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Effects of modernisation and new population policies on reproductive health in Kars Turkey     
Yazarlar
 Kahraman ÜLKER Kahraman ÜLKER
Kafkas Üniversitesi
Ismail Temur
Abdulaziz Gul
Özet
The 1983 Turkish Population Planning Act aimed at improving reproductive health outcomes. We examined the effects of the Act and of modernisation in a small, underdeveloped city and province, Kars. Between June 2009 and January 2010, 576 parous women at a hospital in Kars participated in a study of reproductive histories and living standards. Results were compared by decade during which the birth took place of the first child who survived its first year, and urban/rural residence. Correlation and multi-way analyses of variance (ANOVA), χ(2) and t tests were used as appropriate. We also examined women's education and living standards and use of hospital and family planning (FP) facilities. From 1970 through 2009 maternal age at first live birth increased by 4.9 years (p < 0.05) from a baseline of 18.9 years. The number of pregnancies fell from a mean of 8.1 per woman in the 1970s to 5.6 in the 1980s (p < 0.05), with strong indications of continued decreases through the 2000-2009 decade. FP sites in Kars province increased in number and services, as did antenatal hospital visits and the proportions of women giving birth in a hospital. Concomitantly, delivery by caesarean section augmented markedly over the decades. Education levels of both urban and rural women rose from two years of schooling in the 1970s to ten years in the last decade. Modernisation, including increasing urbanisation, education, and new governmental policies that translated into maternal-child health and FP services were likely the backbone for improved reproductive health and lower fertility rates of women in Kars over the 40 year-period we studied.
Anahtar Kelimeler
Modernisation | Reproductive health | Maternal age | Pregnancy histories | Standard of living | Family planning programmes | Health policy | Induced abortion | Turkey
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
Dergi ISSN 1362-5187
Dergi Tarandığı Indeksler SCI
Makale Dili İngilizce
Basım Tarihi 06-2012
Cilt No 17
Sayı 3
Sayfalar 187 / 196
Doi Numarası 10.3109/13625187.2012.665102
Makale Linki http://informahealthcare.com/doi/abs/10.3109/13625187.2012.665102