross-sectional study. BMC Pregnancy and Childbirth. 2022; 22(1): 351. DOI: 10.1186/s12884-022-04686-z
Kara P. Determinants of well-being in pregnancy: the impact of sociodemographic and obstetric variables and maternal health literacy, cross sectional study. BMC Pregnancy and Childbirth 2025; 25(1): 524. DOI: 10.1186/s12884-025-07654-5
Prentice-Dunn S, Rogers RW. Protection Motivation Theory and preventive health: beyond the Health Belief Model. Health Education Research 1986;1(3): 153–61. DOI:10.1093/her/1.3.153
Appleton AA, Lin B, Holdsworth EA, Feingold BJ, Schell LM. Prenatal exposure to favorable social and environmental neighborhood conditions is associated with healthy pregnancy and infant outcomes. Int J Environ Res Public Health. 2021; 18(11): 6161. DOI: 10.3390/ijerph18116161
Lee S-C, Tsai P-H, Yu K-H, Chan T-M. Effects of mind-body interventions on immune and neuroendocrine functions: A systematic review and meta-analysis of randomized controlled trials. Healthcare (Basel). 2025; 13(8): 952. DOI: 10.3390/healthcare13080952
House JS. Work Stress and Social Support. Boston, MA: Addison-Wesley Educational; 1981.
Gray JR, Grove SK, Sutherland S. Burns & grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence. 8th ed. Saunders; 2016.
ณัฏฐ์ฉวี อ๊อกซู, วิราสิริริ์ วสีวีรสิว์. ปัจจัยเชิงสาเหตุที่มีอิทธิพลต่อคุณภาพชีวิตของหญิงตั้งครรภ์ จังหวัดสุพรรณบุiu. วารสารวิจัยและพัฒนา วไลยอลงกรณ์ ในพระบรมราชูปถัมภ์ สาขาวิทยาศาสตร์และเทคโนโลยี. 2568; 20(2): 102–16.
Asadi L, Amiri F, Safinejad H. Investigating the effect of health literacy level on improving the quality of care during pregnancy in pregnant women covered by health centers. Journal of Education and Health Promotion 2020; 9: 286. DOI: 10.4103/jehp.jehp_204_20
Siriwan T, Pansri S, Srichum D, Prasittivatechakool A, Kaoaiem H. A cross-sectional study of maternal health literacy among third-trimester pregnant women: Key Socio-demographic determinants. The Pacific Rim International Journal of Nursing Research 2025; 29(3): 558–72. DOI:10.60099/prijnr.2025.272373
Ferreira N, Ferreira M, Santos E, Ferreira S, de Arriaga MT, Costa A. Health literacy and its determinants among pregnant women in Portugal. BMC Public Health 2025; 25(1): 2963. DOI:10.1186/s12889-025-24225-7
Javanmardi M, Noroozi M, Mostafavi F, Ashrafi-Rizi H. Exploring the motivations of pregnant women to seek health information: A qualitative study: A qualitative study. Iranian Journal of Nursing and Midwifery Research 2022; 27(5): 446–51. DOI: 10.4103/ijnmr.ijnmr_327_21
Nawabi F, Krebs F, Vennedey V, Shukri A, Lorenz L, Stock S. Health literacy in pregnant women: A systematic review. International Journal of Environmental Research and Public Health 2021; 18(7): 3847. DOI: 10.3390/ijerph18073847
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Community Health Development Quarterly Khon Kaen University
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the x may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.use or modification of the articles is prohibited without permission.
statements expressed in the articles are solely the opinions of the authors.
authors are fully responsible for the content and accuracy of their articles.
other reuse or republication requires permission from the journal."
