The influence of trust and social norms on the utilization of health service access in pregnant women
DOI:
https://doi.org/10.30989/mik.v14i2.1721Keywords:
Healthcare Access, Maternal Health, Pregnancy, Social Norms, TrustAbstract
Background: Maternal health is a crucial aspect of pregnancy, requiring adequate healthcare access to ensure the well-being of both mother and fetus. However, various social, cultural, and economic factors influence healthcare utilization among pregnant women.
Objective: This study aims to analyze the impact of trust and social norms on healthcare access among pregnant women in Ngalang, Gedangsari, Gunungkidul.
Methods: A quantitative approach was employed using multiple regression analysis, with healthcare access as the dependent variable and trust and social norms as independent variables. Data were collected from mothers with young children (0–6 years) through a structured questionnaire. Descriptive statistics and classical assumption tests were conducted to ensure data validity.
Results: The results indicate that most respondents (76.3%) have high levels of trust and adherence to social norms, which significantly influence their utilization of healthcare services. The regression analysis shows a positive and significant relationship between trust, social norms, and healthcare access, with a determination coefficient (R²) of 19.4%.
Conclusion: This suggests that while trust and social norms contribute to healthcare utilization, other factors also play a role. Additionally, traditional beliefs and limited health literacy may hinder healthcare access despite high trust levels.
References
1. Dudek J, Colasante T, Zuffianò A, Haley DW. Changes in Cortical Sensitivity to Infant Facial Cues From Pregnancy to Motherhood Predict Mother–Infant Bonding. Child Dev. 2020;91(1):e198–217.
2. Greco E, Calanducci M, Nicolaides KH, Barry EVH, Huda MSB, Iliodromiti S. Gestational diabetes mellitus and adverse maternal and perinatal outcomes in twin and singleton pregnancies: a systematic review and meta-analysis. Am J Obstet Gynecol [Internet]. 2024;230(2):213–25. Available from: https://doi.org/10.1016/j.ajog.2023.08.011
3. Suadnyani PA, Runiari N, Ruspawan IDM, Hartati NN. Hubungan Kualitas Pelayanan Antenatal Care dengan Kesiapan Ibu Hamil Trimester III dalam Menghadapi Persalinan pada Era Adaptasi Baru. J Gema Keperawatan. 2021;14(2):134–47.
4. Mavranezouli I, Varley-Campbell J, Stockton S, Francis J, Macdonald C, Sharma S, et al. The cost-effectiveness of antenatal and postnatal education and support interventions for women aimed at promoting breastfeeding in the UK. BMC Public Health [Internet]. 2022;22(1). Available from: https://doi.org/10.1186/s12889-021-12446-5
5. Sunarsih T, Permatasari I, Meilani M. Pengetahuan Ibu Hamil Dapat Meningkatkan Perilaku Pemeriksaan Antenatal Care Terintegrasi. Media Kesehat Masy Indones. 2020;19(2):127–33.
6. Zuchro F, Zaman C, Suryanti D, Sartika T, Astuti P. Analisis Antenatal Care (Anc) Pada Ibu Hamil. J ’Aisyiyah Med. 2022;7(1):102–16.
7. Ahmadibeni A, Kashani P, Hallaj MS, Ghanbari S, Javadifar N. The relationship of pre-pregnancy body mass index with maternal anthropometric indices, weight retention and the baby’s weight and nutrition in the first 6 months post-partum. BMC Pregnancy Childbirth [Internet]. 2023;23(1):1–9. Available from: https://doi.org/10.1186/s12884-023-06116-0
8. Aprianti SP, Arpa M, Nur FW, Sulfi S, Maharani M. Asuhan Kebidanan Berkelanjutan/Continuity Of Care. J Educ. 2023;5(4):11990–6.
9. Schumacher AE, Kyu HH, Aali A, Abbafati C, Abbas J, Abbasgholizadeh R, et al. Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of . Lancet. 2024;403(10440):1989–2056.
10. Dewidar O, John J, Baqar A, Madani MT, Saad A, Riddle A, et al. Effectiveness of nutrition counseling for pregnant women in low- and middle-income countries to improve maternal and infant behavioral, nutritional, and health outcomes: A systematic review. Campbell Syst Rev. 2023;19(4).
11. Rangkuti NA, Harahap MA. Hubungan Pengetahuan dan Usia Ibu Hamil dengan Kehamilan Risiko Tinggi di Puskesmas Labuhan Rasoki. Educ Dev. 2020;8(4):513–7.
12. Zuraida, Sari ED. Perbedaan Efektivitas Pemberian Essensial Oil Peppermint dan Aroma Terapi Lavender terhadap Intensitas Mual dan Muntah pada Ibu Hamil Trimester I di Puskesmas Baso Kabupaten Agam Tahun 2017. J Menara lmu [Internet]. 2018;12(4):142–51. Available from: https://jurnal.umsb.ac.id/index.php/menarailmu/article/view/745/664
13. Amha H, Fente W, Sintayehu M, Tesfaye B, Yitayih M. Depression and associated factors among old age population in Dega damot district, North West Ethiopia. A cross-sectional study. J Affect Disord Reports [Internet]. 2020;2(November):100034. Available from: https://doi.org/10.1016/j.jadr.2020.100034
14. Brauer M, Roth GA, Aravkin AY, Zheng P, Abate KH, Abate YH, et al. Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024;403(10440):2162–203.
15. Ali I, Akhtar SN, Chauhan BG, Malik MA, Singh KD. Health insurance support on maternal health care: evidence from survey data in India. J Public Heal (United Kingdom). 2023;45(2):368–78.
16. Sharma S, van Teijlingen E, Hundley V, Angell C, Simkhada P. Dirty and 40 days in the wilderness: Eliciting childbirth and postnatal cultural practices and beliefs in Nepal. BMC Pregnancy Childbirth [Internet]. 2016;16(1):1–12. Available from: http://dx.doi.org/10.1186/s12884-016-0938-4
17. Joseph FI, Earland J. A qualitative exploration of the sociocultural determinants of exclusive breastfeeding practices among rural mothers, North West Nigeria. Int Breastfeed J [Internet]. 2019;14(1):1–11. Available from: 10.1186/s13006-019-0231-z
18. Onyeze-Joe C, Godin I. Experiences, views and needs of first-time fathers in pregnancy-related care: A qualitative study in south-East Nigeria. BMC Pregnancy Childbirth. 2020;20(1):1–11.
19. Sahiledengle B, Atlaw D, Kumie A, Tekalegn Y, Woldeyohannes D, Agho KE. Menstrual hygiene practice among adolescent girls in Ethiopia: A systematic review and meta-analysis. PLoS One [Internet]. 2022;17(1 January):1–26. Available from: http://dx.doi.org/10.1371/journal.pone.0262295
20. Magalhães M, Ojeda A, Mechlowitz K, Brittain K, Daniel J, Roba KT, et al. Socioecological predictors of breastfeeding practices in rural eastern Ethiopia. Int Breastfeed J [Internet]. 2022;17(1):1–12. Available from: https://doi.org/10.1186/s13006-022-00531-3
21. Wu Y, Ye H, Liu J, Ma Q, Yuan Y, Pang Q, et al. Prevalence of anemia and sociodemographic characteristics among pregnant and non-pregnant women in southwest China: A longitudinal observational study. BMC Pregnancy Childbirth. 2020;20(1):1–10.
22. Barnett W, Nhapi R, Zar HJ, Halligan SL, Pellowski J, Donald KA, et al. Intimate partner violence and growth outcomes through infancy: A longitudinal investigation of multiple mediators in a South African birth cohort. Matern Child Nutr. 2022;18(1):1–12.
23. Matare CR, Craig HC, Martin SL, Kayanda RA, Chapleau GM, Kerr RB, et al. Barriers and Opportunities for Improved Exclusive Breast-Feeding Practices in Tanzania: Household Trials With Mothers and Fathers. Food Nutr Bull [Internet]. 2019;40(3):308–25. Available from: 10.1177/0379572119841961
24. Ferlander S. The importance of different forms of social capital for health. Acta Sociol. 2017;50(2):115–28.
25. Utami NF, . P, Khaerunissa R, Pramitasari I, Herbayani A. Screening of Mango Leaves (Mangifera Indica L.) Varieties in Indonesia for Antibacterial Activity in Staphylococcus Aureus. Int J Res Ayurveda Pharm. 2020;11(2):77–80.
26. Sedlander E, Long MW, Mohanty S, Munjral A, Bingenheimer JB, Yilma H, et al. Moving beyond individual barriers and identifying multi-level strategies to reduce anemia in Odisha India. BMC Public Health. 2020;20(1):1–16.
27. Coleman JS. Social capital in the creation of human capital. Knowl Soc Cap. 2019;94(1988):17–42.
28. Cassidy L, Mulhern MS, Alhomaid RM, Livingstone MBE, Abayomi JC, McCann MT. Maternal obesity and gestational weight gain: associations with maternal and infant outcomes. Proc Nutr Soc. 2018;77(OCE3):2018.
29. Chen G, Zhang H, Hu Y, Luo C. Trust as a catalyst: revealing the impact of government trust and professional trust on public health policy compliance during a pandemic. BMC Public Health. 2024;24(1):1–13.
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