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The Impact of Militarism, Patriarchy, and Culture on Israeli Women’s Reproductive Health and Well-Being

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Abstract

Purpose

In this paper, we situate and frame Israeli women’s reproductive health within the social, historical, political, cultural, and geographical context of Israeli women’s lives.

Methods

We used a theoretical review in this paper.

Results

Militarism, patriarchy, and cultural values heavily shape and influence Jewish and Arab women’s access to and experience of reproductive health when it comes to the imperative to have children, pregnancy, birth, access to contraception and abortion, and other reproductive healthcare services. We discuss five main factors pertaining to Israeli women’s reproductive health including (1) fertility and emphasis on reproduction; (2) infertility; (3) pregnancy, birth, and miscarriage; (4) reproductive rights including contraception and abortion; and (5) maternity leave and accessible childcare.

Conclusions

Israel is a pro-natalist country, in which both Jewish and Arab women share many of the consequences of the social imperative to have children. Though Arab women, as part of their double minority status, are exposed to more mental health risks pre- and postpartum, the personal and public reproductive health decisions and reproductive healthcare services are largely shaped by similar social forces. These include the patriarchal and religious culture that dictates a value system that highly cherishes motherhood, and within the military political context of the on-going Israeli-Palestinian conflict and past social and political traumas. We address four major gaps that need to be addressed in order to improve Israeli women’s reproductive health and well-being that include the neoliberal gap, the information gap, the reproductive health services gap, and the leadership and policy gap.

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References

  1. Central Bureau of Statistics. Population, by population group, religion, sex and age. Statistical abstract of Israel 2014. Central Bureau of Statistics. 2014. http://www.cbs.gov.il/reader/shnaton/templ_shnaton.html?num_tab=st02_03&CYear=2014 Accessed 1 Dec 2016

  2. Wiist WH, Barker K, Arya N, Rohde J, Donohoe M, White S, et al. The role of public health in the prevention of war: rationale and competencies. Am J Public Health. 2014;104(6):e34–47.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Cockburn C. War and security, women and gender: an overview of the issues. Gend Dev. 2013;21(3):433–52.

    Article  Google Scholar 

  4. Enloe CH. Nimo's war, Emma's war: making feminist sense of the Iraq war. Berkeley, CA: University of California Press; 2010.

    Google Scholar 

  5. Enloe C. Maneuvers: the international politics of militarizing women's lives. Berkeley, CA: University of California Press; 2000.

    Google Scholar 

  6. Barak O, Sheffer G. The study of civilian–military relations in Israel: a new perspective. Israel Studies. 2007;12(1):1–27.

    Google Scholar 

  7. Peri Y. Generals in the cabinet room: how the military shapes Israeli policy. Washington, DC: US Institute of Peace Press; 2006.

    Google Scholar 

  8. Weeks K. Constituting feminist subjects. Ithaca, NY: Cornell University Press; 1998.

    Google Scholar 

  9. Sa'ar A, Sachs D, Aharoni S. Between a gender and a feminist analysis: the case of security studies in Israel. Int Sociol. 2011;26(1):50–73.

    Article  Google Scholar 

  10. Birenbaum-Carmeli D. Thirty-five years of assisted reproductive technologies in Israel. Reproductive Biomedicine & Society Online. 2016;2:16–23.

    Article  Google Scholar 

  11. Gross ML, Ravitsky V. Israel: bioethics in a Jewish-democratic state. Camb Q Healthc Ethics. 2003;12(03):247–55.

    Article  PubMed  Google Scholar 

  12. Gooldin S. ‘Emotional rights’, moral reasoning, and Jewish–Arab alliances in the regulation of in-vitro-fertilization in Israel: theorizing the unexpected consequences of assisted reproductive technologies. Soc Sci Med. 2013;83:90–8.

    Article  PubMed  Google Scholar 

  13. Granek L, Nakash O, Carmi. R. Women and health in Israel. Lancet. In Press

  14. Yuval-Davis N. Gender and nation. London, England: Sage; 1997.

    Google Scholar 

  15. Avgar A. Women's health in Israel: a feminist perspective. Soc Work Health Care. 1997;25(1–2):45–62.

    Article  CAS  PubMed  Google Scholar 

  16. Central Bureau of Statistics. Fertility rates, by age and religion. Central Bureau of Statistics. 2016. http://www.cbs.gov.il/shnaton67/st03_13.pdf. Accessed 6 Mar 2017

  17. Khatib DM. Health of Arab women in Israel: Policy paper. Shefa-Amer: The Galilee Society – The Arab National Society for Health Research & Services; 2012. http://www.rikaz.org/en/publication/gmm/paper/health%20of%20women_en.pdf Accessed 11 Aug 2015

  18. Sered SS. What makes women sick? Maternity, modesty, and militarism in Israeli society. Hanover, NH: Brandeis University Press; 2000.

    Google Scholar 

  19. Benjamin O, Ha'elyon H. Rewriting fertilization: trust, pain, and exit points. Women's Studies International Forum. 2002;25(6): 667–78.

  20. Kanaaneh R. Birthing the nation: strategies of Palestinian women in Israel. Berkeley, CA: Univ. of California Press; 2002.

    Google Scholar 

  21. Pell S. Reproductive decisions in the lives of West Bank Palestinian women: dimensions and contradictions. Global Public Health. 2016:1–21.

  22. Sa'di AH. Catastrophe, memory and identity: Al-Nakbah as a component of Palestinian identity. Israel Studies. 2002;7(2):175–98.

    Article  Google Scholar 

  23. Kanaaneh R. New reproductive rights and wrongs in the Galilee. In: Russell A, Sobo EJ, Thompson MS, editors. Contraception across cultures: technologies, choices, constraints. Oxford; New York: Berg; 2000. p. 161–78.

    Google Scholar 

  24. Fargues P. Protracted national conflict and fertility change: Palestinians and Israelis in the twentieth century. Popul Dev Rev. 2000;26(3):441–82.

    Article  CAS  PubMed  Google Scholar 

  25. Teitelbaum MS, Winter J. A question of numbers: high migration, low fertility, and the politics of national identity. Hill and Wang: New York, NY; 1998.

    Google Scholar 

  26. Ministry of Health. In vitro fertilization (IVF) treatments in Israel 1986–2012. Jerusalem: Ministry of Health; 2012. http://www.health.gov.il/PublicationsFiles/IVF1986_2012.pdf. Accessed August 11, 2015

    Google Scholar 

  27. Sullivan EA, Zegers-Hochschild F, Mansour R, Ishihara O, de Mouzon J, Nygren K, et al. International Committee for Monitoring Assisted Reproductive Technologies (ICMART) world report: assisted reproductive technology 2004. Hum Reprod. 2013;28(5):1375–90.

    Article  CAS  PubMed  Google Scholar 

  28. Remennick L. Between reproductive citizenship and consumerism: attitudes towards assisted reproduction technologies among Jewish and Arab Israeli women. In: Birenbaum-Carmeli D, Carmeli YS, editors. Kin, gene, community: reproductive technologies among Jewish Israelis. New York; Oxford: Berghahn Books; 2010. p. 318–39.

    Google Scholar 

  29. Baor L, Blickstein I. Psycho-social aspects of the direct trajectory that leads from infertility to the immediate family: are all the risks known? The Medicine [Ha Refuah]. 2005;144(5):335–9.

    Google Scholar 

  30. Bar-On S, Cohen A, Levin Y, Avni A, Lessing Y, Almog B. Upper-extremity deep vein thrombosis as a result of fertility treatments. The Medicine [Ha Refuah]. 2011;150(11):849–51.

    Google Scholar 

  31. Benyamini Y, Gozlan M, Kokia E. Variability in the difficulties experienced by women undergoing infertility treatments. Fertil Steril. 2005;83(2):275–83.

    Article  PubMed  Google Scholar 

  32. Cwikel J, Gidron Y, Sheiner E. Psychological interactions with infertility among women. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2004;117(2):126–31.

    Article  CAS  Google Scholar 

  33. Schmidt L. Psychosocial burden of infertility and assisted reproduction. Lancet. 2006;367(9508):379–80.

    Article  PubMed  Google Scholar 

  34. Benyamini Y, Gefen-Bardarian Y, Gozlan M, Tabiv G, Shiloh S, Kokia E. Coping specificity: the case of women coping with infertility treatments. Psychol Health. 2008;23(2):221–41.

    Article  PubMed  Google Scholar 

  35. Donath O. Making a choice: being child-free in Israel. Tel-Aviv: Miskal-Yedioth Ahronoth Books; 2011.

    Google Scholar 

  36. Donath O, editor. Choosing motherhood? Agency and regret within reproduction and mothering retrospective accounts. Women's Studies International Forum. Amsterdam: Elsevier; 2015.

    Google Scholar 

  37. Zelizer VAR. Pricing the priceless child: the changing social value of children. New York: NY: Basic Books; 1985.

    Google Scholar 

  38. Ministry of Health. Health in Israel 2010. 2011. http://www.health.gov.il/PublicationsFiles/Health_Status_in_Israel2010.pdf. Accessed 26 May 2016

  39. Israel Center for Disease Control. Survey of consanguinous marriages. 2011. http://www.health.gov.il/PublicationsFiles/Relative_ARB_2010.pdf. Accessed 1 Dec 2016

  40. Rubin L, Belmaker I, Somekh E, Urkin J, Rudolf M, M H et al. Building lives: Maternal and child health in Israel. Lancet. Forthcoming. In Press

  41. Wainstock T, Lerner-Geva L, Glasser S, Shoham-Vardi I, Anteby EY. Prenatal stress and risk of spontaneous abortion. Psychosom Med. 2013;75(3):228–35.

    Article  PubMed  Google Scholar 

  42. Segal-Engelchin D, Sarid O, Cwikel J. Pregnancy, childbirth and postpartum experiences of Israeli women in the Negev. Journal of Prenatal & Perinatal Psychology & Health. 2009;24(1):3.

    Google Scholar 

  43. Halperin O, Sarid O, Cwikel J. A comparison of Israeli Jewish and Arab women's birth perceptions. Midwifery. 2014;30(7):853–61.

    Article  PubMed  Google Scholar 

  44. Rassin M, Klug E, Nathanzon H, Kan A, Silner D. Cultural differences in child delivery: comparisons between Jewish and Arab women in Israel. Int Nurs Rev. 2009;56(1):123–30.

    Article  CAS  PubMed  Google Scholar 

  45. Kennedy BR, Mathis CC, Woods AK. African Americans and their distrust of the health care system: healthcare for diverse populations. J Cult Divers. 2007;14(2):56.

    PubMed  Google Scholar 

  46. Armstrong K, Ravenell KL, McMurphy S, Putt M. Racial/ethnic differences in physician distrust in the United States. Am J Public Health. 2007;97(7):1283–9.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Howell EA, Mora PA, Horowitz CR, Leventhal H. Racial and ethnic differences in factors associated with early postpartum depressive symptoms. Obstet Gynecol. 2005;105(6):1442.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Poehlmann J, Schwichtenberg A, Bolt D, Dilworth-Bart J. Predictors of depressive symptom trajectories in mothers of preterm or low birth weight infants. J Fam Psychol. 2009;23(5):690–704.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Alfayumi-Zeadna S, Kaufman-Shriqui V, Zeadna A, Lauden A, Shoham-Vardi I. The association between sociodemographic characteristics and postpartum depression symptoms among Arab-Bedouin women in southern Israel. Depression and Anxiety. 2015;32(2):120–8.

    Article  PubMed  Google Scholar 

  50. Glasser S, Tanous M, Shihab S, Goldman N, Ziv A, Kaplan G. Perinatal depressive symptoms among Arab women in northern Israel. Matern Child Health J. 2012;16(6):1197–205.

    Article  PubMed  Google Scholar 

  51. Dohrenwend BP. Adversity, stress, and psychopathology. Oxford: Oxford University Press; 1998.

    Google Scholar 

  52. Kaplan G, Glasser S, Murad H, Atamna A, Alpert G, Goldbourt U, et al. Depression among Arabs and Jews in Israel: a population-based study. Soc Psychiatry Psychiatr Epidemiol. 2010;45(10):931–9.

    Article  PubMed  Google Scholar 

  53. Levav I, Ifrah A, Geraisy N, Grinshpoon A, Khwaled R. Common mental disorders among Arab-Israelis: findings from the Israel National Health Survey. The Israel Journal of Psychiatry and Related Sciences. 2007;44(2):104–13.

    PubMed  Google Scholar 

  54. Amir D, Benjamin O. Defining encounters: who are the women entitled to join the Israeli collective? Women's Studies International Forum. 1997;20(5-6):639–50.

  55. National Insurance Institute of Israel. Maternity allowance. 2015. http://www.btl.gov.il/English%20Homepage/Benefits/Maternity%20Insurance/Maternity%20Allowance/Pages/default.aspx. Accessed 26 May 2016

  56. Chai S, Margalit M, Ben Tzur Ra, Blumental I. We want a second assistant: "The kids deserve way more". Ynet. 2015 30 January. http://www.ynet.co.il/articles/0,7340,L-4620786,00.html. Accessed 1 Dec 2016

  57. Allen TD, Herst DE, Bruck CS, Sutton M. Consequences associated with work-to-family conflict: a review and agenda for future research. J Occup Health Psychol. 2000;5(2):278–308.

    Article  CAS  PubMed  Google Scholar 

  58. Ynet. "We fight over the basic right to take a maternity leave properly". Ynet. 2016 21 Jun. http://www.ynet.co.il/articles/0,7340,L-4818575,00.html. Accessed 1 Dec 2016

  59. Zinger R. The Treasury examines extending maternity leave to 15–16 weeks. Calcalist. 2016 25 Oct. http://www.calcalist.co.il/local/articles/0,7340,L-3700304,00.html. Accessed 1 Dec 2016

  60. Nagid M. Women and the local politics – The disillusionment that after the election? The Parliament. 2013;77

  61. Pew Research Center. Israel’s religiously divided society. Pew Research Center; 2016. http://www.pewforum.org/2016/03/08/israels-religiously-divided-society/. Accessed 6 Mar 2017

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Correspondence to Leeat Granek.

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Granek, L., Nakash, O. The Impact of Militarism, Patriarchy, and Culture on Israeli Women’s Reproductive Health and Well-Being. Int.J. Behav. Med. 24, 893–900 (2017). https://doi.org/10.1007/s12529-017-9650-7

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