Womens Health Issues最新文献

{"title":"“A Lot of My Friends Don't Know How It Works”: Student Activists Describe Gaps in College Students' Emergency Contraception Knowledge","authors":"Brandon Wagner PhD ,&nbsp;Nicola Brogan MSc, RN ,&nbsp;Kelly Cleland MPA, MPH","doi":"10.1016/j.whi.2023.07.002","DOIUrl":"10.1016/j.whi.2023.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Despite the high potential need for emergency contraception (EC) among college students, lack of accurate knowledge may decrease the likelihood of its use in this population. We examined knowledge about EC methods, potential outcomes of use, and access among college students in the United States.</p></div><div><h3>Methods</h3><p>We recruited college students from a listserv devoted to EC campus activism for an online survey about EC knowledge (<em>N</em> = 150) and conducted 24 follow-up in-depth interviews. We describe the share of respondents that correctly answered each question and provide additional context and insight from interview respondents.</p></div><div><h3>Results</h3><p>Gaps in EC knowledge were noted in our sample of college student EC activists. Awareness of different methods of EC was not universal; 38% of the sample was unaware of ulipristal acetate (ella®) and 61% was unaware of the intrauterine device inserted after intercourse as EC. Many respondents also incorrectly perceived additional barriers to acquiring EC such as minimum age or an ID requirement to purchase EC (64% and 49%, respectively). Interview respondents describe how medical providers, such as student health services and pharmacists, can pose barriers to EC access through either their actions or how college students expect they will act.</p></div><div><h3>Conclusions</h3><p>We document several gaps in knowledge surrounding EC in college students, even in an activist sample. Additional efforts to inform students about the variety of available EC methods and address mistaken perceptions about barriers to access may allow college students to better meet their needs for EC.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723001305/pdfft?md5=955a58714d88e304eec1ac7237b86f1b&pid=1-s2.0-S1049386723001305-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10326995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Separating Procedure-related Fears From Future Fertility Concerns Among a Cohort Seeking Abortion Information Online","authors":"Alice F. Cartwright PhD, MPH ,&nbsp;Suzanne O. Bell PhD, MPH ,&nbsp;Ushma D. Upadhyay PhD, MPH","doi":"10.1016/j.whi.2023.06.004","DOIUrl":"10.1016/j.whi.2023.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>The general public and abortion patients in the United States have misinformation about the risks of infertility associated with abortion, which may influence abortion care-seeking.</p></div><div><h3>Methods</h3><p>The Google Ads Abortion Access Study was a national study of people considering abortion and searching online for information. Participants completed baseline and follow-up surveys, providing free text responses to questions about barriers and facilitators to abortion. We conducted an exploratory analysis of the free text responses related to fertility and used thematic analysis to identify concerns raised about links between abortion and future fertility.</p></div><div><h3>Results</h3><p>Of 864 participants who provided free text responses in the follow-up survey, 32 specifically mentioned fertility. Few expressed fear that complications from the abortion procedure would somehow lead to infertility; rather, most discussed complex and overlapping thoughts about how abortion factored into their reproductive life plans. These included age-related concerns, missing out on their “chance” to have a child, fear of being punished by God with infertility for having an abortion, and conflicting emotions if they had previously been told they were subfecund or infertile.</p></div><div><h3>Conclusion</h3><p>Although previous research has focused on misinformation about the link between abortion and infertility, participants in this study rarely mentioned it as a concern. Researchers and practitioners should be attuned to the distinctions people make between infertility occurring as a result of abortion and other fears they might have about not achieving their future reproductive aspirations, ask questions, and provide counseling accordingly.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723001214/pdfft?md5=74aee14fea85ec4b3db7ccaf7a2a0cf7&pid=1-s2.0-S1049386723001214-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9996436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast and Ovarian Cancer Among Women with Intellectual and Developmental Disabilities: An Agenda for Improving Research and Care","authors":"Kate E. Dibble PhD ,&nbsp;Tara M. Lutz PhD, MPH, MCHES ,&nbsp;Avonne E. Connor PhD, MPH ,&nbsp;Mary Beth Bruder PhD","doi":"10.1016/j.whi.2023.06.001","DOIUrl":"10.1016/j.whi.2023.06.001","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723001184/pdfft?md5=fbb7515ffd3e2fd459ed76895dfa8433&pid=1-s2.0-S1049386723001184-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rebuilding a Reproductive Future Informed by Disability and Reproductive Justice","authors":"Asha Hassan MPH ,&nbsp;Alanna E. Hirz MSPH ,&nbsp;Lindsey Yates PhD, MPH ,&nbsp;Anna K. Hing PhD, MPH","doi":"10.1016/j.whi.2023.04.006","DOIUrl":"10.1016/j.whi.2023.04.006","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10108703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to: Implementation of State Laws Giving Pregnant People Priority Access to Drug Treatment Programs in the Context of Coexisting Punitive Laws [Women’ Health Issues 33 (2023) 117–125]","authors":"Sarah A. White MSPH ,&nbsp;Alexander McCourt JD, PhD ,&nbsp;Sachini Bandara PhD ,&nbsp;Daisy J. Goodman CND, MPH, CNM ,&nbsp;Esita Patel PhD, RN ,&nbsp;Emma E. McGinty PhD","doi":"10.1016/j.whi.2023.05.006","DOIUrl":"10.1016/j.whi.2023.05.006","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abortion Bans Will Exacerbate Already Severe Racial Inequities in Maternal Mortality","authors":"Kelly M. Treder MD, MPH ,&nbsp;Ndidiamaka Amutah-Onukagha PhD, MPH ,&nbsp;Katharine O. White MD, MPH","doi":"10.1016/j.whi.2023.04.007","DOIUrl":"10.1016/j.whi.2023.04.007","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9750649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voices on Zika: Reproductive Autonomy and Shared Decision-Making During an Evolving Epidemic","authors":"Paula Latortue-Albino MD ,&nbsp;Stephanie Delgado MD ,&nbsp;Rebecca Perkins MD, MSc ,&nbsp;Christina Yarrington MD ,&nbsp;Pooja Mehta MD, MSHP","doi":"10.1016/j.whi.2022.11.005","DOIUrl":"10.1016/j.whi.2022.11.005","url":null,"abstract":"<div><h3>Introduction</h3><p>We aimed to understand the degree to which pregnant individuals exposed to emerging infections, such as Zika, are engaged by providers in shared decision-making and explore potential barriers to inform strategies to improve care for those most at risk for inequities. Studies have demonstrated that Latinx and Black people are less likely to engage in shared decision-making and are less engaged by providers. Limited research explores factors impacting shared decision-making in prenatal care and in the setting of recent epidemics.</p></div><div><h3>Methods</h3><p><span>We conducted an<span><span> exploratory qualitative study of individuals eligible for </span>prenatal screening owing to Zika exposure during pregnancy. Given an established connection between </span></span>autonomy<span><span><span> and shared decision-making, we used the Reproductive Autonomy Scale and the Three Talk Model for shared decision-making to inform our semistructured interview guide. Interviews were conducted in Spanish or English. and participants were recruited from a federally qualified health center and a tertiary care </span>obstetric clinic until thematic saturation was achieved. Interviews were recorded, translated, and transcribed and two coders used modified </span>grounded theory to generate themes.</span></p></div><div><h3>Results</h3><p>We interviewed 18 participants from May to December 2017. Participant narratives demonstrated reproductive autonomy in pregnancy decision-making, with decision support from families, fatalism in pregnancy planning, and limited engagement by providers around decisions and implications of Zika virus testing. Hierarchy in provider dynamics, perceived stigma around emigration and travel, and language barriers impacted participant engagement in shared decision-making.</p></div><div><h3>Conclusions</h3><p>Participants demonstrated personal autonomy in reproductive decision-making, but demonstrated limited engagement in shared decision-making with regard to prenatal Zika testing. Provider promotion of shared decision-making using culturally centered decision tools to elicit underlying beliefs and deepen context for option, choice, and decision talk is critical in prenatal counseling to support equitable outcomes during evolving pandemics.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9804232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neighborhood Socioeconomic Status, Green Space, and Walkability and Risk for Falls Among Postmenopausal Women: The Women's Health Initiative","authors":"Marilyn E. Wende PhD, MSPH ,&nbsp;Matthew C. Lohman PhD ,&nbsp;Daniela B. Friedman PhD ,&nbsp;Alexander C. McLain PhD ,&nbsp;Michael J. LaMonte PhD, MPH ,&nbsp;Eric A. Whitsel MD, MPH ,&nbsp;Aladdin H. Shadyab PhD, MPH, MS ,&nbsp;Lorena Garcia DrPH, MPH ,&nbsp;Benjamin W. Chrisinger PhD ,&nbsp;Kathy Pan MD ,&nbsp;Chloe E. Bird PhD, MA ,&nbsp;Gloria E. Sarto MD ,&nbsp;Andrew T. Kaczynski PhD","doi":"10.1016/j.whi.2023.03.009","DOIUrl":"10.1016/j.whi.2023.03.009","url":null,"abstract":"<div><h3>Purpose</h3><p>This study estimated associations between neighborhood socioeconomic status (NSES), walkability, green space, and incident falls among postmenopausal women and evaluated modifiers of these associations, including study arm, race and ethnicity, baseline household income, baseline walking, age at enrollment, baseline low physical functioning, baseline fall history, climate region, and urban–rural residence.</p></div><div><h3>Methods</h3><p><span>The Women's Health Initiative recruited a national sample of postmenopausal women (50–79 years) across 40 U.S. clinical centers and conducted yearly assessments from 1993 to 2005 (</span><em>n</em><span> = 161,808). Women reporting a history of hip fracture or walking limitations were excluded, yielding a final sample of 157,583 participants. Falling was reported annually. NSES (income/wealth, education, occupation), walkability (population density, diversity of land cover, nearby high-traffic roadways), and green space (exposure to vegetation) were calculated annually and categorized into tertiles (low, intermediate, high). Generalized estimating equations assessed longitudinal relationships.</span></p></div><div><h3>Results</h3><p>NSES was associated with falling before adjustment (high vs. low, odds ratio, 1.01; 95% confidence interval, 1.00–1.01). Walkability was significantly associated with falls after adjustment (high vs. low, odds ratio, 0.99; 95% confidence interval, 0.98–0.99). Green space was not associated with falling before or after adjustment. Study arm, race and ethnicity, household income, age, low physical functioning, fall history, and climate region modified the relationship between NSES and falling. Race and ethnicity, age, fall history, and climate region modified relationships between walkability and green space and falling.</p></div><div><h3>Conclusions</h3><p>Our results did not show strong associations of NSES, walkability, or green space with falling. Future research should incorporate granular environmental measures that may directly relate to physical activity and outdoor engagement.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Use of Fertility Treatment Between People With Medicaid and Private Health Insurance Coverage in the United States","authors":"Erica L. Eliason PhD ,&nbsp;Marie E. Thoma PhD ,&nbsp;Maria W. Steenland SD","doi":"10.1016/j.whi.2023.03.003","DOIUrl":"10.1016/j.whi.2023.03.003","url":null,"abstract":"<div><h3>Objectives</h3><p>We aimed to compare differences in receipt of any and specific types of fertility services between people with Medicaid and private insurance.</p></div><div><h3>Methods</h3><p>We used National Survey of Family Growth (2002–2019) data and linear probability regression models to examine the association between insurance type (Medicaid or private) and fertility service use. The primary outcome was use of fertility services in the past 12 months, and secondary outcomes were use of specific types of fertility services at any time: 1) testing, 2) common medical treatment, and 3) use of any fertility treatment type (testing, medical treatment, or surgical treatment of infertility). We additionally calculated time-to-pregnancy using a method that estimates the unobserved total amount of time the respondent spent trying to become pregnant using their current duration of pregnancy attempt at the time of the survey. We calculated time-to-pregnancy ratios across respondent characteristics to examine if insurance type was associated with differential time-to-pregnancy.</p></div><div><h3>Results</h3><p>In adjusted models, Medicaid coverage was associated with an 11.2-percentage point (95% confidence interval: −22.3 to −0.0) lower use of fertility services in the past 12 months compared with private coverage. Relative to private coverage, Medicaid insurance was also associated with large and statistically significantly lower rates of ever having used infertility testing or any fertility services. Insurance type was not associated with differences in time-to-pregnancy.</p></div><div><h3>Conclusions</h3><p>People covered by Medicaid were less likely to have used fertility services compared with people with private insurance. Differences in coverage of fertility services between Medicaid and private payers may represent a barrier to fertility treatment for Medicaid recipients.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Mental Health Impact of Previous Pregnancy Loss Among Currently Pregnant Veterans","authors":"Mary O. Shapiro PhD ,&nbsp;Aimee Kroll-Desrosiers PhD ,&nbsp;Kristin M. Mattocks PhD, MPH","doi":"10.1016/j.whi.2023.03.006","DOIUrl":"10.1016/j.whi.2023.03.006","url":null,"abstract":"<div><h3>Background</h3><p><span>Pregnancy loss, including miscarriage and stillbirth, is common and associated with an increased risk for prenatal and </span>postnatal depression<span><span>, as well as posttraumatic stress disorder (PTSD). </span>Racial disparities have been observed in pregnancy loss, with Black women having higher rates of pregnancy loss and postnatal depression. However, no research to date has examined the mental health and demographic correlates of pregnancy loss within a veteran population.</span></p></div><div><h3>Method</h3><p>The current study examined associations between pregnancy loss and mental health and demographic correlates among 1,324 pregnant veterans, of which 368 had a history of at least one stillbirth and/or miscarriage.</p></div><div><h3>Results</h3><p>Veterans with a history of pregnancy loss, compared with those without, were more likely to have a diagnosis of anxiety (52.7% vs. 46.4%, <em>p</em> = .04), depression (62.5% vs. 50.8%, <em>p</em> = .0001), or PTSD (46.5% vs. 37.6%, <em>p</em> = .003); were more likely to report receiving mental health care during pregnancy (23.1% vs. 16.8%, <em>p</em> = .01); and were more likely to have experienced military sexual trauma (harassment: 56.5% vs. 49.9%, <em>p</em> = .04; rape: 38.9% vs. 29.3%, <em>p</em> = .0004). Results also indicated that Black veterans were more likely to report a history of pregnancy loss (32.1% vs. 25.3%, <em>p</em><span><span> = .01). Further, Black veterans were more likely to experience clinically meaningful prenatal depression symptoms (adjusted odds ratio: 1.90; 95% confidence interval: 1.42–2.54) after accounting for past loss and age in </span>logistic regression models.</span></p></div><div><h3>Discussion</h3><p>Taken together, findings from the present investigation corroborate previous research highlighting the deleterious impact of pregnancy loss and extend prior work by examining these associations among a diverse sample of pregnant veterans.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9746427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}