Television Viewing Frequency and Mode of Delivery Preferences among Primiparous Women in Nairobi, Kenya
DOI:
https://doi.org/10.47604/jhmn.2839Keywords:
Television, Media, Primiparity, Childbirth, PreferencesAbstract
Purpose: This study aims to establish television viewing frequency and mode of delivery preferences among primiparous women in Nairobi Kenya, aiming at developing informed strategies to minimize health risks and costs, promoting safer childbirth choices in a media-driven urban environment.
Methodology: The study utilized a sequential mixed-methods approach, which involved 300 purposefully selected primiparous women from eleven sub-counties in Nairobi during routine child immunization schedules. Among the participants, 150 had vaginal deliveries, while the remaining underwent elective caesarean deliveries. Data collection was carried out through interviewer-administered questionnaires, focus group discussions, and in-depth interviews. Quantitative analysis involved the use of mean-weight scores, Chi-square tests, and Cramer's V using SPSS version 28.0.1.1(15). Thematic analysis was employed for qualitative data using Nvivo 14 to comprehensively understand the research topic. The findings were presented through both numerical analysis and narrative exploration.
Findings: Respondents who underwent elective caesarean deliveries had higher mean TV viewing frequencies on both weekdays and weekends, compared to those who had vaginal deliveries. Both for weekdays and weekends had significant associations with moderate effect sizes. The null hypothesis was rejected due to the significant correlation and linear regression explaining 81.3% of the variability. Each additional weekday TV-watching hour increased the odds in preferring a particular mode of delivery by 40%, and on weekends, by 39%. Qualitative analysis confirmed that viewing frequency is influenced by factors such flexible schedules, cost-effectiveness, accessibility, and content preferences.
Unique Contribution to Theory, Practice and Policy: The study uses cultivation and medicalization theory to establish that television viewing frequency shapes perceptions and subsequent childbirth preferences among urban women, adding to existing body of knowledge on media effects theories. To promote informed childbirth choices, recommendations include encouraging women to critically evaluate media information and seek reliable sources. Additionally, integrating media literacy into antenatal care, implementing targeted campaigns, and researching other media forms beyond television are essential.
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References
Androutsopoulos, G. (2018). Introductory Chapter: Is It Time to Reconsider the Importance of Cesarean Section? In Caesarean Section. https://doi.org/10.5772/intechopen.80297
Arfaie, K., Nahidi, F., Simbar, M., & Bakhtiari, M. (2017). The role of fear of childbirth in pregnancy related anxiety in Iranian women: a qualitative research. Electronic Physician, 9(2). https://doi.org/10.19082/3733
Boerma, T., Ronsmans, C., Melesse, D. Y., Barros, A. J. D., Barros, F. C., Juan, L., Moller, A. B., Say, L., Hosseinpoor, A. R., Yi, M., de Lyra Rabello Neto, D., & Temmerman, M. (2018). Global epidemiology of use of and disparities in caesarean sections. In The Lancet (Vol. 392, Issue 10155). https://doi.org/10.1016/S0140-6736(18)31928-7
Chen, I., Opiyo, N., Tavender, E., Mortazhejri, S., Rader, T., Petkovic, J., Yogasingam, S., Taljaard, M., Agarwal, S., Laopaiboon, M., Wasiak, J., Khunpradit, S., Lumbiganon, P., Gruen, R. L., & Betran, A. P. (2018). Non-clinical interventions for reducing unnecessary caesarean section. In Cochrane Database of Systematic Reviews (Vol. 2018, Issue 9). https://doi.org/10.1002/14651858.CD005528.pub3
Chow, R., Viehweger, J., & Kanmodi, K. K. (2021). Many hours of watching medical TV shows is associated with greater medical knowledge. International Journal of Adolescent Medicine and Health, 33(1). https://doi.org/10.1515/ijamh-2018-0026
Cohen, E. L., & Lancaster, A. L. (2014). Individual differences in in-person and social media television coviewing: The role of emotional contagion, need to belong, and coviewing orientation. Cyberpsychology, Behavior, and Social Networking, 17(8). https://doi.org/10.1089/cyber.2013.0484
Conrad, P. (1992). Medicalization and Social Control. Annual Review of Sociology, 18(1). https://doi.org/10.1146/annurev.so.18.080192.001233
Courage, M. L. (2017). Screen Media and the Youngest Viewers: Implications for Attention and Learning. In Cognitive Development in Digital Contexts. https://doi.org/10.1016/B978-0-12-809481-5.00001-8
Creswell, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. In Educational Research (Vol. 4).
Dutta, M. J., Kaur-Gill, S., & Tan, N. (2017). Cultivation in Health and Risk Messaging. In Oxford Research Encyclopedia of Communication. https://doi.org/10.1093/acrefore/9780190228613.013.289
Eide, K. T., & Bærøe, K. (2021). How to reach trustworthy decisions for caesarean sections on maternal request: A call for beneficial power. Journal of Medical Ethics, 47(12). https://doi.org/10.1136/medethics-2020-106071
Gerbner, G., & Gross, L. (2019). Living with Television: The Violence Profile (1976). In Crime and Media: A Reader. https://doi.org/10.4324/9780367809195-38
Human Reproductive Health. (2021). Caesarean section rates continue to rise, amid growing inequalities in access. In Who.
Jeffres, L. W., Atkin, D. J., & Neuendorf, K. A. (2001). Expanding the range of dependent measures in mainstreaming and cultivation analysis. Communication Research Reports, 18(4). https://doi.org/10.1080/08824090109384822
Johnson, R. B., & Onwuegbuzie, A. J. (2007). Toward a Definition of Mixed Methods Research. Journal of Mixed Methods Research, 1(2). https://doi.org/10.1177/1558689806298224
Kumar, P., & Sharma, H. (2023). Prevalence and determinants of socioeconomic inequality in caesarean section deliveries in Bangladesh: an analysis of cross-sectional data from Bangladesh Demographic Health Survey, 2017-18. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-05782-4
Leahy, C. P. (2023). Becoming a mother: An Australian history. In Becoming a Mother: An Australian History. https://doi.org/10.7765/9781526161215
Lee, S., & Peng, T. Q. (2023). Understanding Audience Behavior with Digital Traces: Past, Present, and Future. Digital Journalism. https://doi.org/10.1080/21670811.2023.2254821
Liu, S., Coulter, R., Sui, W., Nuss, K., & Rhodes, R. E. (2023). Determinants of recreational screen time behavior following the COVID-19 pandemic among Canadian adults. Applied Physiology, Nutrition and Metabolism, 48(8). https://doi.org/10.1139/apnm-2022-0379
MOH. (2016). Statistical review of progress towards the Mid-Term Targets of the Kenya Health Sector Strategic Plan 2014–2018. 61. https://www.healthdatacollaborative.org/fileadmin/uploads/hdc/Documents/Country_documents/KHSSP_Statistical__Report_2016.pdf
MOH. (2019). Kenya Health Service Delivery Indicator Survey 2018 Report. May.
Morgan, M., Shanahan, J., & Signorielli, N. (2015). Yesterday’s New Cultivation, Tomorrow. Mass Communication and Society, 18(5). https://doi.org/10.1080/15205436.2015.1072725
National Bureau of Statistics Nairobi, K. (KNBS). (2023). Republic of Kenya Kenya Demographic and Health Survey 2022: Key Indicators Report. www.DHSprogram.com.
Nilstun, T., Habiba, M., Lingman, G., Saracci, R., Da Frè, M., & Cuttini, M. (2008). Cesarean delivery on maternal request: Can the ethical problem be solved by the principlist approach? BMC Medical Ethics, 9. https://doi.org/10.1186/1472-6939-9-11
Prado, D. S., Mendes, R. B., Gurgel, R. Q., Barreto, I. D. de C., Cipolotti, R., & Gurgel, R. Q. (2018). The influence of mode of delivery on neonatal and maternal short and longterm outcomes. Revista de Saude Publica, 52. https://doi.org/10.11606/S1518-8787.2018052000742
Roberts, J., & De Benedictis, S. (2021). Childbirth on television: a scoping review and recommendations for further research. Feminist Media Studies, 21(2). https://doi.org/10.1080/14680777.2019.1690025
Romanis, E. C. (2019). Why the Elective Caesarean Lottery is Ethically Impermissible. Health Care Analysis, 27(4). https://doi.org/10.1007/s10728-019-00370-0
Shanahan, J., & Morgan, M. (1999). Television and its Viewers. In Television and its Viewers. Cambridge University Press. https://doi.org/10.1017/cbo9780511488924
Shrum, L. J. (1995). Assessing the Social Influence of Television: A Social Cognition Perspective on Cultivation Effects. Communication Research, 22(4). https://doi.org/10.1177/009365095022004002
Sobhy, S., Arroyo-Manzano, D., Murugesu, N., Karthikeyan, G., Kumar, V., Kaur, I., Fernandez, E., Gundabattula, S. R., Betran, A. P., Khan, K., Zamora, J., & Thangaratinam, S. (2019). Maternal and perinatal mortality and complications associated with caesarean section in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet, 393(10184), 1973–1982. https://doi.org/10.1016/S0140-6736(18)32386-9
Sung, S., & Mahdy, H. (2021). Cesarean Section - StatPearls - NCBI Bookshelf. In StatPearl Publishing.
The Kenya Media Assessment 2021 Chaacha Mwita1. (n.d.).
Tunc, Ӧ, Were, W. M., Maclennan, C., Oladapo, O. T., G€, A. M., Bahl, R., Daelmans, B., Mathai, M., Say, L., Kristensen, F., Temmerman, M., & Bustreo, F. (2015). World Health Organization, Geneva, Switzerland b Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization. World Health Organization.
WHO. (2016). Monitoring the health goal: Indicators of overall progress. In Mointoring Health for the SDGs.
WHO Statement on caesarean section rates. (2015). In Reproductive health matters (Vol. 23, Issue 45). https://doi.org/10.1016/j.rhm.2015.07.007
Wu, M. L., Nichols, P. M., Cormick, G., Betran, A. P., Gibbons, L., & Belizan, J. M. (2023). Global inequities in cesarean section deliveries and required resources persist. In European Journal of Obstetrics and Gynecology and Reproductive Biology (Vol. 285). https://doi.org/10.1016/j.ejogrb.2023.03.036
Zola, I. K. (1972). MEDICINE AS AN INSTITUTION OF SOCIAL CONTROL. The Sociological Review, 20(4). https://doi.org/10.1111/j.1467-954X.1972.tb00220.x
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