Câmara, Saionara Maria Aires daFrança, Allen Suzane de2021-02-092021-02-092020-10-29FRANÇA, Allen Suzane de. Alfabetismo em saúde e fatores associados em gestantes adolescentes e adultas jovens residentes na região do Trairi no estado do Rio Grande do Norte. 2020. 84f. Dissertação (Mestrado em Saúde Coletiva - Facisa) - Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte, Natal, 2020.https://repositorio.ufrn.br/handle/123456789/31439Introduction: Health literacy is the cognitive ability to understand and interpret the meaning of health information in written, spoken and digital, and low health literacy has been associated with adverse health outcomes. Adolescent pregnancy is also related to poorer health outcomes for mother and child compared to adulthood pregnancy and low health literacy may be a contributor to these outcomes. Objective: To evaluate health literacy of pregnant adolescents and young adults from rural area of northeastern Brazil and its associated factors. Methods: This is an observational and analytical cross-sectional study, which is part of a longitudinal pilot study, AMOR (Adolescence and Motherhood Research). The sample consisted of 41 pregnant adolescents (13 to 18 years old) and 45 pregnant young adults (23 to 28 years old) living in the Trairi region, located in the Rio Grande do Norte state, during the third trimester of their first pregnancy. Health literacy was assessed by the Short Assesment of Health Literacy for Portuguese-Speaking Adults (SAHLPA, score from 0-18, inadequate if <15). In addition, we collected sociodemographic data, prenatal information and social support though the Social Networks and Social Support of the International Mobility in Aging Study. Multiple linear regression models were used to assess which variables remained associated with the SAHLPA-18 score. Results: Adolescents had worse SAHLPA scores than adults (p <0.001), as well as a higher percentage of inadequate literacy (95.1% versus 53.3%, p <0.001). In the multivariate analysis, poorer health literacy results were also found among those who reported that their school performance was lower when compared to peers (β= -2.843, p <0.001) and who reporting insufficient income (β= -2.775, p =0.014). Conclusion: Higher rates of inadequate health literacy were found, mainly among adolescent mothers. Policies targeting to improve health information access for young populations from rural low-income areas are needed.Acesso AbertoGravidez na adolescênciaAlfabetização em saúdeMulheresAssistência pré-natalAlfabetismo em saúde e fatores associados em gestantes adolescentes e adultas jovens residentes na região do Trairi no estado do Rio Grande do NortemasterThesis