Factors Associated with Health Information-Seeking in Low-Income Pregnant Women

Abstract

The purpose of this study was to examine the relationships of health literacy, self-efficacy, and fetal health locus of control to health information-seeking in low-income pregnant women and the contribution from each factor alone or in combination to the variance in health information-seeking. This was a cross-sectional study of 143 English-speaking pregnant women who were recruited from a prenatal clinic and were 18 years of age or older in 2007–2008. Health literacy, self-efficacy, fetal health locus of control, and health information-seeking were measured using the Short Form of the Test of Functional Health Literacy in Adults, the Health Information Competence Scale, the Fetal Health Locus of Control Scale, and the Pregnancy Health Information-Seeking Scale. Health literacy was not significantly correlated with health information-seeking. Self-efficacy (r = .33) and internal fetal health locus of control (r = .27) demonstrated significant correlations with health information-seeking, and together they accounted for 15% of the variance in health information-seeking. After controlling for covariates, self-efficacy (p = .0006) and internal fetal health locus of control (p = .03) remained significantly associated with health information-seeking. In conclusion, pregnant women's characteristics, such as self-efficacy and internal fetal health locus of control belief, are associated with their health information-seeking during pregnancy.

KEYWORDS:

• information-seeking
• health literacy
• self-efficacy
• fetal health locus of control

Notes

This study was supported in part by a research grant from the Sigma Theta Tau International Honor Society. The authors thank Debra Kirkpatrick, MD, John Stutsman, MD, Allen Bridgeman, MHA, and Amy Martin, MS for their recruitment input and clinic collaboration, and Phyllis Dexter for her manuscript critique

Note. *Means reported in Clarke and Gross, 2004; Ender et al., 2004; Gustafson et al., 2005; Labs and Wurtel, 1986.

*p < .05; FHLOC: Fetal Health Locus of Control.

Note. *p < .05; β: Standardized Coefficient; df: Degrees of Freedom; FHLOC: Fetal Health Locus of Control.