Pub Date : 2022-01-01DOI: 10.26502/fjwhd.2644-28840076
Notter Markus, Thomsen Ar, Vaupel P
Inoperable, locally Recurrent Breast Cancer (LRBC) in previously irradiated regions is a challenging disease to manage. Superficial Hyperthermia (sHT) in combination with Re-Irradiation (re-RT) offers an effective local tumor control with a total re-RT dose of 20 Gy. The low toxicity enables the application of repeated re-irradiations, especially in recurrent lymphangiosis carcinomatosa. This technology can also be applied with other superficial tumor types, e.g., in primary or radiation-associated angiosarcoma or skin metastasis.
{"title":"Effective Tumor Control Following Re-Irradiation Combined with Superficial Hyperthermia of Inoperable, Locally Recurrent Breast Cancers","authors":"Notter Markus, Thomsen Ar, Vaupel P","doi":"10.26502/fjwhd.2644-28840076","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840076","url":null,"abstract":"Inoperable, locally Recurrent Breast Cancer (LRBC) in previously irradiated regions is a challenging disease to manage. Superficial Hyperthermia (sHT) in combination with Re-Irradiation (re-RT) offers an effective local tumor control with a total re-RT dose of 20 Gy. The low toxicity enables the application of repeated re-irradiations, especially in recurrent lymphangiosis carcinomatosa. This technology can also be applied with other superficial tumor types, e.g., in primary or radiation-associated angiosarcoma or skin metastasis.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"112 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79662198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.26502/fjwhd.2644-28840096
Shamaila Manzoor, Idrees Anwar, Aisha Rafi
{"title":"Surviving Tactics of Medical Interns Countering Long Working Hours: A Systematic Review","authors":"Shamaila Manzoor, Idrees Anwar, Aisha Rafi","doi":"10.26502/fjwhd.2644-28840096","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840096","url":null,"abstract":"","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"143 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73913949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.26502/fjwhd.2644-28840080
Felix M Onyije, Ajuluchukwu Azubuike Ngokere, Aloysius Ebi Ligha, Godwin Ovie Avwioro, O. Mgbere
Introduction: Increasingly, residents of the Niger Delta region of Nigeria are reporting health impacts that they believe are linked to environmental pollutions from oil and gas activities. Hence, the objective of this study was to assess the gynaecological health of women in the Oil City of Port Harcourt in the Niger Delta Region of Nigeria. Methods: Data used for this study (n=697) were obtained from the Rivers State University Teaching Hospital (RSUTH) in Port Harcourt, Nigeria. The J Women’s Health Dev 2022; 5 (1): 097-108 DOI: 10.26502/fjwhd.2644-28840080 Journal of Women’s Health and Development Volume 5 No 1 – March 2022 98 patients had partial or total hysterectomy or diagnosed of gynaecological lesion. Data obtained were subjected to both descriptive and inferential statistics using SAS 9.4 version (SAS Institute, Cary, NC, USA). Results: The distribution of the gynaecological lesions differed significantly (p<0.001) by year of diagnosis, developmental stage, age category and types of lesion. Leiomyoma was the highest number of lesions identified (56.0%, n=390), followed by ovarian cyst (10.0%, n=70) and retained product of conception (8.0%, n=56). Women of age group 30-39 years and 40-49 years had the highest number of lesions during the study period with a range of 2171% and 17-34 %, respectively. Conclusion: The prevalence and characteristics of gynaecological lesions in our study sample point to the potential public health consequences, and strong need for creation of awareness campaigns and general health assessment in the Niger Delta region of Nigeria.
{"title":"Gynaecological Health of Women Attending Hospital in Oil City of Port Harcourt in the Niger Delta Region of Nigeria","authors":"Felix M Onyije, Ajuluchukwu Azubuike Ngokere, Aloysius Ebi Ligha, Godwin Ovie Avwioro, O. Mgbere","doi":"10.26502/fjwhd.2644-28840080","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840080","url":null,"abstract":"Introduction: Increasingly, residents of the Niger Delta region of Nigeria are reporting health impacts that they believe are linked to environmental pollutions from oil and gas activities. Hence, the objective of this study was to assess the gynaecological health of women in the Oil City of Port Harcourt in the Niger Delta Region of Nigeria. Methods: Data used for this study (n=697) were obtained from the Rivers State University Teaching Hospital (RSUTH) in Port Harcourt, Nigeria. The J Women’s Health Dev 2022; 5 (1): 097-108 DOI: 10.26502/fjwhd.2644-28840080 Journal of Women’s Health and Development Volume 5 No 1 – March 2022 98 patients had partial or total hysterectomy or diagnosed of gynaecological lesion. Data obtained were subjected to both descriptive and inferential statistics using SAS 9.4 version (SAS Institute, Cary, NC, USA). Results: The distribution of the gynaecological lesions differed significantly (p<0.001) by year of diagnosis, developmental stage, age category and types of lesion. Leiomyoma was the highest number of lesions identified (56.0%, n=390), followed by ovarian cyst (10.0%, n=70) and retained product of conception (8.0%, n=56). Women of age group 30-39 years and 40-49 years had the highest number of lesions during the study period with a range of 2171% and 17-34 %, respectively. Conclusion: The prevalence and characteristics of gynaecological lesions in our study sample point to the potential public health consequences, and strong need for creation of awareness campaigns and general health assessment in the Niger Delta region of Nigeria.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"87 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83776607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Miller, Molly Lamb, Claudia Rivera, Saskia Bunge Montes, Andrea Jimenez-Zambrano, Antonio Bolanos, Edwin Asturias, Stephen Berman, Margo S Harrison
{"title":"Risk Factors and Referral Rates for Urinary Tract Infection in Pregnant Mothers of Southwest Guatemala.","authors":"Michael Miller, Molly Lamb, Claudia Rivera, Saskia Bunge Montes, Andrea Jimenez-Zambrano, Antonio Bolanos, Edwin Asturias, Stephen Berman, Margo S Harrison","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"4 4","pages":"110-112"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8554951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39833753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-09DOI: 10.26502/fjwhd.2644-28840065
Michael Miller, M. Lamb, Claudia Rivera, Saskia Bunge Montes, Andrea Jimenez-Zambrano, Antonio Bolaños, E. Asturias, S. Berman, Margo S. Harrison
Urinary tract infections (UTIs) affect one in four women in lowand middleincome countries and are associated with adverse maternal and neonatal outcomes [1, 2]. In Latin America, the prevalence of UTI is estimated to be 23–31%, yet data in this region is sparse [3]. The objective of this analysis was to understand the prevalence, referral rates, and risk factors associated with UTIs in the Southwest Trifinio region of Guatemala.
{"title":"Risk Factors and Referral Rates for Urinary Tract Infection in Pregnant Mothers of Southwest Guatemala","authors":"Michael Miller, M. Lamb, Claudia Rivera, Saskia Bunge Montes, Andrea Jimenez-Zambrano, Antonio Bolaños, E. Asturias, S. Berman, Margo S. Harrison","doi":"10.26502/fjwhd.2644-28840065","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840065","url":null,"abstract":"Urinary tract infections (UTIs) affect one in four women in lowand middleincome countries and are associated with adverse maternal and neonatal outcomes [1, 2]. In Latin America, the prevalence of UTI is estimated to be 23–31%, yet data in this region is sparse [3]. The objective of this analysis was to understand the prevalence, referral rates, and risk factors associated with UTIs in the Southwest Trifinio region of Guatemala.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"18 1","pages":"110 - 112"},"PeriodicalIF":0.0,"publicationDate":"2021-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83043360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-01DOI: 10.21203/rs.3.rs-900217/v1
H. Shao, Yoji Yamaguchi, Toshiaki Nozaki, Lina Bai, Xi Dong, Dongzi Yang, Shuang Jiao, J. Otsuki, S. Kokeguchi, M. Shiotani
Background Our objective was to retrospectively analyze the influence of DE-T1, a type of amino-polysaccharide extracted from dandelions, on the rates of blastocysts obtained and live births in women undergoing IVF-ET treatment. Methods This was a retrospective cohort study, conducting a total of 1014 patients over the age of 30, who received IVF treatment at Hanabusa Women’s clinic from Aug. 1, 2012 to Feb. 29, 2020. The patients were divided into two groups, based on their own choice regarding DE-T1 supplementation, which is available as over the counter medicine at the Clinic. The two groups’ overall rates of blastocysts obtained were compared and the rates of blastocysts obtained in patients with different ages and Anti-Mullerian hormone (AMH) levels were also compared using an Intention-to-treat (ITT) analysis. Among the patients who completed embryo transfers (ET), the live birth rate was compared between the supplementation group and the non-supplementation group using a Chi-squared test. Results The blastocyst obtained rate in the supplementation group was 75.98%, which was significantly higher than that of 57.28% in the non-supplementation group (P=2.4×109). The blastocyst obtained rate across the range of ages in the supplementation group were significantly higher than those of the non-supplementation group (≥30 and <35 years of age: 90.97% vs 74.32%, P=0.001;≥35 and <40 years of age: 82.40% vs 69.79%, P= 0.010; ≥40 and <43 years of age: 72.90% vs 52.11%, P=0.002; ≥43 years of age: 53.29% vs 22.95%, P= 5.7×105). The blastocyst obtained rate for both AMH levels in the supplementation group were significantly higher than those of the non-supplementation group (AMH≤1.1: 56.47% vs 40.44%, P=0.002; AMH> 1.1: 88.48% vs 71.08%, P=2.52×107). The live birth rate of the supplementation group was significantly higher than that of the non-supplementation group (57.53% vs. 40.0%, P=0.045). Conclusion DE-T1 supplementation might be an influence on improving the blastocyst obtained rate and live birth rates in women receiving IVF-ET treatment. DE-T1 supplementation might be of benefit to women of different ages and AMH levels.
我们的目的是回顾性分析DE-T1(一种从蒲公英中提取的氨基多糖)对接受IVF-ET治疗的妇女获得囊胚率和活产率的影响。方法回顾性队列研究，纳入2012年8月1日至2020年2月29日在Hanabusa妇女诊所接受体外受精治疗的1014例30岁以上患者。患者根据自己对DE-T1补充的选择分为两组，DE-T1补充是诊所提供的非处方药物。比较两组的囊胚总获得率，并采用意向治疗(ITT)分析比较不同年龄患者的囊胚获得率和抗苗勒管激素(AMH)水平。在完成胚胎移植(ET)的患者中，使用卡方检验比较补充组和未补充组的活产率。结果添加组的囊胚获得率为75.98%，显著高于未添加组的57.28% (P=2.4×109)。全年龄范围内，添加组囊胚获得率显著高于未添加组(≥30和1.1:88.48% vs 71.08%， P=2.52×107)。添加组的活产率显著高于未添加组(57.53% vs. 40.0%， P=0.045)。结论补充de - t1可能对提高IVF-ET治疗妇女的囊胚获得率和活产率有影响。补充DE-T1可能对不同年龄和AMH水平的女性有益。
{"title":"DE-T1 On The Blastocyst Obtained Rate and Live Births Rates in Women Receiving IVF-ET Treatment","authors":"H. Shao, Yoji Yamaguchi, Toshiaki Nozaki, Lina Bai, Xi Dong, Dongzi Yang, Shuang Jiao, J. Otsuki, S. Kokeguchi, M. Shiotani","doi":"10.21203/rs.3.rs-900217/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-900217/v1","url":null,"abstract":"\u0000 Background\u0000\u0000Our objective was to retrospectively analyze the influence of DE-T1, a type of amino-polysaccharide extracted from dandelions, on the rates of blastocysts obtained and live births in women undergoing IVF-ET treatment.\u0000Methods\u0000\u0000This was a retrospective cohort study, conducting a total of 1014 patients over the age of 30, who received IVF treatment at Hanabusa Women’s clinic from Aug. 1, 2012 to Feb. 29, 2020. The patients were divided into two groups, based on their own choice regarding DE-T1 supplementation, which is available as over the counter medicine at the Clinic. The two groups’ overall rates of blastocysts obtained were compared and the rates of blastocysts obtained in patients with different ages and Anti-Mullerian hormone (AMH) levels were also compared using an Intention-to-treat (ITT) analysis. Among the patients who completed embryo transfers (ET), the live birth rate was compared between the supplementation group and the non-supplementation group using a Chi-squared test.\u0000Results\u0000\u0000The blastocyst obtained rate in the supplementation group was 75.98%, which was significantly higher than that of 57.28% in the non-supplementation group (P=2.4×109). The blastocyst obtained rate across the range of ages in the supplementation group were significantly higher than those of the non-supplementation group (≥30 and <35 years of age: 90.97% vs 74.32%, P=0.001;≥35 and <40 years of age: 82.40% vs 69.79%, P= 0.010; ≥40 and <43 years of age: 72.90% vs 52.11%, P=0.002; ≥43 years of age: 53.29% vs 22.95%, P= 5.7×105). The blastocyst obtained rate for both AMH levels in the supplementation group were significantly higher than those of the non-supplementation group (AMH≤1.1: 56.47% vs 40.44%, P=0.002; AMH> 1.1: 88.48% vs 71.08%, P=2.52×107). The live birth rate of the supplementation group was significantly higher than that of the non-supplementation group (57.53% vs. 40.0%, P=0.045).\u0000Conclusion\u0000\u0000DE-T1 supplementation might be an influence on improving the blastocyst obtained rate and live birth rates in women receiving IVF-ET treatment. DE-T1 supplementation might be of benefit to women of different ages and AMH levels.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80594061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-16DOI: 10.26502/fjwhd.2644-28840062
Margo S Harrison
Background: Latin America has the highest regional average cesarean birth rates. One potential driver is cesarean birth by maternal request (CBMR).
Methods: We analyzed of a large prospective cohort study of HIV-infected women in six Latin American countries.
Results: Comparisons were made between women who chose CBMR (n = 38) and women with a medical indication for cesarean (n = 683). The only variable associated with CBMR was onset of labor (AOR 0.3 [0.1,0.9], p = 0.04).
Conslusion: Spontaneous labor reduced the likelihood of a woman living with HIV to pursue CBMR in a large Latin American cohort.
{"title":"A Secondary Analysis of the LILAC Study Regarding Cesarean Birth by Maternal Request in Women Living with HIV.","authors":"Margo S Harrison","doi":"10.26502/fjwhd.2644-28840062","DOIUrl":"https://doi.org/10.26502/fjwhd.2644-28840062","url":null,"abstract":"<p><strong>Background: </strong>Latin America has the highest regional average cesarean birth rates. One potential driver is cesarean birth by maternal request (CBMR).</p><p><strong>Methods: </strong>We analyzed of a large prospective cohort study of HIV-infected women in six Latin American countries.</p><p><strong>Results: </strong>Comparisons were made between women who chose CBMR (n = 38) and women with a medical indication for cesarean (n = 683). The only variable associated with CBMR was onset of labor (AOR 0.3 [0.1,0.9], p = 0.04).</p><p><strong>Conslusion: </strong>Spontaneous labor reduced the likelihood of a woman living with HIV to pursue CBMR in a large Latin American cohort.</p>","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"4 2","pages":"78-81"},"PeriodicalIF":0.0,"publicationDate":"2021-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/c7/nihms-1715655.PMC8294197.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39211841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-09DOI: 10.21203/RS.3.RS-560941/V1
Yasutaka Murata, Fumika Oda, M. Shirai, Nanako Sato, A. Sugita, T. Murata
Purpose To assess if consecutive oocyte retrieval (OR) of more than three times could be an effective method to obtain competent embryos becoming babies. Methods To maximize the chances of pregnancy for refractory infertile women, we designed a new treatment course, “Squeeze and freeze.” In this method, ovarian stimulation was initiated whenever the antral follicle was visible using ultrasound, regardless of the menstrual cycle stage for 3 months, aiming to retrieve all possible oocytes and collecting the maximum number of competent embryos for subsequent transfer. Eighty-eight patients underwent 101 treatment courses, in which retrievals at an average of 4.8 times were performed for 3 months. The clinical results and obstetric outcomes were retrospectively reviewed. Results The ratio of matured oocytes, 2PN embryos, available embryos, fair blastocysts per oocyte, and number of available embryos or fair blastocysts per retrieval did not differ between the two initial and later attempts. Similarly, no significant differences were observed in these parameters between the follicular- and luteal-phase retrievals. After subsequent embryo transfer, 62 patients achieved clinical pregnancy, 49 had an ongoing pregnancy, 47 delivered healthy babies, and 8 conceived a second baby. Conclusion Periodic consecutive OR is an efficient infertility treatment for refractory women. In this method, as many oocytes as possible are obtained from a patient in a limited period at the earliest stage of their life. More than three consecutive ORs, including luteal-phase ORs, could obtain competent embryos efficiently, increasing the chances of childbearing.
{"title":"Squeeze and Freeze, A Periodic Consecutive Oocyte Retrieval Method for Poor Ovarian Responders, Increases The Chance of Childbearing","authors":"Yasutaka Murata, Fumika Oda, M. Shirai, Nanako Sato, A. Sugita, T. Murata","doi":"10.21203/RS.3.RS-560941/V1","DOIUrl":"https://doi.org/10.21203/RS.3.RS-560941/V1","url":null,"abstract":"\u0000 Purpose\u0000\u0000To assess if consecutive oocyte retrieval (OR) of more than three times could be an effective method to obtain competent embryos becoming babies.\u0000Methods\u0000\u0000To maximize the chances of pregnancy for refractory infertile women, we designed a new treatment course, “Squeeze and freeze.” In this method, ovarian stimulation was initiated whenever the antral follicle was visible using ultrasound, regardless of the menstrual cycle stage for 3 months, aiming to retrieve all possible oocytes and collecting the maximum number of competent embryos for subsequent transfer. Eighty-eight patients underwent 101 treatment courses, in which retrievals at an average of 4.8 times were performed for 3 months. The clinical results and obstetric outcomes were retrospectively reviewed.\u0000Results\u0000\u0000The ratio of matured oocytes, 2PN embryos, available embryos, fair blastocysts per oocyte, and number of available embryos or fair blastocysts per retrieval did not differ between the two initial and later attempts. Similarly, no significant differences were observed in these parameters between the follicular- and luteal-phase retrievals. After subsequent embryo transfer, 62 patients achieved clinical pregnancy, 49 had an ongoing pregnancy, 47 delivered healthy babies, and 8 conceived a second baby.\u0000Conclusion\u0000\u0000Periodic consecutive OR is an efficient infertility treatment for refractory women. In this method, as many oocytes as possible are obtained from a patient in a limited period at the earliest stage of their life. More than three consecutive ORs, including luteal-phase ORs, could obtain competent embryos efficiently, increasing the chances of childbearing.","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72829323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-08DOI: 10.1101/2021.05.05.21256411
D. Gebreyohannes, J. Shen, K. Sams
The rate of human immunodeficiency virus (HIV) infection shows a diminishing trend globally while increasing in intensity of mortality, morbidity, and burden of HIV in Sub-Saharan Africa. The intertwined behavioral, demographic, and clinical determinants fueled the incidence of infections in Zambian women. This study aimed to determine the association between demographic, behavioral, and clinical determinants with HIV serostatus in Zambian women. With the conceptual framework of the World Health Organization Commission for Social Determinants of Health (CSDH) and the quantitative method of MANOVA, this study examined Zambian Demographic Health Survey data for Zambian women of two ages groups (adolescent and adult). The findings showed statistically significant results in the association between HIV serostatus and self-perceived HIV risk for both groups and in the association between education and HIV serostatus among women in both groups. However, there was no statistically significant association between behavioral, demographic, and clinical determinants of HIV serostatus. These findings imply the need to conduct prospective studies on such determinants to curb HIV and improve women community health in Africa. Keywords HIV serostatus; determinants of HIV serostatus, Self-perceived HIV risk, Zambia
{"title":"Behavioral, Demographic, and Clinical determinants of HIV Status in Zambian Women","authors":"D. Gebreyohannes, J. Shen, K. Sams","doi":"10.1101/2021.05.05.21256411","DOIUrl":"https://doi.org/10.1101/2021.05.05.21256411","url":null,"abstract":"The rate of human immunodeficiency virus (HIV) infection shows a diminishing trend globally while increasing in intensity of mortality, morbidity, and burden of HIV in Sub-Saharan Africa. The intertwined behavioral, demographic, and clinical determinants fueled the incidence of infections in Zambian women. This study aimed to determine the association between demographic, behavioral, and clinical determinants with HIV serostatus in Zambian women. With the conceptual framework of the World Health Organization Commission for Social Determinants of Health (CSDH) and the quantitative method of MANOVA, this study examined Zambian Demographic Health Survey data for Zambian women of two ages groups (adolescent and adult). The findings showed statistically significant results in the association between HIV serostatus and self-perceived HIV risk for both groups and in the association between education and HIV serostatus among women in both groups. However, there was no statistically significant association between behavioral, demographic, and clinical determinants of HIV serostatus. These findings imply the need to conduct prospective studies on such determinants to curb HIV and improve women community health in Africa. Keywords HIV serostatus; determinants of HIV serostatus, Self-perceived HIV risk, Zambia","PeriodicalId":74017,"journal":{"name":"Journal of women's health and development","volume":"720 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86314277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-10DOI: 10.21203/RS.3.RS-296460/V1
L. Langer, F. Neuner
Background: Revictimization refers to the finding that victims of child abuse have an increased risk of experiencing violence as adolescents and adults. To date, revictimization has been well documented for sexual violence. Recent findings show that the same phenomenon occurs for physical and emotional types of violence and indicate specificity in the relationship. In particular, childhood sexual abuse predicts sexual violence in adulthood and childhood physical abuse predicts future physical victimization. Although emotional violence is among the most harmful types of maltreatment, emotional revictimization has not yet been systematically documented. The aim of this study was to investigate how the three different types of childhood abuse (sexual, physical, and emotional) were related to the three different types of adult victimization (sexual, physical, and emotional).Methods: In an online survey of 135 adult women with high levels of victimization, sexual, physical and emotional experiences of violence were assessed separately for childhood and adulthood.Results: Linear regressions indicated specific relationships between childhood sexual and physical abuse and sexual violence in adulthood (standardized beta coefficients .33*** and .21*), while childhood physical abuse predicts physical violence in adulthood (standardized beta coefficient .44***). Emotional violence experiences in adulthood were predicted by childhood sexual and emotional abuse (standardized beta coefficients .20*** and .08*).Conclusions: The findings partly support the specificity hypothesis of revictimization and have significant implications for practice, particularly for the development of more effective approaches to preventing repeated violence.
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