Health care search by adult women in emergency care services
Titelübersetzung:A busca de assistência à saúde em serviços de pronto atendimento por mulheres adultas
Autor/in:
Bega, Aline Gabriela; Peruzzo, Hellen Emília; Lopes, Ana Patrícia Araújo Torquato; Dutra, Amanda Carvalho; Decesaro, Maria das Neves; Marcon, Sonia Silva
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 1, S 1-14
Inhalt: Objective: To know women’s health behavior and their reason to seek for care in an emergency service.
Methods: Descriptive, exploratory and qualitative study done with 18 women who were attended in a
municipal emergency unit in the northwest of Paraná. These data were collected in November of 2015 with
a semi-structured interview and subjected to content analysis, in thematic modality. Results: Two empirical
categories were identified: “Women behaviors before health complications” shows that the initial conduct of
women in situations of illness is self-medication and postponement to seek health services; and “reasons to seek
emergency care service”, which shows that the demand for this level of service is driven by the perception of
better resolution, effectiveness and agility, as well as proximity to home. Conclusion: It is common for women
to delay seeking treatment because of gender-related responsibilities, and when they do it, they prefer to choose
more resolute services.
Schlagwörter:woman; Gesundheitsverhalten; health behavior; Gesundheitsversorgung; health care; ambulante Versorgung; outpatient care; Nachfrage; demand; Gesundheitsdienst; public health services; Professionalisierung; professionalization; Brasilien; Brazil; Südamerika; South America
Herausforderungen und Potentiale geschlechtsspezifischer Gesundheitsversorgung: 3. Bundeskongress Gender-Gesundheit vom 21. bis 22. Mai 2015 in der Landesvertretung Baden-Württemberg, Berlin
Titelübersetzung:Challenges and Potentials of Gender-Specific Health Care: Third Federal Congress Gender Health, 21/22 May 2015, Representation of Baden-Württemberg to the Federation, Berlin
Autor/in:
Hendrix, Ulla; Hilgemann, Meike; Niegel, Jennifer
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 7 (2015) 3, S 143-148
Inhalt: Der dritte Bundeskongress Gender-Gesundheit fand im Mai 2015 in Berlin statt. Das Schwerpunktthema der diesjährigen Tagung lautete "Gender und Diabetes". Auf dem Kongress wurde die Notwendigkeit einer geschlechterunterscheidenden Betrachtung der Medizin hervorgehoben und es wurden praktische und politische Implikationen für eine bessere medizinische Versorgung diskutiert.
Inhalt: The Third Federal Congress Gender Health was held in Berlin in May 2015. The main top ic of the conference was "Gender and Diabetes". The congress highlighted the gender-differentiated perspective on medicine and discussed practical and political implications for better medical care.
Culture and indigenous women's health: integrative review
Titelübersetzung:A cultura e a saúde da mulher indígena: revisão integrativa
Autor/in:
Silva, Hetiani Barretta da; Diaz, Claudia Maria Gabert; Silva, Kauana Flores da
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 4, S 3175-3184
Inhalt: Objective: To investigate the reality of health of women and indigenous Guarani people and Kaingáng, bringing reflections on public health policies aimed at the indigenous community and the inclusion of nursing in this context. Method: This is an integrative review conducted in the period from March to July 2010. Results: The studies bring that access to health of indigenous people is still limited, that health actions should consider their culture and other characteristics and the professionals involved in this process need to create links with this population so that actions are effective. Conclusion: it was found the need for a broader and more qualified attention to indigenous mainly to women's health and also noticed the dearth of research on the topic.
Schlagwörter:Kultur; culture; woman; Gesundheit; health; indigene Völker; indigenous peoples; Gesundheitspolitik; health policy; Pflege; caregiving; Gesundheitsdienst; public health services
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung, Gesundheitspolitik
Patterns of changes in men's health from demographic indicators and epidemiologic
Titelübersetzung:Patrones de cambios en la salud de los hombres de indicadores demográfica y epidemiológica
Autor/in:
Santos, Vanessa Cruz; Santos, Mayra Gomes; Vilela, Alba Benemérita Alves; Nery, Adriana Alves; Casotti, Cezar Augusto; Boery, Eduardo Nagib
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 2, S 2569-2581
Inhalt: Objective: to analyze patterns of change on human health in the period 2006 to 2010 through demographic and epidemiological indicators. Method: an epidemiological study, descriptive subsidized on data from the Department of Computer Science of SUS (DATASUS) of the Ministry of Health, Brazilian Institute of Geography and Statistics and Integrated System of Penitentiary Information, in the period 2006 to 2010. For the tables and data analysis tools developed by DATASUS were used - TabWin and TabNet, besides the program Microsoft Office Excel 2007. Results: among the indicators of morbidity and mortality, the result from external causes in all kinds were growing in the studied years and higher in males population compared to female. Conclusion: the health problems most prevalent in the male population are preventable, then, health education can contribute in changing the behavioral and cultural profile of this population, which has negative consequences to their health.
Schlagwörter:Gesundheit; health; Epidemiologie; epidemiology; demographische Faktoren; demographic factors; Gesundheitspolitik; health policy; gender; woman; Mann; man; Vergleich; comparison; Sterblichkeit; mortality; Krankheit; illness; Gesundheitserziehung; health education; Gesundheitsverhalten; health behavior; kulturelle Faktoren; cultural factors
SSOAR Kategorie:Jugendsoziologie, Soziologie der Kindheit, Frauen- und Geschlechterforschung, Gesundheitspolitik
Vom Recht auf Stillen zur Pflicht der Mutter: Elemente eines globalen Stilldiskurses
Titelübersetzung:From a women’s right to a mother’s duty: Elements of a global breastfeeding discourse
Autor/in:
Freudenschuß, Ina
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 4 (2012) 3, S 138-145
Inhalt: "Im Beitrag wird die historische Entwicklung
des gegenwärtigen globalen Stilldiskurses
dargestellt. Zentrales Merkmal dieser Diskurs-
Formation innerhalb der letzten 40 Jahre ist
die Verschiebung des Stillens aus dem privaten
Bereich der Mutter in die öffentliche
Sphäre der Gesundheitsförderung. Grundlage
dieser Untersuchung sind ausgewählte Policy-
Dokumente der internationalen Gesundheitsorganisation
WHO sowie der EU, die
den Diskurs über das Stillen im Wesentlichen
regulieren. Durch die Festsetzung von Stillen
als „normal“ und „natürlich“ sind Mütter
zahlreichen problematischen Fremdbeschreibungen
ausgesetzt, die ihre Entscheidungsund
Handlungsfähigkeit beschneiden. Der
Beitrag zeigt die Fallstricke dieser versteckten
Re-Biologisierung der Mutterrolle für aktuelle
Debatten um moderne Elternschaft auf." (Autorenreferat)
Inhalt: "This paper outlines the historical development
of the current global breastfeeding
discourse. Within the last 40 years the discourse
formation has moved the question
of breastfeeding from the private domain of
the mother into the public sphere of health
promotion. This article examines several
WHO and EU policy documents that regulate
discourse on breastfeeding in public. Mothers
face several harmful imputations based
on the fact that breastfeeding is pictured as
“normal” and “natural”: Most importantly,
they restrict women’s decision-making ability
and capacity to act. This article exposes the
pitfalls of this hidden re-biologization of the
mother’s role for contemporary debates on
modern parenthood." (author's abstract)
Self-reflection as a means for personal transformation: an analysis of women's life stories living with a chronic disease
Titelübersetzung:Selbstreflexion als Weg zur persönlichen Transformation: eine Analyse von Lebensgeschichten von Frauen, die mit einer chronischen Erkrankung leben
Autor/in:
Prodinger, Birgit; Stamm, Tanja Alexandra
Quelle: Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11 (2010) 3, 16 S
Inhalt: Ziel dieser Studie war es zu erläutern, wie die Lebensgeschichten von Frauen mit chronischer Polyarthritis eingebettet sind und geformt werden von für als selbstverständlich angenommenen Praktiken innerhalb des Gesundheitssystems. Eine Sekundäranalyse der Lebensgeschichten von sechs Frauen mit chronischer Polyarthritis wurde durchgeführt. Die Lebensgeschichten der sechs Frauen waren in der Primärstudie (STAMM et al. 2008) einer Typologie mit dem Namen "chronische Polyarthritis als Quelle für neue Herausforderungen" zugeordnet worden. Die feministische Standpunkttheorie und ausgewählte feministische Philosophien dienten als theoretischer Bezugsrahmen für diese Sekundäranalyse.
In der Analyse wurde deutlich, dass jede der sechs Frauen zumindest an einem Punkt in ihrer Lebensgeschichte begann, die Praktiken innerhalb des Gesundheitssystems und die kognitive Autorität der Medizin zu hinterfragen. Dieses Bewusstsein befähigte die Frauen, dem eigenen Wissen zu vertrauen und selbst Entscheidungen für die eigene Gesundheit zu treffen. Die Ergebnisse der Analyse eröffnen für Professionelle aus dem Gesundheitssystem die Möglichkeit, ihre für selbstverständlich genommenen Praktiken kritisch zu hinterfragen. Durch eine solche kritische Auseinandersetzung und das Bewusstsein, wie diese Praktiken in einem breiteren System eingebettet sind, können möglicherweise zukünftige Rahmenbedingungen initiiert werden, die den Dialog zwischen Patient/innen und Professionellen im Gesundheitssystem fördern.
Inhalt: The aim of this secondary analysis is to explicate taken-for-granted practices in the health care system in which the life stories of six women with rheumatoid arthritis (RA) are embedded. A secondary analysis of life stories of six women with RA, which were assigned to a typology named "rheumatoid arthritis as a source for new challenges" (STAMM et al., 2008) in the primary narrative study, was conducted. The theoretical framework applied for the analysis was informed by feminist standpoint theory and feminist philosophy. In the present analysis, each of the women challenged established health care practices and the cognitive authority of medicine at a certain point in their life story reflections. Becoming more conscious about health care practices enabled the women to acknowledge their own knowledge and to make choices about their health. The findings challenge health care providers to engage in critical reflexivity to become conscious about and to transform taken-for-granted practices as embedded in larger systems and to create health care environments that enable dialogue between clients and health care providers.
Schlagwörter:Theorie; self-reference; secondary analysis; Austria; health care delivery system; Dialog; Rahmenbedingung; Gesundheitswesen; Österreich; medicine; chronic illness; dialogue; Kritik; physician-patient relationship; chronische Krankheit; gender; criticism; life career; Arzt-Patient-Beziehung; Medizin; Gender; general conditions; identity; woman; Identität; theory; self-assessment; Selbsteinschätzung; Selbstreferenz; Sekundäranalyse; Lebenslauf; Narrative; feministische Kritik am Gesundheitswesen; Standpunkttheorie; soziales Geschlecht; chronische Polyarthritis; health sciences; social sciences; women's studies; secondary analysis; narratives; feminist critiques on health care; standpoint theory
SSOAR Kategorie:Forschungsarten der Sozialforschung, Frauen- und Geschlechterforschung, Erhebungstechniken und Analysetechniken der Sozialwissenschaften, Gesundheitspolitik
Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation
Titelübersetzung:Ungleichheit bei der medizinischen Versorgung in Deutschland? Theoretische und empirische Evidenz für den Facharztbesuch
Autor/in:
Gruber, Stefan; Kiesel, Markus
Quelle: Journal of Public Health, 18 (2010) 4, S 351-365
Inhalt: Aim: In view of increasing concern about a two-class system in the German health care sector, this study investigates the relevance of health insurance schemes and other socioeconomic characteristics to the level of specialist health care provision. Subjects and Methods: Referring to Ronald M. Andersen’s model of health care utilization and more content-based approaches, we implement a negative binomial hurdle regression to estimate the number of specialist visits within the last 12 months. Our data source is the German sample of the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) in 2004. Results: The results show that men’s number of specialist visits is markedly sensitive to predisposing and enabling factors, whereas women’s health care utilization depends less on such socioeconomic characteristics. With reference to previous findings concerning general practitioner consultation, the assumption of a bipolar health care system providing general practitioner care primarily to the statutory insured and specialist care to the privately insured is supported empirically as to men. Education, which is considered to be highly correlated with health lifestyles, has a positive effect on medical health care. Every additional year of education increases by about 10% the probability of men seeking specialist consultation. Furthermore, the results indicate an unfavorable situation for the self-employed concerning health care because of their specific employment situation and health insurance coverage. Discussion: The research results suggest the existence of relevant differences in the amount of specialist consultation according to health insurance and other socioeconomic features. Further research could concentrate on the question of whether these inequalities in utilization levels indicate overprovision or underprovision of ambulant health care. Moreover, we recommend longitudinal research that is particularly suited to detangle age and cohort effects.
Schlagwörter:theory-practice; Theorie; statistische Analyse; health care delivery system; Facharzt; Gesundheitswesen; compulsory health insurance; Federal Republic of Germany; Theorie-Praxis; private health insurance; private Krankenversicherung; man; gesetzliche Krankenversicherung; inequality; statistical analysis; Lebenserwartung; medical specialist; model; health care; life expectancy; Modell; Gesundheitsversorgung; woman; Mann; theory; Ungleichheit; Specialist consultation; Health care utilization; Health insurance; Supply-induced demand; Hurdle regression
"Life in brackets": biographical uncertainties of HIV-positive women in South Africa
Titelübersetzung:Leben auf Zeit: biografische Unsicherheiten HIV-positiver Frauen in Südafrika
Autor/in:
Burchardt, Marian
Quelle: Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 11 (2010) 1, 23 S
Inhalt: In dem Maße, wie die südafrikanische AIDS-Epidemie voranschreitet und der Zugang zu Medikamenten die Überlebenschancen verbessert, bilden die Erfahrungen und Auswirkungen der Krankheit einen immer wichtigeren Bestandteil biografischer Selbst-Konstruktionen der Infizierten. Der Artikel widmet sich der Untersuchung von typischen Strategien des Umgangs mit biografischer Unsicherheit im Kontext von AIDS, die sich aus neuen Herausforderungen ergeben, nachdem der mit der Diagnose verbundene Schock ontologischer Unsicherheit überwunden wurde. Die Untersuchung basiert auf der kontrastierenden Interpretation problemzentrierter biografischer Interviews, in deren Verlauf Ergebnisse in Hypothesen zum Zusammenhang von biografischer Situationstypik und Handlungsstrategie überführt und im Fallvergleich validiert wurden. Im Mittelpunkt des Beitrags steht die empirisch begründete These, dass "persönliche Transformation", "soziale Unterstützung" und die Auseinandersetzung mit "Normalitätsfolien" Schlüsselkategorien für das Verständnis dieser Strategien darstellen. Darüber hinaus zeigt der Beitrag, anhand welcher sozialen Prozesse diese Kategorien in den Sphären von Religion, AIDS-Aktivismus und Jugendkultur ihre konkrete empirische Gestalt erhalten.
Inhalt: As South Africa is witnessing a maturing AIDS epidemic, the experience and impact of the disease are written ever more firmly into the biographical self-constructions of the infected. In this article, I explore typical strategies of dealing with uncertainties arising from new challenges, after the shock of ontological insecurity ensuing from the diagnosis, has been overcome. The analysis is based on contrasting interpretations of problem-centered biographical interviews with HIV-positive South African women. In the process, results have been formulated in terms of hypotheses regarding links between biographical situatedness and strategies of action. The hypotheses have been validated through case comparisons. The article highlights personal transformation, social support and the search for normality as key aspects for understanding these strategies and spells out how these are enabled, constrained and shaped within the social domains of religion, AIDS activism and township youth culture.
Schlagwörter:Jugendkultur; AIDS; social support; AIDS; cure; junger Erwachsener; Transformation; security; risk; Afrika südlich der Sahara; Africa; Handlungsorientierung; Biographie; Heilung; Southern Africa; Strategie; Republik Südafrika; Afrika; Verhalten; transformation; südliches Afrika; behavior; Auswirkung; youth culture; Risiko; young adult; identity; Krankheit; woman; Identität; soziale Unterstützung; strategy; impact; Entwicklungsland; Sicherheit; Republic of South Africa; Religion; religion; action orientation; biography; Africa South of the Sahara; illness; developing country; Unsicherheit; biography; uncertainty; South Africa; healing; identity
SSOAR Kategorie:Entwicklungsländersoziologie, Entwicklungssoziologie, Frauen- und Geschlechterforschung, Gesundheitspolitik
Attitudinal and socio-structural determinants of cervical cancer screening and HPV vaccination uptake: a quantitative multivariate analysis
Titelübersetzung:Einstellung und soziostrukturelle Determinanten zu Gebärmutterkrebs-Screening und HP-Virus-Schutzimpfung: eine quantitativ-multivariate Analyse
Quelle: Journal of Public Health, 18 (2010) 2, S 179-188
Inhalt: Aim: The introduction of the human papillomavirus (HPV) vaccine enables for the first time in the history of cancer prevention the possibility of combating the major cause of a cancer even before its onset. The secondary prevention measure of cervical cancer screening has thus been complemented by a primary prevention measure. The aim of this study is to analyse the determinants of uptake of preventive measures against cervical cancer as a basis for comparing the determinants of screening attendance with those of HPV vaccination attendance. Subject and methods: A population-based representative survey comprising 760 randomly selected women aged 14 to 65 was performed in the German federal state of Mecklenburg-Western Pomerania. Prevention behaviour, attitudes towards cervical cancer screening and HPV vaccination, and knowledge about cervical cancer and HPV were investigated by means of a structured questionnaire. Descriptive analyses and multivariate logistic regression analyses were conducted to identify the determinants of screening and HPV vaccine uptake. Results: Attendance both at screening and at HPV vaccination was best predicted by attitudinal factors. Positive connotations of cancer prevention measures and utility expectations, fear of cancer and high subjective risk perception were conducive to attendance at screening and HPV vaccination. Screening attendance was less regular among women of lower socioeconomic status. In contrast, HPV vaccination uptake was higher for young women with lower educational attainment and lower social class. Knowledge did not impact prevention behaviour significantly. There is no trade-off between screening and vaccination attendance; the vast majority of respondents was aware of the necessity of regular screening attendance even when vaccinated against HPV. Conclusions: Uptake rates for existing primary and secondary prevention measures against cervical cancer can be enhanced by fostering perceptions of utility and positive connotations of regular screening and becoming vaccinated against HPV. Elderly women in particular should be encouraged to attend screening by means of a recall system. Given the low overall level of knowledge about cervical cancer and its risk factors, there is a need for education about the necessity and utility of prevention to reach women of all social classes.
Schlagwörter:Gesundheit; vaccination; Prävention; risk; cancer; determinants; preventive medical examination; prevention; sozioökonomische Faktoren; Federal Republic of Germany; Vorsorgeuntersuchung; Mecklenburg-Western Pomerania; Gesundheitsvorsorge; Gesundheitsverhalten; knowledge; attitude; Risiko; health care; Krankheit; socioeconomic factors; woman; Mecklenburg-Vorpommern; Krebs; Impfung; Determinanten; health behavior; Risikoabschätzung; health; illness; Wissen; risk assessment; Einstellung; Cervical cancer prevention; Cervical screening; HPV vaccination; Attitudes; Socio-structural determinants; soziostrukturelle Faktoren
