Medical activity of mothers and neonatal health in the context of the influence of sociomedical factors
Background. To increase mothers’ medical activity and literacy in relation to the preservation, promotion, and restoration of the health in children at the early stage of their development contributes to the formation of health-promoting behavior in the family.Shuvalova M.P., Chausov A.A., Grebennik T.K., Prikhodko N.A., Kurochka M.P., Bushtyrev A.V.
Objective. To assess the influence of sociomedical factors and personality traits on the proclivity of mothers for taking actions to preserve, promote, and restore the health of their newborn infants.
Subjects and methods. An anonymous survey was conducted in 367 puerperas. The questionnaire consisted of questions to explore the medical activity of a woman, such as medical advice for neonatal care; that for complaints about the health of her newborn infants; breastfeeding; neonatal immunization; implementation of her doctor’s recommendations; choice of a medical organization and a doctor for her child. Homogeneous groups were identified using an algorithm for the hierarchical clustering of objects.
Results. According to the results of cluster analysis, all the study participants were divided into three groups (clusters). Within each group, the respondents had a similar set of medical activity parameters. Cluster 1 included 53 (14.5%) women. This group was characterized by an orientation on medical advice for newborn care and complaints, as well as an indifferent attitude to breastfeeding. Cluster 2 that comprised the largest number of puerperas (n = 262 (71.4%)) was willing to visit a doctor and, if there were complaints about their newborn infant’s health status, to breastfeed, and to choose a medical organization and a doctor for their child. Cluster 3 consisted of 52 (14.1%) women who were convinced of the importance of seeking medical advice for complaints and of the necessity of breastfeeding; the respondents showed their indifference to the choice of a medical organization and a doctor.
Conclusion. The vast majority of puerperas have no formed aims to ensure the maximum medical activity in preserving, promoting, and restoring the health of their newborn infant. The high communicativeness of a woman and the priority of family values have a positive impact on the level of medical activity in mothers.
Keywords
medical activity
neonatal health
sociomedical factors
personality traits
value judgments
cluster analysis
health promotion
puerpera
health-promoting conditions
Supplementary Materials
- Fig. 1. Targeting mothers for the implementation of various aspects of medical activity (%)
- Fig. 2. Distribution of parameters of medical activity in three clusters
- Table 1. The influence of medical and social factors on the completeness of the choice of parameters of medical activity
References
1. Шувалова М.П., Гребенник Т.К., Чаусов А.А., Приходько Н.А. Медико-социальные аспекты, определяющие ценности матери в отношении сохранения, укрепления и восстановления здоровья своего новорожденного ребенка. Акушерство и гинекология. 2016; 3: 76-9. https://dx.doi.org/10.18565/aig.2016.3.76-79 [Shuvalova M.P., Chausov A.A., Grebennik T.K., Prikhodko N.A. Sociomedical determinants of the values of a mother in preserving, promoting, and recovering the health of her newborn infant. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2016; (3): 76-79. (in Russian) https://dx.doi.org/10.18565/aig.2016.3.76-79]
2. Шабунова А.А. Медицинская активность и роль семьи в укреплении здоровья детей. Проблемы развития территории. 2003; 2: 58-63. [Shabunova A.A. Medical activity and the role of families in promoting the health of children. Economic and social changes in the region. 2001; 21: 58-63. (in Russian)]
3. Лисицин Ю.П., Полунина Н.В. Образ жизни и здоровье детей. Педиатрия. Журнал им. Г.Н. Сперанского. 1990; 69(7): 61-9. [Lisitsin Y.P., Polunina N.V. Lifestyle and health of children. Pediatrics. 1990; 7: 61-69. (in Russian)]
4. Кулакова Е.В., Богомолова Е.С., Назарова Е.В. Медицинская активность родителей, имеющих детей дошкольного возраста. Медицинский альманах. 2011; 4: 18-21. [Kulakova E.V., Bogomolov E.S., Nazarova E.V. Medical activity of parents with children of preschool age. Health organization and public health. 2011; 4 (17): 18-21. (in Russian)]
5. Чернышева М.Л. Факторы, влияющие на медицинскую активность семей при заболевании детей от 1 года до 14 лет. Вестник Тамбовского университета. Серия: Естественные и технические науки. 2015; 20(1): 169-72. [Chernysheva M.L. Factors influencing medical activity of the disease in children from 1 year to 14 years. Bulletin of the Tambov University. 2015; 1(20): 169-172. (in Russian)]
6. Кашницкий В.И. Коммуникативность личности как предмет научного изучения. Вестник Костромского государственного университета им. Н.А. Некрасова. 2008; 14(4): 131-7. [Kashnitskiy V.I. Communication skills of the individual as a subject of scientific study. Vestnik Kostromskogo gosudarstvennogo universiteta im. N.A. Nekrasova 2008; 14 (4): 131-137. (in Russian)]
7. Терехова Т.А. Социальный капитал, его взаимосвязь с инновационным потенциалом и самореализацией личности. Психология в экономике и управлении. 2014; 2: 38-47. [Terekhova T.A. Social capital, its relationship with the innovation potential and personal fulfillment. Psychology in Economics and management. 2014; 2: 38-47 (in Russian)]
Received 21.12.2016
Accepted 23.12.2016
About the Authors
Shuvalova Marina P., MD, PhD, of the Department of medical and social research of scientific and organizational support, Research Center of Obstetrics,Gynecology and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954386948. E-mail: m_shuvalova@oparina4.ru. http://orcid.org/0000-0002-6361-9383
Chausov Andrey A., MD, Junior Researcher, Department of medical and social research of scientific and organizational support, Research Center of Obstetrics,
Gynecology and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954386948. E-mail: a_chausov@oparina4.ru. http://orcid.org/0000-0002-3094-7209
Grebennik Tatiana K., MD, Junior Researcher, Department of medical and social research of scientific and organizational support, Research Center of Obstetrics,
Gynecology and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954386948. E-mail: t_grebennik@oparina4.ru. http://orcid.org/0000-0001-9619-1574
Prikhodko Natalya A., MD, Junior researcher of the intensive care department of neonatology and pediatrics, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954382277. E-mail: n_prikhodko@oparina4.ru. http://orcid.org/0000-0003-3768-6897
Kurochka M.P., MD, PhD, Professor of the Department of Obstetrics and Gynecology, Rostov State Medical University, Ministry of Health of Russia.
344022, Russia, Rostov-on-Don, Nakhichevan lane 29. Tel.: +79289054418. E-mail: kurochka@gmail.com. http://orcid.org/0000-0002-8810-1505
Bushtyrev A.V., MD, gynecologist doctor, Rostov Regional Perinatal Center.
344068, Russia, Rostov-on-Don, Bodraya str. 90. Tel.: +79287788788. E-mail: bustyr@gmail.com. http://orcid.org/0000-0002-3899-9337
For citations: Shuvalova M.P., Chausov A.A., Grebennik T.K., Prikhodko N.A., Kurochka M.P., Bushtyrev A.V. Medical activity of mothers and neonatal health in the context of the influence of sociomedical factors. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (11): 108-13. (in Russian)
https://dx.doi.org/10.18565/aig.2017.11.108-113
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