Cultural Factors Research Articles

Resilience in Black/African American Partner Caregivers of Persons With Alzheimer's Disease and Related Dementias.

To explore cultural factors related to resilience among Black/African American Alzheimer's disease and related dementias (ADRD) partner caregivers. This study used a qualitative design. An adapted Resilience Framework informed the in-depth interviews with 10 Black/African American ADRD partner caregivers. Four major themes emerged: Unfolding Process of ADRD Discovery, Resilience is Multifaceted in Caregiving, Resilience is an Adaptive Process, and Cultural Heritage Shapes Caregivers' Resilience Experiences. The major themes include a total of 18 subthemes. Findings provide an in-depth understanding of how race, ethnicity, and cultural positive adaptive factors influence resilience among diverse ADRD partner caregivers. [Research in Gerontological Nursing, 18(1), 21-28.].

In Search of "Fertile Ground": How Territorial Characteristics Influence the Social Acceptability of Renewable Energy Projects.

Renewable energy (RE) projects are vital to achieving sustainable development in the context of the pressing challenges of climate change and the energy transition. However, despite the global consensus on their importance, RE projects often encounter significant resistance at the local level. This article investigates how territorial characteristics influence the social acceptability of RE projects and explores the concept of fertile ground as a framework for understanding the conditions that foster or hinder local support for such projects. Drawing on theories of regional path dependency and leadership agency, we identify the historical, socioeconomic, cultural and governance factors shaping local attitudes towards RE projects. By employing qualitative methods, including semi-structured interviews with diverse stakeholders and the analysis of press articles, we develop a nuanced approach that incorporates key territorial dynamics. Our findings reveal the critical role of historical industrial conflicts, political leadership, place attachment and perceptions of fairness in shaping local acceptability. They also highlight the influence of habituation and saturation effects, which shows that the acceptability of RE projects is not static; rather, it evolves over time in response to local conditions and stakeholder engagement. By situating the fertile ground concept within broader frameworks of social acceptability, this study provides actionable insights to policymakers and project developers seeking to align RE initiatives with local contexts and values.

Perspectives of paediatric providers on antibiotic stewardship in a high-prescribing rural region.

Understanding drivers of antibiotic use is key to limiting the development of antimicrobial resistance. Outpatient antibiotic prescribing rates vary substantially across and within states. Kentucky is one of the highest prescribing states, and the southeastern region has rates that are drastically higher than the national average and urban areas of the state. We sought to examine provider perceptions of antibiotic use in this rural area to more effectively guide future interventions and policy. This study utilized Medicaid prescription claims to identify providers who frequently prescribe antibiotics to children in southeastern Kentucky. Semistructured qualitative interviews were conducted to elicit provider perspectives on antibiotic overuse. Individual, in-person interviews were conducted with 25 providers from a variety of practices and training backgrounds (private, nonprofit, retail, physician, advanced practice registered nurses, etc.). The following themes emerged as issues that prescribers consider to contribute to antibiotic overuse: (1) caregiver pressure, especially from grandparents or families who desire a 'quick fix'; (2) business concerns and competitionand (3) cultural factors related to poverty and rural locations. Interviewed providers were supportive of public education and had mixed views on the effectiveness of delayed fill or provider feedback initiatives. This study highlights unique challenges associated with antibiotic prescribing in rural areas. Findings will guide future interventions through adaptation of existing strategies to better serve this vulnerable population.

Understanding the emerging success factors gap of accounting information systems in developing countries – a systematic literature review

PurposeWhile the adoption of accounting information systems (AIS) is crucial in developing countries owing to the rapidly changing business environment, the emerging factors in its successful implementation continue to be inconsistent. This systematic literature review (SLR) aims to understand the emerging factors of underlying successful AIS implementation, with a specific focus on developing countries.Design/methodology/approachA total of 70 empirical studies from 2017 to 2024 were analysed using an SLR technique. Studies including the search term “accounting information systems” OR “AIS” AND “developing countries” in their titles, keywords or abstracts were retrieved from five digital databases. The articles were analysed and synthesised using thematic analysis.FindingsThe findings revealed six key themes: (1) AIS literacy, (2) automation in AIS, (3) cloud-based AIS, (4) cultural factors, (5) environmental factors and (6) mobile accessibility and 25 subthemes.Practical implicationsA comprehensive understanding of these gaps will enable academics, policymakers and AIS professionals to make well-informed decisions and enhance the efficacy and efficiency of AIS operations.Originality/valueThe thematic analysis highlights the theoretical gaps and exposes areas where the connection between factors may be inadequate to indicate future study avenues.

A mosaic of medicine: Acquainting pharmacy education with the rich tapestry of African-descent immigrant cultures.

There is an increasing number of African-descent immigrants to the United States, often from the Caribbean, South America, and Africa. These immigrants tend to have different healthcare needs than native-born Black Americans because they come from diverse backgrounds with unique cultural health practices and beliefs. While these immigrants may be healthier when they initially present to the United States, research has found that this health advantage is not long-lasting. Acculturation, cultural beliefs, systemic, and social factors have been closely linked to the health and well-being of Black immigrants, especially with increased years of residency in the United States. Culturally competent care involves understanding the influence of culture, ethnicity, and social factors on health. It is crucial that student pharmacists are trained in understanding the cultural considerations of our continuously evolving and diverse patients. While pharmacy schools have begun incorporating cultural competency and implicit bias training in PharmD curricula, there is still room for improvement to bring about meaningful change in health outcomes. This review calls for an end to oversimplified views of Black immigrant health, advocates for better recognition of distinct African-descent cultures, and recommends tools and strategies to incorporate this population into multicultural pharmacy education.

The intricate interplay between dietary habits and cognitive function: insights from the gut-brain axis

The intricate relationship between dietary habits and cognitive function is gaining increasing attention, with a focus on the gut-brain axis as a modifiable target for intervention. This review synthesizes evidence on the impact of dietary patterns, particularly the Mediterranean diet, plant-based diets, and low-carbohydrate diets, on cognitive health. These diets, rich in antioxidants, anti-inflammatory compounds, and neuroprotective nutrients, are suggested to slow cognitive decline and reduce the risk of neurodegenerative disorders through mechanisms such as reduced inflammation and oxidative stress, and enhanced neurogenesis. The Mediterranean diet has been associated with improved cognitive performance and a delay in cognitive decline in elderly populations. However, challenges in dietary intervention implementation, including adherence and individual variability, remain. Future research must adopt a multidisciplinary approach, incorporating long-term, large-scale, multicenter randomized controlled trials to assess the enduring impacts of various dietary patterns on cognitive function, considering socioeconomic and cultural factors. This review underscores the potential of dietary interventions to prevent and mitigate cognitive impairment, ultimately aiming to improve quality of life.

MYTHS OF ACADEMIC (MIS)CONDUCT AND INTEGRITY

This article critically examines common myths surrounding academic integrity, addressing oversimplified narratives that limit understanding of its complexity. By drawing upon recent research and evidence-based practices, the article aims to provide a nuanced perspective on the realities of academic misconduct, explore the multifaceted nature of ethical challenges in academia, and highlight the shared responsibilities of stakeholders in promoting a culture of integrity. The analysis debunks myths such as the assumption that plagiarism is the sole form of misconduct, that technology primarily facilitates cheating, and that academic integrity violations are limited to students. Instead, it underscores the breadth of academic misconduct, the dual role of technology as both a challenge and a tool for fostering integrity, and the pivotal influence of faculty and institutional practices on student behavior. The discussion also emphasizes the importance of inclusive academic integrity policies, which account for cultural and systemic factors, and the need for proactive approaches such as education, clear communication, and ongoing stakeholder collaboration to address misconduct effectively. This study highlights the dynamic nature of academic integrity, which is evolving with technological advancements and diverse educational practices. It identifies gaps in current approaches, such as inconsistent faculty engagement and inadequate attention to systemic inequities, and proposes future research directions. These include exploring the intersection of academic integrity with equity and inclusion, evaluating the long-term efficacy of interventions, and addressing emerging challenges such as the ethical use of generative AI. By fostering informed and evidence-based dialogue, the article aims to contribute to developing strategies that uphold ethical standards and support the academic community in adapting to an ever-changing educational landscape.

Physical activity, fatigue severity, and health-related quality of life of community-dwelling stroke survivors: a cross-sectional study

BackgroundPhysical inactivity among stroke survivors (SSV) may result from fatigue, physical disabilities, and psychosocial factors, all of which adversely affect health-related quality of life (HRQL). Studies on combined interactions among physical activity (PA), fatigue severity (FS), and HRQL in SSV are scarce. This study was aimed to determine the relationships among PA, FS, and HRQL in community-dwelling SSV and to predict the association with selected socio-demographic and clinical variables.MethodsThis analytical cross-sectional correlation study involved 102 consented community-dwelling SSV. Respondents were purposively recruited from physiotherapy outpatient clinics of selected secondary and tertiary hospitals in southwest Nigeria. PA, FS, and HRQL of the SSV were assessed using the Stroke Physical Activities Questionnaire (SPAQ), Fatigue Severity Scale (FSS), and Stroke-Specific Quality-of-Life (SS-QoL) scale, respectively. Information on respondents’ socio-demographic and clinical characteristics was also collected. Data were analyzed using descriptive and inferential statistics at p < 0.05 significance level.ResultsRespondents’ mean age was 59.98 ± 11.59 years. The majority were females (52.9%), had ischemic stroke (72%), and with right-side weakness (54%) of over 6 months (80%). Respondents’ mean scores on SPAQ, FSS, and SS-QoL scales are 1867.47 ± 1817.93 MET min/week, 31.94 ± 11.29, and 156.47 ± 26.62, respectively. There were no significant associations between selected socio-demographic/clinical variables and physical activity levels except in gender (χ2 = 6.737; p = 0.034), fatigue severity except in side of affectation (χ2 = 5.839; p = 0.054), and HRQL except in level of education (χ2 = 23.497; p = 0.001) and side of affectation (χ2 = 7.389; p = 0.007). There was a moderate and significant correlation (R = 0.426; p < 0.05) among PA, FS, and HRQL. Regression analysis revealed no significant associations with the socio-demographic/clinical variable except the side of affectation for HRQL, low (R = 0.223) level of prediction of socio-demographic/clinical variables for PA (F 8, 93 = 0.607; p > 0.05), and fair (R = 0.326) level of prediction for FS (F 8, 93 = 1.386; p > 0.05).ConclusionModerate correlations among fatigue severity, physical activity, and health-related quality of life in stroke survivors suggested that enhancing one domain can benefit others, while the limited predictive ability of socio-demographic and clinical variables highlighted the need to consider cultural and psychological factors in post-stroke outcomes.

The development and implementation of strategies for promoting cultural literacy Among university students in the digital environment

The research purposes to assess the impact of digital era on promoting cultural literacy among fine arts students in South Punjab universities. A structured questionnaire was formed that based on the published literature on culture literacy and the hypothetical foundation of Technology Acceptance Model (TAM). Proposed research model, which incorporates cultural literacy factors and the Technology Acceptance Model (TAM), is referred to as Modified Technology Acceptance Model for Cultural Literacy Promotion (MTAM-FCLP). This survey targets students from the universities, including Sadiq College Women University, The Islamia University of Bahawalpur, Khawaja Fareed University of Engineering and Information Technology, and Bahauddin Zakariya University Multan. A pilot study was conducted upon completion of 20 questionnaires to assess the reliability and validity of the data collection tool. Census sampling method was used for data collection, out of 1355 we were able to collect the data from 950 fine arts undergraduate and postgraduate students across these institutions. The authors applied Smart PLS-SEM for data analysis that disclosed strong links between the constructs showing a significant impact on cultural literacy promotion. The validity and reliability of the model were established using metrics such as Cronbach's alpha, composite reliability, and average variance extracted, achieving values of 0.5, 0.7, and 0.8, respectively. The results of the research hypotheses show that the perceived ease and usefulness of digital technology positively influence students’ attitudes and skills, thereby enhancing cultural literacy.

P-462. Disparities in HPV Vaccination among HIV Patients at a Rural Federally Funded HIV Clinic- A Retrospective Study

Abstract Background Our study aimed to evaluate the demographic factors of HPV vaccination among racial minorities of HIV patients at a non-academic Ryan White clinic in rural Pennsylvania. Methods A retrospective cross sectional study (n=143) was conducted on a population composed of White (51.05%), White Hispanics WH (11.19%), Black (27.97%), Black Hispanics BH (1.4%), and Unknown (8.39%). Proportions and chi-square tests were used and multivariate regression analysis was done with p≤0.05 as significant. Results Our study found that 35% of the population was vaccinated, with 60.7% receiving three doses and 23.2% receiving two doses. Age was a key factor (p=0.000) for vaccination acceptance (VA), with those aged 25-45 years having a higher VA than the nonvaccinated (NonVA) (62% vs. 24.7%). VA was lower among those aged 46-65 years (30% vs. 61.3%) and those over 65 years (8% vs. 14%). Lack of awareness of the benefits and misconceptions about the side effects of vaccination are common among different age groups. Males were predominant in our study, with VA higher than NonVA (86% vs. 81.7%, p=0.5), though the difference was not significant. VA by race showed marginal significance (p=0.1), with Whites having the highest VA (40%), followed by Blacks (32%) and Hispanics (20%). Multivariate regression revealed that the 46-65 age group had 80% lower odds of VA compared to the 25-45 group (aOR 0.2, p=0.000), while &amp;gt;65 years had 78% lower odds (aOR 0.22, p=0.021). This regression analysis was adjusted for race (White=Ref, Black p=0.7, Hispanic p=0.1). Upon further stratification of the Hispanic population, VA in the 25-45 years was 6.4% for Black Hispanics and 22.6% for White Hispanics (p=0.000). Conclusion Our study highlights that age and ethnicity are significant predictors of vaccination acceptance, with younger individuals and Whites demonstrating a higher likelihood of vaccination acceptance. Among the racial minorities, vaccination acceptance was lowest in Hispanics. These findings underscore the importance of demographic and cultural factors affecting vaccination rates. Targeted interventions to increase awareness and future studies are needed to determine the factors associated with vaccine hesitancy and work toward implementing new strategies to improve it. Disclosures All Authors: No reported disclosures

#LGBTpropaganda #GenderTheory #Wokism

Based on a corpus of tweets compiled from November 2022 to February 2023, this article revisits digital anti-gender campaigns in France, 10 years after debates on same-sex marriage and adoption. Through a critical discourse analysis of 70 key tweets, it maps the semiotic community engaged in anti-gender discourse, revealing a heterogeneous group of actors ranging from the conservative right to the identitarian far right. The article identifies two patterns rooted in the “protect our children” rhetoric, which reshape the symbolic boundaries of anti-gender discourse. First, an expansion is at play, marked by the relative inclusion of LGB and feminist activists to reinforce the exclusion of drag-queens and trans people. Second, a blurring of symbolic boundaries between ethnic, religious and cultural factors emerges. This facilitates the articulation of a national-populist discourse that frames “wokism” and Islam as threats to children, to summon support for a white, Christian and heterocisgender political project.

Unlocking mathematics success: Global lessons on student achievement, teacher satisfaction, and school environments

This study explores the factors influencing mathematics performance, teacher satisfaction, and school environment across six economies using data from PISA 2022. Employing hierarchical linear modeling, the research examines individual and institutional variables at the student, teacher, and school levels. Key findings reveal significant differences in mathematical performance between high- and low-performing economies, with factors such as socio-economic status, cognitive activation, and teacher support playing critical roles. Additionally, teacher satisfaction is strongly linked to classroom climate and professional alignment with teaching goals. The analysis highlights how systemic and cultural factors influence outcomes, offering policy insights to improve global mathematics education.

The impact of cultural origin on the psychiatric expertise in Switzerland: a focus on sexual violence illustrated by two criminal cases

Cultural biases and integration in novel socio-geographic contexts are relevant factors for the understanding of dynamics beneath sexual violence, and possibly play a role in modifying responsibility and perpetrators treatment. Here we offer a conceptual analysis of the relevant literature and two case study. Cultural factors influence power dynamics and individual values, impacting the occurrence of sexual violence; the understanding of “coercion” varies across cultures, and cultural legitimization may ensue. The consequences of sexual assault also differ, with shame prevailing in socio-centric societies and guilt in ego-centric societies. Rape and gender-based violence is influenced by masculinity and femininity concepts, the former identified with power. Dominance, rather than sexual gratification, can lead to sexual violence, which could also be a “male backlash” against gender equality. Biological theories link sexual violence to genetic factors; a psychodynamic perspective suggests an unconscious social reproduction of masculine culture and delves into possible explanations for violent behavior. Acculturation strategies and acculturative stress are explored, with a focus on Berry’s strategies and on Camilleri’s model of identity in intercultural situations. The impact of cultural factors on responsibility is discussed, highlighting variability in criminal laws and attitudes towards cultural offenses in different countries. The analysis of two criminal cases accused of rape, revealed common and diverging elements. Both individuals come from favorable socio-economic backgrounds, and lacked of prior or present psychiatric diagnoses. Integration difficulties, psychosexual attitudes, and the improper application of cultural codes played a crucial role. In conclusion, anthropological and ethnopsychiatric knowledge should be integrate into forensic assessments. Early detection of non-acculturation elements is need to prevent criminal behaviors, and a diagnostic instrument as a validated rating scale should be implemented.

Cultural Dimensions and Its Influence on Employee Engagement Multinational Organizations (Credit Card Industry)

Cultural dimensions are critical factors in the engagement of employees in multinational organizations, which affect the dynamics of interactions in the workplace, motivation, and productivity. Credit Card Industry in India is growing at CAGR of 20% crossing 70 million cards in India. It is enabled by the emergence of technological innovations such as; instant onboarding and issuance, virtual cards, tokenization and personalized rewards offering to the customers. Additionally, post COVID-19, growth of e-commerce platforms helped accelerating the credit card spends and acquisitions. International issues like American Express, HSBC are targeting affluent customers more aggressively and driving the spend growth. Similarly National Cards like HDFC Card, Axis Card etc. already command a significant market share in this industry and keep on launching new cards periodically with lucrative offers and rewards, zero joining fees and 0% intro APR which entices customers to take multiple cards from different issuers. This paper explores how cultural factors such power distance, uncertainty avoidance, and long-term orientation affect the levels of employee engagement in various cultural settings. For the study Credit Companies are; American Express, HSBC and HDFC Card because employees are from diverse geographical locations and backgrounds. Total 180 employees have been selected on various designations as; technology Analyst, portfolio Risk Analyst, Product Manager and Data Science Analyst. The headquarters of these businesses are located in Mumbai, Delhi, and Bangalore. Their answers were requested using Google Forms using a self-made questionnaire. It investigates how employees view leadership, communication, acknowledgment, and organizational commitment in relation to these characteristics. Results Highlighted The necessity of engagement tactics that are culturally sensitive: A diversified strategy is required to accommodate each employee's specific needs in today's varied workforce.

Comparing Perspectives on Traditional and Complementary Medicine Use in Oncology: Insights from Healthcare Professionals and Oncology Patients in Western Mexico

Traditional and complementary medicine (T&amp;CM) plays a significant role in healthcare practices among healthcare professionals and oncology patients in Mexico, reflecting its cultural importance. This study aimed to analyze the prevalence, frequency, and factors associated with T&amp;CM use in these two groups, highlighting the differences in practices and perceptions. A total of 382 individuals participated, including 152 healthcare professionals and 230 oncology patients. The findings revealed that while T&amp;CM use was similarly prevalent among healthcare professionals (85.7%) and oncology patients (90.8%), frequent use (≥2 times per week) was significantly higher among patients (46.3%) compared to healthcare professionals (19.1%, p &lt; 0.001). Healthcare professionals showed a preference for non-conventional nutritional interventions (32.5%) and yoga (14.6%) while oncology patients favored plant-based remedies (73.6%) and the consumption of exotic animals and venoms (4.8%). Females were more likely to use T&amp;CM across both groups, with a stronger association among healthcare professionals (AdOR 3.695, 95% CI 1.8–7.4). Oncology patients were less likely to understand T&amp;CM concepts and were more commonly associated with lower socioeconomic status and educational attainment. These findings underscore the importance of considering cultural and demographic factors when integrating T&amp;CM into conventional medical care, especially in regions where T&amp;CM remains widely practiced and trusted.

The Fast Rise of Populist Radical Right Parties: Evidence from the Alliance for the Union of Romanians

Abstract How did the new Alliance for the Union of Romanians (AUR) obtain 9% of the vote in the 2020 Romanian general elections? This article explores the fast rise of populist radical right (PRR) parties by examining the support for the AUR at the locality level in Romania during the coronavirus crisis. The AUR's discourse combined populism, nationalism and anti-masking rhetoric. The findings show great variation across the 3,181 localities, from 0% to 50% support for the AUR, and highlight the significant influence of local cultural and political factors, while economic explanations were not confirmed. The vote for the AUR was high in localities with low ethnic diversity and low voter turnout. This research underscores that national-level explanations obscure important dynamics of PRR support that take place at the subnational level. The rise of the AUR is important beyond the Romanian and European contexts and emphasizes the significance of local responses to global crises.

Identifying the Key Success Factors for Nascent Moroccan Entrepreneurs: A Qualitative Study

This article examines the factors that explain the entrepreneurial success of nascent entrepreneurs who received support from entrepreneurial support structures before setting up their own businesses. To arrive at the results, an exploratory qualitative study was conducted with 10 entrepreneurs operating in the commerce sector. This research reveals various factors contributing to entrepreneurial success, classified into six categories: psycho-behavioral, cultural, quality-of-life, managerial, financial, and institutional factors. It appears that entrepreneurial success is multifactorial and does not depend on a single factor but on the combination and interaction of multiple individual, organizational, and contextual elements. Each entrepreneur has a unique pathway, influenced by their characteristics and the environment in which they operate, which means that support strategies need to be tailored to the specific needs of each entrepreneur. The implications of this research extend to researchers, practitioners, and stakeholders involved in local and regional development.

Equity in medical devices: a socio-technical approach

Medical devices risk reinforcing societal inequalities unless we rethink how they are designed, developed and deployed. The UK government’s recent independent review on Equity in Medical Devices highlights how biases...

An Overview and a Reflection of the Process and Product of Ph.D. Programs

This paper aims to analyze the Ph.D. thesis process and outcomes through the perspectives of three key actors— upervisee, supervisor, and academic institution—by drawing upon the personal experiences of the authors. Reflections are based on the authors past experience as supervisees and firsthand involvement in supervision, program management, and committee participation, with the key findings highlighting the intricate dynamics of these roles in shaping Ph.D. education. The aspects discussed in this work are motivation, previous experience, the individual study plan, guidance, and contributions. The motivations for pursuing a Ph.D. were diverse, encompassing personal and professional goals, passion for research, career advancement, and societal contributions. Previous experience from all actors is recognized as a critical factor influencing the success of the Ph.D. journey, where considerations regarding academic background, research interests, and cultural factors may influence the time and the outcome. The individual study plan is recognized by the authors as a vital tool for modeling a Ph.D. student’s research and professional development trajectory. Guidance throughout the Ph.D. process is discussed in terms of frequent and consistent supervision, providing regular support and feedback, which gradually shifts towards fostering research independence. This approach emphasizes the importance of mentorship and effective communication among peers at every stage. Finally, contributions are discussed as a final phase of the Ph.D. journey, where students are expected to demonstrate their expertise and impact through publications, awards, patents, and other forms of recognition. Supervisors and institutions also play a crucial role in supporting and showcasing such contributions. This reflection paper shows the relations between these factors and the collective responsibility shared by the actors in producing a successful Ph.D. thesis and an independent researcher. We argue our reflections are a valuable resource for those involved in Ph.D. programs, offering insights into the various dimensions of the Ph.D. journey and highlighting the importance of collaboration and support among these critical actors.

Retrospective evaluation of patients admitted to the intensive care unit due to obstetric reasons in terms of maternal near-miss, a five-year case-control study

BackgroundMaternal Near-Miss (MNM) has become globally recognized as an indicator of pregnancy, birth and the first 42 days of postpartum care services. The World Health Organization has taken a new approach to detail and better analyze maternal deaths. The clinic-based criteria to evaluate maternal care and the quality of related care services have been developed.MethodsThis is a retrospective case-control study that was conducted in a tertiary hospital. In the study, the medical files of all patients admitted to the intensive care unit during the five-year period between 2018 and 2022 were examined. All patients who met the MNM criteria of WHO during pregnancy, birth and puerperium were included in the case group of the study. Meanwhile, the participants in the control group were selected from mothers who gave birth in the same hospital between August 15 and October 31, 2023 and did not develop any complications during puerperium, using the systematic sampling method. Data collection was performed using an interviewer-administered structured questionnaire and data abstraction.ResultsIn this five-year period, 198 mothers were diagnosed with MNM. In our study, the prevalence of MNM was found as 218/100.000. The most common laboratory changes that met the MNM criteria were elevated lactate levels (38.89%), acidosis (24.24%) and acute thrombocytopenia. Patients were most frequently admitted to the intensive care unit due to hemorrhage (23.74%), placental abruption (18.18%), pre-eclampsia (15.66%) and cesarean Sect. (10.10%), respectively. The frequency of co-morbidities (Diabetes mellitus, Hypertension, Asthma, Hypothyroidism, etc.) in patients diagnosed with MNM (n = 48; 26.67%) was found to be 5.5 times that of the control group (n = 25; 6.20%) (p < 0.001).ConclusionsIt can be said that co-morbidities directly affect the course of motherhood. the education level and family income were found higher in the MNM group compared to the control group. In this regard, the results of our study differ from the studies in the literature in terms of the effects of the education level of mothers and the economic status of families. The effects of socioeconomic and cultural factors on MNM may vary.