Pregnancy Preparedness among 18-24 year old Latina immigrants in North Carolina:

Background: Regardless of pregnancy intent, it is important that all women enter pregnancy as healthy as possible. Latina immigrants face cultural differences regarding pregnancy expectations in the U.S. and have differing levels of pregnancy knowledge. Methods: This population-based study examined indicators of pregnancy preparedness among Latinas and compared the effects of a multifaceted educational campaign (health care provider education + lay health education + paid Spanish-language media) vs. media alone. Quantitative oral interviews were conducted with Latinas 18-35 in 12 counties prior to and after the intervention (N = 896 and 1044). Knowledge and behavior questions examined pregnancy preparedness. Chi-square tests and logistic regressions were used to analyze results. Results: Among Latinas 18 – 24 no significant knowledge differences were observed regarding healthy pregnancy behaviors and country of origin; however level of education did significantly impact knowledge. Latinas who received information from a health care provider were significantly more likely to take a daily multivitamin (P = .00), know that taking a multivitamin was important for a healthy pregnancy (P = .00) and correctly identified that all women need to take a multivitamin with folic acid prior to pregnancy (P = .01). Respondents in intervention counties were significantly more likely to report receiving information from family/friends, health care providers and health centers than those in comparison counties. Media was effective in all counties surveyed. Conclusions: A culturally appropriate multifaceted educational campaign can be effective in providing preconception health education to young Latinas. Spanish-language media can influence knowledge and change behavior.