Person: AY, NADİYE PINAR
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AY
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NADİYE PINAR
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Publication Open Access The barriers against childhood immunizations: a qualitative research among socio-economically disadvantaged mothers(OXFORD UNIV PRESS, 2007-03-28) TOPUZOĞLU, AHMET; Topuzoglu, Ahmet; Ay, Pinar; Hidiroglu, Seyhan; Gurbuz, YucelBackground: The socio-economically disadvantaged populations are among the most vulnerable groups that are under-vaccinated. Therefore, the aim of this qualitative study was to understand the behaviours of mothers concerning the immunization of their children, the decision-making process, the perceived barriers, and the enabling factors to access the services in a suburban population in Istanbul. Method: Eight focus group discussions and two in-depth interviews were carried out with the mothers who have children younger than five years. Results: While the responsibility of immunization was left totally to the mother, the socially subordinate role of women did not provide the means of getting the immunization services. The women were dependent mostly on social networks for getting the immunization services. Another important barrier to the services was related to the economical constraints and accessibility of the services. In addition, the lack of effective communication and information transfer between the health personnel and the mothers formed an important obstacle. Conclusion: This study underlines a need for an effective counselling tailored to the immunization session, which will maintain a positive relationship between the personnel and the mother.Publication Metadata only Do perceived health risks outweigh the benefits of modern contraceptives? A qualitative study in a suburban population in Istanbul, Turkey(TAYLOR & FRANCIS LTD, 2007) TOPUZOĞLU, AHMET; Ay, P.; Hidiroglu, S.; Topuzoglu, A.; Ucar, M. Solakoglu; Kose, O. O.; Save, D.Objectives To evaluate the health concerns and the perceived non-contraceptive benefits of modern contraceptive methods through utilizing qualitative methods. Methods Six focus group discussions were carried out with a total of 53 married women in a socio-economically disadvantaged community in Istanbul, Turkey. Results Women had a vague knowledge of the mechanism of menstruation. Some women believed that the uterus was filled with blood-termed 'dirty blood'-which should be eliminated during menstruation in order to stay healthy. For this reason, amenorrhoea was recognized as the important disadvantage of the progestin-only injectable contraceptives. While the participants mentioned fallacious and exaggerated side effects related to modern methods they did not recognize their non-contraceptive benefits. Most women gained the information concerning side effects through their social networks. Sometimes the information acquired was based on rumours that biased women against the modern contraceptives. Conclusions Women outweighed the risks, some of which were fallacious and exaggerated, against the benefits of modern contraceptives. It is crucial to address health concerns of women and what they 'heard' from their peers during counselling sessions. Also the non-contraceptive health benefits of modern methods should be well emphasized. Since informal sources are prevalent, the effectiveness of peer education should be studied in this community.Publication Metadata only The influence of gender roles on health seeking behaviour during pregnancy in Turkey(TAYLOR & FRANCIS LTD, 2009) TOPUZOĞLU, AHMET; Ay, Pinar; Hayran, Osman; Topuzoglu, Ahmet; Hidiroglu, Seyhan; Coskun, Anahit; Save, Dilsad; Nalbant, Hacer; Ozdemir, Erhan; Eker, LeventObjectives To explore the impact of gender roles in relation to health seeking behaviour during pregnancy and childbirth. Methods The study was conducted in neighbourhoods with low antenatal care rates in three provinces of Turkey. The study population consisted of pregnant women who never got or discontinued antenatal care and their peers, families and community leaders. Sixteen focus group discussions and 125 in-depth interviews were conducted with a total of 239 participants. Results Pregnancy and childbirth are interwoven strongly with gender roles. Since the patriarchal system acknowledges women through the means of childbirth, women are expected to have many children. Hence women experience pregnancy as a burden and are not motivated to seek antenatal care. During pregnancy, only 'serious' conditions are considered as legitimate reasons for accessing care. However, the decision regarding whether a pregnant woman is seriously sick or not belongs to the responsibilities of elder women, which delays service use. Conclusions Providing information regarding the value of antenatal care also to elder women is essential in increasing the demand to the services. Incorporating gender perspectives into daily health practice and maintaining access to high quality reproductive care services are vital in reducing the gender based barriers to care.Publication Metadata only Radionuclide concentrations in soil and lifetime cancer risk due to gamma radioactivity in Kirklareli, Turkey(ELSEVIER SCI LTD, 2009) TOPUZOĞLU, AHMET; Taskin, H.; Karavus, M.; Ay, P.; Topuzoglu, A.; Hidiroglu, S.; Karahan, G.The objective of this study is to ovaluate and map soil radionuclides' activity concentrations and environmental outdoor gamma dose rates (terrestrial and cosmic) in Kirklareli, Turkey. The excess lifetime cancer risks are also calculated. Outdoor gamma dose rates were determined in 230 sampling stations and soil samples were taken from 177 locations. The coordinates of the readings were determined by the Global Positioning System (GPS). The outdoor gamma dose rates were determined by Eberline smart portable device (ESP-2) and measurements were taken in air for two minutes at I m from the ground, The average outdoor gamma close rate was 118 +/- 34 nGy h(-1). Annual effective gamma dose of Kirklareli was 144 mu Sv and the excess lifetime cancer risk of 5.0 x 10(-4). Soil samples were analyzed by gamma spectroscopy. The average Ra-226, U-238, Th-232, Cs-137, and K-40 activities were 37 +/- 18 Bq kg(-1), 28 +/- 13 Bq kg(-1), 40 +/- 18 Bq kg-1, 8 5 Bq kg(-1) and 667 +/- 281 Bq kg(-1), respectively. The average soil radionuclides' concentrations of Kirklareli were within the worldwide range although some extreme values had been determined. Annual effective gamma doses and the excess lifetime risks of cancer were higher than the world's average. (c) 2009 Elsevier Ltd. All rights reserved.