Elisabeth Poorman|Julie A. Gazmararian|Lisa Elon|Ruth M. Parker
Is health literacy related to health behaviors and cell phone usage patterns among the text4baby target population?
Cambridge Health Alliance|Emory University|Emory University|Emory University
text4baby provides educational text messages pregnant postpartum women targets underserved women primary purpose study examine health behaviors cell phone usage patterns text4baby target population associations health literacy pregnant postpartum women recruited two women infant children clinics atlanta women asked demographics selected pregnancy postpartum health behaviors cell phone usage patterns health literacy skills measured english version newest vital sign multivariable logistic regression used examine health behaviors cell usage patterns health literacy classification controlling commonly accepted confounders four hundred sixtyeight women recruited 445 completed newest vital sign 22 inadequate health literacy 50 intermediate health literacy 28 adequate health literacy skills compared adequate health literacy limited literacy independently associated taking daily vitamin pregnancy 36 95 ci 16 85 never breastfeeding infant 14 95 ci 11 18 majority 694 respondents received nine text messages day prior enrollment one four participants 246 changed number within last six months 70 study participants shared cell phone controlling potentially confounding factors limited health literacy likely share cell phone adequate health literacy 257 95 ci 179 369 text4baby messages appropriate low health literacy levels especially population may higher prevalence targeted unhealthy behaviors text4baby mhealth programs targetting low health literacy populations also aware different ways populations use cell phones including sharing cell phones may mean participants receive messages special privacy concerns frequently changing cell phone numbers could lead higher dropoff rates penetrance text messages population receives many messages daily