Evidence map›Paper›PMID 33917631›Full record

SynthesisInternational journal of environmental research and public health2021

Health Literacy in Pregnant Women: A Systematic Review.

Farah Nawabi, Franziska Krebs, Vera Vennedey, Arim Shukri, Laura Lorenz, Stephanie Stock

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 2 pooled it
29.0field-weighted citation impact, top 1% 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

92 citing papers in PubMed, 2 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. How Should We Communicate Information Regarding Birth Choices to Women?: An Online Randomised Survey.BJOG : an international journal of obstetrics and gynaecology · 2025
    Trial
  4. Trial
  5. Health Literacy among Pregnant Women in a Lifestyle Intervention Trial.International journal of environmental research and public health · 2022
    Trial
  6. Article
  7. Article
  8. [Professional Health Literacy Among Midwives - Findings from a Standardised Online Survey Conducted in Bavaria].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. A Co-Produced Health Literacy Programme for Pregnant Women Whose First Language Is Not English: A Qualitative Study of Women's Experiences.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

32 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Farah NawabiInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne (AöR), 50935 Cologne, Germany.ORCID 0000-0002-9433-1390
Franziska KrebsInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne (AöR), 50935 Cologne, Germany.ORCID 0000-0002-5998-3801
Vera VennedeyInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne (AöR), 50935 Cologne, Germany.
Arim ShukriInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne (AöR), 50935 Cologne, Germany.
Laura LorenzInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne (AöR), 50935 Cologne, Germany.ORCID 0000-0003-2799-5784
Stephanie StockInstitute of Health Economics and Clinical Epidemiology, University Hospital Cologne (AöR), 50935 Cologne, Germany.
University Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health literacy plays a crucial role during pregnancy, as the mother's health behavior influences both her own health and that of her child. To the authors' best knowledge, no comprehensive overview on evidence of the health literacy of pregnant women and its impact on health outcomes during pregnancy exists. Therefore, this review aims to assess health literacy levels in pregnant women, whether health literacy is associated with outcomes during pregnancy and whether effective interventions exist to improve the health literacy of pregnant women. A systematic literature search was conducted in PubMed and EBSCO, resulting in 14 studies. The results show mixed levels of health literacy in pregnant women. Limited health literacy is associated with unhealthy behaviors during pregnancy. Mixed health literacy levels can be attributed to the recruitment site, the number of participants and the measurement tool used. Quality assessment reveals that the quality of the included studies is moderate to good. The review revealed that randomized controlled trials and interventions to improve health literacy in pregnant women are rare or do not exist. This is crucial in the light of the mixed health literacy levels found among pregnant women. Healthcare providers play a key role in this context, as pregnant women with limited health literacy rely on them as sources of health information.

Indexed as

Health LiteracyPregnant PeopleChildFemaleHealth StatusHumansPregnancyRandomized Controlled Trials as Topichealth behaviorhealth literacylifestylepregnancysystematic review

Identifiers

PMID33917631
PMCPMC8038834
OpenAlexW3147048205

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.