Agency, activation and compatriots: the influence of social networks on health‐seeking behaviours among Sri Lankan migrants and Anglo‐Australians with depression

Antoniades, Josefine; Mazza, Danielle; Brijnath, Bianca

doi:10.1111/1467-9566.12764

Cited by 14 publications

(14 citation statements)

References 46 publications

(95 reference statements)

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“…Strong interpersonal dynamics in these relationships are thought to signi cantly affect an individual's physical and mental health and health decision-making (15)(16)(17)(18)(19)(20). Studies have shown that social in uence from interpersonal relationships signi cantly affects health behaviors, including health-seeking behavior, breastfeeding practices, and uptake of family planning methods (21)(22)(23)(24)(25)(26). This also applies to immunization, as literature has highlighted that people who believe that individuals within their social network want them to be vaccinated are more likely to accept vaccines (27)(28)(29)(30).…”

Section: Interpersonal-level Factorsmentioning

confidence: 99%

The Socioecological Model as a Framework for Exploring Factors Influencing Childhood Immunization Uptake in Lagos State, Nigeria

Olaniyan

Isiguzo

Hawk

2021

Preprint

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Background Nigeria is one of the ten countries globally that accounts for 62% of under- and unvaccinated children worldwide. Despite several governmental and non-governmental agencies' interventions, Nigeria has yet to achieve significant gains in childhood immunization coverage. This study identifies intrapersonal, interpersonal, organizational, community, and policy-level factors that influence childhood immunization uptake from various stakeholders' perspectives using the Socioecological Model (SEM). Methods Using the Socioecological Model as a guiding framework, we conducted ten focus group sessions with mothers/caregivers and community leaders residing in Lagos state and nine semi-structured interviews with healthcare workers who provide routine immunization services in Lagos state primary healthcare facilities. We performed a qualitative analysis of focus groups and semi-structured interviews using deductive coding methods. Results The study sample included 44 mothers/caregivers and 24 community leaders residing in Lagos State, Nigeria, and 18 healthcare workers (routine immunization focal persons) working in the primary healthcare setting in Lagos state. Study participants discussed factors at the each level of the SEM that influence childhood immunization uptake, including intrapersonal (caregivers’ immunization knowledge, caregivers’ welfare and love of child/ren), interpersonal (role of individual relationships and social networks), organizational (geographical and financial access to health facilities, health facilities attributes, staff coverage, and healthcare worker attributes), community (community outreaches and community resources), and policy-level (free immunization services and provision of child immunization cards) that influence childhood immunization uptake. Several factors were intertwined, such as healthcare workers’ education of caregivers on immunization and caregivers' knowledge of vaccination. Conclusions The reciprocity of the findings from the different Socioecological Model levels emphasizes the importance of developing multi-pronged interventions that operate at multiple levels of the SEM. Our results can inform the design of culturally appropriate and effective interventions to address Nigeria's suboptimal immunization coverage.

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Section: Interpersonal-level Factorsmentioning

confidence: 99%

The Socioecological Model as a Framework for Exploring Factors Influencing Childhood Immunization Uptake in Lagos State, Nigeria

Olaniyan

Isiguzo

Hawk

2021

Preprint

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“…Therefore, initiatives that aim to promote gender equality in a traditional society need to consider how to avoid disempowering women by reducing the respect for their expertise. In terms of addressing the worldwide concern of antibiotics overuse (Gajdács and Albericio, 2019), scholars' recommendations to engage lay community health workers in formal health promotion initiatives has been proposed in several studies (Adams, 2020;Antoniades et al, 2018). This study's findings suggest that within collectivist societies and minority populations, hierarchical relations among women could be positively channelled to curb antibiotics use.…”

Section: Discussionmentioning

confidence: 88%

‘Nesef Doctora’—When mothers are considered to be ‘half‐doctors’: Self‐medication with antibiotics and gender roles in the Arab society in Israel

Khazen

Guttman

2021

Sociology Health & Illness

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This qualitative study focuses on self-medication with antibiotics as it relates to gender roles and traditions in the Arab society in Israel, a collectivist minority with defined traditional gender norms. Its findings draw on the analysis of 116 face-to-face interviews with 60 pharmacists, 27 primary care physicians and 29 community members, mainly mothers and unmarried women, from different geographical localities. The findings describe how mothers are assigned the role of the family health caretakers, expected to abide to a hierarchical power structure, and listen to the advice of 'senior mothers'. These expectations can lead to mothers self-medicating their children and themselves with antibiotics. Traditional constraints associated with sexuality were also found to compel unmarried women to self-medicate. The findings point to a duality of power in family relations: women submit to having limited power in traditional gender roles but are accorded power as medical experts in health-care decision-making. The study concludes with recommendations for considering sociocultural factors of hierarchy, traditions and collectivist orientation when researching self-care patterns and developing interventions to curtail antibiotics overuse. It also points to the importance of recognising pressures exerted on unmarried women and enabling them to use health-care resources in their community for managing sexual health.

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“….] the role of social networks is pivotal in uptake of formal care, and engaging with communities to improve responses of social networks to mental illnesses may provide a bottom-up avenue for improving uptake of mental health services in migrant communities" (Antoniades et al, 2018(Antoniades et al, , p. 1376.…”

Section: Physical Health (Transplantation Cancer Coronarymentioning

confidence: 99%

Migration as a Health Inequality Dimension? Natio-Ethno-Cultural Affiliation, Health, and Social Networks

Gamper

Kupfer²

2022

Social Networks and Health Inequalities

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Concepts like race, migration background, or ethnic group are more and more being investigated in health research. It should be noted that those concepts themselves are very heterogeneous. They are, for example, endowed with different rights (e.g., cosmopolitan migrants from the global north, refugees from the global south) (Ambrosini & van der Leun, 2015) or have to deal with racism or discrimination (Nazroo, 2003). A challenge and a recurrent difficulty in research on the health of migrants is the operationalization of studies due to the heterogeneity of the group. On the one hand, it is unclear which criteria—nationality, mother tongue, ethnicity of grandparents, race, place of birth, place of migration as well as migration regime—are used to determine “migrants,” which makes comparability of the studies difficult (Sheldon & Parker, 1992). On the other hand, the group of people with a history of migration is very heterogeneous with regard to other lines of difference, such as social milieu/class and gender, but also country of origin and reason and time of migration. This makes the health situation of the so-called migrants very different, and it cannot be described in a generalized way. Research shows that social integration and social support can play a big role in the health status of migrants. It can provide information to the healthcare system, provide emotional support, or simply make someone feel like they are not alone. Social networks also play a big role for people with a so-called migration background or with a so-called different ethnic background (Johnson et al., 2017). In this chapter, we explore the link between health, migration, and networks. In doing so, we will try to minimize the uncertainty of the heterogeneity of the group as much as possible.

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Agency, activation and compatriots: the influence of social networks on health‐seeking behaviours among Sri Lankan migrants and Anglo‐Australians with depression

Cited by 14 publications

References 46 publications

The Socioecological Model as a Framework for Exploring Factors Influencing Childhood Immunization Uptake in Lagos State, Nigeria

The Socioecological Model as a Framework for Exploring Factors Influencing Childhood Immunization Uptake in Lagos State, Nigeria

‘Nesef Doctora’—When mothers are considered to be ‘half‐doctors’: Self‐medication with antibiotics and gender roles in the Arab society in Israel

Migration as a Health Inequality Dimension? Natio-Ethno-Cultural Affiliation, Health, and Social Networks

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