Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00263
Laurie A Boge, Wyatt C, S. Dr, Cecilia M, Cubeddu Lx, Escolar E, Goldszer Rc, Farcy Da
Introduction: For patients presenting to an emergency department with a chief complaint of chest pain, current American Heart Association guidelines recommend that time from emergency department arrival to completion of electrocardiogram be 10 minutes or less. The aim of this study is to evaluate if differences still exist amongst a diverse patient population presenting to a busy urban emergency department with a chief complaint of chest pain. Methods: This retrospective study looked at 3,419 patients who presented to the Emergency Department with any complaint of chest pain during the medical screening examination. Arrival time and time of first electrocardiogram along with age, gender, race, ethnicity and primary language were extracted from electronic health records. Results: For all patients, the mean time to electrocardiogram was 12.5 minutes (95% CI: 12.1-12.7) and 49.9% of all patients received an electrocardiogram within 10 minutes of arrival. Mean time for men was 11.6 minutes and for women 13.3 minutes (P<0.0001); in addition 54% of men and 44.4% of women had electrocardiogram done within 10 minutes of arrival (P<0.0001). No differences were found with regards to primary language, race or ethnicity of patients. Mean time to electrocardiogram for patients less than 40 years old was 14.6 minutes, which was significantly longer than patients equal or older than 40 years, who’s mean time was 11.9 minutes (p<0.0001). The effect of age was observed across gender, race, ethnicity and primary language spoken by the patients. Conclusions: Patient presenting to the emergency department with chest pain are subject to several biases that potentially create health disparities. In this study we show that younger patients and women had a delay in time to electrocardiogram showing biases are still an issue.
{"title":"Evaluating disparities affecting time from emergency department door to electrocardiogram in chest pain patients","authors":"Laurie A Boge, Wyatt C, S. Dr, Cecilia M, Cubeddu Lx, Escolar E, Goldszer Rc, Farcy Da","doi":"10.15406/mojwh.2020.09.00263","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00263","url":null,"abstract":"Introduction: For patients presenting to an emergency department with a chief complaint of chest pain, current American Heart Association guidelines recommend that time from emergency department arrival to completion of electrocardiogram be 10 minutes or less. The aim of this study is to evaluate if differences still exist amongst a diverse patient population presenting to a busy urban emergency department with a chief complaint of chest pain. Methods: This retrospective study looked at 3,419 patients who presented to the Emergency Department with any complaint of chest pain during the medical screening examination. Arrival time and time of first electrocardiogram along with age, gender, race, ethnicity and primary language were extracted from electronic health records. Results: For all patients, the mean time to electrocardiogram was 12.5 minutes (95% CI: 12.1-12.7) and 49.9% of all patients received an electrocardiogram within 10 minutes of arrival. Mean time for men was 11.6 minutes and for women 13.3 minutes (P<0.0001); in addition 54% of men and 44.4% of women had electrocardiogram done within 10 minutes of arrival (P<0.0001). No differences were found with regards to primary language, race or ethnicity of patients. Mean time to electrocardiogram for patients less than 40 years old was 14.6 minutes, which was significantly longer than patients equal or older than 40 years, who’s mean time was 11.9 minutes (p<0.0001). The effect of age was observed across gender, race, ethnicity and primary language spoken by the patients. Conclusions: Patient presenting to the emergency department with chest pain are subject to several biases that potentially create health disparities. In this study we show that younger patients and women had a delay in time to electrocardiogram showing biases are still an issue.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00261
Endurance Uzobo
The works of deBoer and Lamxay1 attributed the reasons for the use of CAM to be associated with traditional and cultural beliefs and practices as well as comparison of experiences between conventional health care professionals. Similarly, Ngubane cited in Mupfumira2 buttressing this point stated that in African culture, infants are particularly susceptible to harm from evil spirits and specific CAM are taken as a positive measure against bewitchment or to avoid misfortune as well as to ensure the baby’s survival. Frenkel, BenArye, Carlson and Sierpina,3 in their study, opined that in Africa, many people use CAM to meet their primary health care needs because the therapy is easily accessible, and the only affordable source of health care in some countries, especially the world’s most impoverished clients. Hence complementary and alternative medicine has gained recognition and has also become of great importance in the healthcare sector.
{"title":"Perceived benefits, problems and risks in complementary and alternative medicine use among pregnant women in the Niger delta, Nigeria","authors":"Endurance Uzobo","doi":"10.15406/mojwh.2020.09.00261","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00261","url":null,"abstract":"The works of deBoer and Lamxay1 attributed the reasons for the use of CAM to be associated with traditional and cultural beliefs and practices as well as comparison of experiences between conventional health care professionals. Similarly, Ngubane cited in Mupfumira2 buttressing this point stated that in African culture, infants are particularly susceptible to harm from evil spirits and specific CAM are taken as a positive measure against bewitchment or to avoid misfortune as well as to ensure the baby’s survival. Frenkel, BenArye, Carlson and Sierpina,3 in their study, opined that in Africa, many people use CAM to meet their primary health care needs because the therapy is easily accessible, and the only affordable source of health care in some countries, especially the world’s most impoverished clients. Hence complementary and alternative medicine has gained recognition and has also become of great importance in the healthcare sector.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"9 1","pages":"7-18"},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00262
Voloshina Im
In order to be able to predict the health status of children, depending on the nature of the course of pregnancy, 169 couples were examined and observed during the whole period of gestation. The dental health of 172 children born to them was monitored from birth to 3 years. When conducting a correlated analysis of the relationship between the nature of the course of pregnancy and the dental health of the child, statistically significant interrelationships of these indicators have been revealed. Moreover, when calculating the gamma coefficient, the data on the most significant results in correlation of the physiological course of toxicosis and absence of dental pathology were obtained (Gamma=0.90). From this we can conclude that there is a high probability of a physiological course of pregnancy in a woman with no history of somatic pathology.
{"title":"Prognostic importance of the nature of the course of pregnancy and the dental status of their children","authors":"Voloshina Im","doi":"10.15406/mojwh.2020.09.00262","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00262","url":null,"abstract":"In order to be able to predict the health status of children, depending on the nature of the course of pregnancy, 169 couples were examined and observed during the whole period of gestation. The dental health of 172 children born to them was monitored from birth to 3 years. When conducting a correlated analysis of the relationship between the nature of the course of pregnancy and the dental health of the child, statistically significant interrelationships of these indicators have been revealed. Moreover, when calculating the gamma coefficient, the data on the most significant results in correlation of the physiological course of toxicosis and absence of dental pathology were obtained (Gamma=0.90). From this we can conclude that there is a high probability of a physiological course of pregnancy in a woman with no history of somatic pathology.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"9 1","pages":"20-21"},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00267
A. MariaKaganova, Spiridonova Nv
Background: The number of patients in reproductive age with congenital hydrocephalus and liquor-shunting operations in history is steadily increasing. The issue of pregnancy, childbirth and the postpartum period is a very difficult task, which involves not only obstetrician-gynecologists, but also related specialists. One of the complications during pregnancy may be impaired function of the shunt, which in combination with the hypertensive form of hydrocephaly is an indication for cesarean section, in other cases, vaginal delivery is preferable. Materials and methods: The purpose of this study is the demonstration of the clinical case of pregnancy and successful vaginal delivery of the young patient with congenital hydrocephalus and ventriculo-peritoneal shunting. Discussion: This case demonstrates the advantages of vaginal delivery in patients with a ventriculo-peritoneal shunt using a Kiwi vacuum extractor for shorten the second stage of labor. Conclusion: the observation and management of pregnant women with hydrocephalus and liquor-assisting surgeries in the anamnesis should be a joint both an obstetrician-gynecologist, and a neurologist, and a neurosurgeon. This pathology is not a contraindication to vaginal delivery, but in the case of compensated hydrocephalus is a more preferable delivery method than cesarean section. In order to anesthetize labor, both narcotic analgesics and epidural anesthesia can be used.
{"title":"Congenital hydrocephalus with ventriculo-peritoneal bypass surgery: management of labor","authors":"A. MariaKaganova, Spiridonova Nv","doi":"10.15406/mojwh.2020.09.00267","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00267","url":null,"abstract":"Background: The number of patients in reproductive age with congenital hydrocephalus and liquor-shunting operations in history is steadily increasing. The issue of pregnancy, childbirth and the postpartum period is a very difficult task, which involves not only obstetrician-gynecologists, but also related specialists. One of the complications during pregnancy may be impaired function of the shunt, which in combination with the hypertensive form of hydrocephaly is an indication for cesarean section, in other cases, vaginal delivery is preferable. Materials and methods: The purpose of this study is the demonstration of the clinical case of pregnancy and successful vaginal delivery of the young patient with congenital hydrocephalus and ventriculo-peritoneal shunting. Discussion: This case demonstrates the advantages of vaginal delivery in patients with a ventriculo-peritoneal shunt using a Kiwi vacuum extractor for shorten the second stage of labor. Conclusion: the observation and management of pregnant women with hydrocephalus and liquor-assisting surgeries in the anamnesis should be a joint both an obstetrician-gynecologist, and a neurologist, and a neurosurgeon. This pathology is not a contraindication to vaginal delivery, but in the case of compensated hydrocephalus is a more preferable delivery method than cesarean section. In order to anesthetize labor, both narcotic analgesics and epidural anesthesia can be used.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00265
M. B. Zvi, M. Tsivian, M. Neuman, A. Sidi, A. Tsivian
Background: Vesico-cervical fistula (VCF) is an extremely rare complication of cesarean section, and only sporadic cases have been reported. Objectives: We wanted to analyze the incidence, symptomatology, diagnosis and therapeutic aspects of vesico-cervical fistula. Methods: In a six years period we treated four women with vesico-cervical fistula, mean age 34 years, all following a cesarean section. Results: Here we present the diagnosis, management and outcome of women with this complication in our institution. Conclusion: This report should increase awareness of this uncommon complication and aid in prompt and comprehensive evaluation and management.
{"title":"Vesico-cervical fistulae: case series","authors":"M. B. Zvi, M. Tsivian, M. Neuman, A. Sidi, A. Tsivian","doi":"10.15406/mojwh.2020.09.00265","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00265","url":null,"abstract":"Background: Vesico-cervical fistula (VCF) is an extremely rare complication of cesarean section, and only sporadic cases have been reported. Objectives: We wanted to analyze the incidence, symptomatology, diagnosis and therapeutic aspects of vesico-cervical fistula. Methods: In a six years period we treated four women with vesico-cervical fistula, mean age 34 years, all following a cesarean section. Results: Here we present the diagnosis, management and outcome of women with this complication in our institution. Conclusion: This report should increase awareness of this uncommon complication and aid in prompt and comprehensive evaluation and management.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00260
M. Anyanwu, Kajaly Bah
Hydatidiform mole (H. mole) belongs to a spectrum of disease known as gestational trophoblastic disease (GTD), resulting from overproduction of the chorionic tissue, which is normally supposed to develop into the placenta. Hydatidiform mole (molar pregnancy) is the non-malignant form of gestational trophoblastic neoplasia.1,2 It is of clinical and epidemiological interest because of its significant complication in pregnancy. Hydatidiform moles are non-viable, genetically abnormal conceptions, showing excessive expression of paternal genes. In this condition, the placental tissues develop into an abnormal mass. Often, there is no fetal parts at all. However, partial moles may show presence of fetal tissue. This disease can occur even during or after intrauterine or ectopic pregnancy.
{"title":"A cross sectional descriptive study on hydatidiform mole at Gambian tertiary hospital","authors":"M. Anyanwu, Kajaly Bah","doi":"10.15406/mojwh.2020.09.00260","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00260","url":null,"abstract":"Hydatidiform mole (H. mole) belongs to a spectrum of disease known as gestational trophoblastic disease (GTD), resulting from overproduction of the chorionic tissue, which is normally supposed to develop into the placenta. Hydatidiform mole (molar pregnancy) is the non-malignant form of gestational trophoblastic neoplasia.1,2 It is of clinical and epidemiological interest because of its significant complication in pregnancy. Hydatidiform moles are non-viable, genetically abnormal conceptions, showing excessive expression of paternal genes. In this condition, the placental tissues develop into an abnormal mass. Often, there is no fetal parts at all. However, partial moles may show presence of fetal tissue. This disease can occur even during or after intrauterine or ectopic pregnancy.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"9 1","pages":"1-5"},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojwh.2020.09.00266
De Nardo Bárbara, Belardo Maria Alejandra, Gelin Marina, C. Malena
Osteoporosis is a disease related to bone metabolism disorder. It is characterized by low bone mass and deterioration of the micro architecture, whose consequence is greater bone fragility and an increased risk of fractures. The purpose of this review is to summarize literature review regarding dietary calcium and vitamin d intake and exercise interventions for the treatment of osteoporosis in isolation. Recommendations as adequate amounts of total calcium, vitamin D and protein intake, regular exercise to improve strength and balance to reduce the risk of falls and consequent fractures, are known to be effective strategies for the prevention of osteoporosis, but also an important complement in the treatment.
{"title":"Impact of vitamin D3, calcium and exercise in the management of osteoporosis","authors":"De Nardo Bárbara, Belardo Maria Alejandra, Gelin Marina, C. Malena","doi":"10.15406/mojwh.2020.09.00266","DOIUrl":"https://doi.org/10.15406/mojwh.2020.09.00266","url":null,"abstract":"Osteoporosis is a disease related to bone metabolism disorder. It is characterized by low bone mass and deterioration of the micro architecture, whose consequence is greater bone fragility and an increased risk of fractures. The purpose of this review is to summarize literature review regarding dietary calcium and vitamin d intake and exercise interventions for the treatment of osteoporosis in isolation. Recommendations as adequate amounts of total calcium, vitamin D and protein intake, regular exercise to improve strength and balance to reduce the risk of falls and consequent fractures, are known to be effective strategies for the prevention of osteoporosis, but also an important complement in the treatment.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"16 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67091934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-11DOI: 10.15406/mojwh.2019.08.00258
I. Elnasr, Hesham Ammar, Ahmed Nasef
Bacterial vaginosis (BV) can be considered as the commonest vaginal infection and is the cause of many complications, such as preterm birth and transmission of sexually transmitted infection (STIs),1 and it has been associated with vaginal cuff cellulitis, wound infection and abscess formation after hysterectomy.2 BV is associated with increased rates of obstetrical complications, such preterm labor, and low birth weight, preterm premature rupture of the membranes, late miscarriage, spontaneous abortion, Chorioamnionitis, postpartum maternal infections and infertility.3 BV may be symptomatic or asymptomatic. Symptomatic BV is characterized by a copious, thin, homogeneous, milky, foul-smelling vaginal flow, which is exacerbated after intercourse without condom use and menstruation.4
{"title":"Prevalence of aerobic bacterial vaginosis among chronic IUD users among Egyptian women's","authors":"I. Elnasr, Hesham Ammar, Ahmed Nasef","doi":"10.15406/mojwh.2019.08.00258","DOIUrl":"https://doi.org/10.15406/mojwh.2019.08.00258","url":null,"abstract":"Bacterial vaginosis (BV) can be considered as the commonest vaginal infection and is the cause of many complications, such as preterm birth and transmission of sexually transmitted infection (STIs),1 and it has been associated with vaginal cuff cellulitis, wound infection and abscess formation after hysterectomy.2 BV is associated with increased rates of obstetrical complications, such preterm labor, and low birth weight, preterm premature rupture of the membranes, late miscarriage, spontaneous abortion, Chorioamnionitis, postpartum maternal infections and infertility.3 BV may be symptomatic or asymptomatic. Symptomatic BV is characterized by a copious, thin, homogeneous, milky, foul-smelling vaginal flow, which is exacerbated after intercourse without condom use and menstruation.4","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"8 1","pages":"317-321"},"PeriodicalIF":2.4,"publicationDate":"2019-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47583838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-08DOI: 10.15406/mojwh.2017.05.00142
P. Wilkins
{"title":"How the NHS and worldwide health services are currently worsening everyone’s health","authors":"P. Wilkins","doi":"10.15406/mojwh.2017.05.00142","DOIUrl":"https://doi.org/10.15406/mojwh.2017.05.00142","url":null,"abstract":"","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":"1 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42442389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-01DOI: 10.1177/1745506519871186
Laura P Abell, Kelly A Tanase, Madison L Gilmore, Anna E Winnicki, Vic Holmes, J. Hartos
Objectives: While physical activity is important for health, many women do not meet recommended levels, particularly mothers. The purpose of this study was to assess whether physical activity levels differ by number of children at home in women aged 25–44 in the general US population. Methods: This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance System data for females aged 25–44 (N = 6266) from California, Colorado, New York, Texas, and Utah. Ordered logistic regression analysis assessed the relationship between physical activity levels and number of children at home while controlling for state and demographic, socioeconomic, and health-related factors. Results: About half of participants reported “inactive” or “insufficiently active” physical activity levels and about two-thirds reported having one or more children at home. The results of adjusted analysis indicated that physical activity level was significantly related to having one child (adjusted odds ratio = 0.75, 95% confidence interval = 0.63, 0.89), two children (adjusted odds ratio = 0.79; 95% confidence interval = 0.67, 0.93), and three or more children (adjusted odds ratio = 0.80, 95% confidence interval = 0.67, 0.94) at home. Conclusion: Overall, physical activity levels were significantly related to presence of children at home for women aged 25–44, but increasing number of children at home did not impact effect size. For women aged 25–44 in a primary care setting, a moderate prevalence of inactive or insufficiently active physical activity may be expected. Providers should address physical activity with all patients in this target population during well-visits, but particularly for women with children at home; educate patients about the health benefits of regular physical activity; and provide resources that will help them integrate physical activity into their daily lifestyles.
{"title":"Do physical activity levels differ by number of children at home in women aged 25–44 in the general population?","authors":"Laura P Abell, Kelly A Tanase, Madison L Gilmore, Anna E Winnicki, Vic Holmes, J. Hartos","doi":"10.1177/1745506519871186","DOIUrl":"https://doi.org/10.1177/1745506519871186","url":null,"abstract":"Objectives: While physical activity is important for health, many women do not meet recommended levels, particularly mothers. The purpose of this study was to assess whether physical activity levels differ by number of children at home in women aged 25–44 in the general US population. Methods: This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance System data for females aged 25–44 (N = 6266) from California, Colorado, New York, Texas, and Utah. Ordered logistic regression analysis assessed the relationship between physical activity levels and number of children at home while controlling for state and demographic, socioeconomic, and health-related factors. Results: About half of participants reported “inactive” or “insufficiently active” physical activity levels and about two-thirds reported having one or more children at home. The results of adjusted analysis indicated that physical activity level was significantly related to having one child (adjusted odds ratio = 0.75, 95% confidence interval = 0.63, 0.89), two children (adjusted odds ratio = 0.79; 95% confidence interval = 0.67, 0.93), and three or more children (adjusted odds ratio = 0.80, 95% confidence interval = 0.67, 0.94) at home. Conclusion: Overall, physical activity levels were significantly related to presence of children at home for women aged 25–44, but increasing number of children at home did not impact effect size. For women aged 25–44 in a primary care setting, a moderate prevalence of inactive or insufficiently active physical activity may be expected. Providers should address physical activity with all patients in this target population during well-visits, but particularly for women with children at home; educate patients about the health benefits of regular physical activity; and provide resources that will help them integrate physical activity into their daily lifestyles.","PeriodicalId":47398,"journal":{"name":"Womens Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1745506519871186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46910901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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