{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:23:59Z","timestamp":1789608239494,"version":"build-2803163510"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health literacy varies in multicultural areas due to differing cultural beliefs. In Macao, a multicultural city in China, the blend of traditional Chinese and Western medicine influences health literacy, particularly in maternal\u2013infant health. However, data on this topic are limited, hindering our understanding of healthcare in such regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study investigates maternal knowledge, social support, and psychological stress among perinatal women in Macao.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted with perinatal women between 28\u2009weeks of gestation and 6\u2009weeks postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Maternal knowledge was measured using the Maternal\u2013Infant Health Literacy Scale, social support with the Maternal Social Support Scale, and psychological stress with the Edinburgh Postnatal Depression Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The overall maternal knowledge score of the 263 participants was relatively modest at 35.5, particularly lower in practical skills. Education level, number of childbirths and monthly income were positively correlated with maternal knowledge. The social support score was 21, indicating moderate support, while the psychological score was 8.8, reflecting generally low stress levels. No significant correlations were found between maternal knowledge and social support or stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study highlights the importance of addressing knowledge disparities during the perinatal period in multicultural urban areas. Enhancing maternal knowledge can improve healthcare outcomes and inform culturally tailored educational programmes for diverse populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057251347086","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T23:19:40Z","timestamp":1750202380000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Association between maternal\u2013infant health literacy, social support, and psychological stress during the perinatal period among women in Macao, China"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0401-7640","authenticated-orcid":false,"given":"Man I","family":"Lai","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Sports, Macao Polytechnic University, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2430-4506","authenticated-orcid":false,"given":"Jialing","family":"Chen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Sports, Macao Polytechnic University, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6426-3422","authenticated-orcid":false,"given":"Pedro","family":"Fong","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Sports, Macao Polytechnic University, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6013-652X","authenticated-orcid":false,"given":"Lirong","family":"Meng","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Sports, Macao Polytechnic University, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073847"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yfpn.2021.12.010"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2018.0106"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.9119"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.03.001"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nwh.2020.09.004"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2020.01.010"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-299"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.0.0355"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-15"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01576.x"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4347"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1607649"},{"key":"e_1_3_3_15_2","first-page":"797","article-title":"The relationship between postpartum depression and health literacy among nulliparous women","volume":"16","author":"Khoei MG","year":"2017","unstructured":"Khoei MG, Lamyaian M, Lotfi R, et al. The relationship between postpartum depression and health literacy among nulliparous women. Payesh Health Monit 2017; 16: 797\u2013805.","journal-title":"Payesh Health Monit"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2019.1608932"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2012.01400.x"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16081426"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2014.01.006"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/14664208.2016.1125594"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.horiz.2023.100057"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_3_3_23_2","first-page":"558","article-title":"Item selection for perinatal maternal health literacy scale","volume":"40","author":"Dai C","year":"2015","unstructured":"Dai C, Yan J, Xu L, et al. Item selection for perinatal maternal health literacy scale. J Cent South Univ Med Sci 2015; 40: 558\u2013563.","journal-title":"J Cent South Univ Med Sci"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536x.2000.00097.x"},{"key":"e_1_3_3_25_2","first-page":"268","article-title":"Reliability and validity of the Chinese version of Maternity Social Support Scale","volume":"33","author":"Li G","year":"2020","unstructured":"Li G, Wei H, Du K, et al. Reliability and validity of the Chinese version of Maternity Social Support Scale. Sichuan Ment Health 2020; 33: 268\u2013271.","journal-title":"Sichuan Ment Health"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2014.12.016"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1182980"},{"key":"e_1_3_3_28_2","unstructured":"Roscoe JT. Fundamental research statistics for the behavioral sciences. 2nd ed. N Y Holt Rinehart Winst https:\/\/cir.nii.ac.jp\/crid\/1130000798080680576 (1975 accessed 9 October 2023)."},{"key":"e_1_3_3_29_2","first-page":"1","article-title":"Sample size for survey research: review and recommendations","volume":"4","author":"Memon MA","year":"2020","unstructured":"Memon MA, Ting H, Cheah J-H, et al. Sample size for survey research: review and recommendations. J Appl Struct Equ Model 2020; 4: 1\u201320.","journal-title":"J Appl Struct Equ Model"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2019.03.211"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10639-019-09969-1"},{"key":"e_1_3_3_32_2","first-page":"141","article-title":"Needs analysis of health education and health promotion for 240 pregnant women during pregnancy","volume":"28","author":"Zhan W","year":"2011","unstructured":"Zhan W, Guo Y, Guo Y. Needs analysis of health education and health promotion for 240 pregnant women during pregnancy. Chin J Soc Med 2011; 28: 141\u2013142.","journal-title":"Chin J Soc Med"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2022.06.006"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-020-01322-8"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/21582440231160480"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13246"},{"key":"e_1_3_3_37_2","first-page":"331","article-title":"Investigation on maternal and infant health literacy in Haidian District, Beijing","volume":"29","author":"Zou X","year":"2013","unstructured":"Zou X, Shi Y, Zhou Y. Investigation on maternal and infant health literacy in Haidian District, Beijing. Chin J Health Educ 2013; 29: 331\u2013334.","journal-title":"Chin J Health Educ"},{"key":"e_1_3_3_38_2","first-page":"1071","article-title":"Investigation and management countermeasure of maternal and infant health literacy in a hospital in Shanghai","volume":"27","author":"Yao X","year":"2020","unstructured":"Yao X, Liu Y, Ma Z, et al. Investigation and management countermeasure of maternal and infant health literacy in a hospital in Shanghai. Hosp Adm J Chin Peoples Lib Army 2020; 27: 1071\u20131074.","journal-title":"Hosp Adm J Chin Peoples Lib Army"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-05302-w"},{"key":"e_1_3_3_40_2","first-page":"1161","article-title":"Investigation and analysis of knowledge, attitude and behavior about drug use safety among periconceptional women in Yongchuan district of Chongqing","volume":"28","author":"Shen Z","year":"2017","unstructured":"Shen Z, Jin M, Chen Q. Investigation and analysis of knowledge, attitude and behavior about drug use safety among periconceptional women in Yongchuan district of Chongqing. China Pharm 2017; 28: 1161\u20131164.","journal-title":"China Pharm"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.2196\/13694"},{"key":"e_1_3_3_42_2","first-page":"1005","article-title":"Depression and risk factors of women in their second-third trimester of pregnancy in Shaanxi province","volume":"19","author":"Zhou X","year":"2019","unstructured":"Zhou X, Liu H, Li X, et al. Depression and risk factors of women in their second-third trimester of pregnancy in Shaanxi province. Chin Nurs Manag 2019; 19: 1005\u20131011.","journal-title":"Chin Nurs Manag"},{"key":"e_1_3_3_43_2","volume-title":"Seminars in fetal and neonatal medicine","author":"Chawla D","unstructured":"Chawla D, Thukral A, Kumar P, et al. Harnessing mobile technology to deliver evidence-based maternal-infant care. In: Zupancic J (ed.) Seminars in fetal and neonatal medicine. Elsevier, 2021, p.101206."},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu11112723"}],"container-title":["Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057251347086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17455057251347086","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17455057251347086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:29:15Z","timestamp":1777710555000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17455057251347086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,17]]},"references-count":43,"alternative-id":["10.1177\/17455057251347086"],"URL":"https:\/\/doi.org\/10.1177\/17455057251347086","relation":{},"ISSN":["1745-5057","1745-5065"],"issn-type":[{"value":"1745-5057","type":"print"},{"value":"1745-5065","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,17]]},"article-number":"17455057251347086"}}