Background: The World Health Organization recommends that babies be breastfed within the first hour of delivery and that they should exclusively be given breast milk in the first 6 months. The aim of this study was to ascertain the breastfeeding behaviors of refugee Syrian women and to compare their practices with those of the native mothers of the local community. Materials and Methods: This study is a cross-sectional study. The study was conducted in a Southern city in Turkey. The questionnaire was filled by face-to-face interviews. A total of 381 refugee Syrian mothers were compared with 381 native women living in the same community. Results: A significant difference was found between the two groups regarding breastfeeding. The rate of those who initiated breastfeeding within 1 hour after delivery was 61.4% for the Syrians and 71.1% for the Turkish mothers. In addition, the rates of exclusive breastfeeding (28.1 versus 34.1) and continuing breastfeeding for 12 months (55.0 versus 63.8) were lower in the Syrian refugee mothers. Maternal age and educational level were not correlated to the breastfeeding rates. Conclusions: This study is a rare study in which refugee mothers and local mothers were compared. Forced migration and refugee status are negatively associated with breastfeeding behavior.
This document investigated the factors that influenced the adolescents’ early marriages. This was a cross-sectional study. Married women (n = 871), aged 15-49 years were selected from the records of primary health centers in Mardin, a multicultural city in southeastern Turkey. We compared the demographic and fertility data and the outcomes of first pregnancies of women during the adolescence. Analysis revealed that 56.1% of the women married when they are younger than 19 years old, and their mean age at first marriage was 16.11 ± 1.49 years (min: 11 years). A number of social factors influenced the adolescent marriages; these were: rural origin, women’s illiteracy, father’s illiteracy, and the prevalent language used at home. Multivariate logistic regression analysis showed that the risk for adolescent marriage was 1.79 (1.19-2.71) for rural origin women, 3.71 (2.16-6.38) for women with illiterate fathers, and 3.17 (2.17-4.64) for women that spoke Kurdish at home. Consanguineous marriages and marriages without a woman’s consent were also higher in the adolescent married group. Adolescent marriages for women had higher rates of fertility, stillbirth, and child mortality. The study concluded that not only the education level of women, also the men was an important determinant of adolescent marriage. There were many social factors that influenced the occurrence of adolescent marriages and it was an important factor influencing both mother and child mortality.
Background Low levels of health literacy are associated with increased hospitalization rates, problems regarding the proper intake of medications, poor general health and increased mortality rates. It is a well-known fact that health literacy differs among ethnic groups and ethnic minorities, in particular, are known to have a low level of health literacy. The present study aimed to reveal the levels of health literacy among different ethnic groups and the affecting factors as well as the relationship between health literacy and health perceptions. Methods This cross-sectional study was carried out with different ethnic groups (Kurdish, Arab, Turkish and Assyrian origin), between 18 and 65 years old in the province of Mardin in Turkey. The study was conducted with a total of 600 people. The European Health Literacy Scale-Turkish Adaptation (EHLS-TR) and Health Perception Scale (HPS) were used for measurement. Descriptive analysis, Mann Whitney U Test, Kruskal Wallis Test and Spearman correlation were used in the data analysis. Results It was found that 80.7% of the participants had relatively low levels of health literacy. The lowest levels of health literacy were among those of Kurdish origin. There were correlations between sufficient levels of health literacy and several factors including being of Assyrian origin, being 50–65 years old, living in a nuclear family, being a secondary school graduate, having a high financial status, being retired, evaluating one’s own health status as good, obtaining health information from healthcare professionals, preferring to visit a state hospital to seek medical assistance first, smoking and drinking alcohol. A positive correlation was also identified between the levels of health literacy and health perception. Conclusions It is essential to develop programs to increase health literacy for the public and, in particular, for the ethnic groups that are disadvantaged in many aspects in the context of health literacy.
ÖZ GİRİŞ: İş yükü bireysel açıdan işi yapmak için geçen zamanı ve enerjiyi, örgüt açısından verimliliği göstermektedir. İş yükü, çalışanlar ve örgütler bakımdan çok önemli bir değişkendir. AMAÇ: Bu araştırmanın amacı, bir devlet hastanesinde çalışan sağlık çalışanlarının çalışma ortamlarına ilişkin iş yükü algı düzeylerini ortaya koymaktır. YÖNTEM: Araştırmada veri toplama aracı olarak, sağlık çalışanlarının çalışma ortamlarına ilişkin algılarını belirlemeye yönelik "Bireysel İş Yükü Algı Ölçeği" ve "Kişisel Bilgi Formu" kullanılmıştır. Bu ölçek Cox tarafından 2003 yılında geliştirilmiş ve Cox ve arkadaşları tarafından 2006 yılında geçerlilik ve güvenirliği test edilmiştir. Saygılı tarafından 2008 yılında Türkçeye uyarlanmıştır. Araştırmanın evrenini araştırma izni alınabilen devlet hastanesinde görev yapan tüm sağlık personeli (421 kişi) oluştururken, örneklemini bu hastanede çalışan tüm sağlık çalışanlarından araştırmaya katılımda gönüllü olan 220 kişi oluşturmuştur. Yüz doksan beş sağlık çalışanından kullanılabilir veri toplanmıştır. Araştırmanın verileri Ekim-Kasım 2016 tarihleri arasında toplanmıştır. Araştırma verileri Istatistical Package for Social Science for Windows 16.0 programı kullanılarak sayı, yüzdelik ve ortalama-standart sapma, bağımsız değişkenler ile ölçek alt boyutları arasındaki ilişkilerinin değerlendirilmesinde ise bağımsız gruplarda t-Student testi analizleri kullanarak incelenmiştir. BULGULAR: Bu araştırmada, ölçeğin toplamından alınan puan ortalaması 103,7±22,07'dir. Ölçeğin alt boyutlarından alınan puan ortalamaları ise; yönetim desteği alt boyutu puan ortalaması 3,63±0,66, ortalama meslektaş desteği alt boyutu puan ortalaması 3,73±0,71, birim desteği alt boyutu puan ortalaması 2,77±0,58, çalışma ortamı algısı alt boyutu puan ortalaması 3,52±0,84, ve mevcut işi sürdürme niyeti alt boyutu puan ortalaması 1,04±0,30 olarak bulunmuştur. SONUÇ: Araştırma sonucunda, sağlık çalışanlarının iş yükü desteğini en çok meslektaşlarından aldıkları ve sağlık çalışanların aynı işi sürdürme niyetine ilişkin puanın en düşük puan olduğu bulunmuştur.Anahtar kelimeler: Sağlık çalışanları, çalışma ortamı, algı, iş yükü ABSTRACT INTRODUCTION: The workload refers to the time and energy required to do the job on an individual basis, and efficiency from the perspective of the organization. Workload is a very important variable for the employese, and organizations. AIM: The aim of this research is to reveal the perception level of health workers working in the state hospital with regard to working environment. METHODS: As a data collection tool in the research; Perceptions of health workers with regard to working environments were measured by using the 'Individual Workload Perception Scale' and 'Personal Information Form' . This scale was developed by Cox in 2003 and again validated and tested by Cox and at al. in 2006. It was adapted to Turkish in 2008 by Saygılı. Among all of the health professionals (421 individuals) working in the state hospital 220 volunteers whose approvals could be obtained constitute the ...
Inappropriate drug use is a significant challenge both around the globe and in our country. Potential teratogenicity of these drugs, their impact on the fetus and newborn, and finally the long-term effects that may be observed in the child should be taken into consideration especially when planning the use of drugs in pregnant women since the active ingredients in the drug and its metabolites can be transmitted to the fetus through the placenta and cause negative consequences. Therefore, this study was conducted to examine the knowledge levels and attitudes of pregnant women towards rational drug use. Pregnant women (n=414) who agreed to participate in the study and were hospitalized in the Gynecology and Obstetrics Clinics of Mardin State Hospital and Kızıltepe District State Hospital between 01.12.2018-01.02.2019 were included in this descriptive study. The data were collected by face-to-face interview technique through a questionnaire. The total mean scores of the Rational Drug Use (RDU) scale of pregnant women were found to be 32.43 ± 6.37. It was revealed that painkillers were the most frequently used drugs during pregnancy (with the rate of 71.0%) and most prescribed to be spared at home (with the rate of 86.9%). In addition, one of every two pregnant women held the opinion that they used analgesics uncontrolledly and 34.5% of the pregnant women used antibiotics in such an uncontrolled way. The rate of pregnant women who were prescribed medication to be spared at home was found to be 33.6%. A significant difference was found between RDU scale scores and socio-demographic characteristics of the pregnant women. Again, a statistically significant difference was found between the rate of drug use in the household where pregnant women live (34.8%) and the residential distance from the health institution (p
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