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The Interrelationship Between Health Literacy and Primary Immunodeficiency Awareness in Pregnant and Early Postpartum Women

Yıl 2025, Cilt: 35 Sayı: 3, 426 - 434, 30.06.2025
https://doi.org/10.54005/geneltip.1588943

Öz

Background/Aims: This study aimed to investigate the relationship between health literacy levels and primary immunodeficiency awareness among pregnant and early postpartum women.
Methods: This study included 206 women who visited the obstetrics and gynecology outpatient clinic and obstetrics ward of a university hospital between March and June 2024. Data were collected using a participant information form, a health literacy scale, and a primary immunodeficiency awareness form. Data analysis included the independent sample t-test, one-way analysis of variance, and Spearman’s correlation test. A p-value of <0.05 was considered statistically significant.
Results: The mean score on the health literacy scale was 110.72±13.92, while the mean score for primary immunodeficiency awareness was 15.03±2.88. Women aged 26-30 had higher understanding information scores on the health literacy scale than women aged 25 and below. Women with high school and university education had higher health literacy and primary immunodeficiency awareness scores than only literate women and those with primary education. A weak, positive correlation was found between access and information (a subdimension of the health literacy scale) and primary immunodeficiency awareness.
Conclusions: Educational programs aimed at increasing health literacy in women may be an effective strategy for improving awareness of primary immunodeficiency. Education and awareness programs should be specifically developed for younger women and those at lower education levels.

Kaynakça

  • 1. Parnell TA. Health literacy: History, definitions, and models. In: Parnell TA, editor. Health literacy in nursing: Providing person-centered care. New York (NY): Springer; 2014. p. 3-32. Available from: https://zu.edu.jo/UploadFile/Library/E_Books/Files/LibraryFile_91636_32.pdf
  • 2. Sur E. The concept of literacy and literacy studies in Turkey [in Turkish]. Ahmet Kelesoglu Journal of Education (AKEF). 2022;4(2):445-67.
  • 3. Phommachanh S, Essink DR, Wright PE, Broerse JEW, Mayxay M. Maternal health literacy on mother and child health care: A community cluster survey in two southern provinces in Laos. PLoS One. 2021;16(3):e0244181. doi:10.1371/journal.pone.0244181
  • 4. Meldgaard M, Gamborg M, Terkildsen Maindal H. Health literacy levels among women in the prenatal period: A systematic review. Sex Reprod Healthc. 2022;34:100796.
  • 5. Lupattelli A, Picinardi M, Einarson A, Nordeng H. Health literacy and its association with perception of teratogenic risks and health behavior during pregnancy. Patient Educ Couns. 2014;96(2):171–8.
  • 6. Şenol DK, Göl İ, Özkan SA. The effect of health literacy levels of pregnant women on receiving prenatal care: A cross-sectional descriptive study. Int J Caring Sci. 2019;12(3):1717–24.
  • 7. Vila-Candel R, Soriano-Vidal FJ, Mena-Tudela D, Quesada JA, Castro-Sánchez E. Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study. J Adv Nurs. 2021;77(2):703–14.
  • 8. Ferguson B. Health literacy and health disparities: The role they play in maternal and child health. Nurs Women’s Health. 2008;12(4):286–98.
  • 9. Gaupšienė A, Vainauskaitė A, Baglajeva J, et al. Associations between maternal health literacy, neonatal health, and breastfeeding outcomes in the early postpartum period. Eur J Midwifery. 2023;1–6.
  • 10. Melwani S, Cleland V, Patterson K, Nash R. A scoping review: Global health literacy interventions for pregnant women and mothers with young children. Health Promot Int. 2022;37(2):daab047.
  • 11. Modell V, Orange JS, Quinn J, Modell F. Global report on primary immunodeficiencies: 2018 update from the Jeffrey Modell Centers Network on disease classification, regional trends, treatment modalities, and physician-reported outcomes. Immunol Res. 2018;66(3):367–80.
  • 12. Tangye SG, Al-Herz W, Bousfiha A, et al. Human Inborn Errors of Immunity: 2019 Update on the Classification from the International Union of Immunological Societies Expert Committee. J Clin Immunol. 2020;40(1):24–64
  • 13. Patel NC. Individualized immunoglobulin treatment in pediatric patients with primary humoral immunodeficiency disease. Pediatr Allergy Immunol. 2018;29(6):583–8.
  • 14. Galal N, Ohida M, Meshaal S, Elaziz DA, Elhawary I. Targeted screening for primary immunodeficiency disorders in the neonatal period and early infancy. Afr Health Sci. 2019;19(1):1449–59.
  • 15. Yorulmaz A, Artaç H, Kara R, et al. Primer immün yetmezlikli 1054 olgunun değerlendirilmesi. Asthma Allergy Immunol. 2008;6:127–34.
  • 16. Orange JS, Seeborg FO, Boyle M, Scalchunes C, Hernandez-Trujillo V. Family physician perspectives on primary immunodeficiency diseases. Front Med (Lausanne). 2016;3:12.
  • 17. Waltenburg R, Kobrynski L, Reyes M, Bowen S, Khoury MJ. Primary immunodeficiency diseases: Practice among primary care providers and awareness among the general public, United States. Genet Med. 2010;12(12):792–800.
  • 18. Modell V, Quinn J, Ginsberg G, Gladue R, Orange J, Modell F. Modeling strategy to identify patients with primary immunodeficiency using risk management and outcome measurement. Immunol Res. 2017;65(3):713–20.
  • 19. National Organization for Rare Disorders. Jeffrey Modell Foundation [Internet]. 2024 Sep 12 [cited 2025 Apr 24]. Available from: https://rarediseases.org/organizations/jeffrey-modell-foundation/
  • 20. Jeffrey Modell Foundation. Educational materials [Internet]. 2024 Sep 12 [cited 2025 Apr 24]. Available from: https://info4pi.org/library/educational-materials/
  • 21. Elsink K, van Montfrans JM, van Gijn ME, et al. Cost and impact of early diagnosis in primary immunodeficiency disease: A literature review. Clin Immunol. 2020;213:108359.
  • 22. ondino-Neto A, Espinosa-Rosales FJ. Changing the lives of people with primary immunodeficiencies (PI) with early testing and diagnosis. Front Immunol. 2018;9:1439.
  • 23. Sánchez-Ramón S, Bermúdez A, González-Granado L, et al. Primary and secondary immunodeficiency diseases in oncohaematology: Warning signs, diagnosis, and management. Front Immunol. 2019;10:586.
  • 24. Kul Uçtu A, Kaplan V. Health literacy in Turkish pregnant women in the framework of prenatal attachment and coping styles with stress. J Res Health. 2023;13(3):163–74.
  • 25. Gözün G. Evaluation of childhood primary immunodeficiency awareness among fourth-year medical students [master’s thesis]. Konya: Necmettin Erbakan University; 2020.
  • 26. Alpaslan Yayli NZ, Beliz Onder Y. Evaluation of knowledge levels and attitudes of intern dentistry students and assistant dentists about acquired immunodeficiency syndrome (AIDS). Van Med J. 2021;28(2):272-279.
  • 27. Gökoğlu AG. The effect of women’s health literacy level on health behaviors and child health. J Baskent Univ Fac Health Sci. 2021;6(2):132-148.
  • 28. Aral N, Aysu B, Aydoğdu F, Gürsoy F. Examination of maternal health literacy levels: An interdisciplinary study with a child developmental perspective. Gevher Nesibe J IESDR. 2021;6(14):35-44.
  • 29. Ağralı H, Pazarcıklı F, Aydınlı A. Do maternal health literacy levels affect stress during the COVID-19 pandemic process? J Gen Health Sci. 2023;5(1):47-57.
  • 30. Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.
  • 31. Toci E. Health literacy and socioeconomic characteristics of older people in transitional Kosovo. Br J Med Med Res. 2013;3:1646-1658.
  • 32. Aras Z, Bayık AT. Validity and reliability of the Turkish version of the health literacy scale. F N J Nurs. 2017;25(2):85-94.
  • 33. Quinn J, Modell V, Orange JS, Modell F. Growth in the diagnosis and treatment of primary immunodeficiency within the global Jeffrey Model Centers Network. Allergy Asthma Clin Immunol. 2022;18(1):19.
  • 34. Kilinc M, Çölkesen F, Aykan F, et al. Evaluation of primary immunodeficiency awareness of physicians in Türkiye. Alergol Pol. 2024.
  • 35. Hariyan T, Kinash M, Kovalenko R, Boyarchuk O. Evaluation of awareness about primary immunodeficiencies among physicians before and after implementation of educational programs: A longitudinal study. PLoS One. 2020;15(5):e0233342.
  • 36. Eldeniz F, Gul Y, Yorulmaz A, et al. Evaluation of the 10 warning signs in primary and secondary immunodeficient patients. Front Immunol. 2022;13:900055.
  • 37. Davis, L. L. Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 1992;5(4):194-197.
  • 38. Leech N, Barrett K, Morgan GA. SPSS for Intermediate Statistics: Use and Interpretation. 3rd ed. New York: Routledge; 2007.
  • 39. Nawabi F, Krebs F, Vennedey V, et al. Health literacy in pregnant women: A systematic review. Int J Environ Res Public Health. 2021;18:3847.
  • 40. Kıraçılar E, Koçak D. The effects of health literacy on early breast and cervical cancer diagnosis in women aged 18–65. J Contemp Med. 2023.
  • 41. Egsgaard S, Røssell E, Sørensen J, Støvring H. Women’s health literacy and attendance in breast cancer screening: A Danish population-based study combining survey and register data. Scand J Public Health. 2023;51(6):573-581.
  • 42. Sadeghian R, Hamedani M, Salehipour S, et al. Health literacy level and related factors among Iranian women with breast cancer undergoing chemotherapy. Front Public Health. 2023;11:1150148.
  • 43. Nawabi F, Krebs F, Lorenz L, et al. Health literacy among pregnant women in a lifestyle intervention trial. Int J Environ Res Public Health. 2022;19:5808.
  • 44. Yee L, Kamel L, Quader, Z., et al. Characterizing literacy and cognitive function during pregnancy and postpartum. Am J Perinatol. 2017;34:927-934.
  • 45. Guler D, Şahin S, Ozdemir K, Unsal A, Yuvacı H. Health literacy and knowledge of antenatal care among pregnant women. Health Soc Care Community. Published online 2021.
  • 46. Stafford J, Goggins E, Lathrop E, Haddad L. Health literacy and associated outcomes in the postpartum period at Grady Memorial Hospital. Matern Child Health J. 2020;25:599-605.
  • 47. Bolursaz MR, Lotfian F, Velayati AA. Bacillus Calmette-Guérin vaccine complications in Iranian children at a university hospital. Allergologia et Immunopathologia. 2017;45:356-361.
  • 48. Maródi L. Fifteen years of the J Project. J Clin Immunol. 2019;39:363-369.
  • 49. Boyarchuk O, Volyanska L, Kosovska T, Lewandowicz-Uszynska A, Kinash M. Awareness of primary immunodeficiency diseases among medical students. Georgian Med News. 2018;285:124-130.
  • 50. K. Imai, A. Oh, A. Morishita, and Y. Inoue. Physician awareness and understanding of primary immunodeficiency disorders: a web-based study in Japan. Immunol Med. 2023;46(1):45-57.
  • 51. El-Sayed Z, Radwan N. Newborn screening for primary immunodeficiency: gaps, challenges, and outlook for developing countries. Front Immunol. 2020;10:2987.
  • 52. Hendaus M, Alhammadi A, Adeli M, Al-Yafei F. The value of family history in diagnosing primary immunodeficiency disorders. Case Rep Pediatr 2014;1-3.
  • 53. Roxo-Junior P, Silva J, Andrea M, et al. A family history of serious complications due to BCG vaccination is useful for early diagnosis of severe primary immunodeficiency. Ital J Pediatr. 2013;39:54.

Gebe ve Erken Postpartum Dönemdeki Kadınların Sağlık Okuryazarlığı ve Primer İmmün Yetmezlik Farkındalığı İlişkisi

Yıl 2025, Cilt: 35 Sayı: 3, 426 - 434, 30.06.2025
https://doi.org/10.54005/geneltip.1588943

Öz

Amaç: Gebe ve erken postpartum dönemdeki kadınların sağlık okuryazarlık düzeylerinin primer immün yetmezlik farkındalığı ile olan ilişkisinin incelenmesi amaçlanmıştır.
Yöntem: Mart-Haziran 2024 tarihleri arasında bir üniversite hastanesi kadın hastalıkları ve doğum anabilim dalı gebe polikliniği ve obstetri servisine başvuran 206 kadın ile yürütülmüştür. Verilerin toplnmasında katılımcı bilgi formu, sağlık okuryazarlığı ölçeği ve primer immün yetmezlik bilgi formu kullanılmıştır. Verilerin analizinde; bağımsız iki örneklem t testi, tek yönlü varyans analizi, spearman korelasyon testi kullanılmıştır. İstatistiksel anlamlılık düzeyi olarak p< 0.05 kabul edilmiştir.
Bulgular: Kadınların sağlık okuryazarlığı ölçeği ortalama puanları 110,72±13,92, primer immün yetmezlik farkındalık puanları 15,03±2,88 olarak bulunmuştur. 26-30 yaş arasındaki kadınların sağlık okuryazarlığı bilgileri anlama puanları, 25 yaş ve altı kadınlara göre daha yüksek bulunmuştur. Lise ve üniversite eğitim düzeyine sahip kadınların sağlık okuryazarlığı ve primer immün yetmezlik farkındalık puanları, ilköğretim düzeyi ve okuryazar olan kadınlara göre daha yüksek bulunmuştur. Sağlık okuryazarlığı ölçeği alt boyutlarından bilgiye erişim ile primer immün yetmezlik farkındalığı arasında pozitif yönlü, düşük düzeyde bir ilişki tespit edilmiştir.
Sonuç: Kadınların sağlık okuryazarlığı düzeylerini yükseltmeye yönelik eğitim programları, primer immün yetmezlik farkındalığını artırmada etkili bir strateji olabilir. Eğitim ve farkındalık çalışmalarının özellikle genç ve düşük eğitim düzeyine sahip kadınlara yönelik olarak geliştirilmesi gerekmektedir.

Kaynakça

  • 1. Parnell TA. Health literacy: History, definitions, and models. In: Parnell TA, editor. Health literacy in nursing: Providing person-centered care. New York (NY): Springer; 2014. p. 3-32. Available from: https://zu.edu.jo/UploadFile/Library/E_Books/Files/LibraryFile_91636_32.pdf
  • 2. Sur E. The concept of literacy and literacy studies in Turkey [in Turkish]. Ahmet Kelesoglu Journal of Education (AKEF). 2022;4(2):445-67.
  • 3. Phommachanh S, Essink DR, Wright PE, Broerse JEW, Mayxay M. Maternal health literacy on mother and child health care: A community cluster survey in two southern provinces in Laos. PLoS One. 2021;16(3):e0244181. doi:10.1371/journal.pone.0244181
  • 4. Meldgaard M, Gamborg M, Terkildsen Maindal H. Health literacy levels among women in the prenatal period: A systematic review. Sex Reprod Healthc. 2022;34:100796.
  • 5. Lupattelli A, Picinardi M, Einarson A, Nordeng H. Health literacy and its association with perception of teratogenic risks and health behavior during pregnancy. Patient Educ Couns. 2014;96(2):171–8.
  • 6. Şenol DK, Göl İ, Özkan SA. The effect of health literacy levels of pregnant women on receiving prenatal care: A cross-sectional descriptive study. Int J Caring Sci. 2019;12(3):1717–24.
  • 7. Vila-Candel R, Soriano-Vidal FJ, Mena-Tudela D, Quesada JA, Castro-Sánchez E. Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study. J Adv Nurs. 2021;77(2):703–14.
  • 8. Ferguson B. Health literacy and health disparities: The role they play in maternal and child health. Nurs Women’s Health. 2008;12(4):286–98.
  • 9. Gaupšienė A, Vainauskaitė A, Baglajeva J, et al. Associations between maternal health literacy, neonatal health, and breastfeeding outcomes in the early postpartum period. Eur J Midwifery. 2023;1–6.
  • 10. Melwani S, Cleland V, Patterson K, Nash R. A scoping review: Global health literacy interventions for pregnant women and mothers with young children. Health Promot Int. 2022;37(2):daab047.
  • 11. Modell V, Orange JS, Quinn J, Modell F. Global report on primary immunodeficiencies: 2018 update from the Jeffrey Modell Centers Network on disease classification, regional trends, treatment modalities, and physician-reported outcomes. Immunol Res. 2018;66(3):367–80.
  • 12. Tangye SG, Al-Herz W, Bousfiha A, et al. Human Inborn Errors of Immunity: 2019 Update on the Classification from the International Union of Immunological Societies Expert Committee. J Clin Immunol. 2020;40(1):24–64
  • 13. Patel NC. Individualized immunoglobulin treatment in pediatric patients with primary humoral immunodeficiency disease. Pediatr Allergy Immunol. 2018;29(6):583–8.
  • 14. Galal N, Ohida M, Meshaal S, Elaziz DA, Elhawary I. Targeted screening for primary immunodeficiency disorders in the neonatal period and early infancy. Afr Health Sci. 2019;19(1):1449–59.
  • 15. Yorulmaz A, Artaç H, Kara R, et al. Primer immün yetmezlikli 1054 olgunun değerlendirilmesi. Asthma Allergy Immunol. 2008;6:127–34.
  • 16. Orange JS, Seeborg FO, Boyle M, Scalchunes C, Hernandez-Trujillo V. Family physician perspectives on primary immunodeficiency diseases. Front Med (Lausanne). 2016;3:12.
  • 17. Waltenburg R, Kobrynski L, Reyes M, Bowen S, Khoury MJ. Primary immunodeficiency diseases: Practice among primary care providers and awareness among the general public, United States. Genet Med. 2010;12(12):792–800.
  • 18. Modell V, Quinn J, Ginsberg G, Gladue R, Orange J, Modell F. Modeling strategy to identify patients with primary immunodeficiency using risk management and outcome measurement. Immunol Res. 2017;65(3):713–20.
  • 19. National Organization for Rare Disorders. Jeffrey Modell Foundation [Internet]. 2024 Sep 12 [cited 2025 Apr 24]. Available from: https://rarediseases.org/organizations/jeffrey-modell-foundation/
  • 20. Jeffrey Modell Foundation. Educational materials [Internet]. 2024 Sep 12 [cited 2025 Apr 24]. Available from: https://info4pi.org/library/educational-materials/
  • 21. Elsink K, van Montfrans JM, van Gijn ME, et al. Cost and impact of early diagnosis in primary immunodeficiency disease: A literature review. Clin Immunol. 2020;213:108359.
  • 22. ondino-Neto A, Espinosa-Rosales FJ. Changing the lives of people with primary immunodeficiencies (PI) with early testing and diagnosis. Front Immunol. 2018;9:1439.
  • 23. Sánchez-Ramón S, Bermúdez A, González-Granado L, et al. Primary and secondary immunodeficiency diseases in oncohaematology: Warning signs, diagnosis, and management. Front Immunol. 2019;10:586.
  • 24. Kul Uçtu A, Kaplan V. Health literacy in Turkish pregnant women in the framework of prenatal attachment and coping styles with stress. J Res Health. 2023;13(3):163–74.
  • 25. Gözün G. Evaluation of childhood primary immunodeficiency awareness among fourth-year medical students [master’s thesis]. Konya: Necmettin Erbakan University; 2020.
  • 26. Alpaslan Yayli NZ, Beliz Onder Y. Evaluation of knowledge levels and attitudes of intern dentistry students and assistant dentists about acquired immunodeficiency syndrome (AIDS). Van Med J. 2021;28(2):272-279.
  • 27. Gökoğlu AG. The effect of women’s health literacy level on health behaviors and child health. J Baskent Univ Fac Health Sci. 2021;6(2):132-148.
  • 28. Aral N, Aysu B, Aydoğdu F, Gürsoy F. Examination of maternal health literacy levels: An interdisciplinary study with a child developmental perspective. Gevher Nesibe J IESDR. 2021;6(14):35-44.
  • 29. Ağralı H, Pazarcıklı F, Aydınlı A. Do maternal health literacy levels affect stress during the COVID-19 pandemic process? J Gen Health Sci. 2023;5(1):47-57.
  • 30. Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.
  • 31. Toci E. Health literacy and socioeconomic characteristics of older people in transitional Kosovo. Br J Med Med Res. 2013;3:1646-1658.
  • 32. Aras Z, Bayık AT. Validity and reliability of the Turkish version of the health literacy scale. F N J Nurs. 2017;25(2):85-94.
  • 33. Quinn J, Modell V, Orange JS, Modell F. Growth in the diagnosis and treatment of primary immunodeficiency within the global Jeffrey Model Centers Network. Allergy Asthma Clin Immunol. 2022;18(1):19.
  • 34. Kilinc M, Çölkesen F, Aykan F, et al. Evaluation of primary immunodeficiency awareness of physicians in Türkiye. Alergol Pol. 2024.
  • 35. Hariyan T, Kinash M, Kovalenko R, Boyarchuk O. Evaluation of awareness about primary immunodeficiencies among physicians before and after implementation of educational programs: A longitudinal study. PLoS One. 2020;15(5):e0233342.
  • 36. Eldeniz F, Gul Y, Yorulmaz A, et al. Evaluation of the 10 warning signs in primary and secondary immunodeficient patients. Front Immunol. 2022;13:900055.
  • 37. Davis, L. L. Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 1992;5(4):194-197.
  • 38. Leech N, Barrett K, Morgan GA. SPSS for Intermediate Statistics: Use and Interpretation. 3rd ed. New York: Routledge; 2007.
  • 39. Nawabi F, Krebs F, Vennedey V, et al. Health literacy in pregnant women: A systematic review. Int J Environ Res Public Health. 2021;18:3847.
  • 40. Kıraçılar E, Koçak D. The effects of health literacy on early breast and cervical cancer diagnosis in women aged 18–65. J Contemp Med. 2023.
  • 41. Egsgaard S, Røssell E, Sørensen J, Støvring H. Women’s health literacy and attendance in breast cancer screening: A Danish population-based study combining survey and register data. Scand J Public Health. 2023;51(6):573-581.
  • 42. Sadeghian R, Hamedani M, Salehipour S, et al. Health literacy level and related factors among Iranian women with breast cancer undergoing chemotherapy. Front Public Health. 2023;11:1150148.
  • 43. Nawabi F, Krebs F, Lorenz L, et al. Health literacy among pregnant women in a lifestyle intervention trial. Int J Environ Res Public Health. 2022;19:5808.
  • 44. Yee L, Kamel L, Quader, Z., et al. Characterizing literacy and cognitive function during pregnancy and postpartum. Am J Perinatol. 2017;34:927-934.
  • 45. Guler D, Şahin S, Ozdemir K, Unsal A, Yuvacı H. Health literacy and knowledge of antenatal care among pregnant women. Health Soc Care Community. Published online 2021.
  • 46. Stafford J, Goggins E, Lathrop E, Haddad L. Health literacy and associated outcomes in the postpartum period at Grady Memorial Hospital. Matern Child Health J. 2020;25:599-605.
  • 47. Bolursaz MR, Lotfian F, Velayati AA. Bacillus Calmette-Guérin vaccine complications in Iranian children at a university hospital. Allergologia et Immunopathologia. 2017;45:356-361.
  • 48. Maródi L. Fifteen years of the J Project. J Clin Immunol. 2019;39:363-369.
  • 49. Boyarchuk O, Volyanska L, Kosovska T, Lewandowicz-Uszynska A, Kinash M. Awareness of primary immunodeficiency diseases among medical students. Georgian Med News. 2018;285:124-130.
  • 50. K. Imai, A. Oh, A. Morishita, and Y. Inoue. Physician awareness and understanding of primary immunodeficiency disorders: a web-based study in Japan. Immunol Med. 2023;46(1):45-57.
  • 51. El-Sayed Z, Radwan N. Newborn screening for primary immunodeficiency: gaps, challenges, and outlook for developing countries. Front Immunol. 2020;10:2987.
  • 52. Hendaus M, Alhammadi A, Adeli M, Al-Yafei F. The value of family history in diagnosing primary immunodeficiency disorders. Case Rep Pediatr 2014;1-3.
  • 53. Roxo-Junior P, Silva J, Andrea M, et al. A family history of serious complications due to BCG vaccination is useful for early diagnosis of severe primary immunodeficiency. Ital J Pediatr. 2013;39:54.
Toplam 53 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Serap Batı 0000-0003-3176-6837

Sibel Kıyak 0000-0002-7278-2094

İsmail Reisli 0000-0001-8247-6405

Gönderilme Tarihi 5 Aralık 2024
Kabul Tarihi 30 Ocak 2025
Yayımlanma Tarihi 30 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 35 Sayı: 3

Kaynak Göster

Vancouver Batı S, Kıyak S, Reisli İ. The Interrelationship Between Health Literacy and Primary Immunodeficiency Awareness in Pregnant and Early Postpartum Women. Genel Tıp Derg. 2025;35(3):426-34.