Women’s Reproductive Health in Sociocultural Context

Benyamini, Yael; Todorova, Irina

doi:10.1007/s12529-017-9695-7

Cited by 13 publications

(9 citation statements)

References 16 publications

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“…Finally, we reiterate that poverty, poor working conditions,poor social network including unequal gender relation influences health and well-being of an individual and increases inequities in health [30,31]. Without addressing the structural and intermediary concerns of workers, it may not be enough to intervene to address individual factors such as women workers' diet and nutrition, accessing health services, alcohol consumption and psychosocial stress.…”

Section: Recommendationsmentioning

confidence: 91%

“Who will stand up for us?” the social determinants of health of women tea plantation workers in India

Rajbangshi

Nambiar

2020

Int J Equity Health

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Introduction: The tea estate sector of India is one of the oldest and largest formal private employers. Workers are dependent on plantation estates for a range of basic services under the 1951 Plantation Labour Act and have been subject to human rights violations. Ad hoc reports related to poor health outcomes exist, yet their determinants have not been systematically studied. This study in Assam, situated in Northeast India, sought to understand the Social Determinants of Health (SDH) of women plantation workers with an aim to offer directions for policy action. Methods: As part of a larger qualitative study, 16 FGDs were carried out with women workers in three plantations of Jorhat district covering permanent and non-permanent workers. Informed consent procedures were carried out with all participants individually. Data were analyzed thematically using Ritchie and Spencer's framework based on an adapted conceptual framework drawing from existing global conceptual models and frameworks related to the SDH. Results: Determinants at structural, intermediary and individual levels were associated with health. Poverty and poor labour conditions, compounded by the low social position of women in their communities, precluded their ability to improve their economic situation. The poor quality of housing and sanitation, inadequate food and rations, all hampered daily living. Health services were found wanting and social networks were strained even as women were a critical support to each other. These factors impinged on use of health services, diet and nutrition as well as psychosocial stress at the individual level. Conclusion: Years of subjugation of workers have led to their deep distrust in the system of which they are part. Acting on SDH will take time, deeper understanding of their relative and/or synergistic contribution, and require the building of stakeholdership. Notwithstanding this, to have heard from women workers themselves has been an important step in visibilizing and building accountability for action on the health and SDH of women in plantation estates.

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Section: Recommendationsmentioning

confidence: 91%

“Who will stand up for us?” the social determinants of health of women tea plantation workers in India

Rajbangshi

Nambiar

2020

Int J Equity Health

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“…Training in the provision of culturally humble [40] care is likely critical, given the importance of socio-cultural context for the sexual and reproductive health of immigrants [11]. Cultural humility moves beyond cultural competency, criticized for reinforcing harmful cultural and racial stereotypes, to encourage clinicians to engage in a process of self-reflection aiming to build honest and trusting relationships with patients.…”

Section: Potential Strategies For Reducing Inequitymentioning

confidence: 99%

“…Contraceptive prevalence rates rose in developing countries between 1990 and 2010 but were highly variable (82% in East Asia and 15% in West Africa) [10]. Exposures to these varying pre-migration sexual and reproductive heath and sociocultural contexts may continue to shape understanding and decisions post-migration [11]. In the Canadian postmigration context, modern contraceptive prevalence is relatively high (~74% between 1990 and 2010 [10]) and access to primary health care services is publicly funded; however immigrants in Ontario are less likely to be enrolled in any enhanced primary care model and particularly those which are high quality, continuous and comprehensive [12] which likely limits access to responsive and flexible sexual and reproductive health care.…”

Section: Introductionmentioning

confidence: 99%

Induced abortion according to immigrants’ birthplace: a population-based cohort study

et al. 2020

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Background Most abortions occur due to unintended pregnancy. Unintended pregnancies are linked to poor health outcomes. Canada receives immigrants from countries with disparate sexual and reproductive health contexts which may influence abortion rates post-migration. We examined the association between abortion and region of birth and birth order among Canadian immigrants. Methods We conducted a population-based person-years (PY) cohort study in Ontario, Canada using administrative immigration (1991–2012) and health care data (1991–2013). Associations between induced abortion and an immigrant’s region of birth were estimated using poisson regression. Rate ratios were adjusted for age, landing year, education, neighborhood income quintile and refugee status and stratified by birth order within regions. Results Immigrants born in almost all world regions (N = 846,444) were 2–5 times more likely to have an induced abortion vs. those born in the US/Northern & Western Europe/Australia & New Zealand (0.92 per 100 PY, 95% CI 0.89–0.95). Caribbean (Adjusted Rate Ratio [ARR] = 4.71, 95% CI 4.55–4.87), West/Middle/East African (ARR = 3.38, 95% CI 3.26–3.50) and South American (ARR = 3.20, 95% CI 3.09–3.32) immigrants were most likely to have an abortion. Most immigrants were less likely to have an abortion after vs. prior to their 1st birth, except South Asian immigrants (RR = 1.60, 95% CI 1.54–1.66; RR = 2.23, 95% CI 2.12–2.36 for 2nd and 3rd vs 1st birth, respectively). Secondary analyses included further stratifying regional models by year, age, education, income quintile and refugee status. Conclusions Induced abortion varies considerably by both region of birth and birth order among immigrants in Ontario.

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“…In addition, the stigmatization of reproductive decisions or situations is often fused with patriarchal discourses that regard women as weak, ignorant, needing protection or guidance. As a result, there are many dimensions of women's reproductive health and the women's health is experienced in different ways in different parts of the world [1].…”

Section: Introductionmentioning

confidence: 99%

Reproductive Health and Ethical Problems in Women’s Health

Değer¹

2023

Midwifery - New Perspectives and Challenges [Working Title]

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Development levels of countries are determined by a number of parameters including women’s educational status, women’s active participation in political, indicators of women’s health, mortality of mother and infants, the social status of women in that country, the general level of economic development and the quality of the health services provided. Sexual and reproductive health problems, which occupy an important place among women’s health problems both around the world and in our country, are commonly encountered. In addition, rapid changes and medical advances are booming nowadays. While these advances help to overcome many health problems, they also affect social values and engender ethical problems. In particular, these ethical dilemmas emerge in every field influencing women’s health and may adversely affect women’s health by causing ethical violations. It is one of the major duties of health care professionals to prevent ethical violations of women who are already disadvantageous in every aspect of social life. In this context, the professionals working in the field of all women’s health should be knowledgeable about ethical rules and adhere to these rules. Prevention and reduction programs for sexual health and reproductive health problems will contribute to promoting women’s health and ultimately the public health.

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Women’s Reproductive Health in Sociocultural Context

Cited by 13 publications

References 16 publications

“Who will stand up for us?” the social determinants of health of women tea plantation workers in India

“Who will stand up for us?” the social determinants of health of women tea plantation workers in India

Induced abortion according to immigrants’ birthplace: a population-based cohort study

Reproductive Health and Ethical Problems in Women’s Health

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