Fakülteler / Faculties
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Item Sleep, Mood, and Nutrition Patterns of Postmenopausal Women Diagnosed with Major Depressive Disorder by Menopause Periods(Başkent Üniversitesi Sağlık Bilimleri Fakültesi, 2024-07-06) Demir, Cansu Kabadayi; Bayram, Sinem; Kose, Beril; Beyaz, Esra Koseler; Yesil, EsenMenopausal women experience changes in ovarian activity and fluctuating hormone levels. The aim of this study was to detect ongoing sleep and nutritional problems in postmenopausal women. This study was conducted with 62 postmenopausal women who had been diagnosed with major depressive disorder, were aged 42-64, were not dieting for at least 1 month, and had been using antidepressants for at least 6 months. The Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scale-42 were used. Anthropometric measurements were taken and body composition analysis was performed. The prevalence of obesity and overweight were 12.9% and 71%, respectively. Hot flashes, night sweats, and mood swing were more common in those who had been through menopause for <5 years. Also, the PSQI, Depression, and Stress scores of those women were higher. Women who had been menopausal for >= 5 years had a higher BMI, waist/hip ratio, and fat mass and better sleep quality and lower daytime dysfunction according to the PSQI. Energy and fat intake were higher, while protein, vitamin C, and calcium intakes were lower in women who had been menopausal for >= 5 years. It is crucial for healthcare professionals to review approaches for early and late menopausal periods and to individualize treatment options, especially in patients whose symptoms persist.Item Osteoporosis Knowledge Level of the Women Living in the City of Kirikkale(2015) Arslan, Saniye A.; Daskapan, Arzu; Atalay, Didem K.; Tuzun, Emine H.; Korkem, DuyguPurpose: Osteoporosis is an important common public health problem among postmenopausal women. Purpose of this study is to research osteoporosis awareness level of the women living in the city of Kirikkale and releationship between awareness level and age and level of education. Methods: 263 women participated to the study. Osteoporosis related risk factors of the participants, such as; socio-demographic data, marital status, occupational status, education level, physical exercise and smoking level were recorded. In accordance with the literature, participants were divided into two groups as young adults (under 45 years) and middle aged (45-64 years). They were also divided according to education levels as; primary education (8 years of education or less) and secondary and higher education (more than 8 years of education). Osteoporosis knowledge level was evaluated by Osteoporosis Self-efficacy Scale Turkish Version and Osteoporosis General Knowledge Score Scale (KOS). Results: Mean age of the participants is 38.98 +/- 13.81 year, body mass index (BMI) 27.26 +/- 0.39 kg/m(2), education level is 8.65 +/- 5.16 years. There was positive correlation between Osteoporosis Exercise Self Sufficiency (a subscale of Osteoporosis Self-efficacy Scale), education level (p = 0.001; r = 0.326), Osteoporosis Exercise Self Sufficiency score and regular exercise (p = 0.001). Similarly, There was positive correlation between Osteoporosis Self Sufficiency Scale total score and education level (p = 0.001; r = 0.293), Osteoporosis Self Sufficiency Scale total score and regular exercise (p = 0.001). There was positive correlation between Osteoporosis Calcium Self Sufficiency Subscale (a subscale of Osteoporosis Self-efficacy Scale) score and education level (p = 0.006; r = 0.170). There was no significant correlation between Osteoporosis Calcium Self Sufficiency Subscale score and regular exercise (p = 0.816). Discussion: Our study shows that osteoporosis knowledge level of the women living in Kirikkale increases in parallel to their education level and osteoporosis knowledge levels of younger women are higher.Item Association of Domestic Violence Against Women With Sociodemographic Factors, Clinical Features, and Dissociative Symptoms in Patients Who Receive Services From Psychiatric Outpatient Units in Turkey(2020) Kotan, Zeynep; Kotan, Vahap Ozan; Yalvac, Hayriye Dilek; 29294725Domestic violence (DV) against women is a serious problem with its negative effects on all family members and the society. Women exposed to DV not only have physical but also psychological damage. This study investigates prevalence of DV and its relations with some descriptive and clinical features in a psychiatric outpatient population in Turkey. A total of 277 female outpatients were included in the study. After a semistructured clinical interview, they were assessed by sociodemographic data form, DV questionnaire, Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Dissociative Experiences Scale (DES), and Somatoform Dissociation Questionnaire (SDQ). Prevalence of exposure to DV by intimate partner is found to be 58.8% (n= 163). The current study provided strong evidence that occupation status of the woman, education level of the partner, and family type are predictors of DV. Another predictor of DV exists where the child is battered by either parent. Prevalence of depression, conversion disorder, and other somatoform disorders are higher in women exposed to DV. These women also have higher scores from HDRS, HARS, DES, and SDQ compared with female patients who have not experienced DV (p< .001). Number of women scoring above cutoff levels for DES and SDQ were significantly higher in women exposed to DV (p< .001).Item Effects of reproductive and sociodemographic factors on obesity in Turkish women: a pilot study(2019) Bayram, Sinem; Koseler, Esra; Kiziltan, Gul; Ok, Mebtap Akcil; Yesil, Esen; Kose, Beril; Ozdemir, Merve; Muftuoglu, Selen; Saka, Mendane; Aksoydan, Emine; Tayfur, Muhittin; Turker, Perim Fatma; Ercan, Aydan; 0000-0003-1569-7747; 0000-0002-4254-3711; AAF-4491-2021; AAG-6763-2020Background and aim: Obesity has become a global epidemic. The current research aimed to determine sociodemographic and reproductive predictors of obesity among Turkish women. Materials and methods: Eligible subjects (n:833) were 40-64 years-old women living in Turkey. A questionnaire consisted of questions about sociodemographic and reproductive factors and the International Physical Activity Questionnaire were applied to participants by face to face interviews. Multivariate logistic regression examined the risk of being obese with a range of sociodemographic and reproductive factors. All analyses were performed with SPSS software (version 17.0; SPSS, Chicago, Ill., USA). Results: The mean BMI of women aged 51-64 years was 30.59 +/- 6.35 kg/m(2). After adjustments for all other variables, increased obesity risk remained significant in women who had two children, housewifes, minimum active ones, ex smokers and had less than high school education. For multiple regression analysis sociodemographic factors from the bivariate analyses were entered, controlling for menarch age, menopausal age, hormone RT, parity, number of stillbirth, abortion. There was significant association between family income, occupation, education and BMI. Conclusion. In summary these findings showed comparable patterns of association of sociodemographic and reproductive factors with obesity in Turkey. Specific healthy lifestyle counseling is important for decreasing obesity in childbearing age women.Item Employment Status and Contraceptive Choices of Women With Young Children in Turkey(2019) Pekkurnaz, DidemThe childcare burden is one of the main reasons behind the lower employment rate of women in Turkey, and the opportunity cost of childbearing is high for employed women (especially for those in higher-paid jobs). Since using an effective birth control method allows women to control the timing of reproduction, there may be differences in contraception behavior between employed women and women not working for pay. This study analyzes the impact of employment status of women with young children on their contraception behavior using data from the 2013 Turkey Demographic and Health Survey (TDHS). Results show that employed women, including family workers, are more likely to choose a modern method over a traditional one, particularly those working as government employees. Results also indicate that the likelihood of employment can be enhanced by increasing the share of public provision of childcare and preschool services.Item Sexual problems of women with spinal cord injury in Turkey(2014) Celik, E. C.; Akman, Y.; Kose, P.; Arioglu, P.; Karatas, M.; Erhan, B.Objectives: Spinal cord injury (SCI) is a traumatic event that affects many facets of the injured people's lives. One aspect is sexual functioning. The purpose of this study is to identify the sexual problems of women with SCI and determine their level of knowledge about sexuality. Methods: Twenty-six women with SCI for longer than 6 months were evaluated. Demographic information, sexual experiences were surveyed. Patients were also asked if and how they received sexual health consultation after SCI. Female Sexual Function Index (FSFI) and Beck Depression Inventory were evaluated. Results: In this study, average age of the women with SCI was 32.96 +/- 8.23 years (22-50 years). Eight patients had regular sexual intercourse while one married woman did not have any sexual relationship after SCI. Twenty-four of the patients in the study received no information about pregnancy or sexual health after SCI. All women were willing to receive information about sexuality after SCI. These patients expected the doctors to start the conversation about sexuality rather than asking about it. FSFI survey revealed that all the patients had sexual dysfunction. Conclusion: Sexual rehabilitation should thus be fully addressed in all spinal units and rehabilitation centers, along with other aspects of rehabilitation.Item Osteoporosis and jawbones in women(2015) Gulsahi, Ayse; 26312225Osteoporosis is a major health problem affecting one in three women over the age of 50 and may not be detected until fractures occur. Since osteoporotic fractures are a health burden worldwide, identifying subjects with a high risk of osteoporosis and preventing osteoporosis-related mortality and morbidity are a very important health strategy. Women show an estrogen-related bone loss starting at menopause, predominantly occurring in trabecular bone. Diagnosis of osteoporosis is usually based on the bone mineral density measurement, but this is not a practical and economical technique for early detection. Therefore, investigators are interested in the possibility of detecting osteoporosis from the panoramic radiographs. Mandibular cortical bone undergoes resorptive activity in osteoporotic patients, leading to a decreased thickness and more porous inferior border. Therefore, studies have demonstrated the usefulness of cortical width and shape, determined from panoramic radiographs, in identifying elderly individuals with undetected osteoporosis, especially postmenopausal women. In conclusion, postmenopausal women with C3 category, Mental Index (MI) < 3 mm, and panoramic mandibular index (PMI) < 0.3 may be considered for further osteoporosis investigation.