Evidence map›Paper›PMID 42665809›Full record

ArticleBMC health services research2026

Mapping the extent and nature of research examining health literacy and ethnic inequalities in maternity care: a scoping review.

B McEvoy, K Watson, E Aalai, G Rowlands, H Soltani, A E P Heazell

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

B McEvoySaint Mary's Hospital, Manchester University NHS Foundation Trust, Oxford Road, Manchester, M13 9WL, UK.
K WatsonSaint Mary's Hospital, Manchester University NHS Foundation Trust, Oxford Road, Manchester, M13 9WL, UK. kylie.watson@manchester.ac.uk.
E AalaiSaint Mary's Hospital, Manchester University NHS Foundation Trust, Oxford Road, Manchester, M13 9WL, UK.
G RowlandsPublic Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
H SoltaniDepartment of Nursing and Midwifery, Sheffield Hallam University, Sheffield, UK.
A E P HeazellSaint Mary's Hospital, Manchester University NHS Foundation Trust, Oxford Road, Manchester, M13 9WL, UK. alexander.heazell@manchester.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, women from ethnic minority groups experience stark disparities in maternity care outcomes. While ethnic inequalities are complex, health literacy is a contributing factor. This scoping review aimed to map the extent and nature of research examining health literacy and ethnic inequalities in maternity care. The review sought to identify evidence gaps and inform the direction of future research in this area.

methodsThis scoping review followed methodological guidance published by Arksey and O'Malley (2005). A comprehensive search across 5 key databases and relevant grey literature identified 1,024 citations. Papers were reviewed against criteria for inclusion. Key study features were collated in a standardised data extraction form. Thematic analysis summarised key findings across the studies.

resultsThe review included 14 papers that directly explored health literacy and ethnic inequalities in maternity care. The research had a wide geographical distribution and included quantitative (n = 7), qualitative (n = 4) and mixed methods research designs (n = 3). Data were collected using a range of health literacy assessment tools. The focus of the research varied across the scope of maternity care, including pregnancy (n = 7), the postnatal period (n = 2) and the whole maternity continuum (n = 5). Thematic analysis summarised four key findings: (i) Diverse definitions of health literacy; (ii) Health literacy challenges can disproportionately affect minority ethnic women; (iii) Poor health literacy can contribute to adverse outcomes and ethnic inequalities and (iv) Limited evaluation of health literacy interventions.

conclusionsHealth literacy is an important but understudied contributor to ethnic inequalities in maternity care. There is a need for high-quality in-depth research to explore health literacy and ethnic inequalities in maternity care. This will support the development of targeted, equity focused interventions. Optimisation of health literacy may serve to reduce persistent inequalities experienced by minority ethnic groups in maternity care outcomes.

Indexed as

EthnicityHealthcare DisparitiesHealth LiteracyMaternal Health ServicesEvidence GapsFemaleHumansMinority GroupsPregnancyEthnic inequalitiesHealth literacyMaternity careMidwiferyObstetrics

Identifiers

PMID42665809
PMCPMC13523363

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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.