Yıl: 2020 Cilt: 20 Sayı: 2 Sayfa Aralığı: 298 - 314 Metin Dili: İngilizce DOI: 10.5505/amj.2020.38981 İndeks Tarihi: 05-11-2020

VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION

Öz:
Objectives: Although tubal ligation (TL) is a safe and effective method of permanent contraception, womenmay reject it for medical, social, economic, cultural reasons. The study was conducted to determine knowledgeabout and attitudes toward TL among Turkish and Syrian women.Materials and Methods: A cross-sectional, descriptive study was conducted with 420 women in the women'shealth unit of hospital affiliated with the Ministry of Health in southeastern Turkey. In the research, "DiagnosticForm" was used as the data collection tool.Results: The investigation of the women's perspectives of TL demonstrated that 32.10% of the Turkish womenand 46.80% of the Syrian women considered it as a sin, 22.80% of the Turkish women and 37.60% of the Syrianwomen thought they might lose their authority in the family life, 22.80% of the Turkish women and 43.90% ofthe Syrian women thought that the intervention might have a negative impact on their sexual life, 20.90% ofthe Turkish women and 36.10% of the Syrian women thought that TL should be banned, 60.40% of the Turkishwomen, 45.90% of the Syrian women believed that TL was a reliable method and 34.40% of the Turkish womenand 48.30% of the Syrian women thought that having a lot of children gained them strength and status in thesociety (p<0.05).Conclusion: Overall knowledge of women about TL was insufficient, and Syrian participants displayed morenegative attitudes towards TL than Turkish participants. Our findings underscore the fact that culturaldifferences may have important effects on attitudes toward and acceptance of TL.
Anahtar Kelime:

İKİ FARKLI KÜLTÜRE SAHİP OLAN TÜRK VE SURİYELİ KADINLARIN TUBAL LİGASYON HAKKINDA GÖRÜŞLERİNİN İNCELENMESİ

Öz:
Amaç: Tubal ligasyon, çiftler için en etkili ve en güvenilir aile planlaması yöntemlerinden biri olmasına rağmen, bu yöntemin kabulü toplumdan topluma değişiklik göstermekte ve bazı medikal, sosyo-ekonomik, dini ve kültürel nedenlerden dolayı kullanımı reddedilebilmektedir. Araştırma, Türk ve Suriyeli kadınların tubal ligasyon hakkında bilgi ve tutumlarını belirlemek amacıyla yapılmıştır. Materyal ve Metot: Araştırma, Türkiye'nin güneydoğusunda bir devlet hastanesinde postpartum servisi'nde doğum yapan 420 Türk ve Suriyeli kadın ile tanımlayıcı ve kesitsel olarak yapılmıştır. Araştırmada veri toplama araçları olarak “Tanılama Formu” kullanılmıştır. Bulgular: Türk kadınların %32.10'u, Suriyeli kadınların %46.80'ni tüplerin bağlatılmasının günah olduğunu; Türk kadınların %22.80'ni, Suriyeli kadınların %37.60'ı, tüplerin bağlatılmasının kadına aile hayatında otorite kaybettireceğini; Türk kadınların %22.80'ni, Suriyeli kadınların %43.90'nı tüplerin bağlatılmasının cinsel hayatı olumsuz etkileyeceğini; Türk kadınların %20.90'nı, Suriyeli kadınların %36.10'u tüplerin bağlatılmasının yasaklanması gerektiğini; Türk kadınların %60.40'ı, Suriyeli kadınların %45.90'nı tüplerin bağlatılmasının güvenilir bir yöntem olduğunu ve Türk kadınların %34.40'ı, Suriyeli kadınların %48.30'u bir kadının çok çocuğunun olmasının kadına toplumda güç ve statü kazandırdığını düşündükleri saptanmıştır (p<0,05). Sonuç: Çalışmanın sonucunda kadınların tubal ligasyon hakkında yetersiz bilgiye sahip olduğu, Suriyeli kadınların Türk kadınlarından tubal ligasyon hakkında daha fazla olumsuz tutuma sahip olduğu belirlenmiştir. Bulgularımız kültürel farklılıkların tubal ligasyona yönelik tutumları ve kabulleri üzerinde önemli etkileri olabileceğini vurgulamaktadır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Erdoğan MM. Syrians in Turkey: Social Acceptance and Adaptation 'Hacettepe University Research Center for Migration and Politics - HUGO Publications, Ankara. 2015.
  • 2. Ay M, Gonzãlez P, Delgado R. The perceived barriers of access to health care among a group of non- camp Syrian refugees in Jordan. International Journal of Health 2016;46(3):566-89.
  • 3. Dikmen AH, Cankaya S, Yilmaz DS. The attitudes of refugee women in Turkey towards family planning. PHN 2019;36(1):45-52.
  • 4. Kabakian-Khasholian T, Mourtada R, Bashour H, El Kak F, Zurayk H. Perspectives of displaced Syrian women and service providers on fertility behaviour and available services in West Bekaa, Lebanon. Reprod Health Matters 2017;25(1):75-86.
  • 5. Gümüş G, Kaya A, Yılmaz SŞ, Özdemir S, Başıbüyük M, Coşkun AM. Syrian refugee women’s reproductive health ıssues. NWH 2017;3(1):1-17.
  • 6. UN Refugee Agency (UNHCR). Regional Refugue and Resilience Plan 2018-2019. In response to the Syria Crisis. 2018. Retrieved from https://data2.unhcr.org/en/situations/syria/location/113 (Access date: 11 January 2019).
  • 7. The Disaster and Emergency Management Presidency of Turkey (DEMPT). Syrian women in Turkey 2014 Report. Retrieved from https://www.afad.gov.tr/upload/Node/17934/xfiles/turkiye_dekisuriyeli-kadinlar_-2014_2_.pdf (Accessed date: 14 January 2019).
  • 8. Hilary S. Syrian refugee women in Jordan: family planning preferences and barriers in a host community. Independent Study Project Collection. 24-45. 2016. Retrieved from https://digitalcollections.sit.edu/cgi/viewcontent.cgi?article=3473andcontext=isp_collection (Access date: 18 November 2018).
  • 9. Sandal EK, Hançerkıran M, Tıraş M. Syrian refugees in turkey and their reflections in Gaziantep Province. Gaziantep University Journal of Social Sciences 2016;15(2):461 -83.
  • 10. United Nations, Department of Economic and Social Affairs, Population Division (UNDESA). 2015. Trends in Contraceptive Use Worldwide 2015 (ST/ESA/SER.A/349). Retrieved from https://www.un.org/en/development/desa/population/publications/pdf/family/trendsContracepti veUse2015Report.pdf (Access date: 18 November 2018).
  • 11. Mutlu Y, Kirimsoy E, Antakyalioglu S. Suriyeli multeci cocuklar ve vatansizlik riski, bulanik mekanlarda golgede kalanlar, araştırma raporu (Syrian refugee children who remain in shadows and fuzzy location and statelessness risk, research report). Ankara: Sen Matbaa. 2016.
  • 12. Sunata U. Refugees increase fertility. 2016. Retrieved from https://www. aljazeera.com.tr/al-jazeeraozel/multecilik-dogurganligi-artirir-2 (Access date: 26 May 2019).
  • 13. Gözükara F, Kabalcıoğlu F, Ersin F. Determining the attitudes of woman towards family planning in Şanlıurfa. Journal of Harran University Medical Faculty 2015;12(1):9-16.
  • 14. Joshi R, Khadilkar S, Patel M. Global trends in use of long-acting reversible and permanent methods of contraception: Seeking a balance. Int J Gynaecol Obstet 2015;131(1):60-3.
  • 15. United Nations, Department of Economic and Social Affairs, Population Division (UNDESA). World Population Prospects: The 2017 Revision. Retrieved https://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf (Accessed date: 18 November 2018).
  • 16. Artunc B, Birge Ö. Ruptured ectopic pregnancy after bilateral tubal ligation. J Kartal TR 2015;26(2):177–8.
  • 17. Chan LM, Westhoff CL. Tubal sterilization trends in the United States. Fertil Steril 2010;94(1):1 -6.
  • 18. Arora N, Choudhary S, Raghunandan C. Young women opting for tubal sterilisation in rural India: Reasons and implications. J Obstet Gynaecol 2010;30(2):175-8.
  • 19. Erlenwein J, Kundu S, Schippert C, Soergel P, Hillemanns P, Staboulidou I. Attitude toward, acceptance of and knowledge about female sterilization as a method of contraception. Eur J Obstet Gynecol Reprod Biol 2015;185(2):83–7.
  • 20. EngenderHealth. Contraceptive Sterilization: Global Issues and Trends. Factors Influencing Sterilization Use and Outcomes. Chapter 5. 2002:107.
  • 21. Kısa S, Savaş E, Zeyneloğlu S, Dönmez S. Opinions and attitudes about vasectomy of married couples living in Turkey. Am J Mens Health 2017;11(3):531–41.
  • 22. Ministry of National Education. Family planning, Nursing. Ankara. 2012:1 -36
  • 23. Karatas N. Sampling research. Erefe I, editor. Nursing Research Principles, Process and Methods. 3.Print. Ankara: Focus Offset. 2004.
  • 24. Al Jazeera. Religious and ethnic map of Syria. 2016. Retrieved from http://www.aljazeera.com.tr/haber/suriyenin-dini-ve-etnik-haritasi (Accessed date: 18 May 2019).
  • 25. Akça H, Ela M. Analysis of the relation between education, fertility and unemployment in Turkey. Journal of Finance 2012;163:223-42.
  • 26. Karakaya E, Çoşkun AM, Ozerdoğan N, Yakıt E. Syrian refugee women's fertility characteristics and influencing factors: a qualitative study. J Int Soc Res 2017;10:417-27.
  • 27. Temesgen, A. Assessment of the prevalence and factors influencing the utilization of long acting and permanent contraceptive method in Butajira town, Gurage zone, southern Ethiopia. Ethiopia: Addis Ababa. MPH thesis, Addis Ababa University.2007.
  • 28. Humera H, Sajad KP, Bhat I, Gazala H, Rehana H. Knowledge, attitude and practice of contraception in Rural Kashmir. J Obstet Gynaecol India 2013;63(6):410–4.
  • 29. Moniz MH, Chang T, Heisler M, Admon L, Gebremariam A, Dalton VK, Davis M. M. Inpatient postpartum long-acting reversible contraception and sterilization in the United States, 2008–2013. Obstet Gynecol 2017;129(6):1078-85.
  • 30. Bhutta SZ, Zaeem S, Korejo R. Female surgical sterilization at a tertiary care hospital in Karachi. J Ayub Med Coll Abbottabad 2004;16(2):42-5.
  • 31. McMahon S, Hansen L, Mann J, Sevigny C, Wong T, Roache M. Contraception. BMC Womens Health 2004;4(1):25.
  • 32. Öztaş Ö, Baydar AA, Kayhan TB, Yalçıntaş A, Üstü Y, Uğurlu M. Knowledge, attitude and behaviour of married women of 18-49 age group about reproductive health and contraception. Ank Med J 2015;15(2):67-76.
  • 33. Borrero S, Nikolajski C, Rodriguez K L, Creinin MD, Arnold RM, Ibrahim SA. Everything I Know I Learned from My Mother...or Not: Perspectives of African-American and white women on decisions about tubal sterilization. J Gen Intern Med 2009;24(3):312–9.
  • 34. Anderson JE, Jamieson DJ, Warner L, Kissina DM, Nangiac AK, Macalusod M. Contraceptive sterilization among married adults: national data on who chooses vasectomy and tubal sterilization. Contraception 2012;85(6):552–7.
  • 35. Daniels K, Daugherty J, Jones J, Mosher W. Current contraceptive use and variation by selected characteristics among women aged 15–44: United States, 2011–2013 U.S. Department Of Health And Human Servıces Centers for Disease Control and Prevention National Center for Health Statistics National Health Statistics Reports. 2015:1-15.
  • 36. Sadatmahalleh J, Ziaei S, Kazemnejad A, Mohamadi E. Evaluation of sexual function and quality of life in Iranian women with tubal ligation: a historical cohort study. Int J Impot Res 2015;27:173 –7.
  • 37. Waheeb AZ, El Faky A. Community and service providers’ attitudes about tubal ligation for medical reasons, The British Journal 2005:12.
  • 38. Dönmez S. Fertility control: sterilization. Academic Researches in Health Sciences. Ed: M.Kuş. ISBN:978-605-288-399-0, 1.print, Ankara, April, 2018:77-96.
  • 39. Jamieson DJ, Kaufman SC, Costello C, Hillis SD, Marchbanks PA, Peterson HB. A Comparison of women’s regret after vasectomy versus tubal sterilization. Obstet Gynecol 2002;99(6):1073 –9.
  • 40. Kunkeri SP, Sathyanarayana Rao TS, Andrade C. Study of sexual functioning and disorder in women before and after tubal sterilization (tubectomy). Indian J Psychiatry 2017;59(1):63 -8.
  • 41. Brault MA, Schensul SL, Singh R, Verma RK, Jadhav K. Multilevel perspectives on female sterilization in low-ıncome communities in Mumbai, India. Qual Health Res 2016;2 6(11):1550–60.
  • 42. Kılıç A, Akyüz A, Yavan T, Güvenç G. A qualitative study on the effects of contraceptives on sexual life. Turkiye Klinikleri J Gynecol Obst 2009;19(3): 131-41.
  • 43. Bolourian Z, Ganjloo J. Evaluation of sexual dysfunction and some related factor in women. J Reprod Infertil 2007;31(8):163–70.
  • 44. Gonzalez M, Viafara G, Cab F, Molina T, Ortiz C. Libido and orgasm in middleaged woman. Maturitas 2006;53(1):1–10.
  • 45. Salisbury P, Hall L, Kulkus S, Paw MK, Tun NW, Min AM. et al. Family planning knowledge, attitudes and practices in refugee and migrant pregnant and postpartum women on the Thailand-myanmar border-a mixed methods study. Reprod Health 2016;13(1):94.
APA donmez s, Gumussoy S, KOÇAK H (2020). VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. , 298 - 314. 10.5505/amj.2020.38981
Chicago donmez sevgül,Gumussoy Sureyya,KOÇAK HATICE SERAP VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. (2020): 298 - 314. 10.5505/amj.2020.38981
MLA donmez sevgül,Gumussoy Sureyya,KOÇAK HATICE SERAP VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. , 2020, ss.298 - 314. 10.5505/amj.2020.38981
AMA donmez s,Gumussoy S,KOÇAK H VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. . 2020; 298 - 314. 10.5505/amj.2020.38981
Vancouver donmez s,Gumussoy S,KOÇAK H VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. . 2020; 298 - 314. 10.5505/amj.2020.38981
IEEE donmez s,Gumussoy S,KOÇAK H "VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION." , ss.298 - 314, 2020. 10.5505/amj.2020.38981
ISNAD donmez, sevgül vd. "VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION". (2020), 298-314. https://doi.org/10.5505/amj.2020.38981
APA donmez s, Gumussoy S, KOÇAK H (2020). VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. Ankara Medical Journal, 20(2), 298 - 314. 10.5505/amj.2020.38981
Chicago donmez sevgül,Gumussoy Sureyya,KOÇAK HATICE SERAP VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. Ankara Medical Journal 20, no.2 (2020): 298 - 314. 10.5505/amj.2020.38981
MLA donmez sevgül,Gumussoy Sureyya,KOÇAK HATICE SERAP VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. Ankara Medical Journal, vol.20, no.2, 2020, ss.298 - 314. 10.5505/amj.2020.38981
AMA donmez s,Gumussoy S,KOÇAK H VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. Ankara Medical Journal. 2020; 20(2): 298 - 314. 10.5505/amj.2020.38981
Vancouver donmez s,Gumussoy S,KOÇAK H VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION. Ankara Medical Journal. 2020; 20(2): 298 - 314. 10.5505/amj.2020.38981
IEEE donmez s,Gumussoy S,KOÇAK H "VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION." Ankara Medical Journal, 20, ss.298 - 314, 2020. 10.5505/amj.2020.38981
ISNAD donmez, sevgül vd. "VIEWS OF TURKISH AND SYRIAN REFUGEE WOMEN WHO ARE FROM TWO DIFFERENT CULTURES ON TUBAL LIGATION". Ankara Medical Journal 20/2 (2020), 298-314. https://doi.org/10.5505/amj.2020.38981