Erzählen als Politikum - Erzählen als Hebammen und Elternprotest? Die Aktion Erzählcafés 'Der Start ins Leben'
Titelübersetzung:Storytelling as a political event - storytelling as a means of protest for parents and midwives? The "Storytelling Café - A Good Start in Life" project
Autor/in:
Colloseus, Cecilia
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 9 (2017) 2, S 78-90
Inhalt: "Der vorliegende Beitrag stellt das bundesweite Kooperationsprojekt Erzählcafés 'Der Start ins Leben' vor. 2014 initiiert, will dieses Projekt Erfahrungen von Schwangeren und Gebärenden, aber auch von Vätern, Hebammen und Ärzt_innen sichtbar machen und diese dem negativ konnotierten Diskurs um die politische Situation der Geburtshilfe in Deutschland entgegenstellen. Es werden die Entstehung, das Vorgehen und die zentralen Ergebnisse der Aktion vorgestellt. Abschließend wird diskutiert, inwiefern die Aktion Erzählcafés Impulse sowohl für politische Protestformen und Veränderungen als auch für sozialwissenschaftliche Methodenentwicklung (im Sinne der partizipativen Forschung) geben kann." (Autorenreferat)
Inhalt: "This article presents the Germany-wide project Erzählcafés 'Der Start ins Leben' (Storytelling Café - A Good Start in Life) that was launched in 2014 as part of the political protest around birth and obstetrics that is ongoing in Germany. Its aim is to make the experiences of pregnant and birthing women, fathers, midwives and doctors visible in order to provide an alternative to the negative view of obstetrics in Germany. First, the political circumstances will be described. In a second step, the method and main results of the project will be presented. Finally, I discuss whether and how the project may be of use for bringing about political change as well as for developing new methods for the social sciences." (author's abstract)
Schlagwörter:Schwangerschaft; pregnancy; Geburtshilfe; obstetrics; Hebamme; midwife; Mutter; mother; Vater; father; Körper; body; Diskurs; discourse; Gesundheitsversorgung; health care; Geburt; birth; Erzählung; narrative; Erfahrung; experience; Federal Republic of Germany; Gebären; Erzählcafé; Narrative based Medicine; Hebammenprotest; partizipative Forschung
Maternity Care: ein 'heißes' Thema der Politik - kein Thema der (feministischen) Politikwissenschaft? Konzeptionelle Überlegungen zu einem vernachlässigten Politikfeld
Titelübersetzung:Maternity care: a 'hot' topic in politics - a non-topic in (feminist) political science? Conceptual considerations about a neglected policy area
Autor/in:
Jung, Tina
Quelle: Femina Politica - Zeitschrift für feministische Politikwissenschaft, 26 (2017) 2, S 33-46
Inhalt: "Seit Anfang der 2010er-Jahre sind Schwangerschaft und Geburt zu einem 'heißen' Thema der Politik geworden. Wichtige gesundheitspolitische Akteur_innen auf Länder- und auf Bundesebene haben sich u.a. mit der Versorgung mit Hebammenhilfe, der Schließung von Kreißsälen und den steigenden Kaiserschnittraten beschäftigt. Auch sind eine Reihe zivilgesellschaftlicher Protestaktionen und politischer Initiativen entstanden, die überwiegend von Praktiker_innen sowie jungen Müttern und Eltern getragen werden. Obwohl die politischen Auseinandersetzungen im Feld Schwangerschaft und Geburt in substanzieller Weise auch Fragen von Frauengesundheits- und Selbstbestimmungsrechten betreffen, sind sie bislang kaum Gegenstand feministischer Politikwissenschaft. Im Beitrag wird ein konzeptioneller Vorschlag formuliert, wie Maternity Care - verstanden als Ensemble aller leiblichen, sozialen, psychologischen, medizinisch-technischen, beziehungsorientierten Fürsorge- und Beziehungsarbeiten, die Frauen rund um Schwangerschaft, Geburt und der Zeit danach betreffen - als spezifisches, nicht zuletzt wohlfahrtsstaatlich reguliertes Politikfeld in den Gegenstandsbereich der (feministischen) Politikwissenschaft integriert werden kann." (Autorenreferat)
Inhalt: "Since the beginning of this decade pregnancy and childbirth have become a 'hot topic' in German politics. Health care officials have increasingly been concerned with issues regarding midwifery services, the closures of delivery rooms, and the rising number of C-sections. This growing political concern has been accompanied by many political protests and civil society initiatives, mainly supported by women's health practitioners and young mothers and parents. Even though these political discussions on maternity care revolve around crucial issues of women's (health) rights and self-determination, feminist political science has not yet systematically taken them into account. I propose an analytic framework to understand maternity care as bodily, social, psychological, medical, technical, and relationship-oriented care that is relevant for women during pregnancy, birth, and postpartum. As such, maternity care can and indeed has to be integrated into the subject matter of (feminist) political science." (author's abstract)
Schlagwörter:Schwangerschaft; pregnancy; Geburt; birth; Selbstbestimmung; self-determination; Fürsorge; welfare care; Hebamme; midwife; Gesundheitsversorgung; health care; Geburtshilfe; obstetrics; Geschlechterverhältnis; gender relations; Federal Republic of Germany
SSOAR Kategorie:Gesundheitspolitik, Frauen- und Geschlechterforschung
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
Epidemiological profile of Diabetes Mellitus in a northeastern brazilian state
Titelübersetzung:Perfil epidemiológico do Diabetes Mellitus em um estado do nordeste brasileiro
Autor/in:
Filho, Augusto Cezar Antunes de Araujo; Almeida, Priscilla Dantas; Araújo, Anna Karolina Lages de; Sales, Isabela Maria Magalhães; Araújo, Telma Maria Evangelista de; Rocha, Silvana Santiago da
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 3, S 641-647
Inhalt: Objective: To describe the epidemiological profile of Diabetes Mellitus in Piauí State, in the Northeastern
region of Brazil, between 2002 and 2012. Methods: An epidemiological study, with retrospective collection.
Secondary data were used from HiperDia, system available in the DATASUS. Results: There were recorded
8551 cases, of which 75.4% of type 2 and 24.6% of type 1. In all the years of the study, the largest number of
cases occurred in the age group of 40 to 59 years old, both the type 1 and type 2. The female gender was the most
affected by the disease (60.37%). From the associated comorbidities, the one that presented a higher frequency
was kidney disease both in patients with DM type 1 (3.4%), as in patients with type 2 DM (2.2%). Conclusion:
The knowledge of the epidemiological profile is essential for the development of more effective health actions
geared to the reality of DM in Piauí State, in the Northeast of Brazil.
Schlagwörter:Gesundheitsvorsorge; chronische Krankheit; demographic factors; Brazil; health care; prophylaxis; Gesundheitsversorgung; chronic illness; Prophylaxe; Epidemiologie; epidemiology; soziale Faktoren; Südamerika; demographische Faktoren; South America; social factors; Brasilien; Diabetes Mellitus
Quelle: Indian Journal of Youth and Adolescent Health, 3 (2016) 4, S 8-21
Inhalt: Migrant adolescent girls in India’s fast-growing urban-slum population face multiple intersecting vulnerabilities,
including gender, poverty and migrant-status.
The study aims to understand the opportunities and challenges for migrant adolescent girls in low-income urban
slum settings.
Qualitative data were collected through interviews with girls aged 12-19 who migrated during the past two years
and non-migrant adolescent girls for comparison to explore their experiences in fast-growing Indore. A groupinterview with slum women’s group members discussedways to address challenges.
Push/pull factors linked with different employment/educational opportunities between rural and urban areas
motivated families of unmarried girls to migrate. Recently married girls joined city-based families or accompanied
husbands who were labor migrants. Neither married nor unmarried girls played decision-making roles in
migration.
Married migrant adolescent girls faced challenges in accessing education, employment, social opportunities and
services owing to restrictions on freedom of movement, weak social networks, and little awareness of
opportunities and services. Childbearing migrant girls faced particular risks. Contact with their natal families being
limited, the quality of relationship with husbands and marital families was crucial for married girls’well-being.
Unmarried girls attending schools were positive about the migration experience, perceiving the city to offer
greater educational opportunities. Through school, they accessed opportunities for new relationships and social
activities. Not all unmarried adolescent-girls wereable to access opportunities owing to family restrictions and
economic circumstances. These girls’ worlds remained small despite moving to a large city.
Where girls’ economic and/or family and social circumstances allowed, migration entailed a positive change that
enhanced their opportunities. Specific challenges of this population segment need focus in policies and programs,
prioritizing three particularly vulnerable groups: girls who are neither in education nor employment, pregnant
girls or new mothers, and those with difficult relationships in marital homes. Proactive outreach to raise awareness about opportunities and services and fostering social networks through front-line workers and slum women’s groups are recommended.
Schlagwörter:labor migration; Indien; soziales Netzwerk; adolescence; Schwangerschaft; slum; Familiensituation; pregnancy; Migrant; Arbeitsmigration; sozioökonomische Faktoren; large city; Adoleszenz; Jugendlicher; Großstadt; social inequality; Südasien; Slum; poverty; adolescent; migrant; Armut; health care; girl; marriage immigration; social network; Gesundheitsversorgung; Mädchen; socioeconomic factors; exclusion; Entwicklungsland; South Asia; Exklusion; India; family situation; soziale Ungleichheit; Heiratsmigration; developing country; married girls; internal migration; SDGs; women's groups
SSOAR Kategorie:Entwicklungsländersoziologie, Entwicklungssoziologie, Frauen- und Geschlechterforschung, Gesundheitspolitik, Migration
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.
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
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
Selecting therapies in Benin: making choices between informal, formal, private and public health services
Autor/in:
Klein, Thamar
Quelle: Afrika Spectrum, 42 (2007) 3, S 461-481
Inhalt: "Der Beitrag befasst sich mit einem spezifischen Phänomen in Benins Gesundheitssystem.
Obwohl inzwischen 83% der Bevölkerung Zugang zur staatlichen
Gesundheitsversorgung haben, wird diese nur von 36% der Bevölkerung genutzt.
Die staatliche Gesundheitsversorgung ist damit deutlich unterfrequentiert.
Woraus resultiert diese ablehnende Haltung beziehungsweise die Präferenz für
andere medizinische Dienstleister_innen? Die vorliegende Studie untersucht diese
Besonderheit und geht den Nutzungskriterien der Bevölkerung Zentral-Benins
nach. Durch eine geschlechtsspezifische Sichtweise wird der Fokus von ‘der’ beninischen
Bevölkerung auf die unterschiedlichen Perspektiven von Frauen und
Männern gelenkt. Die Ergebnisse dieser Studie basieren auf 22 Monaten qualitativer
Feldforschung in Zentral-Benin und einem großen statistisch repräsentativen
Regionalsurvey mit 839 Teilnehmerinnen." (Autorenreferat)
Inhalt: "This paper addresses a distinctive feature in Benin’s health care system.
Even though the latest figures state that 83% of the population have access
to governmental health facilities, only 36% of the population make use of
them. Thus governmental health facilities are extremely under-utilized.
Where does this rejecting attitude come from and what kinds of health institutions
are used instead? The present study explores this peculiarity and
analyses the criteria for therapeutic itineraries in central Benin. A gendered
focus shifts the evidence from ‘the’ Beninese population to gendered
perspectives of male and female residents. The findings are based on 22
months of qualitative fieldwork and a large quantitative database obtained
from 839 participants in central Benin." (author's abstract)
Schlagwörter:traditionelle Gesellschaft; privater Sektor; private sector; health care delivery system; Benin; Gesundheitswesen; Medizin; health care; utilization; Gesundheitsversorgung; medicine; Nutzung; public health care delivery system; anthropology; Entwicklungsland; Benin; gender-specific factors; traditional society; Westafrika; öffentliches Gesundheitswesen; West Africa; Anthropologie; developing country; medical anthropology; therapy management; health access
Arzneimittelversorgung von Frauen und Männern im höheren Lebensalter
Autor/in:
Glaeske, Gerd
Quelle: ZeS Report, 11 (2006) 1, S 11-13
Inhalt: "Die Arzneimittelversorgung von Frauen und Männern im höheren Lebensalter ist Gegenstand des Beitrags von Gerd Glaeske, in dem die Einflüsse von Alter und Geschlecht auf die Arzneimittelversorgung untersucht werden." [Autorenreferat]
Schlagwörter:medizinische Versorgung; gender; health care delivery system; medical care; Gesundheitswesen; health care; Alter; Gesundheitsversorgung; Gesundheitspolitik; Mann; woman; Einfluss; old age; influence; man; age; health policy; Lebensalter