Is health literacy related to health behaviors and cell phone usage patterns among the text4baby target population?

BACKGROUND: Text4baby provides educational text messages to pregnant and postpartum women and targets underserved women. The primary purpose of this study is to examine the health behaviors and cell phone usage patterns of a text4baby target population and the associations with health literacy. METHODS: Pregnant and postpartum women were recruited from two Women- Infant and Children clinics in Atlanta. Women were asked about their demographics- selected pregnancy or postpartum health behaviors- and cell phone usage patterns. Health literacy skills were measured with the English version of the Newest Vital Sign. Multivariable logistic regression was used to examine health behaviors and cell usage patterns by health literacy classification- controlling for commonly accepted confounders. RESULTS: Four hundred sixty-eight women were recruited- and 445 completed the Newest Vital Sign. Of these- 22% had inadequate health literacy- 50% had intermediate health literacy- and 28% had adequate health literacy skills. Co