Understanding Interpersonal Influences on the Use of Formal Health Services among a Population of Iranian Women in Reproductive Age: A Qualitative Study

Authors

  • Mohammad Ali Morowatisharifabad Department of Health Education and Promotion, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  • Tahereh Rahimi Department of Health Education and Promotion, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  • Tahmineh Farajkhoda Research Center for Nursing and Midwifery Care, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  • Hossein Fallah Zadeh Department of Biostatistics and Epidemiology, Research Center of Prevention and Epidemiology of Non-Communicable Disease, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI:

https://doi.org/10.3889/oamjms.2019.301

Keywords:

Interpersonal Relations, Reproductive health, Health care, Qualitative research, Women

Abstract

BACKGROUND: One of the most important factors contributing to using formal health care services by women is people who are involved in the social network around them.

AIM: This study aimed to understand the interpersonal influences on the use of formal health services among Iranian women of reproductive age.

METHODS: This study is a deductive content analysis approach based on the Health Promotion Model. Twenty-two semi-structured interviews were done with women of reproductive age and health care staffs in Qom, Iran. Transcripts were analysed by a deductive content analysis approach based on the Health Promotion Model (HPM).

RESULTS: Three main categories and eight subcategories were drawn consisting of (1) social support with 4 subcategories including “Family support and influenceâ€, “support of religious peopleâ€, “support of health care providers†and “negative social supportâ€; (2) social pressure and expectations with 2 subcategories including “feeling pressure due to role-playing†and “society's expectations regarding women's healthâ€, and (3) healthy role models with 2 subcategories including “family role models†and “modeling friends and peers in taking action for treatmentâ€.

CONCLUSION: A positive interpersonal influence in women acts as a strong incentive to seek health care when they are suffering from a disease, and prevents the chronicity of the disease by timely treatment.

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References

Vlassoff C. Gender differences in determinants and consequences of health and illness. J health Popul Nutr. 2007; 25(1):47-61.

Regitz-Zagrosek V. Sex and gender differences in health. Science & Society Series on Sex and Science. EMBO Rep. 2012; 13(7):596-603. https://doi.org/10.1038/embor.2012.87 PMid:22699937 PMCid:PMC3388783

Gijsbers van Wijk CM, Kolk AM, van den Bosch WJ, van den Hoogen HJ. Male and female morbidity in general practice: the nature of sex differences. Soc Sci Med. 1992; 35(5):665-78. https://doi.org/10.1016/0277-9536(92)90005-B

Davidson PM, McGrath SJ, Meleis AI, Stern P, Digiacomo M, Dharmendra T, et al. The health of women and girls determines the health and well-being of our modern world: A white paper from the International Council on Women's Health Issues. Health Care Women Int. 2011; 32(10):870-86. https://doi.org/10.1080/07399332.2011.603872 PMid:21919625 PMCid:PMC3703826

Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. 7th ed. Boston, MA: Pearson; 2015.

Tieu Y, Konnert CA. Mental health help-seeking attitudes, utilization, and intentions among older Chinese immigrants in Canada. Aging Ment health. 2014; 18(2):140-7. https://doi.org/10.1080/13607863.2013.814104 PMid:23837711

Reisinger MW, Moss M, Clark BJ. Is lack of social support associated with a delay in seeking medical care? A cross-sectional study of Minnesota and Tennessee residents using data from the Behavioral Risk Factor Surveillance System. BMJ Open. 2018; 8(7):e018139. https://doi.org/10.1136/bmjopen-2017-018139 PMid:30012778 PMCid:PMC6082447

Cislaghi B, Heise L. Using social norms theory for health promotion in low-income countries. Health. Promot Int. 2018. https://doi.org/10.1093/heapro/day065

Pistikou A-M, Zyga S, Sachlas A, Efthymia Katsa M, Daratsianou M, Andrea Paola RG. Determinative Factors of being an Effective Health-care Role Model. Intl J Occup Health Public Health Nurs. 2014; 1(3):3-14.

Moretti F, van Vliet L, Bensing J, Deledda G, Mazzi M, Rimondini M, et al. A standardized approach to qualitative content analysis of focus group discussions from different countries. Patient Educ Couns. 2011; 82(3):420-8. https://doi.org/10.1016/j.pec.2011.01.005 PMid:21292424

O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014; 89(9):1245-51. https://doi.org/10.1097/ACM.0000000000000388 PMid:24979285

Ohashi A, Higuchi M, Labeeb SA, Mohamed AG, Chiang C, Aoyama A. Family support for women's health-seeking behavior: a qualitative study in rural southern Egypt (Upper Egypt). Nagoya J Med Sci. 2014; 76(1-2):17-25.

Schooley J, Mundt C, Wagner P, Fullerton J, O'Donnell M. Factors influencing health care-seeking behaviours among Mayan women in Guatemala. Midwifery. 2009; 25(4):411-21. https://doi.org/10.1016/j.midw.2007.07.011 PMid:18053623

Smolak A, Gearing RE, Alonzo D, Baldwin S, Harmon S, McHugh K. Social support and religion: mental health service use and treatment of schizophrenia. Comm Ment Health J. 2013; 49(4):444-50. https://doi.org/10.1007/s10597-012-9536-8 PMid:22855264 PMCid:PMC3570737

Snell-Rood C, Hauenstein E, Leukefeld C, Feltner F, Marcum A, Schoenberg N. Mental health treatment seeking patterns and preferences of Appalachian women with depression. Am J Orthopsychiatry. 2017; 87(3):233-41. https://doi.org/10.1037/ort0000193 PMid:27322157 PMCid:PMC5173451

O'Mahen HA, Grieve H, Jones J, McGinley J, Woodford J, Wilkinson EL. Women's experiences of factors affecting treatment engagement and adherence in internet delivered behavioural activation for postnatal depression. Internet Interv. 2015; 2(1):84-90. https://doi.org/10.1016/j.invent.2014.11.003

Roost M, Jonsson C, Liljestrand J, Essen B. Social differentiation and embodied dispositions: a qualitative study of maternal care-seeking behavior for near-miss morbidity in Bolivia. Reprod Health. 2009; 6:13. https://doi.org/10.1186/1742-4755-6-13 PMid:19640286 PMCid:PMC2722580

Low LL, Tong SF, Low WY. Social influences of help-seeking behavior among patients with type 2 diabetes mellitus in Malaysia. Asia Pac J Public Health. 2016; 28(1):17-25. https://doi.org/10.1177/1010539515596807 PMid:26219560 PMCid:PMC4814241

Atwine F, Hultsjo S, Albin B, Hjelm K. Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: a study of focus group interviews. Pan Afr Med J. 2015; 20:76-89. https://doi.org/10.11604/pamj.2015.20.76.5497 PMid:26090034 PMCid:PMC4450037

Modi A, Moitra M, Bharat P, Shanti K. Analysis of Health Seeking Behavior Among Women Healthcare Providers. Can J Med Res. 2014; 1(1):1-4.

Published

2019-05-14

How to Cite

1.
Morowatisharifabad MA, Rahimi T, Farajkhoda T, Fallah Zadeh H. Understanding Interpersonal Influences on the Use of Formal Health Services among a Population of Iranian Women in Reproductive Age: A Qualitative Study. Open Access Maced J Med Sci [Internet]. 2019 May 14 [cited 2024 Apr. 26];7(9):1531-5. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.301

Issue

Section

E - Public Health

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