Emine Ayhan

Mevsimlik Tarım İşçileri ve Ailelerinin Sağlık Kuruluşlarına Başvuru Tercihleri-Application Preferences of Seasonal Farm Workers And Their Families for Health Care Institutions

Oz: Calismada Eskisehir’deki mevsimlik tarim iscileri ve ailelerinin saglik kuruluslarina basvuru tercihlerinin ve etkileyen faktorlerin belirlenmesi amaclandi. Calisma, 2014 yaz mevsimi suresince Eskisehir Osmangazi Universitesi Egitim Arastirma Bolgesinde bulunan cadir bolgelerinde calismanin oldugu gunlerde bulunan ve arastirmaya katilmayi kabul eden 1041 mevsimlik tarim iscisi uzerinde yapilan kesitsel bir arastirmadir. Calismada mevsimlik tarim iscilerinin cadir bolgesi, yasi, cinsiyeti ve icinde bulunduklari sezon icerisinde basvuru yaptiklari saglik kuruluslari ve basvuru sayilari, basvuru nedenleri, basvuru sonucu aldiklari tani ve mudahaleleri sorgulayan sorulardan olusan bir anket kullanildi. Birinci basamak saglik kurulusuna basvuru sikligi ikinci basamak saglik kurulusuna basvurudan daha dusuk idi. Coklu lojistik regresyon analizi sonuclarina gore birinci basamak saglik kuruluslarina basvuruda yas gruplari ve cadir bolgesinin merkeze uzakligi etkili bagimsiz degiskenler olarak bulundu. Ikinci basamak saglik kuruluslarina basvurmada 0-5 yas grubuna gore 6-14 yas grubunda basvuru sikligi azalmaktaydi. Kadinlarda ikinci basamak saglik kurulusuna basvurma sikligi erkeklere gore daha fazla idi. Merkeze yakin cadir bolgesinde oturanlar ikinci basamak saglik hizmetlerini tercih etmekteydiler. Mevsimlik tarim iscilerinden %46.6’sinin acil durumlarda (kaza, yaralanma), %38.5’inin hasta oldugunda, %12.6’sinin asi yapilacagi zaman birinci basamak saglik kuruluslarina basvurdugu bulundu. Mevsimlik tarim iscilerinin calismak uzere gittikleri ve yilin buyuk bir kismini gecirdikleri bolgelerde karsilastiklari pek cok sorundan biri de saglik konusundaki sorunlaridir. Saglik ile ilgili sorunlarinin cozumunde en onemli mudahale mevsimlik tarim iscisi koruyucu saglik hizmetlerinin on planda oldugu birinci basamak saglik hizmetlerine yonlendirilmesi olacaktir.

Participation of people living in rural areas of Eskisehir province in field researches, and factors affecting their rates of participation.

OBJECTIVE: The aim of the study was to determine participation rates of people living in the rural area of Eskisehir in field researches, and the factors influencing this. METHODS: This descriptive study was performed with 1,482 people aged 18 and above in two districts of Eskisehir. Data were collected with a 16 question questionnaire using the face-to-face interview technique. Data were analysed with descriptive statistics, chi- square test, logistic regression analysis, and factors affecting rates of participation in field researches. RESULTS: The most important reason (46.9%) given by participating for participant in field researches was the intention of “helping the interviewer”. The other reasons were; believing in the usefulness of the researches (35.0%), contribution to public improvement (14.9%) and taking pleasure in talking with various people (3.2%). The most important reason (34.6%) for not participating in field researches was “considering field researches a waste of time”. The other important reasons for non-participation were unnecessarily long questions in the research questionnaire forms (32.7%) and being uninformed of the research results (31.9%). In logistic regression analysis, age was found to be an influential factor in participation rates. CONCLUSION: Lower rates of participation in field researches cause bias. As far as possible high participation in field researches is important. For the achievement of higher participation rates in field researches, training courses must be provided to both research workers and the public.