Associations Between Health Literacy and Beliefs About Medicines in an Irish Obstetric Population

Abstract

The authors wanted to determine the prevalence of limited health literacy, and the relation between health literacy and beliefs about medicines, in an obstetric population. A survey was administered in Cork University Maternity Hospital, Cork, Ireland. The Rapid Estimate of Adult Literacy in Medicine and the general section of the Beliefs About Medicines Questionnaire were used. Of 404 women, 15.3% (n = 62) displayed limited health literacy. Age and health literacy were significantly associated with one another, as were health literacy and level at which participants completed formal education. In the general harm domain, level of education and health literacy were associated with stronger beliefs: M = 11.85, SD = 2.81 vs. M = 9.75, SD = 2.11; F(3) = 13.69, p < .001. In the general overuse domain, those with limited literacy scored higher compared with those with adequate health literacy: M = 12.48, SD = 2.73 versus M = 11.51, SD = 2.63 (p = .01). These associations remained despite controlling for age (and education) in multivariable analyses. More than 1 in 7 had limited health literacy; these women may benefit from educational initiatives. Limited health literacy is associated with a more negative perception of medicines in this cohort.

Acknowledgments

The authors acknowledge the participants who took part in the survey and give a special thanks to Valerie Dennehy and Mary Ludlow, clinical midwife managers at the Cork University Maternity Hospital, for their facilitation of this work. Ethical permission for this study was granted by the Clinical Research Ethics Committee of the Cork Teaching Hospitals, Cork.

Notes

*Significant at p < .05.