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Knowing your audience: Investigating stillbirth knowledge and perceptions in the general population to inform future public health campaigns
Institution:1. JBI, School of Public Health, Faculty of Health and Medical Science, University of Adelaide, Australia;2. Curtin Medical School, Curtin University, Bentley, WA, Australia;3. Telethon Kids Institute, The University of Western Australia, Nedlands, WA, Australia;4. Ngangk Yira Research Centre for Aboriginal Health & Social Equity, Murdoch University, Murdoch, WA, Australia;5. Still Aware, South Australia, Australia;6. UniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia;1. School of Nursing and Midwifery, Parramatta South Campus, Western Sydney University, NSW, Australia;2. Graduate Research School and the Centre for Research in Mathematics and Data Science, Western Sydney University, NSW, Australia;1. NHMRC Centre of Research Excellence in Stillbirth, Mater Research Institute — The University of Queensland (MRI-UQ), South Brisbane, Australia;2. Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia;3. Institute for Social Science Research, The University of Queensland, Brisbane, Australia;4. Griffith University, School of Medicine and Gold Coast University Hospital, Gold Coast, QLD, Australia;5. SAHMRI Women and Kids, South Australian Health and Medical Research Institute, Adelaide, Australia;6. University of Auckland and Counties Manukau Health, Auckland, New Zealand;1. Centre for Midwifery, Child and Family Health, School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Australia;2. Institute for Sustainable Futures, University of Technology Sydney, Australia;3. School of Public Health, Faculty of Health, University of Technology Sydney, Australia;1. Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland;2. AUT University, Centre for Midwifery and Women’s Health Research, Auckland, New Zealand;1. School of Nursing and Midwifery, Faculty of Nursing, Suratthani Rajabhat University, 272 Moo 9 Surat-Nasan Road, Muang, Surat Thani 84100, Thailand;2. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith 2751, NSW, Australia;3. College of Health Sciences, VinUniversity, Hanoi, Vietnam
Abstract:BackgroundThe prevalence of stillbirth in many high income countries like Australia has remained unchanged for over 30 years. The 2018 Australian government Senate Select Committee on Stillbirth Research and Education highlighted the need for a public health campaign to encourage public conversations and increase awareness. However, there is little evidence about the community’s knowledge and perceptions towards pregnancy and stillbirth, nor their aspirations for a public health campaign.AimsTo assess the general knowledge, perceptions, myths and attitudes towards stillbirth to inform future public health campaigns.MethodsAustralian participants (n = 344; predominately women n = 294 (85.5%)) were recruited via Facebook.com. They completed a cross-sectional online survey designed to assess their knowledge of pregnancy and stillbirth, with additional questions on socio-demographic characteristics.ResultsStillbirth knowledge and awareness of incidence was low in this sample. Prominent myths, such as baby runs out of room in the uterus (n = 112, 33%) and baby slows down when preparing for labour (n = 24, 27%) were endorsed. Only 25% (n = 85) knew the prevalence of stillbirth in Australia (six per day). Almost two-thirds (n = 205; 62%) agreed that there needs to be a public health campaign, however one in five (n = 65; 20%) were concerned that talking about stillbirth with pregnant women may cause them to worry.Discussion and conclusionOur findings reinforce the need for a targeted campaign, which educates the general population about the definition and prevalence of stillbirth, stillbirth risks and modifiable health behaviours. Appropriate messaging should target pregnant women during antenatal care as well as their support and care systems (family, friends, and care providers).
Keywords:Stillbirth  Public health  Awareness  Myths
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