Access to care: a study of mothers' utilization of services in Newfoundland and Labrador
Mothers play an influential role in defining family dynamics, child development and wellbeing, and accessing services for the family. The prevailing gender norms of intensive mothering places unrealistic demands on motherhood, negatively impacts maternal wellbeing, and contributes to mothers’ experi...
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| Format: | Thesis |
| Language: | English |
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Memorial University of Newfoundland
2023
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| Online Access: | https://research.library.mun.ca/16032/ https://research.library.mun.ca/16032/1/converted.pdf |
| Summary: | Mothers play an influential role in defining family dynamics, child development and wellbeing, and accessing services for the family. The prevailing gender norms of intensive mothering places unrealistic demands on motherhood, negatively impacts maternal wellbeing, and contributes to mothers’ experience of blame for health issues of their children. Despite integral role of mothers and the documented negative impacts of intensive motherhood ideology, there is a dearth of literature on the typical Canadian maternal experience and consideration of the family context on access to services for mothers living in the community and coping with a wide range of mental health challenges. Access to services is a critical determinant of individual and population health outcomes and understanding health service use is important for planning of resource allocation in the community. Further research is needed on the health and wellbeing of Canadian mothers residing in the community and the factors that impact their access to services for themselves and their children. Utilizing Andersen’s (1995) fourth iteration of the Behavioural Model of Health Service Use in conjunction with a feminist lens, this explorative cross-sectional study captured the maternal experience of health and need for services of mothers living in the community in Newfoundland and Labrador (NL) and developed a comprehensive predictive model of mothers’ utilization of healthcare services for themselves and their children. Secondary data analysis was completed on a sample of 1082 mothers residing in NL who completed a province wide survey of their socio-demographic characteristics and measures of wellbeing and family life (e.g., OQ-45, PSOC, QCPCS). Univariate analyses were completed to characterize the sample and bivariate analyses were completed to compare the current sample of NL mothers to the Canadian census data available through Statistics Canada to assess for representativeness and generalizability of the motherhood survey. Separate stepwise binomial ... |
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