Health Care for Women International最新文献

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.

Fluid intake is influenced by intention, attitude, beliefs, and environmental factors. In this study, we examined the beliefs regarding fluid intake among women aged 65 and older, based on the Theory of Planned Behavior (TPB). We conducted qualitative research with 45 women in a nursing home in Turkey through semi-structured interviews. Our analysis revealed six themes and 21 subthemes related to fluid intake. Participants described fluid intake as beneficial and easy; however, they also mentioned barriers such as cost, health outcomes, pain, habits, and limitations. We found that doctors and family members were the main supporters, and the internet and media played a prominent role in decision-making. This study provides evidence that the Theory of Planned Behavior could be effective in explaining fluid consumption behaviors in older women. However, further research with larger samples and quantitative methods is needed to promote fluid intake.

This study was conducted to determine the effects of the Human Caring Theory-based post-cesarean caring and pain management training on caring behaviors and caring outcomes. The sample consisted of 25 nurses, midwives and 208 women who had cesarean. Nurses and midwives were given training based on Human Caring Theory, which consisted of three sessions. Nurses and midwives caring behavior scores increased after the training. Midwives' self-rating scores, the rate of using a scale to assess pain and recording information on pain assessment increased. Caring satisfaction and perception of the caring behavior of women who had cesarean increased and their pain levels decreased.