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Öğe 65 Yaş ve Üzeri Bireylerin Afetlere Hazırlıklı Olma ve Öz Yeterlilik Durumlarının Değerlendirilmesi, Aksaray İli Örneği: Tanımlayıcı Araştırma(2025) Akil, Kübra; Kaya, Edip; Önal, Ebru İnalAmaç: Bu çalışmada, Aksaray’da ikamet eden 65 yaş ve üzeri bi reylerin afetlere hazırlıklı olma durumları, öz yeterlilik düzeyleri ve afet lere hazırlıklı olma durumları ile ilişkili faktörler değerlendirilmiştir. Gereç ve Yöntemler: Çalışmada, Aksaray’da yaşayan 65 yaş ve üzeri 300 kişi den Mart-Kasım 2023 tarihleri arasında yüz yüze görüşme yöntemi ile veri toplanmıştır. Veri toplama aracı olarak katılımcılar tarafından hazırlanan 3 bölümden oluşan bir anket formu kullanılmıştır. Verilerin analizinde afetlere hazırlığın farklı alanlarını (eşyaları sabitleme, afet çantası hazırlama vb.) yordayan bağımsız tahmin edicilerini değerlendirmek için lojistik regres yon analizleri yapılmıştır. Bulgular: Katılımcıların (n=300) %60,3’ü erkek, yaş ortalamaları 72,6’dır. Katılımcıların sadece 1/4’ü afetlere hazır oldu ğunu bildirmiştir. Afet ve acil durum çantası hazırlayanların oranı %20,3 iken, yaşadığı yerde yangın söndürücü tüp bulunduranların oranı sadece %12,3’tür. Yapılan lojistik regresyon analizine göre, öz yeterlilik puanı yük sek olan katılımcıların tüm alanlarda (eşyaları sabitleme, afet çantası hazır lama vb.) afetlere hazırlık düzeyleri daha yüksek bulunmuştur [Olasılık Oranı (Odds Ratio-OR): 1,3-1,5 arasında değişmekte]. Benzer şekilde afet bilgisini daha iyi olarak değerlendiren katılımcıların afet sonrası buluşma noktası belirleme dışındaki diğer tüm alanlarda hazırlık düzeyleri daha yük sek bulunmuştur (OR: 1,4-2,2 arasında değişmekte). Sonuç: Afetlere ha zırlıkla ilgili tüm alanlarda yaşlı bireylerin hazırlık düzeyleri oldukça düşüktür. Kişilerin kendi beyanlarına göre afet bilgisi ile afetlere hazırlığa ilişkin öz yeterlilik afetlere hazırlığa ilişkin bağımlı değişkenleri belirleyen en önemli faktörler olmuştur. Afetlere karşı incinebilir bir grup olan yaşlı bi reylerin afetlere karşı dayanıklılıklarının artırılması için eğitim ve farkın dalık çalışmaların yanı sıra yaşlı bireylerin öz yeterliliklerine de odaklanarak etkili çalışmalar yapılmalıdır.Öğe Analysis of Gender Sensitivity of Turkey's Disaster Legislation to Create a Disaster-Resilient Society(Tohoku University Medical Press, 2021) Erbaydar, Nuket Paksoy; Önal, Ebru İnal; Kaya, EdipDisasters frequently occur in Turkey. Although there is comprehensive disaster legislation in Turkey, it has not been well studied in terms of gender sensitivity. This study aimed to evaluate the disaster legislation of Turkey in the context of gender equality. We investigated 17 non-technical disaster legislations to determine in what context and to what level disaster management is gender-sensitive in Turkey. We also carried out a workshop with experts from governmental bodies and nongovernmental organizations (NGOs), and academics to discuss the gender sensitivity of the legislations. We found that only two of the 17 legislations included a gender perspective. One legislation addressed gender equality and equity very well, while one was partially gender-sensitive and the others 5 were gender blind. The workshop was conducted in collaboration with the Disaster and Emergency Management Presidency (AFAD) and 33 participants from 19 organizations. The participants agreed that the disaster legislation did not include a gender perspective and acknowledged the importance of integrating a gender perspective into the disaster policies of Turkey. They recommended that the AFAD and emergency response units should have at least one female president or vice president, gender equality training should be provided to officers and managers of government and non-governmental disaster institutions, and a working group should be established to develop strategies that integrate gender perspectives into disaster and emergency policies. The disaster legislation of Turkey is not gender sensitive. It is important to incorporate language terminologies, understanding, and approaches that are sensitive to gender into disaster-related legislation and regulations.Öğe Are Sociodemographic Characteristics and Experiences Associated to Behaviours on Residential Fires? A Young Adult Sample(Ankara University, 2020) İnal, Ebru; Kaya, Edip; Metin, Baki Can; Paksoy Erbaydar, NüketThis study aimed to determine the role of behaviors and factors associated to reduction of fire risks among university students. This cross-sectional study was conducted in a vocational higher education school (N=3886 students). Single stage systematic random sampling technique was used to select the participants from the population and data of the study was collected by face to face interviews. We interviewed 661 students. The mean age of the students was 20.1±2.3 years and 68.2% were male. It was found that 15.9% of participants had an experience in any type of fire, also 21.2% of the students had a training about fire. Although 85.8% stated that they were keeping children away from flammable materials, only 19.7% had a fire action plan to escape in their living places where they lived in. Students living in the dormitory (OR: 1.63), who had any education on fire (OR: 1.46), and who received first aid training (OR: 1.37) had more positive fire-related behavior. To reduce the risk of mortality, morbidity and economic burden of fires in countries and increase the level of readiness to fire where prevention and intervention services are limited, trainings on fire prevention, early intervention skills and basic first aid training for fires are needed among young people. Higher education period is appropriate for those trainings. © 2020, Ankara University. All rights reserved.Öğe Determinants of Miscarriage and Induced Abortion Among Married Syrian Refugee Women in Turkiye: A National Population-Based Study(Cambridge Univ Press, 2025) Inal Onal, Ebru; Mohammed, Gharbia; Kaya, Edip; Onal, Ajdan; Castro-Delgado, RafaelObjective: Syrian refugee women face numerous obstacles that impact their reproductive health. The aim is to assess prevalence and predictors of miscarriage and induced abortion among Syrian refugee women in T & uuml;rkiye. Methods: This study is a cross-sectional analysis based on data from 1886 Syrian refugee women aged 15-49 who have a history of marriage, obtained from the 2018 T & uuml;rkiye Demographic and Health Survey - Syrian Migrant Sample. Univariate Chi-square, independent t-test, and multivariate logistic regression were performed to determine predictors of abortion and miscarriage. Results: Among ever married Syrian refugee women, 27.3% (n = 514) experienced at least 1 miscarriage, 5% (n = 95) reported having at least 1 abortion. Mean maternal age was predicted with miscarriage and induced abortion (OR = 1.06 [CI: 1.04-1.08; P < 0.001] and OR = 1.08 [CI: 1.04-1.12; P < 0.001] respectively). Women in the southern/eastern region of T & uuml;rkiye experienced 4.24 times (95% CI = 1.50-12.02; P < 0.01) more abortions than in the western/central region. Women who are related to their spouses had an abortion 1.91 times (95% CI = 1.06-3.43; P < 0.05) more frequently than non-related couples. Conclusions: The rate of miscarriages and induced abortions is high among Syrian refugee women in T & uuml;rkiye. Regional differences, maternal age, and marriage between relatives have been identified as important variables that need to be taken into consideration. Interventions concentrating on those elements by the bodies concerned may thereby lessen the burden and effects of abortion and miscarriage.Öğe Determination of individual preparation behaviors of emergency health services personnel towards disasters(Wolters Kluwer Medknow Publications, 2015) Kocak, Huseyin; Caliskan, Cuneyt; Kaya, Edip; Yavuz, Omer; Altintas, Kerim HakanObjective: To determine certain behaviors regarding preparation of Canakkale 112 ambulance service personnel towards emergency situations and disasters. Methods: This study is an epidemiological descriptive study. The population of the study consists of 281 people working for Command Control Center and Emergency Medical Services Station of Canakkale 112 Ambulance Service. About 176 people agreed to participate in the study were interviewed within the scope of the study. Necessary information was obtained by a survey. In the statistical analysis of the study, descriptive statistics, Mann Whitney, Kruskal Wallis and Chi square tests were used. Results: The participation rate of the study was 62.6% (176 people). The participants were in the range of 17-64 years of age. The average age of the participants was (31.6 +/- 9.1) years. About 54% of the participants (95 people) were under the age of 29 and 54% of them (95 people) were male, 23.3% of them (41 people) held a bachelor degree and 35.7% (63 people) of them were Emergency Medical Technicians, respectively. In the study, a statistical relationship was found between some questions of the survey and some variables such as age, gender, degree, membership status for non-governmental organizations, experience of emergency situations, being trained against disasters and desire to have such a training (P < 0.005). Conclusions: As a result of the study, a significant relationship was found between being trained related to disaster and emergency situations and development of positive attitudes about training for disasters and emergencies. This indicates that people, no matter what educational level they are in, have to be trained for disasters and emergencies.Öğe Determining CBRN Risk Perceptions and Preparedness Levels and Related Factors of Emergency Health Services Personnel: Tekirdağ Provincial Example(Ankara University, 2025) Adak, Firdevs Artcı; Inal, Ebru; Kaya, EdipEmergency medical services personnel are among the first responders in the event of a CBRN incident. The aim of this study is to determine the CBRN risk perceptions, preparedness levels, and related factors of emergency medical personnel working in Tekirdağ district. The study was conducted with 142 participants. A socio-demographic questionnaire consisting of 30 items and a scale measuring risk perception and preparedness for CBRN hazards were used. The participants’ responses were transferred to the SPSS 21.0 software, and validity of the measurements was tested through confirmatory factor analysis. As the data were found to be normally distributed across all independent variables, differences between two group means were analyzed using t-tests, and ANOVA were used for variables with more than two categories. In the bivariate analysis, the mean risk perception score of personnel who had participated in CBRN duties was found to be significantly higher than those who had not (p=0.03). Moreover, participants with one year or less of experience had significantly lower mean risk perception scores compared to other groups (p<0.001). Additionally, those who reported having sufficient knowledge about CBRN and those who stated they knew their responsibilities during CBRN incidents had significantly higher preparedness scores (respectively; p<0.001 and p=0.04). Finally, the Pearson correlation analysis revealed a statistically significant relationship between the CBRN risk perception score and the preparedness score (r=0.393, p<0.001). It is suggested that practical training and drills may be increased to enhance the capacity of personnel in responding to CBRN events. The study findings suggest that practical training and drills may be increased to enhance the preparedness of emergency health services personnel for CBRN hazards. It should also be noted that efforts to increase personnel’s CBRN risk perception will also positively contribute to their preparedness. © 2025, Ankara University. All rights reserved.Öğe Exploring gender-inclusive approaches in Turkish disaster risk management: insights from decision-makers, service providers, and NGOs(Routledge Journals, Taylor & Francis Ltd, 2024) Kaya, Edip; İnal Önal, Ebru; Paksoy Erbaydar, NüketThis study aims to reveal the experiences and views regarding gender sensitivity of service providers, decision-makers, and non-governmental organization (NGO) workers who operate during disasters. The study uses a phenomenological model - a qualitative approach. Data are collected by two trained interviewers using a semi-structured interview form. In-depth interviews are conducted with 52 individuals from four provinces in different regions of Türkiye. Then, the data are analysed using MAXQDA20, a qualitative analysis programme. The results show that a substantial proportion of the participants does not use gender-sensitive language or terminology. Women are defined by their domestic roles and motherhood, with reference to religious sources. Furthermore, in the context of the disaster risk management process, participants intensely report their views and experiences regarding the practical needs of women, such as hygiene, privacy, and access to information. However, the strategic needs of women, such as women's empowerment, gender-based data collection, and combating violence against women, are only mentioned by a few participants, especially NGO workers. Finally, most participants do not receive gender training. Those who receive it mention their experiences with vulnerable groups, violence against women, and other reproductive health issues.Öğe Health care students' willingness to work during disasters in Turkey(Elsevier Ltd, 2021) İnal, Ebru; Kaya, EdipIntroduction: Disasters place a substantial burden on the health care workforce; as such, it is important to understand whether members of the health care workforce might be willing to work during disasters. The aim of this study is to explore the willingness of health care students in nursing, emergency and disaster management (EDM) departments to work during disasters and to examine sociodemographic and disaster-related factors that affect their willingness to work during disasters. Methods: A cross-sectional survey was conducted among 839 students enrolled in a Turkish University Faculty of Health Science (619 nursing students and 220 EDM students). Chi-square tests and binary logistic regressions were used to determine predictors of willingness to respond to disasters. Results: The majority of students (62.2%) were willing to work during disasters; however, approximately 31.2% of students were uncertain, and 6.7% were unwilling to work during disasters. Approximately 85.0% of EDM students and 54.0% of nursing students were willing to work during disasters. Overall, participants were more willing to work during earthquake (71.1%) and traffic accident disasters (66.2%) but were less willing to work during contagious disease (35.1%) and gas leak disasters (33.5%). Students' willingness to work during disasters was predicted by program type, educational level and membership in a disaster-related nongovernmental organization. Conclusion: The majority of students were willing to work during disasters, although these numbers varied according to program and disaster types. These findings have significant implications for disaster education programs and interventions.Öğe Prevalence and predictors of post-traumatic stress disorder among survivors of the 2023 earthquakes in Türkiye: The case of a temporary camp(Elsevier, 2024) Kaya, Edip; İnal Önal, Ebru; Fatih, Sultanay; Güler, OnurThis study aimed to evaluate the potential prevalence of post-traumatic stress disorder (PTSD) among survivors of the 2023 T & uuml;rkiye earthquakes and determine the factors linked to the severity of PTSD. The cross-sectional study was conducted in a temporary camp in Hatay between January 27 and February 2, 2024, approximately one year after the earthquakes. Two researchers visited the camp and offered participation to all the adults who met the study criteria. A total of 412 adults agreed to participate in the study and completed the questionnaire. A survey was used to gather information on various variables related to the context before, during, and after an earthquake. In addition, the Post-Traumatic Diagnostic Scale and the Brief Resilience Scale were used to measure PTSD and resilience, respectively. The screening scale indicated that 17.5 % of participants met the criteria for probable severe and 36.2 % met the criteria for probable moderate to severe PTSD, approximately 12 months post-earthquake. Multiple linear regression analyses revealed that PTSD was predicted by various factors in the within-, pre-, and postearthquake periods. Among pre-earthquake variables, sex (beta = 0.100, p < 0.05) and history of psychiatric illness (beta = 0.098, p < 0.01) predict PTSD. Among within-earthquake variables, severity of earthquake exposure (beta = 0.190, p < 0.001) predicted PTSD. Among post-earthquake variables, resilience (beta = -0.378, p < 0.001) was negatively associated with severity of PTSD. These findings underscore the significance of considering multiple factors when comprehending and addressing PTSD in the aftermath of a natural disaster.Öğe The impact of parental resilience, social support and socio-economic factors on PTSD symptoms in child and adolescent survivors of the 2023 Turkiye-Syria earthquakes(Taylor & Francis Inc, 2025) Kaya, Edip; İnal Önal, Ebru; Fatih, Sultanay; Güler, OnurThis study examines Post-Traumatic Stress Disorder (PTSD) prevalence and predictors, especially focusing on the role of parental resilience, among child survivors of the 2023 T & uuml;rkiye-Syria earthquakes. The study conducted with 199 children aged 9-17 and their parents. Findings showed that 54.8% of children exhibited PTSD symptoms. Hierarchical linear regression analyses revealed that parental resilience (beta = -0.16), and social support (beta = -0.16) mitigating PTSD symptoms, while female gender (beta = 0.18), younger age (beta = -0.16), low family income (beta = -0.14), and having more siblings (beta = 0.14) were risk factors for PTSD. This study contributes to understanding the role of family dynamics in post-disaster recovery for children. It underscores that public health practitioners and mental health professionals should take into account the significant impact of parental resilience in fostering effective recovery outcomes for children.
