Ayşe Akin | Baskent University (original) (raw)

Papers by Ayşe Akin

Research paper thumbnail of Maternal mortalities and their causes in Turkey

Research paper thumbnail of A qualitative research on mental health and psychosocial issues impacting Syrian refugee women in Turkey

Background: Due to the civil war since 2011, around 4 million Syrian refugees have migrated to Tu... more Background: Due to the civil war since 2011, around 4 million Syrian refugees have migrated to Turkey from their home countries. It is well known that being a refugee, especially a female refugee, is considered to be one of the highest risk group in conflict areas. The psychological adaption challenges and extreme feelings of homesickness have resulted in mental health issues that are more prevalent among refugee women. This study aims to understand how context-specific factors influence Syrian refugee women’ psychosocial wellbeing and mental health through focus group discussions. Methods: A total of 9 focus groups were conducted with Syrian women (4), Syrian men (3) and stakeholders (2). Qualitative assessment was used to examine the experiences related to the psychological health difficulties of Syrian women living in Turkey with temporary protection status. Thematic analysis was run to analyze the data by coding and identifying themes or patterns. In this study, their psychosoci...

Research paper thumbnail of Halk Sağlığı Temel Bilgiler 2

Hacettepe Üniversitesi Yayınları eBooks, 2015

Research paper thumbnail of Change in smoking frequency and affecting factors among the students of a medical faculty in Ankara – Turkey: 2013-2016

Tobacco Induced Diseases, 2018

The aim of this study was to identify probable intermediate biomarkers of disturbed pathways and ... more The aim of this study was to identify probable intermediate biomarkers of disturbed pathways and their link between smoking. Methods Un-stimulated whole saliva and serum samples were collected from a total of 30 systemically healthy participants with periodontally healthy smokers (S) (n=15) and nonsmokers (n=15). Periodontal indices (plaque index, gingival index, probing depth, bleeding on probing, clinical attachment level) were recorded to confirm periodontal health. Saliva was purified, and a total of 28 amino acids and metabolites were analyzed by liquid chromatographymass spectrometry (LC-MS/MS). Smoking status was validated measuring serum cotinine levels. Intergroup comparisons were assessed using the Mann Whitney U test. Results When 28 amino acids were evaluated, smokers had statistically significantly higher cystathionine levels than non-smokers (p <0.05). Conclusions Saliva cystathionine is associated with smoking in periodontally healthy individuals, and is possibly related to altered sulfuration pathway.

Research paper thumbnail of Halk Sağlığı Temel Bilgiler 1

Hacettepe Üniversitesi Yayınları eBooks, 2015

Research paper thumbnail of The case control study among the osteoporotic and non osteoporotic women aged 40 and over getting check up in the medical center of the University of Hacettepe

The Case Control Study Among the Osteoporotic and Non Osteoporotic Women Aged 40 and Over Getting... more The Case Control Study Among the Osteoporotic and Non Osteoporotic Women Aged 40 and Over Getting Check Up in the Medical Center of the Hacettepe University Gulsun Polatkan Soheila Rabieypoor, Şevkat Bahar Ozvariş andAyşe Akin, Department of Public Health, Hacettepe University, Faculty of Medicine, Sihhiye, Ankara, Turkey OBJECTIVE : The study was carried out to identify the risky behaviour pattern and the relationship of osteoporosis among the osteoporotic and not osteoporotic women aged 40 and over working in the Hacettepe University in Ankara METHOD: In this case control study, risk factors of osteoporosis a questionnaire was used to collect data which incuded 42 questions .Descriptive statistics were used to summarize data, whereas chi-square was used to compare groups. For statistical significance, alpha value was taken as 0.05. RESULTS: Of the study participants, 84.17 % of case group (101 person) and , %79.17of control group (95 person) answered the questionnaire. The 32.7% o...

Research paper thumbnail of Smoking and alcohol consumption among a group of university in Ankara: Prevalence and determinants

Erciyes tıp dergisi, 2006

Research paper thumbnail of Ankara Yunus Emre Sağlık Ocağı Bölgesinde KadınaYönelik Aile İçi Şiddet Sıklığıvve Bazı Ruh SağlığıSorunları İle İlişkisinin İncelenmesi

Research paper thumbnail of Üreme Sağlığına Giriş (Katılımcı kitabı)

Buluş Tasarım ve Matbaacılık Hizmetleri, 2005

Research paper thumbnail of Üreme Sağlığına Giriş Hizmet İçi Eğitim Modülü, Eğitici Rehberi

Research paper thumbnail of Introduction To Reproductive Health Services in Service Training Module

Research paper thumbnail of Sexual and reproductive health of Syrian refugee women in Turkey: a scoping review within the framework of the MISP objectives

Reproductive Health, 2020

Background Turkey hosts the world’s largest community of Syrians displaced by the conflict. The M... more Background Turkey hosts the world’s largest community of Syrians displaced by the conflict. The Minimum Initial Service Package (MISP) is a coordinated set of priority reproductive health services. There is not any scoping review assessing the RH situation of Syrian refugees in Turkey within the framework of the MISP objectives. The objectives of this review is to identify the situation of sexual and reproductive health (SRH) among Syrian refugee women in Turkey, and document the health services provided for them in terms of the components of MISP. We hoped to show evidence of gaps and help guide future research to focus on priority areas to improve the range, quality, and access to SRH services and to recommend public health interventions. Method The literature search was conducted in Turkish and English. Multiple electronic databases (Turkish Medline, Google Scholar, PubMed, Web of Science, Medline, Cochrane Database of Systematic Reviews, EBSCOHost, CINAHL, and Embase) were searc...

Research paper thumbnail of Extended use up to 5 years of the etonogestrel-releasing subdermal contraceptive implant: comparison to levonorgestrel-releasing subdermal implant

Human Reproduction, 2016

Is it possible to extend the use of the 3-year one-rod etonogestrel (ENG)-releasing subdermal con... more Is it possible to extend the use of the 3-year one-rod etonogestrel (ENG)-releasing subdermal contraceptive implant to 5 years? SUMMARY ANSWER: The extended use of the one-rod ENG-releasing subdermal contraceptive implant showed 100% efficacy in years 4 and 5. WHAT IS KNOWN ALREADY: The initial regulated trials on the ENG-releasing subdermal contraceptive implant conducted in the 1990 s were designed to measure cumulative 3-year efficacy. The ENG-implant has both well established safety and efficacy for up to 3 years. Pharmacokinetic data on ENG show high levels at 3 years and some previous clinical research confirms efficacy beyond the current approved duration of 3 years. Today, many women, because the labeled duration has been reached, have the ENG implant removed at 3 years, increasing costs, inconvenience and risks. STUDY DESIGN SIZE, DURATION: For the first 3 years, this study was an open-label, multi-centre randomized trial comparing the 3-year ENG implant to the 5-year levonorgestrel (LNG)-releasing implant. After 3 years, a subset of 390 ENG participants, consented to extended use. We compared efficacy, side effects and removal procedures of both implants. We used Kaplan-Meier (K-M) analysis. We included an observational cohort of copper intrauterine device (IUD) users as non-users of hormonal contraceptive method for comparative purposes. PARTICIPANTS/MATERIALS, SETTING, METHODS: The study took place in family planning clinics in seven countries worldwide. Women were enlisted after an eligibility check and informed consent, and 1328 women were enrolled: 390, 522 and 416 in the ENGimplant, LNG-implant and IUD groups, respectively. MAIN RESULTS AND THE ROLE OF CHANCE: Over 200 women used the ENG implant for at least 5 years. No pregnancies occurred during the additional 2 years of follow up in the ENG or LNG implant group. The overall 5-year K-M cumulative pregnancy rates for ENG-and LNG-implants were 0.6 per 100 women-years (W-Y) [95% confidence interval (CI): 0.2-1.8] and 0.8 per 100 W-Y [95% CI: 0.2-2.3], respectively. Complaints of bleeding changes were similar; however, ENG-users were more likely than LNG-users to experience heavy bleeding (p < 0.05). The median duration of the implant removal procedure was 64 seconds shorter for the one-rod ENG-implant † Members of the study group are listed in the Appendix.

Research paper thumbnail of Study Supports the Introduction of Early Medical Abortion in Turkey

Reproductive Health Matters, 2005

In Turkey, there is an unmet need for induced abortion services provided by the public health ser... more In Turkey, there is an unmet need for induced abortion services provided by the public health services, especially in rural and semi-urban areas. The objective of this clinical study was to show that early medical abortion could be introduced safely in Turkey to improve women's access to services. In the study, women aged 18-49 up to 56 days of pregnancy were offered a choice between medical abortion with 200mg mifepristone followed by 400mcg oral misoprostol and MVA with local anaesthesia. 209 chose medical and 149 surgical abortion. Data from an additional 112 women were collected to obtain a similar number of surgical abortion cases. Women's preference for and satisfaction with the chosen method, side effects and complications up to the 14-day follow-up visit were recorded. 75% of women who chose medical abortion opted for home use of misoprostol. Pain with medical abortion on average lasted 3.6 F 3.0 days and with surgical abortion 3.7 F 2.9 days. 90% of women who had medical abortion said they would prefer it again compared to 70% of those having surgical abortion. There were 1.4% ongoing pregnancies in the medical abortion group and none in the surgical group. Provider training and familiarity with medical abortion are crucial. The high incomplete abortion rate indicates that the dose and regimen of misoprostol should be reconsidered. The findings support the introduction of early medical abortion in Turkey.

Research paper thumbnail of Bridging the gender gap in Turkey : a milestone towards faster socio-economic development and poverty reduction

Research paper thumbnail of Gender perception and affecting factors: Example of Mardin

The aim was to determine the perception levels and affecting factors on the gender roles of indiv... more The aim was to determine the perception levels and affecting factors on the gender roles of individuals who are between the ages of 20 and 65 in Mardin, a province in southeastern Turkey. Methods: In the study, the sampling was calculated as 1055 people in the range of 20-65, 990 people were contacted, and a questionnaire that consisted of 2 parts was applied face to face. There was a Socio-Demographic Characteristics form in the first part, and a "Gender Perception Scale" in the second part. The score obtained from the scale is in the range of 25-125, and high scores indicate a positive perception of gender. Results: The mean age of the individuals was 33.27 ± 10.70, 67.2% were female, and 15.4% were illiterate. A total of 56.7% of individuals had arranged marriages, and 1.6% were married through the "bride exchange" tradition. The rate of individuals who married one of their relatives was 36.3%. The mean scale score of the individuals who were included in the study was 79.34 ± 15.32. Factors such as working status, being a woman, being single, being young, being born in a city, having a good economic situation, and having a high level of education of individuals and their families affect gender perception positively, while having children, being related to spouses, living in rural areas. being etc. factors affect negatively. Conclusion: The mean gender perception score was found to be lower compared to similar studies. Various socio-demographic factors affect the perception levels of individuals. Studies should be conducted to improve gender perception in cooperation with public institutions, civil society, and media institutions considering the socioeconomic and cultural conditions of the area.

Research paper thumbnail of Seks Çalişani Kadinlar, Erkeklerle Ci̇nsel İli̇şki̇ye Gi̇ren Erkekler Ve Transseksüelleri̇n Toplumsal Ci̇nsi̇yet Hakkindaki̇ Görüşleri̇

Bu calismada, seks calisani kadin, erkeklerle cinsel iliskiye giren erkek ve transseksuellerin to... more Bu calismada, seks calisani kadin, erkeklerle cinsel iliskiye giren erkek ve transseksuellerin toplumsal cinsiyet bakis acisi hakkindaki goruslerinin saptanmasi amaclanmistir. 12 Odak Grup Gorusmesi ve 24 Derinlemesine Gorusmenin yapildigi bu calisma seks calisani kadin (24 kisi), erkeklerle cinsel iliskiye giren erkek (24 kisi) ve transeksuellerden (24 kisi) olusan 72 kisi ile gerceklestirilmistir. Verilerin analizi Tematik Kodlama yontemi ile yapilmistir. Seks calisani kadinlar, kadinin toplumsal cinsiyet konusundaki farkindaliginin az oldugunu, sosyal haklari konusundaki bilgisinin yetersiz oldugunu ifade etmistir. Erkeklerle cinsel iliskiye giren erkekler, toplumda kurallarin erkekler tarafindan belirlendi-gini ifade etmistir. Transseksueller toplumsal cinsiyet rollerinin kadinlar acisindan olumsuz oldugunu ve en onemli cozumun kiz cocuklarinin egiti-mi oldugunu ifade etmislerdir. Seks calisani kadinlarin toplumsal cinsiyet bakis acisi konusundaki farkindaliklari ve bu bakis aci...

Research paper thumbnail of Bi̇r Kamu Kuruluşunda Çalişan İşçi̇leri̇n Sağlik Bi̇ri̇mi̇ Hakkindaki̇ Bi̇lgi̇, Görüş Ve Beklenti̇leri̇

15 Ulusal Halk Saglıgı Kongresi, Aug 7, 2012

Research paper thumbnail of Increasing women's choices in medical abortion: A study of misoprostol 400 μg swallowed immediately or held sublingually following 200 mg mifepristone

To assess the efficacy and acceptability of two misoprostol regimens (400 microg oral or sublingu... more To assess the efficacy and acceptability of two misoprostol regimens (400 microg oral or sublingual) following mifepristone for medical abortion. Women seeking abortion with gestations of 56 days or less since onset of their last menstrual period were offered medical abortion as an alternative to a surgical procedure. A total of 207 eligible and consenting women were given mifepristone (200 mg oral) and the option of taking 400 microg misoprostol either orally or sublingually two days later, with the option of home-use. Two weeks later, treatment success, satisfaction, and the frequency and acceptability of side effects were assessed. Most women (97.6%) opted for home use of misoprostol and almost three quarters selected the oral route. Overall efficacy, acceptability of side effects and satisfaction were high in both groups. The success rate was lower after sublingual than after oral administration but not significantly so (91.3% vs. 96.3%, p = 0.23, RR: 0.93, 95% CI = 0.85-1.02). The frequency and average duration of side effects in both groups were comparable except for pain/cramps and fever/chills, which were more frequently associated with the sublingual route. This study re-emphasises the feasibility of integrating medical abortion into health services in Turkey and the potential to increase choices for women.

Research paper thumbnail of The Role and Influence of Stakeholders and Donors on Reproductive Health Services in Turkey

Reproductive Health Matters, 2004

Since 1965, Turkey has followed an anti-natalist population policy and made significant progress ... more Since 1965, Turkey has followed an anti-natalist population policy and made significant progress in improving sexual and reproductive health. This paper presents a critical review of the national reproductive health policies and programmes of Turkey and discusses the influence of national and international stakeholders and donors on policy and implementation. While government health services have played the primary role in meeting sexual and reproductive health needs, international donor agencies and national non-governmental and other civil society organisations, especially universities, have played an important complementary role. Major donor agencies have supported many beneficial programmes to improve reproductive health in Turkey, but their agendas have sometimes not been compatible with national objectives and goals, which has caused frustration. The main conclusion of this review is that countries with clear and strong reproductive health policies can better direct the implementation of international agreements as well as get the most benefit from the support of international donors.

Research paper thumbnail of Maternal mortalities and their causes in Turkey

Research paper thumbnail of A qualitative research on mental health and psychosocial issues impacting Syrian refugee women in Turkey

Background: Due to the civil war since 2011, around 4 million Syrian refugees have migrated to Tu... more Background: Due to the civil war since 2011, around 4 million Syrian refugees have migrated to Turkey from their home countries. It is well known that being a refugee, especially a female refugee, is considered to be one of the highest risk group in conflict areas. The psychological adaption challenges and extreme feelings of homesickness have resulted in mental health issues that are more prevalent among refugee women. This study aims to understand how context-specific factors influence Syrian refugee women’ psychosocial wellbeing and mental health through focus group discussions. Methods: A total of 9 focus groups were conducted with Syrian women (4), Syrian men (3) and stakeholders (2). Qualitative assessment was used to examine the experiences related to the psychological health difficulties of Syrian women living in Turkey with temporary protection status. Thematic analysis was run to analyze the data by coding and identifying themes or patterns. In this study, their psychosoci...

Research paper thumbnail of Halk Sağlığı Temel Bilgiler 2

Hacettepe Üniversitesi Yayınları eBooks, 2015

Research paper thumbnail of Change in smoking frequency and affecting factors among the students of a medical faculty in Ankara – Turkey: 2013-2016

Tobacco Induced Diseases, 2018

The aim of this study was to identify probable intermediate biomarkers of disturbed pathways and ... more The aim of this study was to identify probable intermediate biomarkers of disturbed pathways and their link between smoking. Methods Un-stimulated whole saliva and serum samples were collected from a total of 30 systemically healthy participants with periodontally healthy smokers (S) (n=15) and nonsmokers (n=15). Periodontal indices (plaque index, gingival index, probing depth, bleeding on probing, clinical attachment level) were recorded to confirm periodontal health. Saliva was purified, and a total of 28 amino acids and metabolites were analyzed by liquid chromatographymass spectrometry (LC-MS/MS). Smoking status was validated measuring serum cotinine levels. Intergroup comparisons were assessed using the Mann Whitney U test. Results When 28 amino acids were evaluated, smokers had statistically significantly higher cystathionine levels than non-smokers (p <0.05). Conclusions Saliva cystathionine is associated with smoking in periodontally healthy individuals, and is possibly related to altered sulfuration pathway.

Research paper thumbnail of Halk Sağlığı Temel Bilgiler 1

Hacettepe Üniversitesi Yayınları eBooks, 2015

Research paper thumbnail of The case control study among the osteoporotic and non osteoporotic women aged 40 and over getting check up in the medical center of the University of Hacettepe

The Case Control Study Among the Osteoporotic and Non Osteoporotic Women Aged 40 and Over Getting... more The Case Control Study Among the Osteoporotic and Non Osteoporotic Women Aged 40 and Over Getting Check Up in the Medical Center of the Hacettepe University Gulsun Polatkan Soheila Rabieypoor, Şevkat Bahar Ozvariş andAyşe Akin, Department of Public Health, Hacettepe University, Faculty of Medicine, Sihhiye, Ankara, Turkey OBJECTIVE : The study was carried out to identify the risky behaviour pattern and the relationship of osteoporosis among the osteoporotic and not osteoporotic women aged 40 and over working in the Hacettepe University in Ankara METHOD: In this case control study, risk factors of osteoporosis a questionnaire was used to collect data which incuded 42 questions .Descriptive statistics were used to summarize data, whereas chi-square was used to compare groups. For statistical significance, alpha value was taken as 0.05. RESULTS: Of the study participants, 84.17 % of case group (101 person) and , %79.17of control group (95 person) answered the questionnaire. The 32.7% o...

Research paper thumbnail of Smoking and alcohol consumption among a group of university in Ankara: Prevalence and determinants

Erciyes tıp dergisi, 2006

Research paper thumbnail of Ankara Yunus Emre Sağlık Ocağı Bölgesinde KadınaYönelik Aile İçi Şiddet Sıklığıvve Bazı Ruh SağlığıSorunları İle İlişkisinin İncelenmesi

Research paper thumbnail of Üreme Sağlığına Giriş (Katılımcı kitabı)

Buluş Tasarım ve Matbaacılık Hizmetleri, 2005

Research paper thumbnail of Üreme Sağlığına Giriş Hizmet İçi Eğitim Modülü, Eğitici Rehberi

Research paper thumbnail of Introduction To Reproductive Health Services in Service Training Module

Research paper thumbnail of Sexual and reproductive health of Syrian refugee women in Turkey: a scoping review within the framework of the MISP objectives

Reproductive Health, 2020

Background Turkey hosts the world’s largest community of Syrians displaced by the conflict. The M... more Background Turkey hosts the world’s largest community of Syrians displaced by the conflict. The Minimum Initial Service Package (MISP) is a coordinated set of priority reproductive health services. There is not any scoping review assessing the RH situation of Syrian refugees in Turkey within the framework of the MISP objectives. The objectives of this review is to identify the situation of sexual and reproductive health (SRH) among Syrian refugee women in Turkey, and document the health services provided for them in terms of the components of MISP. We hoped to show evidence of gaps and help guide future research to focus on priority areas to improve the range, quality, and access to SRH services and to recommend public health interventions. Method The literature search was conducted in Turkish and English. Multiple electronic databases (Turkish Medline, Google Scholar, PubMed, Web of Science, Medline, Cochrane Database of Systematic Reviews, EBSCOHost, CINAHL, and Embase) were searc...

Research paper thumbnail of Extended use up to 5 years of the etonogestrel-releasing subdermal contraceptive implant: comparison to levonorgestrel-releasing subdermal implant

Human Reproduction, 2016

Is it possible to extend the use of the 3-year one-rod etonogestrel (ENG)-releasing subdermal con... more Is it possible to extend the use of the 3-year one-rod etonogestrel (ENG)-releasing subdermal contraceptive implant to 5 years? SUMMARY ANSWER: The extended use of the one-rod ENG-releasing subdermal contraceptive implant showed 100% efficacy in years 4 and 5. WHAT IS KNOWN ALREADY: The initial regulated trials on the ENG-releasing subdermal contraceptive implant conducted in the 1990 s were designed to measure cumulative 3-year efficacy. The ENG-implant has both well established safety and efficacy for up to 3 years. Pharmacokinetic data on ENG show high levels at 3 years and some previous clinical research confirms efficacy beyond the current approved duration of 3 years. Today, many women, because the labeled duration has been reached, have the ENG implant removed at 3 years, increasing costs, inconvenience and risks. STUDY DESIGN SIZE, DURATION: For the first 3 years, this study was an open-label, multi-centre randomized trial comparing the 3-year ENG implant to the 5-year levonorgestrel (LNG)-releasing implant. After 3 years, a subset of 390 ENG participants, consented to extended use. We compared efficacy, side effects and removal procedures of both implants. We used Kaplan-Meier (K-M) analysis. We included an observational cohort of copper intrauterine device (IUD) users as non-users of hormonal contraceptive method for comparative purposes. PARTICIPANTS/MATERIALS, SETTING, METHODS: The study took place in family planning clinics in seven countries worldwide. Women were enlisted after an eligibility check and informed consent, and 1328 women were enrolled: 390, 522 and 416 in the ENGimplant, LNG-implant and IUD groups, respectively. MAIN RESULTS AND THE ROLE OF CHANCE: Over 200 women used the ENG implant for at least 5 years. No pregnancies occurred during the additional 2 years of follow up in the ENG or LNG implant group. The overall 5-year K-M cumulative pregnancy rates for ENG-and LNG-implants were 0.6 per 100 women-years (W-Y) [95% confidence interval (CI): 0.2-1.8] and 0.8 per 100 W-Y [95% CI: 0.2-2.3], respectively. Complaints of bleeding changes were similar; however, ENG-users were more likely than LNG-users to experience heavy bleeding (p < 0.05). The median duration of the implant removal procedure was 64 seconds shorter for the one-rod ENG-implant † Members of the study group are listed in the Appendix.

Research paper thumbnail of Study Supports the Introduction of Early Medical Abortion in Turkey

Reproductive Health Matters, 2005

In Turkey, there is an unmet need for induced abortion services provided by the public health ser... more In Turkey, there is an unmet need for induced abortion services provided by the public health services, especially in rural and semi-urban areas. The objective of this clinical study was to show that early medical abortion could be introduced safely in Turkey to improve women's access to services. In the study, women aged 18-49 up to 56 days of pregnancy were offered a choice between medical abortion with 200mg mifepristone followed by 400mcg oral misoprostol and MVA with local anaesthesia. 209 chose medical and 149 surgical abortion. Data from an additional 112 women were collected to obtain a similar number of surgical abortion cases. Women's preference for and satisfaction with the chosen method, side effects and complications up to the 14-day follow-up visit were recorded. 75% of women who chose medical abortion opted for home use of misoprostol. Pain with medical abortion on average lasted 3.6 F 3.0 days and with surgical abortion 3.7 F 2.9 days. 90% of women who had medical abortion said they would prefer it again compared to 70% of those having surgical abortion. There were 1.4% ongoing pregnancies in the medical abortion group and none in the surgical group. Provider training and familiarity with medical abortion are crucial. The high incomplete abortion rate indicates that the dose and regimen of misoprostol should be reconsidered. The findings support the introduction of early medical abortion in Turkey.

Research paper thumbnail of Bridging the gender gap in Turkey : a milestone towards faster socio-economic development and poverty reduction

Research paper thumbnail of Gender perception and affecting factors: Example of Mardin

The aim was to determine the perception levels and affecting factors on the gender roles of indiv... more The aim was to determine the perception levels and affecting factors on the gender roles of individuals who are between the ages of 20 and 65 in Mardin, a province in southeastern Turkey. Methods: In the study, the sampling was calculated as 1055 people in the range of 20-65, 990 people were contacted, and a questionnaire that consisted of 2 parts was applied face to face. There was a Socio-Demographic Characteristics form in the first part, and a "Gender Perception Scale" in the second part. The score obtained from the scale is in the range of 25-125, and high scores indicate a positive perception of gender. Results: The mean age of the individuals was 33.27 ± 10.70, 67.2% were female, and 15.4% were illiterate. A total of 56.7% of individuals had arranged marriages, and 1.6% were married through the "bride exchange" tradition. The rate of individuals who married one of their relatives was 36.3%. The mean scale score of the individuals who were included in the study was 79.34 ± 15.32. Factors such as working status, being a woman, being single, being young, being born in a city, having a good economic situation, and having a high level of education of individuals and their families affect gender perception positively, while having children, being related to spouses, living in rural areas. being etc. factors affect negatively. Conclusion: The mean gender perception score was found to be lower compared to similar studies. Various socio-demographic factors affect the perception levels of individuals. Studies should be conducted to improve gender perception in cooperation with public institutions, civil society, and media institutions considering the socioeconomic and cultural conditions of the area.

Research paper thumbnail of Seks Çalişani Kadinlar, Erkeklerle Ci̇nsel İli̇şki̇ye Gi̇ren Erkekler Ve Transseksüelleri̇n Toplumsal Ci̇nsi̇yet Hakkindaki̇ Görüşleri̇

Bu calismada, seks calisani kadin, erkeklerle cinsel iliskiye giren erkek ve transseksuellerin to... more Bu calismada, seks calisani kadin, erkeklerle cinsel iliskiye giren erkek ve transseksuellerin toplumsal cinsiyet bakis acisi hakkindaki goruslerinin saptanmasi amaclanmistir. 12 Odak Grup Gorusmesi ve 24 Derinlemesine Gorusmenin yapildigi bu calisma seks calisani kadin (24 kisi), erkeklerle cinsel iliskiye giren erkek (24 kisi) ve transeksuellerden (24 kisi) olusan 72 kisi ile gerceklestirilmistir. Verilerin analizi Tematik Kodlama yontemi ile yapilmistir. Seks calisani kadinlar, kadinin toplumsal cinsiyet konusundaki farkindaliginin az oldugunu, sosyal haklari konusundaki bilgisinin yetersiz oldugunu ifade etmistir. Erkeklerle cinsel iliskiye giren erkekler, toplumda kurallarin erkekler tarafindan belirlendi-gini ifade etmistir. Transseksueller toplumsal cinsiyet rollerinin kadinlar acisindan olumsuz oldugunu ve en onemli cozumun kiz cocuklarinin egiti-mi oldugunu ifade etmislerdir. Seks calisani kadinlarin toplumsal cinsiyet bakis acisi konusundaki farkindaliklari ve bu bakis aci...

Research paper thumbnail of Bi̇r Kamu Kuruluşunda Çalişan İşçi̇leri̇n Sağlik Bi̇ri̇mi̇ Hakkindaki̇ Bi̇lgi̇, Görüş Ve Beklenti̇leri̇

15 Ulusal Halk Saglıgı Kongresi, Aug 7, 2012

Research paper thumbnail of Increasing women's choices in medical abortion: A study of misoprostol 400 μg swallowed immediately or held sublingually following 200 mg mifepristone

To assess the efficacy and acceptability of two misoprostol regimens (400 microg oral or sublingu... more To assess the efficacy and acceptability of two misoprostol regimens (400 microg oral or sublingual) following mifepristone for medical abortion. Women seeking abortion with gestations of 56 days or less since onset of their last menstrual period were offered medical abortion as an alternative to a surgical procedure. A total of 207 eligible and consenting women were given mifepristone (200 mg oral) and the option of taking 400 microg misoprostol either orally or sublingually two days later, with the option of home-use. Two weeks later, treatment success, satisfaction, and the frequency and acceptability of side effects were assessed. Most women (97.6%) opted for home use of misoprostol and almost three quarters selected the oral route. Overall efficacy, acceptability of side effects and satisfaction were high in both groups. The success rate was lower after sublingual than after oral administration but not significantly so (91.3% vs. 96.3%, p = 0.23, RR: 0.93, 95% CI = 0.85-1.02). The frequency and average duration of side effects in both groups were comparable except for pain/cramps and fever/chills, which were more frequently associated with the sublingual route. This study re-emphasises the feasibility of integrating medical abortion into health services in Turkey and the potential to increase choices for women.

Research paper thumbnail of The Role and Influence of Stakeholders and Donors on Reproductive Health Services in Turkey

Reproductive Health Matters, 2004

Since 1965, Turkey has followed an anti-natalist population policy and made significant progress ... more Since 1965, Turkey has followed an anti-natalist population policy and made significant progress in improving sexual and reproductive health. This paper presents a critical review of the national reproductive health policies and programmes of Turkey and discusses the influence of national and international stakeholders and donors on policy and implementation. While government health services have played the primary role in meeting sexual and reproductive health needs, international donor agencies and national non-governmental and other civil society organisations, especially universities, have played an important complementary role. Major donor agencies have supported many beneficial programmes to improve reproductive health in Turkey, but their agendas have sometimes not been compatible with national objectives and goals, which has caused frustration. The main conclusion of this review is that countries with clear and strong reproductive health policies can better direct the implementation of international agreements as well as get the most benefit from the support of international donors.