The influence of gender roles on health seeking behaviour during pregnancy in Turkey

Ay, Pınar; Hayran, Osman; Topuzoğlu, Ahmet; Hıdıroğlu, Seyhan; Coşkun, Anahit; Save, Dilşad; Nalbant, Hacer; Özdemir, Erhan; Eker, Levent

doi:10.1080/13625180902925211

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…There are gender-based barriers that restrict women from leaving their homes for recreational activities. In Turkey, many decisions of women – even the decision of pregnancy – is generally in the domain of men due to patriarchal ideology ( 51 ) . This ideology is less pronounced in the West and Mediterranean than in the East, Middle and North ( 17 ) .…”

Section: Discussionmentioning

confidence: 99%

Socio-economic inequalities in overweight among adults in Turkey: a regional evaluation

Ergin

Hassoy

Kunst

2011

Public Health Nutr.

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Objective: Patterns of socio-economic inequalities in obesity and overweight have not been documented for Turkey. The present study aimed to describe educational and wealth-related inequalities for overweight in Turkey, taking a regional perspective. Design: Cross-sectional self-reported data of the World Health Survey 2002 for Turkey were used. BMI $ 25?00 kg/m 2 was considered as overweight. Respondents were classified according to education years and a wealth score derived from the availability of household assets. Logistic regression analysis was applied to assess the relationship between overweight and socio-economic factors. Analyses were stratified by sex and region (West, Mediterranean, Middle, Black Sea and East). Setting: Turkey. Subjects: Among the respondents 20 years and older, 3790 women and 4057 men had data on self-reported height and weight. Results: Age-adjusted overweight prevalence was 48?4 % for women and 46?1 % for men. For men, education was not systematically related to overweight while overweight was significantly increased among the highest wealth groups. For women, the prevalence of overweight was highest for low-educated and middlewealth groups. The size of the inequalities in overweight showed only small regional variations. In the East, however, overweight prevalence was more related to higher socio-economic position than in the other regions. Conclusions: Socio-economic inequalities for overweight in Turkey are at a similar level as in most European countries, and especially comparable to Southern Europe. The smaller inequalities in the East correspond to the low level of socio-economic development in this part of the country. Prevention of overweight should focus on lower educational groups throughout the entire country and especially on low-educated women.

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Section: Discussionmentioning

confidence: 99%

Socio-economic inequalities in overweight among adults in Turkey: a regional evaluation

Ergin

Hassoy

Kunst

2011

Public Health Nutr.

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“…The study conducted in Turkey indicated that cultural influences were linked to delay in seeking care when they experience complications and this was contributed by factors such as age, educational level, health insurance, getting antenatal care, family structure, and knowledge of the danger signs during pregnancy. This shows the impact of knowledge on health-seeking actions among pregnant women [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Obstetric Danger Signs: Knowledge, Attitude, Health-Seeking Action, and Associated Factors among Postnatal Mothers in Nekemte Town, Oromia Region, Western Ethiopia—A Community-Based Cross-Sectional Study

Regasa

Markos

Habte

et al. 2020

Obstetrics and Gynecology International

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Background. Maternal mortality remains unacceptably high due to pregnancy complications and remains the major health problems in many developing countries such as Ethiopia. Having poor knowledge of obstetric danger signs contributes to delays in seeking and receiving skilled care which in turn increases maternal mortality. However, in Ethiopia, studies are lacking regarding the knowledge level of mothers about obstetric danger signs during pregnancy, child birth, and postnatal periods. In Ethiopia, the proportion of those who have full knowledge of these obstetric danger signs during pregnancy, child birth, and postnatal period is not known. Despite few studies are conducted at health facility level focusing on danger signs during pregnancy, the issue of health-seeking action after identifying danger signs and attitude of mothers towards obstetric danger sign was not addressed. Objectives. To determine knowledge, attitude, health-seeking action towards obstetric danger signs, and associated factors among postpartum women. Methods.A community-based cross-sectional study was conducted in Nekemte Town from October 1 to November 30, 2017. Multistage sampling technique was employed to select the total sample size of 621. Ethical clearance was obtained from Wollega University research and ethical committee. A pretested structured questionnaire was used to collect data from respondents. Data were entered to EpiData version 3.1 and exported to SPSS version 20 for analysis. To assess the associations between dependent and independent variables, binary and multivariate logistic regressions were employed, and the strength of association was presented using odds ratios with 95% confidence intervals. Result. Only 197 (32.3%) of respondents were able to spontaneously mention at least five key obstetric danger signs during antepartum, intrapartum, and postpartum (in the three phases) with at least one obstetric danger sign in each phase and thus were considered as having good knowledge of key obstetric danger signs. Government employee (AOR = 3.28, 95% CI: 1.98–5.42), able to read and write (AOR = 4.92, 95% CI: 2.14–11.3), primary school (AOR = 4.90, 95% CI: 2.11–11.4), ANC follow-up (AOR = 6.2, 95% CI: 1.82–21.21), and ANC visit (AOR = 4.07, 95% CI: 2.35–7.06) were significantly associated with knowledge of obstetric danger sign. From 150 (24.6%) participants who faced obstetric danger signs during their last pregnancy, the majority of them, 137 (91.3%), had a good practice which is seeking a health facility for care. Conclusion and Recommendation. Despite their low knowledge level and attitude, the practice of mothers in response to obstetric danger signs was encouraging. Occupation, educational status, ANC follow-up, and number of ANC visits were variables significantly associated with knowledge of obstetric danger signs. Health care providers should provide health education and counseling to increase awareness, and appropriate counseling during antenatal care at each visit is of paramount importance.

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“…Furthermore, since care-seeking behaviour is not only an outcome of individual decision-making, it should be investigated in the community, taking into account its cultural, social and political environment. This indicates the need for qualitative research to gain an in-depth understanding of access-related factors in maternal care in Georgia [ 7 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Barriers to accessing adequate maternal care in Georgia: a qualitative study

Miteniece

Pavlova

Shengelia

et al. 2018

BMC Health Serv Res

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BackgroundThe maternal health outcomes in Georgia are linked to shortcomings in healthcare such as inequities in access to adequate maternal care. Due to the macro-level, quantitative approach applied in most previous studies, little is known about the underlying reasons that influence maternal care and care-seeking behaviour of pregnant women.MethodsThis qualitative study explores the stakeholders’ perspectives on access to adequate maternal care in Georgia. Focus-group discussions are conducted with mothers who gave birth within in the past four years and in-depth interviews are conducted with decision-makers and health professionals in the field. Five access-related aspects are studied: availability, appropriateness, affordability, approachability and acceptability of maternal care. The method of direct content analysis is applied.ResultsResults indicate problems with maternal care standards, inequalities across population groups and drawbacks in maternal care financing. This includes gaps in clinical quality and staff skills, as well as poor communication between women and health professionals. Geographical barriers to adequate maternal care exist in rural and mountainous areas due to the weak infrastructure (poor roads and weak transportation), in addition to financial hardships. Despite improvements in the coverage of maternal care, affordability remains an access barrier. Poorer population groups are financially unprotected from the high out-of-pocket payments for maternal care services.ConclusionThese findings imply that micro-level indicators, such as disrespectful behaviour of health professionals and affordability of care, should be taken into account when assessing maternal care provision in Georgia. It should complement the existing macro-level indicators for a comprehensive evaluation of maternal care.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3432-z) contains supplementary material, which is available to authorized users.

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The influence of gender roles on health seeking behaviour during pregnancy in Turkey

Cited by 10 publications

References 25 publications

Socio-economic inequalities in overweight among adults in Turkey: a regional evaluation

Socio-economic inequalities in overweight among adults in Turkey: a regional evaluation

Obstetric Danger Signs: Knowledge, Attitude, Health-Seeking Action, and Associated Factors among Postnatal Mothers in Nekemte Town, Oromia Region, Western Ethiopia—A Community-Based Cross-Sectional Study

Barriers to accessing adequate maternal care in Georgia: a qualitative study

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