{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T18:08:48Z","timestamp":1791223728313,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T00:00:00Z","timestamp":1735344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005716","name":"Babol University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005716","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Health literacy is considered as key factor to empower women to participate in self\u2010care and child\u2010care activities. The purpose of the present study is to determine the relationship between health\u2010promoting behaviours and health literacy among pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study surveyed 308 pregnant women in 2022 using questionnaires, including the Health Promoting Lifestyle Profile II (HPLP II) and the Health Literacy for Iranian Adults (HELIA). Descriptive and inferential statistics were employed to analyse the data by IBM SPSS 23.0 statistics package program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean scores for women's health literacy and health\u2010promoting behaviours were 70.31\u2009\u00b1\u200913.56 and 135.56\u2009\u00b1\u200917.38, respectively. The lowest score in the health literacy subscales was related to the appraisal (66.07\u2009\u00b1\u200917.81) and in the health\u2010promoting lifestyle dimensions was associated with the physical activity dimension (13.87\u2009\u00b1\u20093.87). There was a significant and positive correlation between health literacy and health\u2010promoting behaviours (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.53,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Among the health literacy dimensions, decision\u2010making showed the strongest correlation with health\u2010promoting lifestyle (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.55,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>The results of this study demonstrated that pregnant women with higher health literacy scores exhibited a higher level of engagement in health\u2010promoting behaviours. Assessing health\u2010promoting behaviours in pregnant women by health providers during prenatal care helps identify dimensions receiving less attention during pregnancy, and solutions can be provided to women to address these issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70136","type":"journal-article","created":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T05:26:27Z","timestamp":1735363587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Predicting the Health\u2010Promoting Lifestyle Profile of Pregnant Women Based on Their Health Literacy Levels: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"12","author":[{"given":"Nastaran","family":"Rafat","sequence":"first","affiliation":[{"name":"Student Research Committee, Faculty of Nursing and Midwifery Babol University of Medical Sciences  Babol Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3653-4210","authenticated-orcid":false,"given":"Fatemeh","family":"Bakouei","sequence":"additional","affiliation":[{"name":"Infertility and Reproductive Health Research Center, Health Research Institute, Faculty of Nursing and Midwifery Babol University of Medical Sciences  Babol Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajar","family":"Adib\u2010Rad","sequence":"additional","affiliation":[{"name":"Infertility and Reproductive Health Research Center, Health Research Institute, Faculty of Nursing and Midwifery Babol University of Medical Sciences  Babol Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossein\u2010Ali","family":"Nikbakht","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Social Determinants of Health Research Center, Health Research Institute Babol University of Medical Sciences  Babol Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sareh","family":"Bakouei","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Midwifery Qom University of Medical Sciences  Qom Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-06137-0_2"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12793"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18063304"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.34172\/jech.2022.25"},{"key":"e_1_2_12_6_1","unstructured":"Centers for Disease Control and Prevention.2024. Health Literacy [Internet].https:\/\/www.cdc.gov\/health\u2010literacy\/php\/about\/index.html."},{"issue":"2","key":"e_1_2_12_7_1","first-page":"60","article-title":"An Examination of Prenatal and Postnatal Health Promoting Behaviors of Women Based on the Mode of Conception","volume":"5","author":"Dalyan E.","year":"2024","journal-title":"Eskisehir Medical Journal"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455057231224179"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42506-022-00119-z"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1980-220x2020021603742"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.34172\/jcs.2021.018"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186654"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10389\u2010023\u201002122\u2010w"},{"key":"e_1_2_12_14_1","unstructured":"United Nations.2023. \u201cUnited Nations General Assembly Seventy\u2010Eighth Session Economic and Social Council 2023 Session A\/78\/50.\u201d"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.30699\/jogcr.8.1.68"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13291"},{"key":"e_1_2_12_17_1","first-page":"16","article-title":"Predicting Factors Influencing Prenatal Care Based on Health Literacy in Balochistan Primigravida Women","volume":"3","author":"Izadirad H.","year":"2019","journal-title":"Journal of Health Literacy"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S235169"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S443198"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18115804"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daae022"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04784-y"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.34172\/jmdc.1273"},{"key":"e_1_2_12_24_1","volume-title":"Health Literacy","author":"MedlinePlus","year":"2024"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2022.100796"},{"key":"e_1_2_12_26_1","first-page":"102","article-title":"Reliability and Validity of Persian Version of the Health\u2010Promoting Lifestyle Profile","volume":"21","author":"Mohammadi Zeidi I.","year":"2012","journal-title":"Journal of Mazandaran University of Medical Sciences"},{"key":"e_1_2_12_27_1","first-page":"589","article-title":"Health Literacy for Iranian Adults (HELIA): Development and Psychometric Properties","volume":"13","author":"Montazeri A.","year":"2014","journal-title":"Payesh"},{"issue":"2","key":"e_1_2_12_28_1","first-page":"395","article-title":"Health Literacy Among Mothers With Children Under 6\u2009Years Old, a Population\u2010Based Cross\u2010Sectional Study in Iran, 2019\u201320","volume":"10","author":"Moradzadeh R.","year":"2022","journal-title":"Health Education and Health Promotion"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073847"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04961-z"},{"issue":"4","key":"e_1_2_12_31_1","first-page":"398","article-title":"Social Determinants of Health and Health\u2010Promoting Lifestyle of Pregnant Women in Hormozgan Province, Southern Iran","volume":"10","author":"Pazandeh F.","year":"2024","journal-title":"Journal of Preventive Medicine"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2018.09.028"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v32i5.14"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_390_20"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0271989"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399332.2020.1797036"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15522-0"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHH.0000000000001324"},{"issue":"1","key":"e_1_2_12_39_1","first-page":"56","article-title":"Does Health Literacy Cause Better Women's Self\u2010Care Performance? A Cross\u2010Sectional Study in Iran","volume":"7","author":"Shiri\u2010Mohammadabad H.","year":"2022","journal-title":"Journal of Health Literacy"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.5812\/semj.109592"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04686-z"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08787-2"},{"issue":"2","key":"e_1_2_12_43_1","first-page":"9","article-title":"Health Literacy and Its Association With Health Perception in Pregnant Women","volume":"6","author":"Tugut N.","year":"2021","journal-title":"Journal of Health Literacy"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_762_23"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-10612-0"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198703000-00002"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.33546\/bnj.1298"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01652-x"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.01.010"}],"container-title":["Nursing Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T11:48:20Z","timestamp":1738237700000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nop2.70136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,28]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/nop2.70136"],"URL":"https:\/\/doi.org\/10.1002\/nop2.70136","archive":["Portico"],"relation":{},"ISSN":["2054-1058","2054-1058"],"issn-type":[{"value":"2054-1058","type":"print"},{"value":"2054-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,28]]},"assertion":[{"value":"2023-12-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70136"}}