Evidence map›Paper›PMID 31294305›Full record

ArticleHealth literacy research and practice2019

Distributed Health Literacy in the Maternal Health Context in Vietnam.

Shannon McKinn, Duong Thuy Linh, Kirsty Foster, Kirsten McCaffery

Open access · goldAbstract read
In one paragraph

Article in Health literacy research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Seeking a deeper understanding of 'distributed health literacy': A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2022
    Pooled it
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  9. Health literacy and non-communicable disease knowledge of pregnant women and mothers in Tasmania: Qualitative exploration.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  10. Factors Influencing Maternal Health Literacy in Postpartum Women.International journal of women's health · 2025
    Article
  11. Article
  12. Article
  13. Health literacy status of pregnant women and women with young children in Tasmania.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023
    Article
  14. Article
  15. Maternal health literacy and pregnancy outcomes in Afghanistan.Journal of education and health promotion · 2022
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  16. Article
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  19. Multidimensional eHealth Literacy for Infertility.International journal of environmental research and public health · 2020
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Shannon McKinn
Duong Thuy Linh
Kirsty Foster
Kirsten McCaffery

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious health literacy research has often focused on individual functional health literacy, ignoring the cultural contexts through which many people experience health care.

objectiveWe aimed to explore the nature of maternal health literacy among ethnic minority women in a low-resource setting in Vietnam.

methodsUsing a qualitative approach, we conducted focus groups with 42 pregnant women, mothers, and grandmothers of children younger than age 5 years from the Thai and Hmong ethnic groups. Semi-structured interviews were conducted with key informants and thematic analysis was performed. KEY

resultsThe findings of our thematic analysis aligned well with the concept of distributed health literacy. We found that ethnic minority women drew upon family and social networks of health literacy mediators to share knowledge and understanding, assess and evaluate information, communicate with health professionals, and support decision-making. Family members were also involved in making health decisions that had the potential to negatively affect women and children's health.

conclusionsFamily members are an important source of information for ethnic minority women, and they influence decision-making. Relatives and husbands of pregnant women could be included in maternal health education programs to potentially strengthen the health literacy of the whole community. The distributed health literacy concept can be used to strengthen health promotion messages and to reduce the risk of negative health outcomes. PLAIN LANGUAGE SUMMARY: Distributed health literacy refers to how health literacy skills and practices are distributed through social networks. This concept applies well to the maternal health context in Vietnam. Older women are trusted sources of information, and family influences decision-making during pregnancy. Women's limited autonomy increases the importance of family involvement. Distributed health literacy could be used to strengthen health promotion messages.

Identifiers

PMID31294305
PMCPMC6608917
OpenAlexW2912880415

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.