Objective
The study was aimed at investigating the association between postpartum women’s breastfeeding self-efficacy levels and their depression levels, social support levels, and breastfeeding attitudes in early postpartum period.
Methods
The cross-sectional study was carried out in Kirklareli in Turkey. The population of the study consisted of 398 women aged 15–49 in the first 42 days of the postpartum period who presented to eight family health centers. The study data were collected face-to-face using the Personal Information Form, Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), Edinburgh Postnatal Depression Scale (EPDS), Multidimensional Scale of Perceived Social Support (MSPSS), and Breastfeeding Attitudes of the Evaluation Scale (BAES).
Results
The mean age of the participants was 28.61±5.72 (Min:18, Max: 44), and the mean score they obtained from the BSES-SF was 55.13±8.39. Statistically significant differences were detected between the participants’ BSES-SF scores and age groups, employment status, perceived income level, and the number of living children (p < 0.05). No statistically significant differences were detected between marital status, educational status and BSES-SF scores (p > 0.05). In the multivariate regression analysis adjusted according to the sociodemographic characteristics, BAES, EPDS and MSPSS accounted for 48.3% of the BSES-SF. A negative association was found between BSES-SF scores and EPDS scores (β = −0.178, 95% CI:−0.349, −0.006), and a positive relation between the BAES scores (β = 0.194, 95% CI: 0.163, 0.226) and the MSPSS scores (β = 0.114, 95% CI: 0.037, 0.191).
Conclusion
As the level of depression of women increases in the postpartum period, the level of breastfeeding self-efficacy decreases. The breastfeeding self-efficacy increases as the level of social support increases and as the attitudes that drive breastfeeding behavior change positively.
In this study, we aimed to determine the breast cancer screening behavior of women and to investigate the relationship between health beliefs and screening behaviors. The study was cross-sectional. It was conducted between April 2017 and June 2017 with 416 women aged ≥40. The Sociodemographic Information Form and the Champion’s Health Belief Model Scale were used to collect data. In the statistical analysis, the number, percentage, mean, standard deviation, Pearson chi-square test, and multivariate binary logistic regression analysis were used. The rates for participating women performing breast self-examination, having clinical breast examination, and undergoing mammography were 11.8%, 8.9%, and 11.3%, respectively. Perceived susceptibility, seriousness, self-efficacy, benefits, health motivation, and perceived barriers were found to have strong associations with screening behaviors (p < 0.05). In this study, we found that few women performed breast self-examination, had clinical breast examination and mammography. In the present study, women perceived barriers related to both performing breast self-examination and undergoing mammography.
Background
In this study, aimed to determine the frequency of participation in colorectal cancer (CRC) screenings, the factors affecting participation and the association between CRC screening behaviors and health literacy (HL).
Methods
This community-based cross-sectional study was carried out with 408 people residing in Kirklareli, a province in Northwestern Turkey, between August and November 2019.
Results
CRC screenings participation prevalence was 21.1%. Of them, 17.2% participated in fecal occult blood tests (FOBT) screenings, 7.6% participated in colonoscopy screenings, and 86.5% had inadequate or limited-problematic HL. According to the multivariate logistic regression analysis, the likelihood of not participating in CRC screenings was high in the participants who worked at a paid job (OR: 3.001, 95% CI: 1.018–8.850), who did not do any physical activity regularly (OR: 2.516, 95% CI: 1.251–5.060), who were not aware of the presence of an early diagnosis test for CRC (OR: 32.613, 95% CI: 13.338–79.742), who did not have a person having had CRC screening in their immediate environment (OR: 3.562, 95% CI: 1.752–7.240) and who had sufficient or excellent HL (OR: 3.324, 95% CI: 1.128–9.796). According to adjusted for some characteristics, there was no significant association between participation in CRC screenings and THLS-sub-dimensions and THLS-processes (P>0.05).
Conclusions
Participation in CRC screenings was low, and those with a high HL level were more likely not to participate in CRC screenings. Working status, knowledge and awareness levels affected the participation to CRC screenings. To encourage people to participate in screenings and to improve their HL, awareness-raising attempts for target groups should be increased.
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