Barriers to postpartum depression treatment among Indigenous Bedouin women in Israel: A focus group study

被引:26
作者
Alfayumi-Zeadna, Samira [1 ,2 ]
Froimovici, Miron [2 ]
Azbarga, Zoya [2 ]
Grotto, Itmar [1 ,3 ]
Daoud, Nihaya [1 ]
机构
[1] Ben Gurion Univ Negev, Dept Publ Hlth, Fac Hlth Sci, Beer Sheva, Israel
[2] Clalit Hlth Serv, Beer Sheva, Southern Region, Israel
[3] Minist Hlth, Publ Hlth Serv, Jerusalem, Israel
关键词
barriers; Bedouin women; ecological model; focus groups; postpartum depression; treatment; MENTAL-HEALTH; SYMPTOMS; CARE; RISK; IMMIGRANT; SUPPORT; MOTHERS;
D O I
10.1111/hsc.12693
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Postpartum depression (PPD), a common mental health problem among mothers worldwide, is higher among minority women. However, little is known about barriers faced by minority women when accessing mental health care services (MHCS) for PPD treatment. Drawing on McLeroy etal (Health Education Quartely 15: 351, 1988) ecological model, the current study explores barriers to mental health services among pregnant and postpartum minority Bedouin women in southern Israel. We conducted eight focus groups (FGs) in Arabic with 75 Bedouin women recruited using snowball sampling. Participants completed a socio-demographic questionnaire at each FG. Discussions were recorded and transcribed verbatim. Next, we conducted simultaneous thematic analysis and coded transcripts into conceptual categories based on the ecological model. We found multiple barriers that manifest at different levels (individual, family, organisational, economic, and public policy) and interact to limit Bedouin women's access to PPD treatment. At the individual level, factors included: women's negative attitudes toward PPD, women's societal status, grand multipara, gender, and limited knowledge about PPD; at the family level: low awareness among husbands and other family members regarding PPD symptoms and treatment, and lack of social support; at the organisational level: lack of culturally appropriate (health care services) HCSs, lack of PPD screening, and lack of PPD detection by family physicians; at the community level: economic barriers and poverty, stigmatisation of mental health problems, polygamy, and multiple births; finally, at the public policy level: residence in unrecognised villages lacking basic infrastructure. Our study thus sheds light on multilevel barriers impacting PPD prevention and treatment among Bedouin women. Policies and intervention programmes should seek to remove these barriers and protect Bedouin women and their children from the consequences of PPD.
引用
收藏
页码:757 / 766
页数:10
相关论文
共 41 条
[1]   Barriers to Service Use for Postpartum Depression Symptoms Among Low-Income Ethnic Minority Mothers in the United States [J].
Abrams, Laura S. ;
Dornig, Katrina ;
Curran, Laura .
QUALITATIVE HEALTH RESEARCH, 2009, 19 (04) :535-551
[2]   A study of psychological symptoms, family function, marital and life satisfactions of polygamous and monogamous women: The Palestinian case [J].
Al-Krenawi, Alean .
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, 2012, 58 (01) :79-86
[3]   THE ASSOCIATION BETWEEN SOCIODEMOGRAPHIC CHARACTERISTICS AND POSTPARTUM DEPRESSION SYMPTOMS AMONG ARAB-BEDOUIN WOMEN IN SOUTHERN ISRAEL [J].
Alfayumi-Zeadna, Samira ;
Kaufman-Shriqui, Vered ;
Zeadna, Atif ;
Lauden, Ari ;
Shoham-Vardi, Ilana .
DEPRESSION AND ANXIETY, 2015, 32 (02) :120-128
[4]   Risk For Postpartum Depression Among Immigrant Arabic Women in the United States: A Feasibility Study [J].
Alhasanat, Dalia ;
Fry-McComish, Judith ;
Yarandi, Hossein N. .
JOURNAL OF MIDWIFERY & WOMENS HEALTH, 2017, 62 (04) :470-476
[5]   Why lower income mothers do not engage with the formal mental health care system: Perceived barriers to care [J].
Anderson, Carol M. ;
Robins, Cynthia S. ;
Greeno, Catherine G. ;
Cahalane, Helen ;
Copeland, Valire Carr ;
Andrews, R. Marc .
QUALITATIVE HEALTH RESEARCH, 2006, 16 (07) :926-943
[6]  
Bao JM, 2008, ETHNOLOGY, V47, P145
[7]   A STUDY OF POSTPARTUM DEPRESSION IN A FAST DEVELOPING COUNTRY: PREVALENCE AND RELATED FACTORS [J].
Bener, Abdulbari ;
Burgut, F. Tuna ;
Ghuloum, Suheila ;
Sheikh, Javaid .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 2012, 43 (04) :325-337
[8]   Antenatal depression in socially high-risk women in Canada [J].
Bowen, A. ;
Stewart, N. ;
Baetz, M. ;
Muhajarine, N. .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2009, 63 (05) :414-416
[9]  
Bronfenbrenner U., 1992, Annals of Child Development, P187
[10]   Postpartum Depression and Help-Seeking Behaviors in Immigrant Hispanic Women [J].
Callister, Lynn Clark ;
Beckstrand, Renea L. ;
Corbett, Cheryl .
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2011, 40 (04) :440-449