Maternal nutrition literacy and associated factors as determinants of micronutrient supplementation adherence among Chinese pregnant women: a multi-center cross-sectional study

Maternal nutrition literacy may be a key but underexplored determinant of adherence to recommended micronutrient supplementation during pregnancy in China. This study examined the level of maternal nutrition literacy and its associated factors and evaluated their relationship with adherence to prescribed micronutrient supplements among pregnant women. The conclusion was that maternal nutrition literacy is a strong and modifiable determinant of gestational micronutrient supplementation adherence among Chinese pregnant women, and that integrating nutrition literacy assessment and targeted counseling into routine antenatal care may improve supplement adherence and support better maternal and neonatal outcomes.