ArticleReproductive health2018
Preconception counselling for low health literate women: an exploration of determinants in the Netherlands.
Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- Organisation, Financing, and Implementation of Preconception Care in Primary Care: Implications for Women's Health and Well-Being.Healthcare (Basel, Switzerland) · 2026Review
- Nutrition, Physical Activity and Other Health Aspects Before and During Pregnancy - Recommendations by the Nationwide "Healthy Start Network" (Netzwerk Gesund ins Leben) 2026.Geburtshilfe und Frauenheilkunde · 2026Article
- The association between individual and neighbourhood-level measures of socioeconomic disadvantage and severe maternal morbidity, in the Netherlands, a retrospective cohort study.European journal of public health · 2026Article
- Assessment of patient preferences for assisted reproductive technology in China: a discrete choice experiment.BMJ open · 2025Article
- Application of theory of planned behavior to predictors of preconception care behavior in women of childbearing age.Journal of education and health promotion · 2025Article
- Optimization of a Web-Based Self-Assessment Tool for Preconception Health in People of Reproductive Age in Australia: User Feedback and User-Experience Testing Study.JMIR human factors · 2024Article
- Investigating the relationship between health literacy and preconceptual care components during the first 14 weeks of pregnancy: a cross-sectional study.BMC primary care · 2024Article
- Preferences of women with a vulnerable health status towards nudging for adequate pregnancy preparation as investment in health of future generations: a qualitative study.BMC pregnancy and childbirth · 2022Article
- Modifying a Mammography Decision Aid for Older Adult Women with Risk Factors for Low Health Literacy.Health literacy research and practice · 2021Article
- Preconception Care in a Remote Aboriginal Community Context: What, When and by Whom?International journal of environmental research and public health · 2020Article
- Systematic Development of Materials for Inviting Low Health-Literate Individuals to Participate in Preconception Counseling.International journal of environmental research and public health · 2019Article
- Mobile Phone Based Strategies for Preconception Education in Rural Africa.Annals of global health · 2019Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundWomen from lower socioeconomic groups tend to be at greater risk of adverse perinatal outcomes, but are less likely to participate in preconception counselling compared to higher socioeconomic groups. This could be partly because of their limited skills to assess, understand and use health related information in ways that promote and maintain good health (health literacy skills). In this study we explored determinants of participation in preconception counselling among women with low health literacy in The Netherlands.
methodsPotential determinants of participation in preconception counselling were derived from the literature, and mapped onto a theoretical framework, which was tested for perceived relevance and completeness in an expert review (n = 20). The framework was used to prepare face-to-face interviews with women with low health literacy and a wish to conceive (n = 139). In the interviews we explored preconception counselling awareness, knowledge, considerations, subjective norms, self-efficacy, attitude, and intention. Linear regression analyses were used to test associations with intention to participate in preconception counselling.
resultsMost women (75%) were unaware of the concept of preconception counselling and the provision of counselling, even if they lived in areas where written invitations had been disseminated. Common considerations for participation were: preparation for pregnancy; perceived lack of information; and problems in a previous pregnancy. Considerations not to participate were mostly related to perceived sufficient knowledge and perceived low risk of perinatal problems. Respondents generally had a positive attitude towards participation in preconception counselling for themselves, and 41% reported that they would participate in preconception counselling.
conclusionWomen with low health literacy were generally unaware of the concept and provision of preconception counselling, but seemed to be interested in participation. Further research should investigate how to effectively reach and inform this group about preconception counselling. This knowledge is essential for evidence-based development of interventions to increase the accessibility and understanding of preconception counselling.
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