Pub Date : 2024-09-01Epub Date: 2024-08-18DOI: 10.1080/03630242.2024.2392132
Yasemin Karatepe, Elif Uludağ
Labor is a complex, subjective experience, and all factors that influence pain should be considered to ensure a comprehensive evaluation. This study aimed to determine whether gender roles were predictive of labor pain. The study has a descriptive and cross-sectional design. It was carried out in a delivery room of a city hospital in Turkey between September 2019 and September 2020. The study sample consisted of 231 primiparous women presenting for labor and delivery. Data were gathered with a descriptive characteristics form, Visual Analogue Scale and The Bem Sex-Role Inventory. Descriptive statistics and simple regression analysis were employed to analyze the obtained data. Regression analysis demonstrated that gender roles were predictive of labor pain in the latent, active, and transitional stages, but not in the second stage. Gender roles were most responsible for labor pain in the latent phase. Results of the study revealed that gender roles may be useful variables to predict women's labor pain, and contributed to the relevant literature. Nurses and midwives offering care for labor pain should consider gender roles as a factor affecting labor pain. It is also necessary to individualize the supporting care given during labor.
{"title":"Gender roles as predictive factors on labor pain: a cross-sectional study.","authors":"Yasemin Karatepe, Elif Uludağ","doi":"10.1080/03630242.2024.2392132","DOIUrl":"10.1080/03630242.2024.2392132","url":null,"abstract":"<p><p>Labor is a complex, subjective experience, and all factors that influence pain should be considered to ensure a comprehensive evaluation. This study aimed to determine whether gender roles were predictive of labor pain. The study has a descriptive and cross-sectional design. It was carried out in a delivery room of a city hospital in Turkey between September 2019 and September 2020. The study sample consisted of 231 primiparous women presenting for labor and delivery. Data were gathered with a descriptive characteristics form, Visual Analogue Scale and The Bem Sex-Role Inventory. Descriptive statistics and simple regression analysis were employed to analyze the obtained data. Regression analysis demonstrated that gender roles were predictive of labor pain in the latent, active, and transitional stages, but not in the second stage. Gender roles were most responsible for labor pain in the latent phase. Results of the study revealed that gender roles may be useful variables to predict women's labor pain, and contributed to the relevant literature. Nurses and midwives offering care for labor pain should consider gender roles as a factor affecting labor pain. It is also necessary to individualize the supporting care given during labor.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-07-28DOI: 10.1080/03630242.2024.2382420
Nurdilan Şener Çetin, Gülçin Nacar, Sermin Timur Taşhan
This study aimed to determine the effect of the mindfulness-based stress reduction program applied to postmenopausal women on insomnia and quality of life. A quasi-experimental pretest-posttest control group design was used. The sample of the study consisted of a total of 151 postmenopausal women, including 73 in the experimental group and 78 in the control group. In the study, the mindfulness-based stress reduction program (MBSR) was applied to the women in the experimental group for eight weeks, and then the women repeated the program individually for another eight weeks. The second measurement data were collected eight weeks after the collection of the first measurement data, and the third measurement data were collected 16 weeks later. The mean score obtained from the second measurement application of the Women's Health Initiative Insomnia Rating Scale (WHIIRS) was lower in the experimental group than in the control group (p < .05). In addition, the mean scores from the second and third measurement applications of the Menopause-Specific Quality of Life Questionnaire (MENQOL) were lower in the experimental group than in the control group (p < .05). The MBSR program reduced postmenopausal women's insomnia and improved their quality of life. This program can be used safely to treat insomnia and improve the quality of life of postmenopausal women. NCT05202054 (date: 21.01.2022).
本研究旨在确定基于正念的减压计划对绝经后妇女失眠和生活质量的影响。研究采用了准实验性的前测-后测对照组设计。研究样本由 151 名绝经后妇女组成,其中实验组 73 人,对照组 78 人。在研究中,实验组妇女接受了为期八周的正念减压项目(MBSR),然后又单独重复了八周。第一次测量数据收集八周后收集第二次测量数据,16 周后收集第三次测量数据。妇女健康倡议失眠量表(WHIIRS)第二次测量的平均得分在实验组低于对照组(P P
{"title":"The effect of mindfulness-based stress reduction program applied to postmenopausal women on insomnia and quality of life.","authors":"Nurdilan Şener Çetin, Gülçin Nacar, Sermin Timur Taşhan","doi":"10.1080/03630242.2024.2382420","DOIUrl":"10.1080/03630242.2024.2382420","url":null,"abstract":"<p><p>This study aimed to determine the effect of the mindfulness-based stress reduction program applied to postmenopausal women on insomnia and quality of life. A quasi-experimental pretest-posttest control group design was used. The sample of the study consisted of a total of 151 postmenopausal women, including 73 in the experimental group and 78 in the control group. In the study, the mindfulness-based stress reduction program (MBSR) was applied to the women in the experimental group for eight weeks, and then the women repeated the program individually for another eight weeks. The second measurement data were collected eight weeks after the collection of the first measurement data, and the third measurement data were collected 16 weeks later. The mean score obtained from the second measurement application of the Women's Health Initiative Insomnia Rating Scale (WHIIRS) was lower in the experimental group than in the control group (<i>p</i> < .05). In addition, the mean scores from the second and third measurement applications of the Menopause-Specific Quality of Life Questionnaire (MENQOL) were lower in the experimental group than in the control group (<i>p</i> < .05). The MBSR program reduced postmenopausal women's insomnia and improved their quality of life. This program can be used safely to treat insomnia and improve the quality of life of postmenopausal women. NCT05202054 (date: 21.01.2022).</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-07-22DOI: 10.1080/03630242.2024.2382419
Ugnė Grigaitė, Greta Klidziūtė, Deborah Oyine Aluh, Bárbara Pedrosa, Margarida Santos-Dias, Manuela Silva, Graça Cardoso, José Miguel Caldas-de-Almeida
Around eight-out-of-ten survivors of domestic violence in Lithuania are women, and of those, eight-out-of-ten suffer violence specifically from their intimate partners (IPV). Women who experience IPV are at higher risk of having mental health conditions. This study aims to explore the perspectives of mental health and social care professionals regarding the provision of mental health support to IPV survivors in Lithuania. Four focus groups were conducted among 29 service providers from across the country. Audio-recordings were transcribed verbatim and analyzed thematically using MAXQDA software. The five main themes derived from the analysis reveal: 1) low levels of IPV awareness among IPV survivors who seek support with their mental health; 2) a lack of specialized training among professionals as a barrier to effective support; 3) a low prioritization on the national level; 4) little inter-sectoral collaboration which undermines the complexity of needed responses; 5) broader systemic problems. The provision of mental health support to IPV survivors lacks the recognition that IPV is gender-based violence and a major public (mental) health problem. The complexity of needed services is absent. Further research needs to explore the utilization of mental health services by IPV survivors and their perceptions concerning it.
{"title":"Responding to the needs of survivors of intimate partner violence in Lithuania: perceptions of mental health and social care professionals.","authors":"Ugnė Grigaitė, Greta Klidziūtė, Deborah Oyine Aluh, Bárbara Pedrosa, Margarida Santos-Dias, Manuela Silva, Graça Cardoso, José Miguel Caldas-de-Almeida","doi":"10.1080/03630242.2024.2382419","DOIUrl":"10.1080/03630242.2024.2382419","url":null,"abstract":"<p><p>Around eight-out-of-ten survivors of domestic violence in Lithuania are women, and of those, eight-out-of-ten suffer violence specifically from their intimate partners (IPV). Women who experience IPV are at higher risk of having mental health conditions. This study aims to explore the perspectives of mental health and social care professionals regarding the provision of mental health support to IPV survivors in Lithuania. Four focus groups were conducted among 29 service providers from across the country. Audio-recordings were transcribed verbatim and analyzed thematically using MAXQDA software. The five main themes derived from the analysis reveal: 1) low levels of IPV awareness among IPV survivors who seek support with their mental health; 2) a lack of specialized training among professionals as a barrier to effective support; 3) a low prioritization on the national level; 4) little inter-sectoral collaboration which undermines the complexity of needed responses; 5) broader systemic problems. The provision of mental health support to IPV survivors lacks the recognition that IPV is gender-based violence and a major public (mental) health problem. The complexity of needed services is absent. Further research needs to explore the utilization of mental health services by IPV survivors and their perceptions concerning it.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-08-18DOI: 10.1080/03630242.2024.2390757
Márcia Mendonça Carneiro
{"title":"The battle against the global fertility crisis: have we crossed the Rubicon?","authors":"Márcia Mendonça Carneiro","doi":"10.1080/03630242.2024.2390757","DOIUrl":"https://doi.org/10.1080/03630242.2024.2390757","url":null,"abstract":"","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-08-07DOI: 10.1080/03630242.2024.2382418
Beatriz Taliberti da Costa Porto, Paulo Ayroza Ribeiro, Fábio Kuteken, Fábio Ohara, Helizabet Salomão Abdalla Ribeiro
Women with deep infiltrating endometriosis (DIE) can benefit from the use of progestins. Our aim is to explore if levonorgestrel-releasing intrauterine system (LNG-IUS) non inferior to dienogest (DNG) in improving deep endometriosis women's quality of life (QoL). This randomized open-label clinical trial included forty women with DIE assessed using clinical history and physical examination, transvaginal ultrasonography and magnetic resonance of the pelvis without any previous surgical treatment, with two treatments arms. The two groups underwent a 3-month washout of hormonal treatments, and then received either DNG or LNG-IUS for 6 months. QoL was assessed prior to and 6 months after the intervention, using the SF36 and the EHP30. DNG and LNG-IUS showed an increase on all domains of the SF36 (p < .001). There was no difference between treatments on the improvement observed (p > .05 for all domains). DNG and LNG-IUS, also, showed improvement on all domains of EHP30 (p < .001), except "relationship with children" and "feelings about pregnancy." However, there was no statistical difference between treatments for all sections scores (p > .05). The treatment of deep endometriosis symptoms using either DNG or LNG-IUS in women with no prior surgical treatment is associated with improvement in QoL.Trial Registration Number: This trial is registered on "The Brazilian Registry of Clinical Trials (ReBECID: RBR-8fjx2jp)," that is part of Primary Registries in the WHO Registry Network, under the title: "Dienogest versus Levonorgestrel IUS on deep endometriosis patient´s QoL without surgery" on June 14, 2021; https://ensaiosclinicos.gov.br/rg/RBR-8fjx2jp.
{"title":"Levonorgestrel intrauterine system versus dienogest effect on quality of life of women with deep endometriosis: a randomized open-label clinical trial.","authors":"Beatriz Taliberti da Costa Porto, Paulo Ayroza Ribeiro, Fábio Kuteken, Fábio Ohara, Helizabet Salomão Abdalla Ribeiro","doi":"10.1080/03630242.2024.2382418","DOIUrl":"10.1080/03630242.2024.2382418","url":null,"abstract":"<p><p>Women with deep infiltrating endometriosis (DIE) can benefit from the use of progestins. Our aim is to explore if levonorgestrel-releasing intrauterine system (LNG-IUS) non inferior to dienogest (DNG) in improving deep endometriosis women's quality of life (QoL). This randomized open-label clinical trial included forty women with DIE assessed using clinical history and physical examination, transvaginal ultrasonography and magnetic resonance of the pelvis without any previous surgical treatment, with two treatments arms. The two groups underwent a 3-month washout of hormonal treatments, and then received either DNG or LNG-IUS for 6 months. QoL was assessed prior to and 6 months after the intervention, using the SF36 and the EHP30. DNG and LNG-IUS showed an increase on all domains of the SF36 (<i>p</i> < .001). There was no difference between treatments on the improvement observed (<i>p</i> > .05 for all domains). DNG and LNG-IUS, also, showed improvement on all domains of EHP30 (<i>p</i> < .001), except \"relationship with children\" and \"feelings about pregnancy.\" However, there was no statistical difference between treatments for all sections scores (<i>p</i> > .05). The treatment of deep endometriosis symptoms using either DNG or LNG-IUS in women with no prior surgical treatment is associated with improvement in QoL.<b>Trial Registration Number</b>: This trial is registered on \"The Brazilian Registry of Clinical Trials (ReBECID: RBR-8fjx2jp),\" that is part of Primary Registries in the WHO Registry Network, under the title: \"Dienogest versus Levonorgestrel IUS on deep endometriosis patient´s QoL without surgery\" on June 14, 2021; https://ensaiosclinicos.gov.br/rg/RBR-8fjx2jp.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-08-18DOI: 10.1080/03630242.2024.2392140
Alexandra Kissling, Evangeline Warren, Priya Gursahaney, Alison H Norris, Maria F Gallo
Crisis pregnancy centers (CPCs) provide social support, material aid, and counseling against abortion. We evaluated the perspectives of CPC clients to understand how they found the CPC that they attended for services. In 2019, we conducted in-depth interviews with 21 clients of 10 CPCs in Ohio, who were recruited from the CPC (n = 9) or an abortion clinic (n = 12), to understand their experiences attending the center. This analysis focused on the ways in which pregnant people end up as clients at a CPC seeking assistance instead of attending another setting, such as a medical center. We identified two pathways through which clients find CPCs. First, in the internet pathway, clients needing abortion services found CPCs via internet search for pregnancy symptoms, abortion care, or ultrasound services. Second, in the social safety network pathway, clients needing material aid found CPCs through recommendations from trusted others and due to the proximity of CPCs to their homes. Structural conditions influence the pathways clients pursue, such as the need for healthcare services and material aid. Future research should further explore the demographics of those who attend CPCs and motivations for attendance.
{"title":"Crisis management: pathways to crisis pregnancy centers.","authors":"Alexandra Kissling, Evangeline Warren, Priya Gursahaney, Alison H Norris, Maria F Gallo","doi":"10.1080/03630242.2024.2392140","DOIUrl":"https://doi.org/10.1080/03630242.2024.2392140","url":null,"abstract":"<p><p>Crisis pregnancy centers (CPCs) provide social support, material aid, and counseling against abortion. We evaluated the perspectives of CPC clients to understand how they found the CPC that they attended for services. In 2019, we conducted in-depth interviews with 21 clients of 10 CPCs in Ohio, who were recruited from the CPC (<i>n</i> = 9) or an abortion clinic (<i>n</i> = 12), to understand their experiences attending the center. This analysis focused on the ways in which pregnant people end up as clients at a CPC seeking assistance instead of attending another setting, such as a medical center. We identified two pathways through which clients find CPCs. First, in the <i>internet pathway</i>, clients needing abortion services found CPCs via internet search for pregnancy symptoms, abortion care, or ultrasound services. Second, in the <i>social safety network pathway</i>, clients needing material aid found CPCs through recommendations from trusted others and due to the proximity of CPCs to their homes. Structural conditions influence the pathways clients pursue, such as the need for healthcare services and material aid. Future research should further explore the demographics of those who attend CPCs and motivations for attendance.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-08-12DOI: 10.1080/03630242.2024.2389523
Ahmed Ali Hassan, Saeed M Omar, Osama S Osman, Nadiah AlHabardi, Osama Al-Wutayd, Ishag Adam
This study assesses the prevalence and determinants of inadequate (less than eight contacts) and late antenatal care (ANC) initiation (starting after 12 weeks) among mothers delivered at Gadarif Maternity Hospital in eastern Sudan. A hospital-based cross-sectional study was conducted at Gadarif Maternity Hospital. A questionnaire was used to collect sociodemographic, clinical, and obstetric data through face-to-face interviews. Seven hundred mothers were enrolled with the median (interquartile range) of mothers' age, and parity was 28(24-32) years and 3(2-5), respectively. Of these 700 mothers, 79.3 percent and 10.3 percent had inadequate and late ANC, respectively. In multivariable logistic regression analysis, being a housewife (adjusted odds ratio [AOR] 1.93, 95 percent CI 1.09, 3.43) was associated with inadequate ANC. High parity (AOR 1.27, 95 percent CI 1.07-1.52) was positively associated with late ANC initiation. There was no association between age, residence, education, preexisting medical disorder, and history of miscarriage) with inadequate or late ANC initiation In eastern Sudan, four out of five mothers did not comply with the World Health Organization's recommendation of a minimum of eight ANC contacts for positive pregnancy outcomes. This study is crucial for policy-makers to take further strategic actions to ensure adequate and early ANC initiation for all mothers in Sudan.
{"title":"High rate of inadequate antenatal contacts among mothers in eastern Sudan: a cross-sectional study.","authors":"Ahmed Ali Hassan, Saeed M Omar, Osama S Osman, Nadiah AlHabardi, Osama Al-Wutayd, Ishag Adam","doi":"10.1080/03630242.2024.2389523","DOIUrl":"10.1080/03630242.2024.2389523","url":null,"abstract":"<p><p>This study assesses the prevalence and determinants of inadequate (less than eight contacts) and late antenatal care (ANC) initiation (starting after 12 weeks) among mothers delivered at Gadarif Maternity Hospital in eastern Sudan. A hospital-based cross-sectional study was conducted at Gadarif Maternity Hospital. A questionnaire was used to collect sociodemographic, clinical, and obstetric data through face-to-face interviews. Seven hundred mothers were enrolled with the median (interquartile range) of mothers' age, and parity was 28(24-32) years and 3(2-5), respectively. Of these 700 mothers, 79.3 percent and 10.3 percent had inadequate and late ANC, respectively. In multivariable logistic regression analysis, being a housewife (adjusted odds ratio [AOR] 1.93, 95 percent CI 1.09, 3.43) was associated with inadequate ANC. High parity (AOR 1.27, 95 percent CI 1.07-1.52) was positively associated with late ANC initiation. There was no association between age, residence, education, preexisting medical disorder, and history of miscarriage) with inadequate or late ANC initiation In eastern Sudan, four out of five mothers did not comply with the World Health Organization's recommendation of a minimum of eight ANC contacts for positive pregnancy outcomes. This study is crucial for policy-makers to take further strategic actions to ensure adequate and early ANC initiation for all mothers in Sudan.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-07-31DOI: 10.1080/03630242.2024.2383289
Claudio Lera Orsatti, Fabio Lera Orsatti, João Pedro Esteves Alves De Souza, Daniel de Araujo Brito Buttros, Eliana Aguiar Petri Nahas
This study aims to investigate the potential association between serum levels of cytokines, HSP60, HSP70 and IR (HOMA-IR) in postmenopausal women. We conducted a cross-sectional study involving 381 postmenopausal women, including 94 with a breast cancer diagnosis and 278 without. We analyzed anthropometric and laboratory measurements. Immunoassays were used to measure cytokines (TNF-α, IL-10, and IL-6) as well as heat shock proteins (HSP) 60 and 70 in the serum using the ELISA technique. Women diagnosed with breast cancer showed higher levels of HOMA-IR, IL-6, TNF, and HSP60, and lower levels of IL-10 and HSP70 compared to women without cancer. An association was found between HSP70 and HOMA-IR only in women with breast cancer (β = 0.22, p = .030; without cancer: β = 0.04, p = .404), regardless of age, waist circumference, smoking, and physical activity. No associations were observed between cytokines, HSP60, and HOMA-IR in both groups of women. HSP70 is positively associated with IR in women diagnosed with breast cancer.
{"title":"Postmenopausal women treated for breast cancer with insulin resistance: clinical, analytical, cross-sectional.","authors":"Claudio Lera Orsatti, Fabio Lera Orsatti, João Pedro Esteves Alves De Souza, Daniel de Araujo Brito Buttros, Eliana Aguiar Petri Nahas","doi":"10.1080/03630242.2024.2383289","DOIUrl":"10.1080/03630242.2024.2383289","url":null,"abstract":"<p><p>This study aims to investigate the potential association between serum levels of cytokines, HSP60, HSP70 and IR (HOMA-IR) in postmenopausal women. We conducted a cross-sectional study involving 381 postmenopausal women, including 94 with a breast cancer diagnosis and 278 without. We analyzed anthropometric and laboratory measurements. Immunoassays were used to measure cytokines (TNF-α, IL-10, and IL-6) as well as heat shock proteins (HSP) 60 and 70 in the serum using the ELISA technique. Women diagnosed with breast cancer showed higher levels of HOMA-IR, IL-6, TNF, and HSP60, and lower levels of IL-10 and HSP70 compared to women without cancer. An association was found between HSP70 and HOMA-IR only in women with breast cancer (β = 0.22, <i>p</i> = .030; without cancer: β = 0.04, <i>p</i> = .404), regardless of age, waist circumference, smoking, and physical activity. No associations were observed between cytokines, HSP60, and HOMA-IR in both groups of women. HSP70 is positively associated with IR in women diagnosed with breast cancer.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01Epub Date: 2024-07-10DOI: 10.1080/03630242.2024.2377640
Aukje Lamonica, Miriam Boeri, Mishal Khan
The aim of this qualitative research paper was to identify how social isolation policies implemented during the COVID-19 pandemic impacted the lives of pregnant women and mothers with opioid use disorder. Between 2020 and 2022, in-depth interviews were conducted with 37 mothers and pregnant women living in the suburbs of Newark, NJ, and New Haven, CT. Participants had to be at least 18 years old, misused or abused opioids in the last 12 months while residing in a suburban location, and pregnant or caring for children aged 12 and younger. We used syndemics theory to guide our grounded theory analysis to identify relationships between social situations, health conditions, and opioid use disorder. Five major themes emerged that were either directly or indirectly impacted by social isolation caused by policies implemented during the COVID-19 pandemic: Relationships, Environment, Services, Drug Use, and Health. Findings from this study reveal new insights into how mothers and their health were impacted by prolonged social isolation policies and offer suggestions for policymakers and service providers to better address future crisis.
{"title":"The impact of social isolation policies during COVID-19 on suburban mothers and pregnant women with opioid use disorder.","authors":"Aukje Lamonica, Miriam Boeri, Mishal Khan","doi":"10.1080/03630242.2024.2377640","DOIUrl":"10.1080/03630242.2024.2377640","url":null,"abstract":"<p><p>The aim of this qualitative research paper was to identify how social isolation policies implemented during the COVID-19 pandemic impacted the lives of pregnant women and mothers with opioid use disorder. Between 2020 and 2022, in-depth interviews were conducted with 37 mothers and pregnant women living in the suburbs of Newark, NJ, and New Haven, CT. Participants had to be at least 18 years old, misused or abused opioids in the last 12 months while residing in a suburban location, and pregnant or caring for children aged 12 and younger. We used syndemics theory to guide our grounded theory analysis to identify relationships between social situations, health conditions, and opioid use disorder. Five major themes emerged that were either directly or indirectly impacted by social isolation caused by policies implemented during the COVID-19 pandemic: <i>Relationships, Environment, Services, Drug Use</i>, and <i>Health</i>. Findings from this study reveal new insights into how mothers and their health were impacted by prolonged social isolation policies and offer suggestions for policymakers and service providers to better address future crisis.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01Epub Date: 2024-05-29DOI: 10.1080/03630242.2024.2360419
V Martínez-Borba, C Suso-Ribera, J Osma
Emotional disorders (EDs) are highly prevalent during the reproductive period, including pregnancy, postpartum, and women undergoing fertility treatments. International guidelines are increasingly suggesting the need to evaluate, prevent, and treat EDs in those women. The main aim of this narrative review is to summarize current practice in the field of EDs management during fertility treatments, pregnancy, and the postpartum and to propose a new technology-based model of care that helps to provide psychological care to all women who are in these periods. Four different databases (Pubmed, Scopus, Science Direct, Web of Science) were consulted. Selected keywords were related with infertility, pregnancy, postpartum, EDs, assessment, prevention, treatment, and technologies. We identified 1603 studies and 43 were included in this review. According to these studies, different face-to-face protocols already exist to manage EDs in women undergoing fertility treatments, pregnant or at the postpartum. We noticed an increased interest in developing technology-based solutions to overcome the limitations of traditional mental healthcare services. However, we also detected some issues in the use of technologies (i.e. increased attention to the postpartum or the lack of transdiagnostic approaches). Our results evidenced that there is still a need to develop modern, well-designed, and conceptually-relevant ICT-based programs to be used in women undergoing fertility treatments, pregnant or at the postpartum.
情感障碍(ED)在生育期,包括怀孕、产后和接受生育治疗的妇女中非常普遍。越来越多的国际指南提出,有必要对这些妇女的情绪障碍进行评估、预防和治疗。这篇叙事性综述的主要目的是总结目前在生育治疗、妊娠和产后ED管理领域的实践,并提出一种新的基于技术的护理模式,以帮助为处于这些时期的所有女性提供心理护理。我们查阅了四个不同的数据库(Pubmed、Scopus、Science Direct、Web of Science)。选择的关键词涉及不孕、怀孕、产后、ED、评估、预防、治疗和技术。我们确定了 1603 项研究,其中 43 项被纳入本综述。根据这些研究,目前已有不同的面对面方案来处理接受不孕不育治疗、怀孕或产后妇女的 ED。我们注意到,人们对开发基于技术的解决方案以克服传统心理保健服务的局限性越来越感兴趣。不过,我们也发现了一些技术使用方面的问题(如对产后的关注度增加或缺乏跨诊断方法)。我们的研究结果表明,仍有必要开发基于信息和通信技术的现代化、精心设计和概念相关的项目,用于正在接受生育治疗、怀孕或产后的妇女。
{"title":"Current state and practical recommendations on reproductive mental health: a narrative review.","authors":"V Martínez-Borba, C Suso-Ribera, J Osma","doi":"10.1080/03630242.2024.2360419","DOIUrl":"10.1080/03630242.2024.2360419","url":null,"abstract":"<p><p>Emotional disorders (EDs) are highly prevalent during the reproductive period, including pregnancy, postpartum, and women undergoing fertility treatments. International guidelines are increasingly suggesting the need to evaluate, prevent, and treat EDs in those women. The main aim of this narrative review is to summarize current practice in the field of EDs management during fertility treatments, pregnancy, and the postpartum and to propose a new technology-based model of care that helps to provide psychological care to all women who are in these periods. Four different databases (Pubmed, Scopus, Science Direct, Web of Science) were consulted. Selected keywords were related with infertility, pregnancy, postpartum, EDs, assessment, prevention, treatment, and technologies. We identified 1603 studies and 43 were included in this review. According to these studies, different face-to-face protocols already exist to manage EDs in women undergoing fertility treatments, pregnant or at the postpartum. We noticed an increased interest in developing technology-based solutions to overcome the limitations of traditional mental healthcare services. However, we also detected some issues in the use of technologies (i.e. increased attention to the postpartum or the lack of transdiagnostic approaches). Our results evidenced that there is still a need to develop modern, well-designed, and conceptually-relevant ICT-based programs to be used in women undergoing fertility treatments, pregnant or at the postpartum.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}