Womens Health Issues最新文献

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IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

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IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

引用次数: 0

Addressing Weight Stigma in Perinatal Care: Strategies for Health Care Providers and Organizations 解决围产期护理中的体重污名：卫生保健提供者和组织的策略。

IF 2.8 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01 DOI: 10.1016/j.whi.2024.11.002

Natalie M. Papini PhD , Taniya S. Nagpal PhD , Anna R. Whelan MD, FACOG , Tiffany A. Moore Simas MD, MPH, MEd , Molly E. Waring PhD

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IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

引用次数: 0

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

引用次数: 0

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

引用次数: 0

Abortion Provision at New York State Regional Perinatal Centers Following Implementation of the Reproductive Health Act 生殖健康法案》实施后纽约州地区围产中心提供的堕胎服务。

IF 2.8 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01 DOI: 10.1016/j.whi.2024.10.001

Gopika R. Krishna MD , Julia E. Kohn PhD, MPA , Roselle Bleck MD, MPH , Carolyn L. Westhoff MD, MSc

Objective

Signed in 2019, New York State's Reproductive Health Act enabled expansion of abortion care up to 28 weeks for any indication. This study aimed to describe how implementation of the New York State Reproductive Health Act affected abortion provision among the state's regional perinatal centers (RPCs)—tertiary referral centers for complex pregnancies that may care for patients seeking abortion later in pregnancy. A secondary objective was to identify barriers to and facilitators of expanding abortion care.

Methods

From January to May 2023, we recruited clinicians from the 17 New York RPCs, including family planning specialists, maternal–fetal medicine specialists, and genetic counselors. Respondents completed an online survey. We then invited respondents to complete an in-depth interview. We calculated descriptive statistics to characterize the study population and summarize survey responses. We analyzed qualitative interview data using thematic analysis.

Results

Twenty-nine respondents completed the survey, representing 16 of 17 New York State RPCs. Seventeen respondents, representing 11 RPCs, completed an interview. All institutions provided abortion care. Twenty-three of 29 survey respondents (79%) reported barriers to providing abortion for any indication after 24 weeks from last menstrual period (LMP). Eighteen of 29 (62%) reported barriers to providing abortion after 24 weeks LMP for maternal or fetal indications. The most commonly reported barriers in the survey results were staff resistance and institutional policy. During interviews, respondents identified staff discomfort, restrictive institutional policies, and lack of clarity around policy as barriers, while highlighting advocates and collaboration within their institutions as facilitators to expansion of abortion services later in pregnancy.

Conclusions

RPCs in New York State face barriers in providing abortion, especially after 24 weeks LMP, even though they are ideally situated to provide such care. These barriers exist despite the legality of abortion after 24 weeks in New York and policy efforts to expand access to abortion.

目标：纽约州于 2019 年签署了《生殖健康法案》，该法案允许将任何适应症的人工流产护理时间延长至 28 周。本研究旨在描述《纽约州生殖健康法案》的实施如何影响该州区域围产中心（RPCs）的人工流产服务--这些中心是复杂妊娠的三级转诊中心，可为妊娠晚期寻求人工流产的患者提供护理。次要目标是确定扩大人工流产护理的障碍和促进因素：2023 年 1 月至 5 月，我们招募了纽约 17 家 RPC 的临床医生，包括计划生育专家、母胎医学专家和遗传咨询师。受访者完成了一项在线调查。然后，我们邀请受访者完成深度访谈。我们计算了描述性统计，以描述研究人群的特征并总结调查回复。我们使用主题分析法对定性访谈数据进行了分析：29 位受访者完成了调查，他们代表了纽约州 17 个区域协调中心中的 16 个。17 名受访者完成了访谈，他们代表了 11 家 RPC。所有机构都提供堕胎护理。29 位调查对象中有 23 位（79%）表示，在自末次月经期（LMP）起 24 周后提供任何适应症的人工流产服务存在障碍。29 个受访者中有 18 个（62%）表示在 LMP 24 周后因母体或胎儿原因提供人工流产服务存在障碍。调查结果中最常报告的障碍是工作人员的抵制和机构政策。在访谈中，受访者认为工作人员的不适、限制性的机构政策和政策不明确是障碍，同时强调机构内的倡导者和合作是扩大孕晚期人工流产服务的促进因素：纽约州的区域保健中心在提供人工流产服务方面面临障碍，尤其是在 LMP 24 周之后，尽管它们处于提供此类护理的理想位置。尽管在纽约州 24 周后堕胎是合法的，而且政策也在努力扩大堕胎服务，但这些障碍依然存在。

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Psychological and Social Predictors of Poverty: Differences Between Lesbian and Bisexual Women 贫困的心理和社会预测因素：女同性恋和双性恋女性之间的差异。

IF 2.8 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01 DOI: 10.1016/j.whi.2024.10.004

Bianca D.M. Wilson PhD , Andy Lin PhD , Lauren J.A. Bouton MA

Purpose

Research has demonstrated that sexual minority populations are more likely to experience poverty than sexual majority populations and that many of these disparities are driven by specific sexual minority subgroups, including cisgender bisexual women. Yet, little is known about the factors associated with economic insecurity that explain the intragroup differences in economic outcomes among sexual minorities, particularly among those of the same gender (i.e., cisgender bisexual vs. lesbian women).

Methods

We used a U.S. national probability sample of non-transgender sexual minority adults to assess the relationship between poverty and demographic (age, race/ethnicity, education), psychological (psychological distress, self-acceptance, felt stigma, and experienced discrimination), and social (outness, partnership and parental status, partner gender, and gender expression) characteristics for each subgroup of women, lesbian/gay (n = 324) and bisexual (n = 355). We calculated odds ratios and adjusted odds ratios (AORs) estimated from logistic regression models that relate risk factors to poverty.

Results

Race/ethnicity (i.e., identifying as Black) and education (i.e., having a high school diploma or less) were associated with living in poverty for both groups. The role of minority stressors, such as outness, everyday discrimination, and internalized homophobia did not strongly predict poverty for either group. However, reports of experienced stigma related to one's sexual orientation and masculine gender expression were associated with poverty among lesbians but not for bisexual women, and having children was a strong predictor of poverty for bisexual women but not lesbians.

Conclusions

These findings suggest that policy, advocacy, and service interventions should consider tailoring approaches to address poverty for bisexual and lesbian women differently.

目的：研究表明，性少数群体比性多数群体更容易经历贫困，其中许多差异是由特定的性少数亚群体造成的，包括顺性双性恋女性。然而，人们对与经济不安全感相关的因素知之甚少，这些因素解释了性少数群体，特别是同性群体（即顺性双性恋与女同性恋女性）在经济结果上的群体内部差异。方法：我们使用美国全国非变性性少数成年人概率样本来评估贫困与人口统计学（年龄，种族/民族，教育），心理（心理困扰，自我接受，感觉耻辱和经历歧视）和社会（公开性，伴侣和父母地位，伴侣性别和性别表达）特征之间的关系，女同性恋/男同性恋（n = 324）和双性恋（n = 355）。我们计算了与贫困相关的风险因素的优势比，并调整了从逻辑回归模型估计的优势比（AORs）。结果：种族/民族（即认同为黑人）和教育（即拥有高中文凭或更低）与两个群体的贫困生活有关。少数族裔的压力因素，如外出、日常歧视和内化的同性恋恐惧症，并不能强烈地预测任何一个群体的贫困。然而，据报道，与性取向和男性化性别表达相关的耻辱经历与女同性恋者的贫困有关，而与双性恋女性无关；生孩子是双性恋女性贫困的有力预测指标，而与女同性恋无关。结论：这些研究结果表明，政策、宣传和服务干预措施应该考虑采用不同的方法来解决双性恋和女同性恋妇女的贫困问题。

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引用次数: 0

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

引用次数: 0

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues

Pub Date : 2025-01-01

引用次数: 0

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