MEDICAL AND SOCIAL PORTRAIT OF A PREGNANT WOMAN FROM SEMEY AND AWARENESS OF PREGNANT WOMEN ABOUT THE SOCIAL AND PSYCHOLOGICAL SERVICES
Background: The course of pregnancy and emerging type of motherhood can be affected by family history of the expectant mother, as well as socio-cultural factors, such as position of women in society and social significance of motherhood.
The aim of the study is to create a socio-medical portrait of a pregnant woman from Semey and to determine the awareness of women about the available social and psychological services.
Methods: Design - A cross-sectional study. Random sample (n = 350 women). 354 pregnant women who are registered in Semey primary health care institutions have been examined. Statistical analysis was performed by SPSS 20.0.
Results: Medical and social portrait of pregnant women from Semey in this study is as follows, the prevalence of Kazakh women (73.2%), married (83.9%), those with higher education (65.5%), having a complete family (61.9%), homeowners (56.2%), without maternity leave (51.1%), nulliparous (50.3%), not having previous abortions (72.9%) who have planned their pregnancies (68 9%), not smoking (93.2%), with an income equal to or above the minimum subsistence level (83.1%)
Social workers increasingly serve the unmarried women who do not receive financial support for their families with a history of abortion and low level of income and education level of her husband.
Psychologists increasingly serve the unmarried women with unstable, low-paying jobs, including her husband (of an married woman), as well as the level of income below the subsistence minimum.
Less than half (46.4%) of the women surveyed were informed of the availability of social and psychological services in Semey. The presence of social workers and psychologists in primary health care institutions is known to 81.9% of pregnant women. 24.3% of pregnant women met with the social worker, 20.3% of pregnant women met with the psychologist.
Conclusion: The results can be used to develop recommendations for the medical and social support for pregnant women in primary care settings.
Тogzhan Zh. Shalaganova 1, http://orcid.org/0000-0002-1552-0346
Yuliya M. Semenova 1, http://orcid.org/0000-0003-1324-7806
Karen Malone 2, http://orcid.org/0000-0002-2733-1921
Zhazira E. Orazgalieva 1, http://orcid.org/0000-0002-9933-3336
Marzhan A. Dauletyarova 1, http://orcid.org/0000-0001-8178-4051
1 Semey State Medical University, Semey, Kazakhstan;
2 University of Western Sydney, Sydney, Australia
1. Abdulin A.A. Mediko-sotsial'naya rabota kak osobyi vid mul'tidistsiplinarnoi deyatel'nosti v sisteme zdravookhraneniya [Medical and social work as a special kind of multi-disciplinary activities in the health care system]. Nauka i Zdravookhranenie [Science & Healthcare]. 2010. №4. pp. 18-21. (in Russian)
2. Andriyanova E. A., Novokreshchenova I. G., Aranovich I. Yu. Gotovnost' k roli materi: mediko-sotsiologicheskii analiz faktorov formirovaniya [Ready for the role of mother: medical and sociological analysis of the factors of formation]. Izvestiya Saratovskogo universiteta. Novaya seriya. Seriya Sotsiologiya. Politologiya [News of Saratov University. New episode. Series Sociology. Political science]. Saratov, 2011, pp.-1-8. (in Russian)
3. Baisheva M.I. Dukhovno-nravstvennaya sushchnost' narodnoi traditsii po zashchite vnitriutrobnogo i rodovogo periodov razvitiya rebenka [Spiritual- moral essence of people tradition on the protection of the intrauterine and ancestral development periods of the child]. Fundamental'nye issledovaniya [Fundamental research]. 2013. № 10, pp. 1842-1846. (in Russian)
4. Brutman V.I., Varga A.Ya., Khamitova I.Yu. Vliyanie semeinykh faktorov na formirovanie deviantnogo povedeniya materi [Family factors of deviant motherhood]. Psikhologicheskii zhurnal [Psychological journal]. 2000. №2. pp. 79-87. (in Russian)
5. Bushmeleva N.N. Nauchnoe obosnovanie mer po povysheniyu effektivnosti upravleniya profilaktikoi abortov v regione (na primere Udmurtskoi respubliki) (dokt.diss.) [Scientific substantiation of measures to improve the prevention of effective management of abortion in the region (on the example of the Udmurt Republic) Author’s thesis of Doct. Diss.]. Moscow, 2006, 185p. (in Russian)
6. Byazrova M.A. Rol' sotsial'nogo rabotnika v zashchite reproduktivnogo zdorov'ya zhenshchin (dokt.diss.) [The role of the social worker to protect the reproductive health of women. Author’s thesis of Doct. Diss.]. Volgograd, 2013, 135 p. (in Russian)
7. Glukhanyuk H.C., Kolobkova A. I., Pecherkina A.A. Psikhologiya bezrabotitsy: vvedenie v problemu. [Psychology of unemployment: introduction to the problem]. M.: Moskovskii psihologo-socialnyi institute. [M .: Moscow Psychological and Social Institute], 2003, 84 p. (in Russian)
8. Grjibovski A.M., Ivanov S.V. Opisatel'naya statistika s ispol'zovaniem paketov statisticheskikh programm Statistica i SPSS [Descriptive statistics using Statistica and SPSS]. Nauka i Zdravookhranenie [Science & Healthcare]. 2016. №1. pp. 7-23. (in Russian)
9. Grjibovski A.M., Ivanov S.V. Poperechnye (odnomomentnye) issledovaniya v zdravookhranenii [Cross-sectional) studies in health sciences]. Nauka i Zdravookhranenie [Science & Healthcare]. 2015. №2. pp. 5-18. (in Russian)
10. Grjibovski A.M., Ivanov S.V. Sravnenie kolichestvennykh dannykh dvukh nezavisimykh vyborok s ispol'zovaniem programmnogo obespecheniya Statistica i SPSS: parametricheskie i neparametricheskie kriterii [Comparing the quantitative data of two independent groups using the software Statistica and SPSS: parametric and nonparametric tests]. Nauka i Zdravookhranenie [Science & Healthcare]. 2016. №2. pp. 5-28. (in Russian)
11. Zakharova T.G., Goncharova G.N., Zakharov G.N. O probleme reproduktivnogo zdorov'ya [On the issue of reproductive health]. Zdravookhranenie Rossiiskoi Federacii [Health of the Russian Federation]. Moscow, 2002, №3, pp.33-35. (in Russian)
12. Ofitsial'nyi internet-resurs Cait Vsemirnoi organizatsii zdravookhraneniya. Rezhim dostupa: http://www.who.int/mediacentre/factsheets/fs348/ru/. [The official Internet resource of the World Health Organization]. Site: http ://www.who.int/mediacentre /factsh eets/fs348/ru/. (in Russian)
13. Parsons T.O. Novyi analiticheskii podkhod k teorii sotsial'noi stratifikatsii [A new analytical approach to social stratification theory]. O strukture sotsial'nogo deistviya [Structure of Social Action]. M .: Academic Project, 2000, 880 p. (in Russian)
14. Reshetov P.A. Osnovy psikhologii sem'i i semeinogo konsul'tirovaniya. Zhiznennyi tsikl sem'i [Fundamentals of family psychology and family counseling. Family life cycle]. Rossiiskii novyi universitet [Russian new university]. Moscow, 2006, 54 p. (in Russian)
15. Sinel'nikov A. B. Krizis brachno-semeinykh i mezhpokolennykh otnoshenii i prioritetnye napravleniya demograficheskoi politiki v Rossii (dokt. diss.) [The crisis of marriage and family, intergenerational relations and the priorities of the demographic policy in Russia. Author’s thesis of Doct. Diss.]. Moscow, 2014, 50 p. (in Russian)
16. Strategiya "Kazakhstan-2050": novyi politicheskii kurs sostoyavshegosya gosudarstva (Poslanie Prezidenta Respubliki Kazakhstan - Lidera Natsii N.A. Nazarbaeva narodu Kazakhstana, g. Astana, 14 dekabrya 2012 goda) [Strategy "Kazakhstan-2050": a new political course of the established state (Message of President of the Republic of Kazakhstan - Leader of the Nation N.A. Nazarbayev to the people of Kazakhstan, Astana, 14.12. 2012)]. URL: https://strategy2050.kz/ru/multilanguage/. (in Russian)
17. Trushkina L.Yu., Tlepcerishev R.A., Trushkin A.G., Demyanova L.M. Ekonomika I upravlenie zdravoohraneniem [Economic and Health Management].Textbook. Rostov on Don: Phenix, 2003. p. 28. (in Russian)
18. Epel'man B. V. Optimizatsiya organizatsii mediko-sotsial'noi pomoshchi v sisteme mer sotsial'noi zashchity naseleniya (na primere administrativnogo raiona krupnogo goroda) (dokt. diss.) [Optimization of the organization of medical and social assistance system of social protection of the population (for example, an administrative district of a large city). Author’s thesis of Doct. Diss.]. Saint-Petersburg, 2011, 558 p. (in Russian)
19. Leana C.R. & Feldman D.C. (1994). The psychology of job loss. In G. R. Ferris (Ed.), Research in Personnel and Human Resources Management (Vol. 12, pp. 271- 302). Greenwich, CT: JAI Press.
20. Maiko Suto, Kenji Takehara, Yumina Yamane and Erika Ota, Effects of prenatal childbirth education for partners of pregnant women on paternal postnatal mental health: a systematic review and meta-analysis protocol;DOI: 10.1186/s13643-016-0199-3, 2016.
21. Mendolia SilviaThe impact of husband’s job loss on partners’ mental health. Review of Economics of the Household, 12 (2), 2014, 277-294.