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How do marital conflicts influence post-traumatic growth among infertile women? The moderation role of coping strategies. 婚姻冲突如何影响不孕妇女的创伤后成长?应对策略的调节作用
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-11-19 DOI: 10.1080/07399332.2024.2430340
Dejuan Sun, Li Han, Baoxian Lin, Lilin Li, Cindy Xinshan Jia

In the current study, the authors aimed to investigate the post-traumatic growth (PTG) among infertile women who experience conflicts with their spouses, and the role of personal coping strategies in mitigating such influences. A total of 267 infertile female patients were recruited from a reproductive medical center in China. OLS regressions with moderation effects of coping strategies were conducted. Our results showed that coping strategies had the main influence on infertile women's PTG, and minimizing and avoiding marital conflicts had a particularly negative effect on PTG when infertile women adopted greater maladaptive coping strategies. Possible practical implications, such as improving infertile women's coping strategies were discussed.

在本研究中,作者旨在调查与配偶发生冲突的不孕女性的创伤后成长(PTG)情况,以及个人应对策略在缓解这种影响方面的作用。研究人员从中国某生殖医学中心招募了267名不孕女性患者。我们对应对策略的调节效应进行了 OLS 回归。结果表明,应对策略对不孕女性的PTG有主要影响,当不孕女性采取更多的不良应对策略时,尽量减少和避免婚姻冲突对PTG的负面影响尤为明显。研究还讨论了改善不孕妇女应对策略等可能的实际意义。
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引用次数: 0
Beyond the operation room: Exploring inequalities in out-of-pocket and catastrophic health expenditures for caesarean surgical care in Cameroon, a decomposition analysis. 手术室之外:探索喀麦隆剖宫产手术护理自费和灾难性卫生支出的不平等,一项分解分析。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2025-06-23 DOI: 10.1080/07399332.2025.2517167
Relindis Ma-Gang Tapang, Aya Suzuki

In this study, we examined inequalities in out-of-pocket payments (OOP) and catastrophic health expenditures (CHE) for Cesarean Section care in Cameroon. We collected data from 436 women across 13 hospitals and used decomposition analysis of the concentration index to identify key drivers of inequality. We found that OOP costs were more concentrated among wealthier households, whereas CHE burdened the poorest, exposing sharp socioeconomic inequalities. Wealth status and educational attainment emerged as the most significant contributors to these inequalities. Although we focused on Cameroon, our findings hold relevance for other low- and middle-income countries with similar health financing systems. Through this research, we contribute a methodological approach to global maternal health literature by demonstrating how financial inequalities in surgical care can be quantified and understood across settings.

在这项研究中,我们检查了在喀麦隆剖宫产护理自费支付(OOP)和灾难性卫生支出(CHE)的不平等。我们收集了来自13家医院的436名妇女的数据,并使用浓度指数的分解分析来确定不平等的主要驱动因素。我们发现,面向对象的成本更集中在较富裕的家庭,而CHE负担最贫穷的家庭,暴露出尖锐的社会经济不平等。财富地位和受教育程度是造成这些不平等的最重要因素。虽然我们的研究重点是喀麦隆,但我们的发现对其他具有类似卫生筹资系统的低收入和中等收入国家也具有相关性。通过这项研究,我们通过展示如何量化和理解外科护理中的财务不平等,为全球孕产妇健康文献提供了一种方法学方法。
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引用次数: 0
Non-communicable disease (NCD) burden and their contributing factors among women. 妇女的非传染性疾病负担及其促成因素。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2025-03-31 DOI: 10.1080/07399332.2025.2472174
Zoha Imtiaz Malik, Abdul Momin Rizwan Ahmad

Non-communicable diseases (NCDs) account for 74% of worldwide deaths annually. A search in 'Google Scholar' and 'PubMed' showed a total of 224,854 articles and after adjusting for time period and relevance, 43 were selected. Cancer, cardiovascular diseases (CVDs), respiratory diseases and diabetes were the most prevalent NCDs among females. Cancer-related deaths in females are expected to rise to 5.5 million by 2030, and hormonal factors, smoking, alcohol consumption and obesity are the biggest contributors. CVD deaths were 8.94 million in 2019, and poor pregnancy outcomes and fertility issues increase females' CVD risk. Respiratory diseases affect 6.16% young females and smoking, a high BMI, and high processed food intake, increase the risk. Diabetes effects 9% women and hormonal factors increase the risk, whereas psychosocial factors may impact diabetes prevention and treatment. The female NCD burden is increasing and there is a need for multi-interventional approach to effectively manage these diseases.

非传染性疾病每年占全球死亡人数的74%。在“b谷歌Scholar”和“PubMed”中搜索,总共显示了224,854篇文章,在调整了时间和相关性后,选择了43篇。癌症、心血管疾病、呼吸系统疾病和糖尿病是女性中最普遍的非传染性疾病。到2030年,与癌症相关的女性死亡人数预计将上升至550万,而荷尔蒙因素、吸烟、饮酒和肥胖是最大的罪魁祸首。2019年心血管疾病死亡人数为894万人,不良的妊娠结局和生育问题增加了女性患心血管疾病的风险。呼吸系统疾病影响6.16%的年轻女性,吸烟、高BMI和高加工食品摄入量增加了风险。糖尿病影响9%的女性,荷尔蒙因素增加了风险,而社会心理因素可能影响糖尿病的预防和治疗。女性非传染性疾病负担正在增加,需要采取多干预方法来有效管理这些疾病。
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引用次数: 0
Barriers and facilitators experienced by South Korean women undergoing fertility treatment: A qualitative socioecological study. 接受生育治疗的韩国妇女遇到的障碍和促进因素:社会生态学定性研究。
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-10-11 DOI: 10.1080/07399332.2024.2402732
Hyewon Shin, Jin Young Seo, Ju-Young Lee

The purpose of this qualitative study was to use interview data to identify and describe the intrapersonal, interpersonal, community, and policy barriers and facilitators experienced by South Korean women undergoing fertility treatment. The researchers conducted one-on-one interviews with 14 women who had undergone fertility treatment and then completed a thematic content analysis on the collected interview data. Guided by the socioecological model, the researchers explored the barriers and facilitators women experienced during fertility treatment. The participants described their struggles and -emotional distress as well as their coping mechanisms: addressing their physical and emotional stress; soliciting support from their husband, personal network, online peers, and healthcare team; and seeking government financial assistance. The information gained from this study can help healthcare providers and government agencies design effective psychosocial and national policies and interventions for this population.

这项定性研究的目的是利用访谈数据来识别和描述接受生育治疗的韩国妇女所经历的人内、人际、社区和政策方面的障碍和促进因素。研究人员对 14 名接受过生育治疗的妇女进行了一对一访谈,然后对收集到的访谈数据进行了主题内容分析。在社会生态模型的指导下,研究人员探讨了妇女在生育治疗过程中遇到的障碍和促进因素。参与者描述了她们的挣扎和情绪困扰,以及她们的应对机制:解决身体和情绪压力;寻求丈夫、个人网络、网上同伴和医疗团队的支持;以及寻求政府财政援助。本研究获得的信息可帮助医疗服务提供者和政府机构为这一人群设计有效的社会心理和国家政策及干预措施。
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引用次数: 0
Recommendations to improve maternal mortality among Rohingya women in Bangladeshi refugee camps. 关于改善孟加拉国难民营中罗辛亚妇女孕产妇死亡率的建议。
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-05-14 DOI: 10.1080/07399332.2024.2349820
Annika Agarwal, Vidya Surti, Martha Ann Terry

Despite current humanitarian efforts, The Rohingya in Bangladesh's refugee camps have among the highest maternal mortality worldwide. The authors review maternal mortality within Rohingya refugee populations in Bangladesh, citing the camp conditions and cultural norms that affect the Maternal Mortality Ratio (MMR). Next, the authors review current humanitarian efforts made by the UNFPA toward improving reproductive health. Finally, the authors recommend a three-pronged approach to reducing maternal mortality among the Rohingya in Bangladeshi refugee camps. We suggest using Maternity Waiting Homes, Mama Rickshaws, and Traditional Birth Attendants to improve maternal health. These solutions address the three-delays model and place ownership into the community. Ultimately, the authors address a much-needed gap in the literature addressing Rohingya maternal mortality.

尽管目前做出了人道主义努力,但孟加拉国难民营中的罗兴亚人仍是全球孕产妇死亡率最高的人群之一。作者回顾了孟加拉国罗辛亚难民中的孕产妇死亡率,列举了影响孕产妇死亡率的难民营条件和文化规范。接下来,作者回顾了联合国人口基金目前为改善生殖健康所做的人道主义努力。最后,作者建议采取三管齐下的方法降低孟加拉国难民营中罗辛亚人的孕产妇死亡率。我们建议利用待产之家、妈妈人力车和传统助产士来改善产妇保健。这些解决方案解决了 "三延迟 "模式的问题,并将自主权交给了社区。最终,作者弥补了解决罗兴亚产妇死亡率问题的文献中亟需填补的空白。
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引用次数: 0
Midwife gender proclivity: Differential effects of expectant mothers' demographic factors in Zimbabwe. 助产士的性别倾向:津巴布韦孕妇人口因素的不同影响。
IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-07-08 DOI: 10.1080/07399332.2024.2373856
Paul Mukucha, Divaries Cosmas Jaravaza, Nomuhle Jaravaza

A survey of 300 expectant mothers, in their third trimester, was conducted in Bindura district of Zimbabwe. The causal study was done over a period of 6 months with the intention of determining the differential effects of various demographic factors of expectant mothers on midwife gender preferences. Data was collected using a short questionnaire on demographic factors and expectant mothers' preferences of male or female midwives. A binary logistics regression and odds ratios were used to analyse data. Our results revealed that specific demographics show preferences regarding the gender of midwives. Older women (aged 40 and above), who are married, having their first child, members of the African religion, and with less formal education, tend to prefer midwives of the same gender. Younger women (aged 18-39), those with prior pregnancy experience, Christians, and urban residents, generally were indifferent to midwife gender. Implications of the study were proffered.

津巴布韦宾杜拉地区对 300 名怀孕三个月的孕妇进行了调查。这项因果关系研究历时 6 个月,旨在确定准妈妈的各种人口因素对助产士性别偏好的不同影响。数据收集采用了一份简短的调查问卷,内容涉及人口统计因素和准妈妈对男助产士或女助产士的偏好。采用二元物流回归和几率比分析数据。我们的结果显示,特定的人口统计学因素显示了对助产士性别的偏好。年龄较大(40 岁及以上)的已婚妇女、生育第一个孩子的妇女、非洲宗教成员以及正规教育程度较低的妇女倾向于选择相同性别的助产士。年轻女性(18-39 岁)、有过怀孕经验的女性、基督教徒和城市居民一般对助产士的性别无动于衷。本研究提出了一些启示。
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引用次数: 0
Perinatal women's experiences of childbirth and parenting during the COVID-19 pandemic: A qualitative descriptive study. COVID-19大流行期间围产期妇女分娩和育儿经历:一项定性描述性研究
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2023-03-21 DOI: 10.1080/07399332.2023.2190591
Sun-Mi Chae, Hee Sun Kang, Minjin Kim

In this study, we described perinatal women's experiences of childbirth and parenting during the COVID-19 pandemic, guided by the qualitative descriptive methodology. We interviewed 14 women who gave birth during the pandemic. Data were analyzed using inductive qualitative content analysis. Our results showed that perinatal women experienced fear of COVID-19 infection, depression, and difficulties related to childbirth and parenting. They believed that online services and sharing information through social networking were helpful. They were looking forward to participating in outdoor activities to promote children's development and suggested enforcing untact (no contact) services for perinatal women in the post-COVID-19 era.

在本研究中,我们以定性描述方法为指导,描述了COVID-19大流行期间围产期妇女的分娩和育儿经历。我们采访了14名在大流行期间分娩的妇女。资料采用归纳定性含量分析法进行分析。我们的研究结果显示,围产期妇女对COVID-19感染感到恐惧、抑郁,以及与分娩和育儿相关的困难。他们认为在线服务和通过社交网络分享信息是有帮助的。他们期待参加户外活动以促进儿童发育,并建议在后新冠肺炎时代为围产期妇女提供非接触服务。
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引用次数: 0
Cross-cultural food practices and nutrition seeking behaviors among pregnant and postpartum Indian women living in Australia. 居住在澳大利亚的印度孕妇和产后妇女的跨文化饮食习惯和营养寻求行为。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-01-12 DOI: 10.1080/07399332.2024.2303518
Fiona H McKay, Minnie Vo, Neetu Abey George, Preethi John, Jyotsna Kaushal, Paige van der Pligt

No research has explored the experiences of Indian women who become pregnant after they migrate to Australia, and how their existing traditions mix with their new environment and subsequently impact eating patterns. Semi-structured interviews were conducted with eleven women of Indian heritage who were living in Australia, and data were thematically analyzed. The researchers identified two main themes were identified (a) foods to eat and which to avoid, and (b) support networks and sources of health information during pregnancy. Women get advice and information from a range of sources and have diverse attitudes and beliefs about cultural food practices. that are both rigid and flexible, as well as traditional and contemporary.

目前还没有研究探讨过移民到澳大利亚后怀孕的印度妇女的经历,以及她们现有的传统如何与新环境相融合,进而影响饮食模式。研究人员对 11 名居住在澳大利亚的印度裔妇女进行了半结构式访谈,并对数据进行了主题分析。研究人员确定了两大主题:(a)应吃的食物和应避免的食物;(b)怀孕期间的支持网络和健康信息来源。妇女从各种渠道获得建议和信息,对文化饮食习惯有着不同的态度和信仰。
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引用次数: 0
Factors associated with married women's attitude toward intimate partner violence: A study on 20 low- and middle-income countries. 已婚妇女对亲密伴侣暴力行为的态度的相关因素:对 20 个中低收入国家的研究。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-02-23 DOI: 10.1080/07399332.2024.2319214
Lakma Gunarathne, Pragalathan Apputhurai, Maja Nedeljkovic, Jahar Bhowmik

Intimate Partner Violence (IPV) is a global problem and has been reported to be significantly higher for women in Low and Middle-Income Countries (LMICs). The researchers analyzed Demographic and Health Survey (DHS) data of married women in 20 LMICs to examine those most vulnerable to accepting IPV by investigating associated risk factors. The researchers revealed a higher level of acceptance of IPV among illiterate women from poorer households in remote areas. Using these findings, the authors provide insight into ensuring and enhancing the living standards of these vulnerable women by making education more readily accessible.

亲密伴侣暴力 (IPV) 是一个全球性问题,据报道,中低收入国家(LMICs)妇女的亲密伴侣暴力发生率明显更高。研究人员分析了 20 个中低收入国家已婚妇女的人口与健康调查(DHS)数据,通过调查相关风险因素来研究最容易接受 IPV 的人群。研究人员发现,偏远地区贫困家庭中的文盲妇女对 IPV 的接受程度更高。利用这些研究结果,作者深入分析了如何通过让更多人接受教育来确保和提高这些弱势妇女的生活水平。
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引用次数: 0
Does COVID-19 anxiety in pregnant women affect marital adjustment? 孕妇的 COVID-19 焦虑会影响婚姻适应吗?
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2024-01-17 DOI: 10.1080/07399332.2024.2303514
Candan Ersanli

In this study, it was tried to determine the relationship between anxiety and marital adjustment in pregnant women during the epidemic, and to explain the variables affecting anxiety and marital adjustment. During the epidemic, many factors cause changes in the perceived anxiety level and marital adjustment in pregnant women. As the level of COVID-19 anxiety increases in pregnant women, marital adjustment scores decrease. It was determined that the anxiety levels were lower and marital adjustment was higher in pregnant women who had a planned pregnancy, did not have fears about childbirth, thought that their physical, mental health were not affected.

本研究试图确定疫情期间孕妇焦虑与婚姻适应之间的关系,并解释影响焦虑和婚姻适应的变量。在疫情期间,许多因素会导致孕妇的焦虑感知水平和婚姻适应性发生变化。随着孕妇 COVID-19 焦虑水平的增加,婚姻适应得分也随之降低。结果表明,计划怀孕、对分娩没有恐惧、认为自己的身体和心理健康不受影响的孕妇的焦虑水平较低,婚姻适应性较高。
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引用次数: 0
期刊
Health Care for Women International
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