Författare/Namn
Titel Social differentiation and embodied dispositions : a qualitative study of maternal care-seeking behaviour for near-miss morbidity in Bolivia
Anmärkning: Innehållsbeskrivning, sammanfattning BackgroundUse of maternal health care in low-income countries has been associated with several socioeconomic and demographic factors, although contextual analyses of the latter have been few. A previous study showed that 75% of women with severe obstetric morbidity (near-miss) identified at hospitals in La Paz, Bolivia were in critical conditions upon arrival, underscoring the significance of pre-hospital barriers also in this setting with free and accessible maternal health care. The present study explores how health care-seeking behaviour for near-miss morbidity is conditioned in La Paz, Bolivia.MethodsThematic interviews with 30 women with a near-miss event upon arrival at hospital. Near-miss was defined based on clinical and management criteria. Modified analytic induction was applied in the analysis that was further influenced by theoretical views that care-seeking behaviour is formed by predisposing characteristics, enabling factors, and perceived need, as well as by social ly shaped habitual behaviours.ResultsThe self-perception of being fundamentally separated from "others", meaning those who utilise health care, was typical for women who customarily delivered at home and who delayed seeking medical assistance for obstetric emergencies. Other explanations given by these women were distrust of authority, mistreatment by staff, such as not being kept informed about their condition or the course of their treatment, all of which reinforced their dissociation from the health-care system.ConclusionThe findings illustrate health care-seeking behaviour as a practise that is substantially conditioned by social differentiation. Social marginalization and the role health institutions play in shaping care-seeking behaviour have been de-emphasised by focusing solely on endogenous cultural factors in Bolivia.
Ämne
Medarbetare Jonsson, Cecilia, 1974-, Linnéuniversitetet, Institutionen för social t arbete, SA Författare/medförfattare Liljestrand, Jerker, Faculty of Medicine, Lund University Författare/medförfattare Essén, Birgitta, Department of Women's and Children's Health, Uppsala University, Sweden Författare/medförfattare
Institutionsnamn
Värdpublikation Reproductive Health ISSN 1742-4755 6:1, s. Article ID: 13 6:1
Antal i kö:
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*008080901s2009 xx |||| |0|| 0|eng d
*009oai:DiVA.org:uu-107815
*0247 $a10.1186/1742-4755-6-13$2doi
*0247 $a19640286$2pmid
*0247 $aurn:nbn:se:lnu:diva-18236$2urn
*0247 $aurn:nbn:se:uu:diva-107815$2urn
*035 $a(SwePub)oai:DiVA.org:lnu-18236
*040 $a(SwePub)lnu$d(SwePub)uu
*042 $9SwePub
*072 7$aart$2swepub-publicationtype
*072 7$aref$2swepub-contenttype
*1001 $aRööst, Mattias,$d1977-,$uDepartment of Women's and Children's Health, Uppsala University, Sweden, International Maternal and Child Health (IMCH)$4aut$0(SwePub:)
*24510$aSocial differentiation and embodied dispositions :$ba qualitative study of maternal care-seeking behaviour for near-miss morbidity in Bolivia
*5203 $8eng$aBackgroundUse of maternal health care in low-income countries has been associated with several socioeconomic and demographic factors, although contextual analyses of the latter have been few. A previous study showed that 75% of women with severe obstetric morbidity (near-miss) identified at hospitals in La Paz, Bolivia were in critical conditions upon arrival, underscoring the significance of pre-hospital barriers also in this setting with free and accessible maternal health care. The present study explores how health care-seeking behaviour for near-miss morbidity is conditioned in La Paz, Bolivia.MethodsThematic interviews with 30 women with a near-miss event upon arrival at hospital. Near-miss was defined based on clinical and management criteria. Modified analytic induction was applied in the analysis that was further influenced by theoretical views that care-seeking behaviour is formed by predisposing characteristics, enabling factors, and perceived need, as well as by social ly shaped habitual behaviours.ResultsThe self-perception of being fundamentally separated from "others", meaning those who utilise health care, was typical for women who customarily delivered at home and who delayed seeking medical assistance for obstetric emergencies. Other explanations given by these women were distrust of authority, mistreatment by staff, such as not being kept informed about their condition or the course of their treatment, all of which reinforced their dissociation from the health-care system.ConclusionThe findings illustrate health care-seeking behaviour as a practise that is substantially conditioned by social differentiation. Social marginalization and the role health institutions play in shaping care-seeking behaviour have been de-emphasised by focusing solely on endogenous cultural factors in Bolivia.
*650 7$aMEDICIN OCH HÄLSOVETENSKAP$2hsv//swe$0(SwePub)3
*650 7$aMEDICAL AND HEALTH SCIENCES $2hsv//eng$0(SwePub)3
*653 $aSociology
*653 $aSociologi
*653 $amaternal health care
*653 $asocial differentiation
*653 $anear miss
*653 $acare-seeking behaviour
*653 $aBolivia
*653 $aMedicine
*653 $aMedicin
*7001 $aJonsson, Cecilia,$d1974-,$uLinnéuniversitetet, Institutionen för social t arbete, SA$4aut$0(SwePub:lnu)cjnsvi
*7001 $aLiljestrand, Jerker,$uFaculty of Medicine, Lund University$4aut$0(SwePub:)
*7001 $aEssén, Birgitta,$uDepartment of Women's and Children's Health, Uppsala University, Sweden$4aut$0(SwePub:)
*7102 $aLinnéuniversitetet.$bFakultetsnämnden för hälsa, social t arbete och beteendevetenskap.$bInstitutionen för social t arbete, SA.$0(SwePub:lnu)5457
*7102 $aUppsala universitet.$bMedicinska och farmaceutiska vetenskapsområdet.$bMedicinska fakulteten.$bInstitutionen för kvinnors och barns hälsa.$0(SwePub:uu)1359
*7730 $tReproductive Health$x1742-4755$g6:1, s. Article ID: 13$q6:1
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