Sexism, attitudes, and behaviors towards violence against women in medical emergency services workers in Erzurum, Turkey

Elif Okşan Çalıkoglu, Aysun Aras, Maysa Hamza, Ayşegül Aydin, Onur Nacakgedigi, Patrick Koga

Research output: Contribution to journalArticle

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Abstract

Background: In Turkey, almost every 4 out of 10 married women have been subjected to physical abuse by their spouses. Although studies on the prevalence of domestic violence in Turkey abound, little has been published about first responders’ attitudes and behaviors towards violence against women and on sexism. Objective: Our study examined the attitudes and behaviors of Erzurum City medical emergency services workers towards violence against women, and their relationship with sexist attitudes. Methods: A cross-sectional survey was conducted among 370 medical emergency service personnel using a self-administered questionnaire of 35 items, which included two scales utilizing a three-point Likert format; 15 questions measured attitudes and behaviors towards violence against women (VAW) and 12 items measured sexist attitudes. Results: The mean age of participants was 29.6 ± 8.0 years with a sex distribution of (47.6%) women and 194 (52.4%) men. Less than half of the participants (48.5%; n = 173) felt competent in recognizing and managing VAW; moreover, when faced with such cases, 18.5% (n = 67) said they would try to reconcile the victim with the perpetrator. Male participants had higher mean scores both on VAW (20.7 ± 5.2 vs. 16.9 ± 2.8; t = 7.927; p < 0.001) and on sexist attitudes (24.3 ± 5.3 vs. 18.6 ± 4.3; t = 1.714; p < 0.001). Age (B = 0.067; 95% CI: 0.014–0.119; p = 0.013) and sexism scores (B = 0.487; 95% CI: 0.407–0.566; p < 0.001) were revealed as independent significant predictors of the VAW attitude scores. Conclusions: Educational and public health measures must be instituted to change attitudes and behaviors towards violence against women; measures must focus not only on violence but also on sexism. Health care professionals need to reflect on their own gender biases in clinical practice and prevent gender discrimination.

Original languageEnglish (US)
Article number1524541
JournalGlobal Health Action
Volume11
Issue number1
DOIs
StatePublished - Jan 1 2018

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Sexism
Emergency Medical Services
Turkey
Violence
Cross-Sectional Studies
Sex Distribution
Domestic Violence
Spouses
Public Health
Delivery of Health Care

Keywords

  • archaic sexist attitudes
  • gender bias
  • health workers
  • medical emergency services
  • Turkey
  • Violence against women

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Sexism, attitudes, and behaviors towards violence against women in medical emergency services workers in Erzurum, Turkey. / Çalıkoglu, Elif Okşan; Aras, Aysun; Hamza, Maysa; Aydin, Ayşegül; Nacakgedigi, Onur; Koga, Patrick.

In: Global Health Action, Vol. 11, No. 1, 1524541, 01.01.2018.

Research output: Contribution to journalArticle

Çalıkoglu, Elif Okşan ; Aras, Aysun ; Hamza, Maysa ; Aydin, Ayşegül ; Nacakgedigi, Onur ; Koga, Patrick. / Sexism, attitudes, and behaviors towards violence against women in medical emergency services workers in Erzurum, Turkey. In: Global Health Action. 2018 ; Vol. 11, No. 1.
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abstract = "Background: In Turkey, almost every 4 out of 10 married women have been subjected to physical abuse by their spouses. Although studies on the prevalence of domestic violence in Turkey abound, little has been published about first responders’ attitudes and behaviors towards violence against women and on sexism. Objective: Our study examined the attitudes and behaviors of Erzurum City medical emergency services workers towards violence against women, and their relationship with sexist attitudes. Methods: A cross-sectional survey was conducted among 370 medical emergency service personnel using a self-administered questionnaire of 35 items, which included two scales utilizing a three-point Likert format; 15 questions measured attitudes and behaviors towards violence against women (VAW) and 12 items measured sexist attitudes. Results: The mean age of participants was 29.6 ± 8.0 years with a sex distribution of (47.6{\%}) women and 194 (52.4{\%}) men. Less than half of the participants (48.5{\%}; n = 173) felt competent in recognizing and managing VAW; moreover, when faced with such cases, 18.5{\%} (n = 67) said they would try to reconcile the victim with the perpetrator. Male participants had higher mean scores both on VAW (20.7 ± 5.2 vs. 16.9 ± 2.8; t = 7.927; p < 0.001) and on sexist attitudes (24.3 ± 5.3 vs. 18.6 ± 4.3; t = 1.714; p < 0.001). Age (B = 0.067; 95{\%} CI: 0.014–0.119; p = 0.013) and sexism scores (B = 0.487; 95{\%} CI: 0.407–0.566; p < 0.001) were revealed as independent significant predictors of the VAW attitude scores. Conclusions: Educational and public health measures must be instituted to change attitudes and behaviors towards violence against women; measures must focus not only on violence but also on sexism. Health care professionals need to reflect on their own gender biases in clinical practice and prevent gender discrimination.",
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AU - Nacakgedigi, Onur

AU - Koga, Patrick

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N2 - Background: In Turkey, almost every 4 out of 10 married women have been subjected to physical abuse by their spouses. Although studies on the prevalence of domestic violence in Turkey abound, little has been published about first responders’ attitudes and behaviors towards violence against women and on sexism. Objective: Our study examined the attitudes and behaviors of Erzurum City medical emergency services workers towards violence against women, and their relationship with sexist attitudes. Methods: A cross-sectional survey was conducted among 370 medical emergency service personnel using a self-administered questionnaire of 35 items, which included two scales utilizing a three-point Likert format; 15 questions measured attitudes and behaviors towards violence against women (VAW) and 12 items measured sexist attitudes. Results: The mean age of participants was 29.6 ± 8.0 years with a sex distribution of (47.6%) women and 194 (52.4%) men. Less than half of the participants (48.5%; n = 173) felt competent in recognizing and managing VAW; moreover, when faced with such cases, 18.5% (n = 67) said they would try to reconcile the victim with the perpetrator. Male participants had higher mean scores both on VAW (20.7 ± 5.2 vs. 16.9 ± 2.8; t = 7.927; p < 0.001) and on sexist attitudes (24.3 ± 5.3 vs. 18.6 ± 4.3; t = 1.714; p < 0.001). Age (B = 0.067; 95% CI: 0.014–0.119; p = 0.013) and sexism scores (B = 0.487; 95% CI: 0.407–0.566; p < 0.001) were revealed as independent significant predictors of the VAW attitude scores. Conclusions: Educational and public health measures must be instituted to change attitudes and behaviors towards violence against women; measures must focus not only on violence but also on sexism. Health care professionals need to reflect on their own gender biases in clinical practice and prevent gender discrimination.

AB - Background: In Turkey, almost every 4 out of 10 married women have been subjected to physical abuse by their spouses. Although studies on the prevalence of domestic violence in Turkey abound, little has been published about first responders’ attitudes and behaviors towards violence against women and on sexism. Objective: Our study examined the attitudes and behaviors of Erzurum City medical emergency services workers towards violence against women, and their relationship with sexist attitudes. Methods: A cross-sectional survey was conducted among 370 medical emergency service personnel using a self-administered questionnaire of 35 items, which included two scales utilizing a three-point Likert format; 15 questions measured attitudes and behaviors towards violence against women (VAW) and 12 items measured sexist attitudes. Results: The mean age of participants was 29.6 ± 8.0 years with a sex distribution of (47.6%) women and 194 (52.4%) men. Less than half of the participants (48.5%; n = 173) felt competent in recognizing and managing VAW; moreover, when faced with such cases, 18.5% (n = 67) said they would try to reconcile the victim with the perpetrator. Male participants had higher mean scores both on VAW (20.7 ± 5.2 vs. 16.9 ± 2.8; t = 7.927; p < 0.001) and on sexist attitudes (24.3 ± 5.3 vs. 18.6 ± 4.3; t = 1.714; p < 0.001). Age (B = 0.067; 95% CI: 0.014–0.119; p = 0.013) and sexism scores (B = 0.487; 95% CI: 0.407–0.566; p < 0.001) were revealed as independent significant predictors of the VAW attitude scores. Conclusions: Educational and public health measures must be instituted to change attitudes and behaviors towards violence against women; measures must focus not only on violence but also on sexism. Health care professionals need to reflect on their own gender biases in clinical practice and prevent gender discrimination.

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