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Prevalence and determinants of the involvement of married men in family planning services in Ethiopia: A systematic review and meta-analysis 埃塞俄比亚已婚男性参与计划生育服务的患病率和决定因素:一项系统综述和荟萃分析
IF 2.4 Q2 Medicine Pub Date : 2022-05-01 DOI: 10.1177/17455057221099083
Bekalu Getnet Kassa, Lebeza Alemu Tenaw, A. Ayele, Gebrehiwot Ayalew Tiruneh
Background: Male involvement in family planning includes not only using contraceptives but also encouraging and supporting their partners’ contraception needs and choices, encouraging peers to use family planning, and influencing policy to make male-related programs more conducive. In Ethiopia, the prevalence and associated factors of male involvement in family planning were highly inconsistent across studies. As a result, the goal of this study was to use a systematic review and meta-analysis to estimate the pooled prevalence of male involvement in family planning and its associated factors in Ethiopia. Methods: Electronic literature search using PubMed, Google Scholar, EMBASE, HINAR, Scopus, and Web of Sciences were performed without time restriction to identify the primary studies. Data were extracted using a pretested standardized data extraction format and analyzed using STATA 14 statistical software. A random-effect model was used to estimate the pooled prevalence of male involvement. Results: A total of 17 studies were included to give the pooled prevalence of male involvement in family planning in Ethiopia, which was 39.66% (95% confidence interval = 29.86, 49.45). Educational status (adjusted odds ratio = 1.99, 95% confidence interval = 1.26, 3.14), discussion of family planning with wife (adjusted odds ratio = 4.15, 95% confidence interval = 2.21, 7.80), knowledge (adjusted odds ratio = 1.83, 95% confidence interval = 1.26, 2.64), positive attitude about family planning (adjusted odds ratio = 2.57, 95% confidence interval = 1.70, 3.90), and approval of contraceptive use (adjusted odds ratio = 2.57, 95% confidence interval = 1.70, 3.90) were found to be significantly associated with involvement of men in family planning service. Conclusion: The overall prevalence of male involvement in family planning in Ethiopia was significantly low. Male involvement in family planning should be made available, accessible, and advocated for by government and non-governmental organizations, service providers, program planners, and stakeholders. In addition, to increase the role of men in the use of family planning services, a conducive environment for education, behavioral change, and open discussion about reproductive health issues is required.
背景:男性参与计划生育不仅包括使用避孕药具,还包括鼓励和支持其伴侣的避孕需求和选择,鼓励同伴使用计划生育,并影响政策,使与男性有关的方案更加有利。在埃塞俄比亚,研究中男性参与计划生育的流行程度和相关因素高度不一致。因此,本研究的目的是使用系统回顾和荟萃分析来估计埃塞俄比亚男性参与计划生育的总体患病率及其相关因素。方法:利用PubMed、谷歌Scholar、EMBASE、HINAR、Scopus、Web of Sciences等软件进行电子文献检索,不受时间限制,确定主要研究。采用预先测试的标准化数据提取格式提取数据,并使用STATA 14统计软件进行分析。随机效应模型用于估计男性参与的总患病率。结果:共纳入17项研究,得出埃塞俄比亚男性参与计划生育的总患病率为39.66%(95%可信区间= 29.86,49.45)。教育程度(调整优势比= 1.99,95%可信区间= 1.26,3.14)、与妻子讨论计划生育(调整优势比= 4.15,95%可信区间= 2.21,7.80)、知识(调整优势比= 1.83,95%可信区间= 1.26,2.64)、对计划生育持积极态度(调整优势比= 2.57,95%可信区间= 1.70,3.90)、批准使用避孕药具(调整优势比= 2.57,95%可信区间= 1.70,3.90)与男子参与计划生育服务有显著关系。结论:埃塞俄比亚男性参与计划生育的总体患病率明显较低。政府和非政府组织、服务提供者、方案规划者和利益攸关方应使男性参与计划生育的机会和便利得到提倡。此外,为了增强男子在利用计划生育服务方面的作用,需要一个有利于教育、改变行为和公开讨论生殖健康问题的环境。
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引用次数: 2
‘It feels like my visibility matters’: Women ageing with HIV overcoming the ‘violence of invisibility’ through community, advocacy and the radical act of care for others “我觉得我的能见度很重要”:感染艾滋病毒的老年妇女通过社区、宣传和关心他人的激进行为克服了“隐形的暴力”
IF 2.4 Q2 Medicine Pub Date : 2022-04-01 DOI: 10.1177/17455057221095911
Jacqui Stevenson
Objectives: A participatory qualitative study exploring women’s experiences of ageing with HIV in London, United Kingdom. The research considered how the concept of ‘community’ was relevant to women’s experiences and what constructions of ‘community’ could be discerned in the experiences, accounts given and discourses employed by older women living with HIV. Methods: The research presented in this article was conducted as a PhD study between 2015 and 2019. The study was structured in multiple and overlapping phases, and adopted a feminist and participatory approach. The methods used in the research were as follows: participatory literature review, participatory creative workshops, policy review and stakeholder interviews, life story interviews, and a participatory analysis workshop. Results: Eighteen women living with HIV aged over 50 participated in creative workshops and fourteen women in life story interviews. Women’s experiences of ageing with HIV are shaped by intersecting identities, community responses, and personal connections. Ageing with HIV brings challenges, added to and augmented by other difficulties women face in their lives, but women draw on individual and community assets in order to adapt, cope and thrive. Belonging to a community of women living with HIV and a broader community of people living with HIV created a vital space of safety, in which women found support, advice, and meaning. Conclusions: Women ageing with HIV countered the ‘violence of invisibility’ through forming community with other women living with HIV, rejecting stigma, and enacting a personal form of advocacy through care for others.
目的:一项参与性质的研究,探讨英国伦敦老年妇女感染艾滋病毒的经历。该研究考虑了“社区”的概念如何与妇女的经历相关,以及在感染艾滋病毒的老年妇女的经历、叙述和话语中可以辨别出“社区”的哪些结构。方法:本文的研究是在2015年至2019年期间进行的博士研究。该研究分为多个重叠阶段,并采用了女权主义和参与性方法。研究方法包括:参与式文献回顾、参与式创意工作坊、政策回顾与利益相关者访谈、生活故事访谈、参与式分析工作坊。结果:18名50岁以上的女性HIV感染者参加了创意工作坊,14名女性参加了生活故事访谈。妇女感染艾滋病毒的老年经历受到相互交织的身份、社区反应和个人关系的影响。携带艾滋病毒的老龄化带来了挑战,妇女在生活中面临的其他困难加剧和加剧了这些挑战,但妇女利用个人和社区的资产来适应、应对和发展。属于艾滋病毒感染妇女社区和更广泛的艾滋病毒感染人群社区创造了一个至关重要的安全空间,妇女在其中找到了支持、建议和意义。结论:感染艾滋病毒的老年妇女通过与其他感染艾滋病毒的妇女组成社区,拒绝污名化,并通过照顾他人制定个人形式的宣传来对抗“隐形暴力”。
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引用次数: 1
A survey of women’s experiences of using period tracker applications: Attitudes, ovulation prediction and how the accuracy of the app in predicting period start dates affects their feelings and behaviours 一项关于女性使用月经追踪应用程序的经历的调查:态度、排卵预测以及该应用程序预测月经开始日期的准确性如何影响她们的感受和行为
IF 2.4 Q2 Medicine Pub Date : 2022-04-01 DOI: 10.1177/17455057221095246
Anna Broad, R. Biswakarma, Joyce C Harper
Introduction: Using an online survey, the aim of this study was to ask women about their real-life experiences of using period tracker apps, their attitudes towards using their app, the information the app provided regarding ovulation and how the accuracy of the app in predicting period start dates affects their feelings and behaviours if their period comes earlier or later than predicted. Methods: This mixed-methods observational study was conducted by an online survey of 50 multiple-choice and open-ended questions. The survey was generated with Qualtrics XM® and promoted via social media. It was open to any person who had used a period tracker. Results: From 375 total responses, 330 complete responses were obtained, giving a completion rate of 88.0%. Respondents were aged between 14 and 54, with a mean age of 26.0 (±7.81). When asked what was the best thing about using the app, 29.7% (98/330) of respondents selected ‘To know when I’m ovulating’. Respondents were asked if their period ever started earlier than the app predicted; 54.9% (189/330) said it had and 72.1% (238/330) said it had started later than predicted. When asked how they felt if their period arrived earlier or later than expected, thematic analysis of periods starting earlier revealed four themes: feeling unaffected, being frustrated/unprepared, feeling anxious/stressed and feeling confused/intrigued. Thematic analysis when their period arrived later revealed six themes: anxious/concerned about pregnancy, disappointed about pregnancy, seeking advice/informing healthcare professionals, thoughts about menopause, feeling unaffected and being better prepared. Conclusion: Period trackers need to be clearer on their intended use and reliability, especially for period due date and ovulation. Qualitative analysis shows the impact of inaccurate predictions on aspects of the users’ health. This study calls for period tracker app companies to update their apps to provide transparency to their users about their intended use and capabilities.
引言:通过一项在线调查,这项研究的目的是询问女性使用月经追踪应用程序的真实经历、她们对使用该应用程序的态度、该应用程序提供的有关排卵的信息,以及如果她们的月经比预测的早或晚,该应用程序预测月经开始日期的准确性如何影响她们的感受和行为。方法:这项混合方法的观察性研究通过对50个选择题和开放式问题的在线调查进行。该调查由Qualtrics XM®生成,并通过社交媒体进行推广。它对任何使用过经期追踪器的人开放。结果:在375个回复中,获得了330个完整回复,完成率为88.0%。受访者年龄在14至54岁之间,平均年龄为26.0(±7.81)。当被问及使用该应用程序的最佳效果时,29.7%(98/330)的受访者选择了“知道我什么时候排卵”。受访者被问及他们的月经是否比应用程序预测的更早开始;54.9%(189/330)的人表示已经开始,72.1%(238/330)表示开始时间晚于预测。当被问及如果月经提前或晚于预期,他们会有何感受时,对提前开始月经的主题分析揭示了四个主题:感觉不受影响、沮丧/毫无准备、感到焦虑/压力以及感到困惑/好奇。月经来潮后的主题分析揭示了六个主题:对怀孕感到焦虑/担忧、对怀孕感到失望、寻求建议/告知医疗专业人员、对更年期的想法、感觉不受影响和做好更好的准备。结论:经期追踪器需要更清楚地说明其预期用途和可靠性,尤其是预产期和排卵期。定性分析显示了不准确的预测对用户健康的影响。这项研究呼吁经期追踪应用公司更新其应用程序,以向用户提供有关其预期用途和功能的透明度。
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引用次数: 11
Identifying domestic violence and sexual assault presentations at a regional Australian hospital emergency department: Comparative analysis of domestic violence and sexual assault cases 识别澳大利亚地区医院急诊科的家庭暴力和性侵犯陈述:家庭暴力和性侵案件的比较分析
IF 2.4 Q2 Medicine Pub Date : 2022-01-01 DOI: 10.1177/17455057221103992
Nafiseh Ghafournia, S. J. R. Healey
Objective: To map the main characteristics of and differences between domestic violence and sexual assault cases presenting to a hospital emergency department in Australia. Methods: This retrospective observational cross-sectional study presents a snapshot of domestic violence and sexual assault cases presenting to the emergency department of a regional tertiary Australian hospital between 1 January 2018 and 31 December 2018. Data were extracted from the health district electronic information system for all eligible females. All data were checked for completeness and discrepancies by researchers before analysis. Results: 42/105 (40%) sexual assault cases and 27/56 (48%) domestic violence cases reported mental health issues. More than half of the sexual assault and domestic violence cases had recurrent presentations to emergency department (51%; 54/105% and 52%; 29/56, respectively); most injuries were classed as severe. 92/105; 88% of sexual assault and 41/56; 73% of domestic violence victims were referred to related services. Conclusion: Clinical health staff, particularly those working in emergency department, can play crucial roles in identifying cases of domestic violence and sexual assault. Domestic violence training for clinicians and routine domestic violence screening in hospital emergency department is recommended to enhance early intervention.
目的:了解澳大利亚医院急诊科就诊的家庭暴力和性侵案件的主要特征及其差异。方法:这项回顾性观察性横断面研究提供了2018年1月1日至2018年12月31日期间向澳大利亚一家地区三级医院急诊科提交的家庭暴力和性侵犯案件的快照。从卫生区电子信息系统中提取了所有符合条件的女性的数据。在分析之前,研究人员对所有数据的完整性和差异性进行了检查。结果:42/105(40%)性侵案件和27/56(48%)家庭暴力案件报告了心理健康问题。超过一半的性侵和家庭暴力案件经常向急诊科就诊(分别为51%、54/105%和52%、29/56);大多数受伤被列为严重。92/105;88%的性侵犯和41/56;73%的家庭暴力受害者被转介到相关服务机构。结论:临床卫生工作人员,特别是急诊科的工作人员,可以在识别家庭暴力和性侵犯案件方面发挥关键作用。建议对临床医生进行家庭暴力培训,并在医院急诊科进行常规家庭暴力筛查,以加强早期干预。
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引用次数: 1
Neural plasticity of the uterus: New targets for endometrial cancer? 子宫神经可塑性:子宫内膜癌症的新靶点?
IF 2.4 Q2 Medicine Pub Date : 2022-01-01 DOI: 10.1177/17455057221095537
P. Español, Rocio Luna, C. Soler, Pablo Caruana, Amanda Altés-Arranz, Francisco Rodríguez, O. Porta, O. Sánchez, E. Llurba, R. Rovira, M. V. Céspedes
Endometrial carcinoma is the most common gynecological malignancy in Western countries and is expected to increase in the following years because of the high index of obesity in the population. Recently, neural signaling has been recognized as part of the tumor microenvironment, playing an active role in tumor progression and invasion of different solid tumor types. The uterus stands out for the physiological plasticity of its peripheral nerves due to cyclic remodeling brought on by estrogen and progesterone hormones throughout the reproductive cycle. Therefore, a precise understanding of nerve-cancer crosstalk and the contribution of the organ-intrinsic neuroplasticity, mediated by estrogen and progesterone, of the uterine is urgently needed. The development of new and innovative medicines for patients with endometrial cancer would increase their quality of life and health. This review compiles information on the architecture and function of autonomous uterine neural innervations and the influence of hormone-dependent nerves in normal uterus and tumor progression. It also explores new therapeutic possibilities for endometrial cancer using these endocrine and neural advantages.
子宫内膜癌是西方国家最常见的妇科恶性肿瘤,由于人口肥胖指数高,预计在未来几年将增加。近年来,神经信号被认为是肿瘤微环境的一部分,在不同类型实体瘤的肿瘤进展和侵袭中发挥着积极的作用。子宫因其周围神经的生理可塑性而突出,这是由于在整个生殖周期中雌激素和孕激素引起的循环重塑。因此,迫切需要准确理解神经-肿瘤串扰以及子宫雌激素和孕激素介导的器官内在神经可塑性的作用。为子宫内膜癌患者开发新的和创新的药物将提高他们的生活质量和健康。本文综述了自主子宫神经支配的结构和功能,以及激素依赖性神经在正常子宫和肿瘤进展中的影响。它还探索了利用这些内分泌和神经优势治疗子宫内膜癌的新可能性。
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引用次数: 5
HIV prevention – Challenges in reaching Libyan women: A narrative review 艾滋病预防-利比亚妇女面临的挑战:述评
IF 2.4 Q2 Medicine Pub Date : 2022-01-01 DOI: 10.1177/17455057221080832
Abier Hamidi
Introduction: The need to effectively communicate HIV/AIDS prevention messages in Libya, where HIV prevalence is relatively low yet increasing, cannot be overstressed. A review of the literature on HIV prevalence, risk factors, stigma and awareness found that there is a lack of HIV research, information and support in the country. This is particularly true regarding women, who account for 25%–30% of people living with HIV in Libya. Aim: Drawing on the various literature, this narrative review will (1) present a historical trajectory of Libyan women and their role in society and (2) identify some challenges that HIV prevention programmes face in reaching Libyan women. Methods: Medline, PubMed, Web of Science, ScienceDirect, Scopus and Cochrane Library were searched for English and Arabic language articles. Primary research studies and official reports indicating a discussion or research on HIV in Libya and Libyan women were considered. Reference lists of articles were reviewed to identify additional studies. Thirty-seven articles dating from 1987 to 2021 were selected and critically appraised. Results: There is a lack of sufficient information within the existing literature, but the gathered literature did reveal some significant insights. Factors such as limited sexual health education, inadequate medical services, social and cultural restrictions and stigma, as well as limited agency, were identified as potential barriers to women accessing crucial information on HIV. Conclusion: The article found that the HIV prevention efforts that have been carried out in Libya may be compromised as they were not designed to recognize and adhere to sociocultural norms that impact on Libyan women’s scope for choice and agency. By understanding the interplay between gender, social and structural factors in Libya, a model of better adjusted prevention and early intervention activities could be developed; a toolkit that conceptualizes the culture and that appreciates the role of a Libyan woman is changing.
导言:在利比亚,艾滋病毒流行率相对较低,但仍在上升,有效传播艾滋病毒/艾滋病预防信息的必要性怎么强调都不为过。对有关艾滋病毒流行、风险因素、污名化和认识的文献的回顾发现,该国缺乏艾滋病毒研究、信息和支持。这对妇女来说尤其如此,她们占利比亚艾滋病毒感染者的25%-30%。目的:利用各种文献,这篇叙述性综述将(1)呈现利比亚妇女的历史轨迹及其在社会中的作用,(2)确定艾滋病预防计划在接触利比亚妇女方面面临的一些挑战。方法:检索Medline、PubMed、Web of Science、ScienceDirect、Scopus和Cochrane Library的英文和阿拉伯文文章。会议审议了关于利比亚和利比亚妇女艾滋病毒的讨论或研究的初步研究和官方报告。查阅文献列表以确定其他研究。从1987年到2021年的37篇文章被选中并进行了严格的评估。结果:现有文献中缺乏足够的信息,但收集到的文献确实揭示了一些重要的见解。性健康教育有限、医疗服务不足、社会和文化限制和耻辱以及代理有限等因素被确定为妇女获得关于艾滋病毒的关键信息的潜在障碍。结论:这篇文章发现,在利比亚开展的艾滋病预防工作可能会受到损害,因为它们没有被设计成承认和坚持影响利比亚妇女选择和代理范围的社会文化规范。通过了解利比亚性别、社会和结构因素之间的相互作用,可以制定一种更好地调整预防和早期干预活动的模式;一个将文化概念化并重视利比亚妇女角色的工具包正在发生变化。
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引用次数: 0
Role of discrimination and resilience on birth weight: A systematic examination in a sample of Black, Latina, and White women 歧视和复原力对出生体重的作用:对黑人、拉丁裔和白人女性样本的系统检查
IF 2.4 Q2 Medicine Pub Date : 2022-01-01 DOI: 10.1177/17455057221093927
K. Mickelson, P. Doehrman, C. Chambers, Hayley D. Seely, Marianna Kaneris, Rachel Stancl, Chelsea E Stewart, Shea Sullivan
Introduction: Health inequities begin before birth with Black women being more likely to have low birth weight babies than White and Latina women. Although both Latina and Black women experience discrimination, only Black women appear to be affected. Methods: In this study using medical records and face-to-face interviews, we systematically examined the role of discrimination (daily, environmental, vicarious) on continuous birth weight (controlling for gestational age and baby’s gender) in a sample of 329 Black, Latina, and White pregnant women, as well as whether familism, prayer, and/or discrimination attribution buffered this association. Results: Linear regression analyses revealed that only prayer acted as a resilience factor, with Latina women appearing to benefit from prayer in the link between vicarious and daily discrimination on birth weight conditional on gestational age, whereas Black women showed no moderation and White women showed an exacerbation in the link. Discussion: The results of this study suggest that sociocultural norms may play a role in explaining the Latina epidemiological paradox, but more research is needed to understand the significance.
引言:健康不平等始于出生前,黑人女性比白人和拉丁裔女性更有可能生下低出生体重的婴儿。尽管拉丁裔和黑人女性都受到歧视,但似乎只有黑人女性受到影响。方法:在这项使用医疗记录和面对面访谈的研究中,我们系统地检查了歧视(日常、环境、替代)对329名黑人、拉丁裔和白人孕妇的连续出生体重(控制胎龄和婴儿性别)的作用,以及家庭主义、祈祷、,和/或歧视归因缓冲了这种关联。结果:线性回归分析显示,只有祈祷才是一个恢复因素,拉丁裔女性似乎从祈祷中受益,因为代孕和以胎龄为条件的出生体重日常歧视之间存在联系,而黑人女性则没有表现出适度性,白人女性则表现出这种联系的恶化。讨论:这项研究的结果表明,社会文化规范可能在解释拉丁裔流行病学悖论中发挥作用,但还需要更多的研究来理解其意义。
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引用次数: 2
Continuum of maternal healthcare services utilization and its associated factors in Ethiopia: A systematic review and meta-analysis 连续的孕产妇保健服务的利用及其相关因素在埃塞俄比亚:一个系统的回顾和荟萃分析
IF 2.4 Q2 Medicine Pub Date : 2022-01-01 DOI: 10.1177/17455057221091732
Dagne Addisu, Maru Mekie, A. Melkie, H. Abie, Enyew Dagnew, M. bezie, Alemu Degu, Shimeles Biru, E. Chanie
The continuum of care throughout pregnancy, childbirth, and postnatal period is one of the vital strategies for improving maternal and neonatal health and preventing maternal and neonatal mortalities and morbidities. The level and determinants of the complete continuum of care for maternal health services reported by different studies were extremely varied in Ethiopia. Therefore, this meta-analysis aimed to estimate the overall prevalence of a complete continuum of maternal health care services utilization and its associated factors in Ethiopia. Databases such as PubMed/MEDLINE, Science Direct, DOJA, African journals online, Cochrane library, Google scholar, web of science, and Ethiopian universities’ institutional repository were used to search for relevant studies. A total of seven studies with 4854 study participants were involved in this study. Data were extracted by two reviewers and exported to STATA Version 11 for analysis. The I2 statistics and Egger’s test were used to assess heterogeneity and publication bias, respectively. The random-effects random effects model was used to estimate the level of complete continuum of care for maternal health services. The pooled prevalence of complete continuum of maternal healthcare services utilization was 25.51%. Employed mothers (OR = 3.16, 95%CI = 1.82, 5.47), first antenatal ante natal care visit before 16 weeks (OR = 7.53, 95% CI = 2.94, 19.29), birth preparedness and complication readiness plan (OR = 1.95, 95% CI = 1.12, 3.41), secondary and above educational status (OR = 2.97, 95% CI = 2.00, 4.41), planned pregnancy (OR = 6.86, 95% CI = 3.47, 13.58) and autonomy (OR = 3.73, 95% CI = 2.24–6.23) were significantly associated with continuum of maternal healthcare services utilization. In conclusion, the national level of complete continuum of maternal healthcare service utilization was low in Ethiopia. Being employed mothers, first ante natal care visit before 16 weeks, birth preparedness and complication readiness plan, secondary and above educational status, autonomy, and planned pregnancy were the major determinants of continuum of maternal healthcare services utilization.
在怀孕、分娩和产后期间持续提供护理是改善孕产妇和新生儿健康以及预防孕产妇和新生儿死亡和疾病的重要战略之一。埃塞俄比亚不同研究报告的孕产妇保健服务完整连续性的水平和决定因素差异很大。因此,这项荟萃分析旨在估计埃塞俄比亚孕产妇保健服务利用的整体流行率及其相关因素。PubMed/MEDLINE、Science Direct、DOJA、非洲在线期刊、Cochrane图书馆、谷歌学者、科学网和埃塞俄比亚大学的机构知识库等数据库用于搜索相关研究。共有7项研究涉及4854名研究参与者。数据由两名评审员提取,并导出到STATA版本11进行分析。I2统计和Egger检验分别用于评估异质性和发表偏倚。随机效应-随机效应模型用于估计孕产妇保健服务的完整连续护理水平。孕产妇保健服务利用完全连续性的合并患病率为25.51% = 3.16,95%CI = 1.82,5.47),16周前第一次产前产前护理就诊(OR = 7.53,95%CI = 2.94,19.29)、分娩准备和并发症准备计划(OR = 1.95,95%CI = 1.12、3.41)、中等及以上教育程度(OR = 2.97,95%CI = 2.00,4.41),计划怀孕(OR = 6.86,95%CI = 3.47、13.58)和自主性(OR = 3.73,95%CI = 2.24–6.23)与孕产妇保健服务利用的连续性显著相关。总之,埃塞俄比亚产妇保健服务利用的完整连续性国家水平较低。作为在职母亲,16周前的第一次产前护理就诊、分娩准备和并发症准备计划、中等及以上教育地位、自主性和计划妊娠是孕产妇保健服务连续使用的主要决定因素。
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引用次数: 5
Media use in gynecological and obstetric care and women’s perceived level of education received of lifestyle-related risks: A cross-sectional study 妇科和产科护理中媒体的使用与女性对生活方式相关风险的教育程度:一项横断面研究
IF 2.4 Q2 Medicine Pub Date : 2022-01-01 DOI: 10.1177/17455057221090116
Manuela Bombana, M. Wensing, G. Müller, C. Ullrich, M. Heinzel‐Gutenbrunner, M. Wittek
Objective: The application of media on lifestyle-related risk factors (LRRFs) by healthcare providers to educate women may improve women’s adherence, health literacy, and awareness of LRRFs, as well as offspring’s health outcomes. This study investigated whether exposure to media-based education in gynecological and obstetric care is associated with LRRFs perceived levels of education received during pregnancy and lactation. Methods: We conducted a cross-sectional, observational study across 14 randomly generated sample points in the 12 most populated cities in Baden-Württemberg, southwest Germany. Women were recruited from gynecological and obstetric institutions. Participants were 219 women who met our inclusion criteria and completed the quantitative questionnaire. We applied ordinal logistic regression analyses to calculate odds ratios (ORs) and 95% confidence intervals (CIs) of women’s perceived level of education received related to healthcare providers’ exposure to media-based education. Results: Media-based education on LRRFs during pregnancy through gynecologists and/or midwives were significantly associated with women’s perceived level of education received (gynecologists: OR = 4.26 (95% CI: 2.04, 8.90; p < .001); midwives: OR = 3.86 (95% CI: 1.66, 8.98; p = .002)). Similar results were found for media-based education through gynecologists and/or midwives on LRRFs during lactation and its association with women’s self-assessed level of perceived level of education received (gynecologists: OR = 4.76 (95% CI: 2.15, 10.56; p < .001); midwives: OR = 7.61 (95% CI: 3.13, 18.53; p < .001)). Conclusions: This study suggests that the exposure to media-based education in gynecological and obstetric care increases women’s perceived level of education received of LRRFs during pregnancy and lactation. Therefore, it is recommendable to apply media in gynecological and obstetric care settings.
目的:医疗保健提供者对妇女进行生活方式相关危险因素(LRRFs)媒体教育,可以提高妇女的依从性、健康素养和对LRRFs的认识,以及后代的健康结局。本研究调查了以媒体为基础的妇科和产科护理教育是否与LRRFs在怀孕和哺乳期间所接受的教育水平有关。方法:我们在德国西南部巴登-符腾堡州12个人口最多的城市中随机抽取14个样本点进行了横断面观察性研究。妇女是从妇科和产科机构征聘的。参与者是219名女性,她们符合我们的纳入标准并完成了定量问卷。我们应用有序逻辑回归分析来计算女性感知的受教育程度与医疗保健提供者接受媒体教育相关的比值比(ORs)和95%置信区间(ci)。结果:通过妇科医生和/或助产士对妊娠期LRRFs的媒体教育与妇女感知的接受教育水平显著相关(妇科医生:or = 4.26 (95% CI: 2.04, 8.90;p < .001);助产士:OR = 3.86 (95% CI: 1.66, 8.98;p = .002))。通过妇科医生和/或助产士在哺乳期对LRRFs进行媒体教育,以及与妇女自我评估的接受教育水平的关系也发现了类似的结果(妇科医生:or = 4.76 (95% CI: 2.15, 10.56;p < .001);助产士:OR = 7.61 (95% CI: 3.13, 18.53;p < 0.001))。结论:本研究提示,接受基于媒体的妇科和产科护理教育可以提高妇女在怀孕和哺乳期间接受LRRFs教育的感知水平。因此,推荐应用媒体在妇科和产科护理设置。
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What will it take to achieve the sexual and reproductive health and rights of women living with HIV? 需要什么才能实现艾滋病毒感染妇女的性健康和生殖健康以及权利?
IF 2.7 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2022-01-01 DOI: 10.1177/17455057221080361
Keren Dunaway, Sophie Brion, Fiona Hale, Jacquelyne Alesi, Happy Assan, Cecilia Chung, Svitlana Moroz, Angelina Namiba, Joyce Ouma, Immaculate B Owomugisha, Violeta Ross, Sophie Strachan, Martha Tholanah, Anandi Yuvaraj, Alice Welbourn

This article outlines progress in realizing the sexual and reproductive health and rights of women and girls living with HIV over the last 30 years from the perspective of women living with HIV. It argues that the HIV response needs to go beyond the bio-medical aspects of HIV to achieve our sexual and reproductive health and rights, and considers relevant Joint United Nations Programme on HIV/AIDS (UNAIDS), World Health Organization, United States President's Emergency Plan for AIDS Relief (PEPFAR), Global Fund and other guidelines, what engagement there has been with women living with HIV and whether guidelines/strategies have been adopted. It has been written by women living with HIV from around the world and a few key supporters. Co-authors have sought to collate and cite materials produced by women living with HIV from around the world, in the first known effort to date to do this, as a convergence of evidence to substantiate the points made in the article. However, as the article also argues, research led by women living with HIV is seldom funded and rarely accepted as evidence. Combined with a lack of meaningful involvement of women living with HIV in others' research on us, this means that formally recognized evidence from women's own perspectives is patchy at best. The article argues that this research gap, combined with the ongoing primacy of conventional research methods and topics that exclude those most affected by issues, and the lack of political will (and sometimes outright opposition) in relation to gender equality and human rights, adversely affect policies and programmes in relation to women's rights. Thus, efforts to achieve an ethical, effective and sustainable response to the pandemic are hindered. The article concludes with a call to action to all key stakeholders.

本文从艾滋病毒感染者的角度概述了过去30年来在实现艾滋病毒感染者妇女和女孩的性健康和生殖健康及权利方面取得的进展。它认为,应对艾滋病毒需要超越艾滋病毒的生物医学方面,以实现我们的性健康和生殖健康及权利,并考虑到相关的联合国艾滋病毒/艾滋病联合规划署(艾滋病规划署)、世界卫生组织、美国总统艾滋病紧急救援计划、全球基金和其他指导方针,与感染艾滋病毒的妇女进行了哪些接触,是否通过了指导方针/战略。这本书是由世界各地感染艾滋病毒的妇女和一些主要支持者撰写的。合著者试图整理和引用世界各地感染艾滋病毒的妇女制作的材料,这是迄今为止已知的第一次这样做,作为证据的汇集,以证实文章中的观点。然而,正如文章所说,由感染艾滋病毒的妇女领导的研究很少得到资助,也很少被接受为证据。再加上艾滋病毒感染者缺乏有意义地参与他人对我们的研究,这意味着从女性自身角度得到的正式认可的证据充其量是不完整的。文章认为,这种研究差距,再加上传统研究方法和主题的持续主导地位,将受问题影响最大的人排除在外,以及在性别平等和人权方面缺乏政治意愿(有时甚至是完全反对),对妇女权利方面的政策和方案产生了不利影响。因此,对这一流行病作出合乎道德、有效和可持续的反应的努力受到阻碍。文章最后呼吁所有关键利益攸关方采取行动。
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Womens Health
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