Health Care for Women International最新文献

This descriptive study aimed to determine the content, quality, and reliability of YouTube videos on breast cancer-related lymphedema exercises. A total of 127 videos were independently assessed, with 103 of them categorized as either informative or misleading content groups. The content (mean score: 4.07 ± 2.29) and quality (mean score: 3.15 ± 1.46) of videos concerning lymphedema exercises were moderate, while reliability (mean score: 2.27 ± 1.64) was low. Among the 103 videos categorized using the content checklist, Global Quality Scale, and DISCERN reliability instrument, 57.3% (n = 59) were informative, and 42.7% (n = 44) had misleading information. The mean scores of the content, quality, and reliability of the informative content videos were substantially higher than the misleading content videos, and of videos uploaded by universities/professional organizations/health care professionals/medical advertisements were higher than the videos uploaded by other sources. Through this study, the researchers have unveiled that the content and quality levels of YouTube videos in lymphedema exercises were moderate, and the reliability level was low.

The study was conducted by the authors to investigate lower urinary tract symptoms (LUTS), physical activity, and quality of life (QoL) in obese and overweight women. LUTS were assessed using Core Lower Urinary Tract Symptom Score (CLSS) and Overactive Bladder Questionnaire-V8 (OAB-V8), QoL using World Health Organization Quality of Life Scale - Short Form (WHOQOL-BREF), and physical activity with International Physical Activity Questionnaire-Short Form (IPAQ-SF). CLSS and OAB-V8 scores were significantly higher in overweight and obese compared to those of normal weight (p < .001), while UFAA scores were lower in obese (p = .031). Body mass index was associated with higher CLSS and OAB-V8 scores and lower IPAQ-SF and WHOQOL-BREF Physical and Psychological subscores. Additionally, concordance between CLSS and OAB-V8 scores was highest in obese. A significant association between LUTS, physical activity, and QoL was found in overweight and obese women. With our results, we emphasized the need for interventions as increased BMI is linked to more prevalent LUTS and decreased well-being.

Cesarean delivery continues to increase due to various reasons, considering its negative effects, our aim in this research is to investigate the behavioral intention of pregnant women who choose vaginal delivery. In this regard, the expanded Theory of Planned Behavior was used by increasing two predictor variables. About 188 pregnant women voluntarily participated in this research in some healthcare centers in Tehran County, Iran. Our results showed that this enhanced model can increase the power of the original theory. Overall, the expanded model successfully described the mode of delivery among Iranian women and explained 59.4% of the variation in the intention variable with a stronger effect. The effect of the variables added to the model was indirectly significant. Among all the variables, attitude showed the best effect on the choice of normal vaginal delivery, and after that, the variable of general health orientation had a greater effect on attitude.

Although an increase in fruit and vegetable (FV) consumption in adults might result in reductions in their intake of sweets, there has been minimal direct testing of this. Women participated in 6-month community-based obesity treatment conditions where either their psychological skills development (n = 66) or knowledge regarding healthful eating and exercise (n = 39) was emphasized. Improvements in FV and sweets intake, eating-related self-regulation, self-efficacy for controlled eating, and negative mood were significantly more pronounced in the psychological skills group participants. Together, participants' change in self-regulation, self-efficacy, and mood significantly mediated the relationship of their changes in FV and sweets. Within simple mediation analyses, participants' changes in self-efficacy and negative mood were significant mediators, and their treatment group membership moderated effects on sweets. We provided suggestions for future treatments based on the present findings.

The authors of this research explored community perspectives on women's mental health in rural Pakistan, using a qualitative approach to identify beliefs hindering women's access to mental healthcare. Data were collected through 15 Focus Group Discussions (FGDs) and 15 Key Informant Interviews (KIIs) with stakeholders in Gilgit-Baltistan, using purposive sampling. The researchers revealed low community awareness of mental health and a lack of diagnostic and treatment services for women. Financial, sociocultural, and environmental factors, along with gender discrimination, poverty, and violence, worsened women's mental health. The COVID-19 pandemic further escalated issues due to lockdowns, school closures, increased workload, and reduced income. The authors' results suggest that women living in rural Pakistan face a significant burden of mental health challenges, coupled with obstacles that limit their access to treatment. The authors underscored the need for both universal and targeted interventions to address mental health challenges among rural women.

A cross-sectional study describing aspects of menstrual poverty was analyzed with 201 female lower-secondary students in Mexico. The 15.5% indicated having a lot of knowledge about menstruation before experiencing it, increasing to 36.5% once menstruation began. Nearly 80% expressed negative or erroneous ideas about menstruation. Adolescents whose mothers have a basic educational level or lack formal education are twice as likely to not have information at the time of menarche (OR = 2.08, 95% CI 1.00, 4.33). Promoting educational initiatives would help that new generations of adolescents can live a menstruation in a dignified, safe and positive way.

Expanding access to facility-based delivery services and improving the functionality of emergency obstetric and neonatal care (EmONC) are important strategies toward achieving a maternal mortality ratio of 70 deaths per 100,000 live births by 2030. In this study the researchers assess signal functions at designated facilities in Nepal, using Nepal Health Facility Survey data for 2015 and 2021. The functionality of basic and comprehensive EmONC sites was low, declining over the six-year period. Lack of progress may partly be attributed to the COVID-19 pandemic. Nepal needs to expand EmONC sites strategically, strengthen referral systems, improve service readiness, and periodically assess service quality.

Lipedema is a chronic disease in adipose tissue affecting women. The distinctive body appearance in lipedema, often mistaken for obesity, may be detrimental to social life. In our online cross-sectional survey study, conducted from June to September 2021 among 245 women with lipedema, we found significantly more health-related stigma compared to an aged-matched general female population (N = 1872), leading to an overall lower quality of life. Conversely, strong social support was associated with better social and emotional functioning. As such, healthcare professionals must, even in the early stages, recognize this disease and address its impact on psychosocial health and well-being.

In this study, the authors explored how menopausal symptom severity and self-compassion impact social well-being among 224 employed post-menopausal women aged 50-60. Participants completed the Menopause Rating Scale, Self-compassion Scale, and Social Well-Being Scale. Groups were categorized by symptom severity and self-compassion levels. Our results showed symptom severity significantly affected social well-being, while self-compassion influenced social coherence. However, no significant interaction was found between symptom severity and self-compassion on overall social well-being. The authors emphasize the social challenges faced by women with severe menopausal symptoms and suggests fostering self-compassion could enhance social support and acceptance during this stage of life.