\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[ngerman,english]{babel}



\usepackage{float}








\begin{document}

\title{Media use in gynecological and obstetric care and women's knowledge on
lifestyle-related risks: A cross-sectional multi-center study}



\author[1]{Maren Wittek}%
\author[1]{Michel Wensing}%
\author[1]{Charlotte Ullrich}%
\author[2]{Gerhard Müller}%
\author[3]{Monika Heinzel-Gutenbrunner}%
\author[1]{Manuela Bombana}%
\affil[1]{University Hospital Heidelberg}%
\affil[2]{AOK Baden-Württemberg}%
\affil[3]{MH Statistics Consulting}%


\vspace{-1em}



  
  \date{May 29, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup





\selectlanguage{english}
\begin{abstract}
OBJECTIVE: Media-based educational interventions applied by healthcare
providers may improve women`s adherence, health literacy and awareness
of LRRFs, and off-spring health outcomes. This study aims to investigate
whether exposure to media-based educational interventions in
gynecological and obstetric care are associated with self-assessed
levels of knowledge on LRRFs during pregnancy and lactation. DESIGN: We
conducted a cross-sectional observational study. SETTING: The study was
carried out across 14 randomly generated sample points in the twelve
most-populated cities in Ba-den-Wuerttemberg, South-West Germany. Women
were recruited in gynecological and obstetric institutions. SAMPLE: The
study sample comprised of 219 women who met our inclusion criteria and
completed the quantitative questionnaire. METHODS: We applied ordinal
logistic regression analyses to calculate Odds Ratios (ORs) and 95\%
Confidence Intervals (CIs). MAIN OUTCOME MEASURES: Women's self-assessed
level of knowledge in relation to the exposure to media-based
educational interventions by healthcare providers. RESULTS: Media-based
educational interventions on LRRFs during pregnancy through
gynecologists and/or midwifes are significantly associated with women's
self-assessed level of knowledge (gynecologists: OR 4.26 (95\% CI 2.04,
8.90; p \textless{}.001); midwifes: OR 3.86 (95\% CI 1.66, 8.98;
p=.002)). Similar results were found for media-based educational
interventions through gynecologists and/or midwifes on LRRFs during
lactation and its association with women's self-assessed level of
knowledge (gynecologists: OR 4.76 (95\% CI 2.15, 10.59; p
\textless{}.001); midwifes: OR 7.61 (95\% CI 3.13, 18.53;
p\textless{}.001)). CONCLUSION: The study suggests that exposure to
media-based educational interventions in gynecological and obstetric
care increases women's level of knowledge on LRRFs during pregnancy and
lactation.%
\end{abstract}%



\sloppy


\textbf{Hosted file}

\verb`Manuscript_final.docx`  available at \url{https://authorea.com/users/734286/articles/711402-media-use-in-gynecological-and-obstetric-care-and-women-s-knowledge-on-lifestyle-related-risks-a-cross-sectional-multi-center-study}

\textbf{Hosted file}

\verb`Tables_final.docx`  available at \url{https://authorea.com/users/734286/articles/711402-media-use-in-gynecological-and-obstetric-care-and-women-s-knowledge-on-lifestyle-related-risks-a-cross-sectional-multi-center-study}

\selectlanguage{english}
\FloatBarrier
\end{document}

