关键词: 妇幼保健服务, 健康素养, 健康信息, 社会支持, 个体网络

Abstract: Background　Due to current backward supervision of explosively increased maternal and infant health information，the discrimination of such information has become a major challenge to pregnant women. Objective　To explore pregnant women's ability of discriminating maternal and infant health information and associated factors. Methods　From November 2016 to August 2017，the survey was conducted among pregnant women recruited from Children's Hospital of Shanxi，Boai Hospital of Shanxi Province and Taiyuan Jinyuan District Jinsheng Town Health Center. A questionnaire designed by our research group was used in the survey to collect data including demographic information，frequency of active access to maternal and child health information，the impact of Internet information，level of general maternal and child health knowledge/information，experience of learning in the school for pregnant women，ways to access to health information，ability of discriminating health information，interpersonal communication network for maternal and child health information，etc. Multivariate Logistic regression analysis was used to explore the influencing factors of discrimination ability in maternal and infant health information. Results　A total of 1 100 cases attended the survey，and 858（78.00%） of them who returned responsive questionnaires were included for analysis. Of the respondents，345（40.21%） had self-reported difficulty in discriminating maternal and infant health information. Multivariate Logistic regression analysis showed that higher ability in discriminating maternal health information was associated with strong health awareness〔OR=1.354，95%CI（1.015，1.805）〕，active access to maternal and infant health information〔OR=1.364，95%CI（1.073，1.733）〕，having general maternal and infant health knowledge/information〔OR=1.523，95%CI（1.106，2.097）〕，and large-scale maternal and infant health information exchange network〔OR=1.461，95%CI（1.092，1.955）〕（P<0.05）. Internet information was found to be related to decreased ability to discriminate maternal and child health information〔OR=0.509，95%CI（0.340，0.762），P<0.05〕. Conclusion　Our survey indicates that there may be still great space to improve the ability of discriminating health information in pregnant women. To improve the ability of them，it is essential to promote the publicity and education of general maternal and infant health information，motivate them to actively acquire such information，encourage them to seek extensive and professional social support，and strengthen the supervision of health information quality.

Key words: Maternal-child health services, Health literacy, Health information, Social support, Individual network