Objective: Assess the knowledge of young adults regarding modifiable risk factors of infertility.
Design: Web-based validated survey.
Setting: University of Nevada, Reno (UNR).
Subjects: Undergraduate students at the UNR.
Interventions: A survey encompassing participants' demographics, understanding of infertility risk factors, willingness to modify behaviors to prevent infertility, personal significance of fertility, previous sources for fertility knowledge, and preferred sources for fertility education.
Main outcome measures: Subject-reported knowledge of modifiable risk factors for infertility and value of fertility.
Results: A total of 427 individuals responded. Thirty-seven percent of females indicated that oral contraceptive pills negatively impact their future fertility and 34.4% were unsure. Regarding prior use of long-acting reversible contraceptives on future fertility, 31.4% of females believed it had a negative impact and 36.9% were unsure of its impact. Only 21.7% of males thought testosterone had a negative impact on fertility. Participants were significantly more likely to avoid certain modifiable risk factors to prevent infertility than they were to avoid excessive alcohol to prevent liver disease (p = 0.008). The largest percentage of women reported obtaining the most information about their fertility from social media.
Conclusions: Young adults would benefit from and are interested in a better understanding of their fertility and modifiable risk factors for infertility. Obstetrics and gynecology physicians and primary care providers can use these findings to guide education and address misconceptions.
{"title":"Young Adults' Understanding of Modifiable Risk Factors of Infertility.","authors":"Lauren Lim, Meredith Hoppe, Lauren Kennedy, Allison Gunderson, Lingchen Wang, Neda Etezadi-Amoli","doi":"10.1089/whr.2024.0058","DOIUrl":"https://doi.org/10.1089/whr.2024.0058","url":null,"abstract":"<p><strong>Objective: </strong>Assess the knowledge of young adults regarding modifiable risk factors of infertility.</p><p><strong>Design: </strong>Web-based validated survey.</p><p><strong>Setting: </strong>University of Nevada, Reno (UNR).</p><p><strong>Subjects: </strong>Undergraduate students at the UNR.</p><p><strong>Interventions: </strong>A survey encompassing participants' demographics, understanding of infertility risk factors, willingness to modify behaviors to prevent infertility, personal significance of fertility, previous sources for fertility knowledge, and preferred sources for fertility education.</p><p><strong>Main outcome measures: </strong>Subject-reported knowledge of modifiable risk factors for infertility and value of fertility.</p><p><strong>Results: </strong>A total of 427 individuals responded. Thirty-seven percent of females indicated that oral contraceptive pills negatively impact their future fertility and 34.4% were unsure. Regarding prior use of long-acting reversible contraceptives on future fertility, 31.4% of females believed it had a negative impact and 36.9% were unsure of its impact. Only 21.7% of males thought testosterone had a negative impact on fertility. Participants were significantly more likely to avoid certain modifiable risk factors to prevent infertility than they were to avoid excessive alcohol to prevent liver disease (<i>p</i> = 0.008). The largest percentage of women reported obtaining the most information about their fertility from social media.</p><p><strong>Conclusions: </strong>Young adults would benefit from and are interested in a better understanding of their fertility and modifiable risk factors for infertility. Obstetrics and gynecology physicians and primary care providers can use these findings to guide education and address misconceptions.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"815-824"},"PeriodicalIF":1.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514463","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 : 2024-10-21eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0070
Anita Zhou, Allison Zetterman, Megan Ott, Colman Freel, Kayla Adams, Andrea Rodriguez-Dasta, Rebekah Rapoza, Rebecca Drakowski, Sarah Sweeney, Alyssa Freeman, Matthew VanOrmer, Melissa Thoene, Elizabeth Lyden, Charmayne R Adams, Gurudutt Pendyala, Corrine Hanson, Ashley J Blount, Ann Anderson-Berry
Background: Women are at an increased risk of developing psychiatric conditions such as anxiety and depression during pregnancy. Psychiatric conditions during pregnancy can put mothers and fetuses at risk of worse physical and mental health before, during, and after the completion of a pregnancy. Previous research indicates that women pregnant during COVID-19 were at a greater risk of developing mental health conditions and being exposed to stressors. While most of the research in the field focuses solely on maternal mental health or interactions between stressors and maternal mental health, little research has been done comparing maternal mental health, demographic variables, and socioeconomic variables across pre-, during-, and post-COVID-19 time periods.
Methods: We conducted an observational cohort study of 703 mothers divided into pre-, during-, and post-COVID-19 groups based on time of enrollment.
Results: Rates of maternal anxiety (p < 0.001), medication use for anxiety (p < 0.001), depression (p < 0.001), medication use for depression (p < 0.001), history of postpartum depression (p < 0.001), and medication use for other psychiatric conditions (p < 0.001) significantly increased during COVID-19 and remained at elevated levels post-COVID-19 compared with pre-COVID-19. Income >150% of the poverty level (p = 0.003), food security level (p = 0.010), marital status (p = 0.001), and private insurance type (p < 0.001) were significantly increased during COVID-19 compared with pre-COVID-19 levels.
Conclusions: Future work should focus on stratifying the effects of the COVID-19 pandemic on maternal mental health by race and ethnicity and establishing guidelines to support maternal mental health during epidemics and pandemics.
{"title":"Increased risks of Maternal Mental Health Conditions Following the COVID-19 Pandemic.","authors":"Anita Zhou, Allison Zetterman, Megan Ott, Colman Freel, Kayla Adams, Andrea Rodriguez-Dasta, Rebekah Rapoza, Rebecca Drakowski, Sarah Sweeney, Alyssa Freeman, Matthew VanOrmer, Melissa Thoene, Elizabeth Lyden, Charmayne R Adams, Gurudutt Pendyala, Corrine Hanson, Ashley J Blount, Ann Anderson-Berry","doi":"10.1089/whr.2024.0070","DOIUrl":"https://doi.org/10.1089/whr.2024.0070","url":null,"abstract":"<p><strong>Background: </strong>Women are at an increased risk of developing psychiatric conditions such as anxiety and depression during pregnancy. Psychiatric conditions during pregnancy can put mothers and fetuses at risk of worse physical and mental health before, during, and after the completion of a pregnancy. Previous research indicates that women pregnant during COVID-19 were at a greater risk of developing mental health conditions and being exposed to stressors. While most of the research in the field focuses solely on maternal mental health or interactions between stressors and maternal mental health, little research has been done comparing maternal mental health, demographic variables, and socioeconomic variables across pre-, during-, and post-COVID-19 time periods.</p><p><strong>Methods: </strong>We conducted <i>an observational cohort study</i> of 703 mothers divided into pre-, during-, and post-COVID-19 groups based on time of enrollment.</p><p><strong>Results: </strong>Rates of maternal anxiety (<i>p</i> < 0.001), medication use for anxiety (<i>p</i> < 0.001), depression (<i>p</i> < 0.001), medication use for depression (<i>p</i> < 0.001), history of postpartum depression (<i>p</i> < 0.001), and medication use for other psychiatric conditions (<i>p</i> < 0.001) significantly increased during COVID-19 and remained at elevated levels post-COVID-19 compared with pre-COVID-19. Income >150% of the poverty level (<i>p</i> = 0.003), food security level (<i>p</i> = 0.010), marital status (<i>p</i> = 0.001), and private insurance type (<i>p</i> < 0.001) were significantly increased during COVID-19 compared with pre-COVID-19 levels.</p><p><strong>Conclusions: </strong>Future work should focus on stratifying the effects of the COVID-19 pandemic on maternal mental health by race and ethnicity and establishing guidelines to support maternal mental health during epidemics and pandemics.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"805-814"},"PeriodicalIF":1.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514445","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 : 2024-10-10eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0076
Astghik Pepoyan
Background: Studies have shown that the gut microbiota of healthy men and men with familial Mediterranean fever (FMF) disease respond differently to placebo. Given the fact that the composition of the gut microbiota is different in men and women, this study aimed to describe in detail the placebo response of the gut microbiota in healthy and FMF women.
Materials and methods: The bacterial response to placebo was fully evaluated on a previous PhyloChip™ DNA microarray-based assay (GEO Series; accession number GSE111835).
Results: The change in the total number of operational taxonomic units in healthy women exposed to placebo is more than that of healthy men, in contrast to FMF people (704 vs. 140 and 409 vs. 7560, respectively [p < 0.05]). Gut Firmicutes diversities are more sensitive to placebo, whereas Akkermansia muciniphila remained unchanged after the placebo administration for both healthy and FMF people. Gut Prevotellaceae and Enterobacteriaceae diversities of healthy subjects and FMF women are also almost unchanged from placebo. Meanwhile, only 56.35% of gut Enterobacteriaceae diversities in FMF men were placebo resistant.
Conclusion: The response to a placebo varies depending on a person's gender and health status. Healthy and FMF women's placebo study groups could be avoided by excluding placebo-sensitive 704 of 18,725 and 409 of 18,725 bacterial diversities, respectively. Because the placebo causes changes in all gut bacterial phyla in healthy and FMF women, and only the representatives of Enterobacteriaceae and Prevotellaceae families and A. muciniphila spp. are not affected by placebo, these bacteria can be considered as possible markers in women-related nutritional/clinical trials. Data on the response of the gut microbiota in healthy women to placebo might be used in studies of diseases other than FMF. The response of gut bacteria from different taxonomic affiliations to placebo may provide a basis for uncovering the role of these bacteria in the gut-brain axis.
{"title":"Gut <i>Akkermansia muciniphila</i>, <i>Prevotellaceae</i>, and <i>Enterobacteriaceae</i> spp. as Possible Markers in Women-Related Nutritional and Clinical Trials: Familial Mediterranean Fever Disease.","authors":"Astghik Pepoyan","doi":"10.1089/whr.2024.0076","DOIUrl":"https://doi.org/10.1089/whr.2024.0076","url":null,"abstract":"<p><strong>Background: </strong>Studies have shown that the gut microbiota of healthy men and men with familial Mediterranean fever (FMF) disease respond differently to placebo. Given the fact that the composition of the gut microbiota is different in men and women, this study aimed to describe in detail the placebo response of the gut microbiota in healthy and FMF women.</p><p><strong>Materials and methods: </strong>The bacterial response to placebo was fully evaluated on a previous PhyloChip™ DNA microarray-based assay (GEO Series; accession number GSE111835).</p><p><strong>Results: </strong>The change in the total number of operational taxonomic units in healthy women exposed to placebo is more than that of healthy men, in contrast to FMF people (704 vs. 140 and 409 vs. 7560, respectively [<i>p</i> < 0.05]). Gut Firmicutes diversities are more sensitive to placebo, whereas <i>Akkermansia muciniphila</i> remained unchanged after the placebo administration for both healthy and FMF people. <i>Gut Prevotellaceae</i> and <i>Enterobacteriaceae</i> diversities of healthy subjects and FMF women are also almost unchanged from placebo. Meanwhile, only 56.35% of gut <i>Enterobacteriaceae</i> diversities in FMF men were placebo resistant.</p><p><strong>Conclusion: </strong>The response to a placebo varies depending on a person's gender and health status. Healthy and FMF women's placebo study groups could be avoided by excluding placebo-sensitive 704 of 18,725 and 409 of 18,725 bacterial diversities, respectively. Because the placebo causes changes in all gut bacterial phyla in healthy and FMF women, and only the representatives of Enterobacteriaceae and Prevotellaceae families and <i>A. muciniphila</i> spp. are not affected by placebo, these bacteria can be considered as possible markers in women-related nutritional/clinical trials. Data on the response of the gut microbiota in healthy women to placebo might be used in studies of diseases other than FMF. The response of gut bacteria from different taxonomic affiliations to placebo may provide a basis for uncovering the role of these bacteria in the gut-brain axis.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"785-793"},"PeriodicalIF":1.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514443","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 : 2024-10-10eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0012
Tiziana Felicitas Aimée Marti, Elena Pavicic, Linda Maria Roggo, Norman Bitterlich, Michael von Wolff, Dagmar Poethig, Petra Stute
Background: Despite the widespread prevalence of obesity and its potential adverse impacts on health, the majority of interventions aimed at weight loss stay ineffective. This study aimed to assess illness perception in people with overweight/obesity and its impact on bio-functional age (BFA) and cognitive patterns governing eating and movement behavior.
Methods: A total of 40 subjects from the original overweight/obesity subcohort of the Bern Cohort Study 2014 (BeCS14) were included and assessed for a follow-up from 2019-11-29 to 2020-07-14. The subjects completed a validated "bio-functional status" test battery with calculation of BFA, as well as validated questionnaires for eating and movement behavior and illness perception.
Results: Participants were overall bio-functionally younger than their chronological age (mean 4.3 ± 6.9 year equivalents) but aging was more pronounced than anticipated. Mental occupation with illness cause was moderate to high with psychosocial (PS) factors being more pronounced than naturalistic (NT) factors. There was a shift from defined theory with focus clearly on PS theories to diffuse theory with consideration of both PS and NT theories. Participants with good sense of coherence (SOC) were less likely to be mentally preoccupied with illness cause (p < 0.05, rs = -0.404), especially with PS factors. PS theories on illness cause correlated with pathological eating behavior (emotional eating: p > 0.05, rs = 0.378; temptation: p < 0.01, rs = 0.486).
Conclusions: Illness perception does affect cognitive patterns and integrating it into therapeutic management for people with obesity can enhance outcomes. Strengthening of SOC is important to decrease PS stress and achieve better subjective health, less mental preoccupation, and less dysfunctional eating behavior.
{"title":"Impact of Illness Perception in Overweight and Obesity on Bio-Functional Age and Eating/Movement Behavior-A Follow-Up Study.","authors":"Tiziana Felicitas Aimée Marti, Elena Pavicic, Linda Maria Roggo, Norman Bitterlich, Michael von Wolff, Dagmar Poethig, Petra Stute","doi":"10.1089/whr.2024.0012","DOIUrl":"https://doi.org/10.1089/whr.2024.0012","url":null,"abstract":"<p><strong>Background: </strong>Despite the widespread prevalence of obesity and its potential adverse impacts on health, the majority of interventions aimed at weight loss stay ineffective. This study aimed to assess illness perception in people with overweight/obesity and its impact on bio-functional age (BFA) and cognitive patterns governing eating and movement behavior.</p><p><strong>Methods: </strong>A total of 40 subjects from the original overweight/obesity subcohort of the Bern Cohort Study 2014 (BeCS14) were included and assessed for a follow-up from 2019-11-29 to 2020-07-14. The subjects completed a validated \"bio-functional status\" test battery with calculation of BFA, as well as validated questionnaires for eating and movement behavior and illness perception.</p><p><strong>Results: </strong>Participants were overall bio-functionally younger than their chronological age (mean 4.3 ± 6.9 year equivalents) but aging was more pronounced than anticipated. Mental occupation with illness cause was moderate to high with psychosocial (PS) factors being more pronounced than naturalistic (NT) factors. There was a shift from defined theory with focus clearly on PS theories to diffuse theory with consideration of both PS and NT theories. Participants with good sense of coherence (SOC) were less likely to be mentally preoccupied with illness cause (<i>p</i> < 0.05, <i>r<sub>s</sub></i> = -0.404), especially with PS factors. PS theories on illness cause correlated with pathological eating behavior (emotional eating: <i>p</i> > 0.05, <i>r<sub>s</sub></i> = 0.378; temptation: <i>p</i> < 0.01, <i>r<sub>s</sub></i> = 0.486).</p><p><strong>Conclusions: </strong>Illness perception does affect cognitive patterns and integrating it into therapeutic management for people with obesity can enhance outcomes. Strengthening of SOC is important to decrease PS stress and achieve better subjective health, less mental preoccupation, and less dysfunctional eating behavior.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"794-804"},"PeriodicalIF":1.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514444","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 : 2024-10-07eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0068
Lea Stubbe, Anja Philippeit, Jill Philippeit, Laura Kaukemüller, Markus Kruppa, Marie Sunder-Plassmann, Alicia Ruppert, Peter Hillemanns, Jerome Mugisha, Rüdiger Klapdor
Introduction: High maternal and newborn mortality rates in Sub-Saharan Africa indicate the need for global action interventions. Thus, the clinic cooperation midwife exchange with Uganda (MEWU) between Hannover Medical School and Mutolere Hospital, Uganda, was founded. This study, as the first intervention within the MEWU framework, explored whether a web-based approach is suitable for developing, training, and establishing standard operating procedures (SOPs) at Mutolere Hospital. We focused on assessing midwives' confidence in midwifery core competencies.
Methods: The study was conducted in a prospective, non-controlled intervention design. As a quality improvement tool, the Plan, Do, Check, Act cycle was implemented. SOPs for standard obstetric care were developed and trained in online meetings. Qualitative and quantitative data were collected through a questionnaire completed pre- and post-intervention by participating midwives, evaluations, minutes and video recordings of each case training, and annual analytical reports from Mutolere Hospital containing morbidity and mortality data.
Results: The online intervention was successfully implemented. Nine SOPs on basic obstetric care were developed, trained in online case training, and integrated into clinical practice at Mutolere Hospital. An increase in midwives' confidence regarding all surveyed core competencies was observed. There were no significant changes in the hospital's morbidity and mortality rates. The quality management system was implemented to optimize the follow-up projects further.
Conclusion: This pilot study shows the potential of web-based interventions as a quality improvement tool in developing countries. The developed SOPs and video database are being used in subsequent studies and extended to further health centers in the Kisoro region.
{"title":"Web-Based Development of Standard Operating Procedures and Midwifery Trainings at Ugandan Birth Clinic in the Framework of Implementing a Quality Improvement System for the MEWU-Midwife Exchange with Uganda.","authors":"Lea Stubbe, Anja Philippeit, Jill Philippeit, Laura Kaukemüller, Markus Kruppa, Marie Sunder-Plassmann, Alicia Ruppert, Peter Hillemanns, Jerome Mugisha, Rüdiger Klapdor","doi":"10.1089/whr.2024.0068","DOIUrl":"https://doi.org/10.1089/whr.2024.0068","url":null,"abstract":"<p><strong>Introduction: </strong>High maternal and newborn mortality rates in Sub-Saharan Africa indicate the need for global action interventions. Thus, the clinic cooperation midwife exchange with Uganda (MEWU) between Hannover Medical School and Mutolere Hospital, Uganda, was founded. This study, as the first intervention within the MEWU framework, explored whether a web-based approach is suitable for developing, training, and establishing standard operating procedures (SOPs) at Mutolere Hospital. We focused on assessing midwives' confidence in midwifery core competencies.</p><p><strong>Methods: </strong>The study was conducted in a prospective, non-controlled intervention design. As a quality improvement tool, the Plan, Do, Check, Act cycle was implemented. SOPs for standard obstetric care were developed and trained in online meetings. Qualitative and quantitative data were collected through a questionnaire completed pre- and post-intervention by participating midwives, evaluations, minutes and video recordings of each case training, and annual analytical reports from Mutolere Hospital containing morbidity and mortality data.</p><p><strong>Results: </strong>The online intervention was successfully implemented. Nine SOPs on basic obstetric care were developed, trained in online case training, and integrated into clinical practice at Mutolere Hospital. An increase in midwives' confidence regarding all surveyed core competencies was observed. There were no significant changes in the hospital's morbidity and mortality rates. The quality management system was implemented to optimize the follow-up projects further.</p><p><strong>Conclusion: </strong>This pilot study shows the potential of web-based interventions as a quality improvement tool in developing countries. The developed SOPs and video database are being used in subsequent studies and extended to further health centers in the Kisoro region.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"775-784"},"PeriodicalIF":1.6,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514462","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 : 2024-10-04eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0052
Wah Wah Myint, Roaa Aggad, Qiping Fan, Chimuanya Osuji, Heather R Clark, E Lisako Jones McKyer
Background: Societal attitude toward spousal physical abuse plays a crucial role in preventing violence against women. Yet, this public health issue has been insufficiently addressed. This study examines the relationship between the societal attitude toward spousal physical abuse and various social determinants.
Methods: We used data from the 2022 Philippines' National Demographic and Health Survey. The outcome variable was attitude toward spousal physical abuse. Covariates included women's sociodemographic characteristics, experiences of witnessing their father's abusive behavior, intimate partner violence (IPV), and controlling behavior. Partner-related variables (age, educational level, employment status, and alcohol consumption behavior) were also considered. Descriptive and logistic regression analyses were performed to examine the associated factors of spousal physical abuse by using Stata 18.0.
Results: Overall, 1,920 (9%) of 19,228 women reported that spousal physical abuse is justifiable in at least one of the presented scenarios. Women IPV survivors (adjusted Odds Ratio [aOR] = 1.35, 95% confidence interval [95% CI] = 1.06-1.73) and those who experienced controlling behavior by their partners (aOR = 1.77, 95% CI = 1.45-2.15) were more likely to accept spousal physical abuse than their counterparts. Conversely, women with a higher decision-making score were less likely to accept spousal physical abuse than those who had a lower score (aOR = 0.74, 95% CI = 0.56-0.98).
Conclusions: Finding suggests that women's attitudes toward spousal physical abuse are significantly influenced by their experience of IPV. Future health research, programs, and policies should address individual, interpersonal, and systemic-level risk factors that profoundly impact women's health.
{"title":"Society's Attitude Toward Spousal Physical Abuse: Findings from the Philippines National Demographic and Health Survey, 2022.","authors":"Wah Wah Myint, Roaa Aggad, Qiping Fan, Chimuanya Osuji, Heather R Clark, E Lisako Jones McKyer","doi":"10.1089/whr.2024.0052","DOIUrl":"https://doi.org/10.1089/whr.2024.0052","url":null,"abstract":"<p><strong>Background: </strong>Societal attitude toward spousal physical abuse plays a crucial role in preventing violence against women. Yet, this public health issue has been insufficiently addressed. This study examines the relationship between the societal attitude toward spousal physical abuse and various social determinants.</p><p><strong>Methods: </strong>We used data from the 2022 Philippines' National Demographic and Health Survey. The outcome variable was attitude toward spousal physical abuse. Covariates included women's sociodemographic characteristics, experiences of witnessing their father's abusive behavior, intimate partner violence (IPV), and controlling behavior. Partner-related variables (age, educational level, employment status, and alcohol consumption behavior) were also considered. Descriptive and logistic regression analyses were performed to examine the associated factors of spousal physical abuse by using Stata 18.0.</p><p><strong>Results: </strong>Overall, 1,920 (9%) of 19,228 women reported that spousal physical abuse is justifiable in at least one of the presented scenarios. Women IPV survivors (adjusted Odds Ratio [aOR] = 1.35, 95% confidence interval [95% CI] = 1.06-1.73) and those who experienced controlling behavior by their partners (aOR = 1.77, 95% CI = 1.45-2.15) were more likely to accept spousal physical abuse than their counterparts. Conversely, women with a higher decision-making score were less likely to accept spousal physical abuse than those who had a lower score (aOR = 0.74, 95% CI = 0.56-0.98).</p><p><strong>Conclusions: </strong>Finding suggests that women's attitudes toward spousal physical abuse are significantly influenced by their experience of IPV. Future health research, programs, and policies should address individual, interpersonal, and systemic-level risk factors that profoundly impact women's health.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"755-764"},"PeriodicalIF":1.6,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514448","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 : 2024-10-04eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0085
Emily Newton-Hoe, Alisa B Goldberg, Jennifer Fortin, Elizabeth Janiak, Sara Neill
Background: About 25% of pregnancies end in early miscarriage or abortion annually in the United States. While mifepristone is part of the most effective medication regimen for miscarriage and abortion, regulatory burdens and legal restrictions limit its provision in obstetric-gynecological practice. The extent of geographic disparities in mifepristone use is unknown.
Objectives: We sought to ascertain whether regional "deserts" for mifepristone-based miscarriage and abortion care exist in Massachusetts using geographic regions specified by the Commonwealth's Executive Office of Health and Human Services.
Methods: We fielded a cross-sectional survey of obstetrician-gynecologists practicing in Massachusetts. We weighted survey data to account for differential nonresponse by provider sex, region, and years in independent practice.
Results: Among obstetrician-gynecologists in independent practice with region data (n = 148), 51.0% reported using mifepristone for miscarriage and 43.5% for abortion. Significant differences in reported use were observed across regions (p < 0.001 for both indications). Barriers to using mifepristone for miscarriage management also varied across regions. Respondents outside of Boston and Western Massachusetts were more likely to report gaps in knowledge about regulations and prescribing and had less prior experience using mifepristone. In a multivariable model adjusting for provider sex and practice type, obstetrician-gynecologists outside of Boston had significantly lower odds of using mifepristone for miscarriage (adjusted odds ratio [aOR] = 0.14, 95% confidence interval [95% CI] = 0.08-0.25) and abortion (aOR = 0.46, 95% CI = 0.26-0.82), compared to Boston-based obstetrician-gynecologists.
Conclusion: Mifepristone provision varies significantly by Massachusetts region. This may lead to spatial disparities in reproductive health outcomes.
{"title":"Spatial Disparities in Mifepristone Use for Early Miscarriage and Induced Abortion Among Obstetrician-Gynecologists Practicing in Massachusetts.","authors":"Emily Newton-Hoe, Alisa B Goldberg, Jennifer Fortin, Elizabeth Janiak, Sara Neill","doi":"10.1089/whr.2024.0085","DOIUrl":"https://doi.org/10.1089/whr.2024.0085","url":null,"abstract":"<p><strong>Background: </strong>About 25% of pregnancies end in early miscarriage or abortion annually in the United States. While mifepristone is part of the most effective medication regimen for miscarriage and abortion, regulatory burdens and legal restrictions limit its provision in obstetric-gynecological practice. The extent of geographic disparities in mifepristone use is unknown.</p><p><strong>Objectives: </strong>We sought to ascertain whether regional \"deserts\" for mifepristone-based miscarriage and abortion care exist in Massachusetts using geographic regions specified by the Commonwealth's Executive Office of Health and Human Services.</p><p><strong>Methods: </strong>We fielded a cross-sectional survey of obstetrician-gynecologists practicing in Massachusetts. We weighted survey data to account for differential nonresponse by provider sex, region, and years in independent practice.</p><p><strong>Results: </strong>Among obstetrician-gynecologists in independent practice with region data (<i>n</i> = 148), 51.0% reported using mifepristone for miscarriage and 43.5% for abortion. Significant differences in reported use were observed across regions (<i>p</i> < 0.001 for both indications). Barriers to using mifepristone for miscarriage management also varied across regions. Respondents outside of Boston and Western Massachusetts were more likely to report gaps in knowledge about regulations and prescribing and had less prior experience using mifepristone. In a multivariable model adjusting for provider sex and practice type, obstetrician-gynecologists outside of Boston had significantly lower odds of using mifepristone for miscarriage (adjusted odds ratio [aOR] = 0.14, 95% confidence interval [95% CI] = 0.08-0.25) and abortion (aOR = 0.46, 95% CI = 0.26-0.82), compared to Boston-based obstetrician-gynecologists.</p><p><strong>Conclusion: </strong>Mifepristone provision varies significantly by Massachusetts region. This may lead to spatial disparities in reproductive health outcomes.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"765-774"},"PeriodicalIF":1.6,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514449","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 : 2024-09-30eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0102
Emilie Glass-Riveros, Kelley Baumann, Katherine Craemer, Stacie Geller, Monica Nava Frenier, Jada McDonald, Hunter K Holt
Introduction: Cervical cancer disproportionally affects Black and Latinx women in Chicago. Black and Latinx women have a higher incidence of cervical cancer diagnosis and lower rates of cervical cancer screening than non-Latinx White women. Self-collected high-risk human papillomavirus (HPV) testing has been proposed as a method to address these barriers to screening and prevent cervical cancer.
Objective: This study aimed to understand the feasibility and acceptability of self-collected HPV testing as a novel approach to address barriers to cervical cancer screening for Black and Latinx women in Chicago.
Methods: Semistructured interviews with 17 Black and Latinx community members of the greater Chicago area were conducted. Thematic analysis using inductive and deductive coding was completed.
Results: Findings from qualitative interviews indicate strong support for self-collected HPV testing among community members. They expressed a preference for self-collected HPV testing due to the comfort, control, and reduced anxiety it offers. Financial constraints, prioritization of other life demands, and past trauma were identified as substantial barriers to traditional cervical screening.
Conclusion: Self-collected HPV testing could address barriers to cervical cancer screening by providing a less-invasive, patient-centered alternative to traditional methods. Self-collected HPV testing should be made accessible, be integrated into existing cervical cancer screening programs, and be covered by health insurance.
{"title":"The Acceptability and Feasibility of Self-Collected HPV Testing for Cervical Cancer Screening Among Black and Latinx Women in Chicago: Perspectives from the Community.","authors":"Emilie Glass-Riveros, Kelley Baumann, Katherine Craemer, Stacie Geller, Monica Nava Frenier, Jada McDonald, Hunter K Holt","doi":"10.1089/whr.2024.0102","DOIUrl":"10.1089/whr.2024.0102","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical cancer disproportionally affects Black and Latinx women in Chicago. Black and Latinx women have a higher incidence of cervical cancer diagnosis and lower rates of cervical cancer screening than non-Latinx White women. Self-collected high-risk human papillomavirus (HPV) testing has been proposed as a method to address these barriers to screening and prevent cervical cancer.</p><p><strong>Objective: </strong>This study aimed to understand the feasibility and acceptability of self-collected HPV testing as a novel approach to address barriers to cervical cancer screening for Black and Latinx women in Chicago.</p><p><strong>Methods: </strong>Semistructured interviews with 17 Black and Latinx community members of the greater Chicago area were conducted. Thematic analysis using inductive and deductive coding was completed.</p><p><strong>Results: </strong>Findings from qualitative interviews indicate strong support for self-collected HPV testing among community members. They expressed a preference for self-collected HPV testing due to the comfort, control, and reduced anxiety it offers. Financial constraints, prioritization of other life demands, and past trauma were identified as substantial barriers to traditional cervical screening.</p><p><strong>Conclusion: </strong>Self-collected HPV testing could address barriers to cervical cancer screening by providing a less-invasive, patient-centered alternative to traditional methods. Self-collected HPV testing should be made accessible, be integrated into existing cervical cancer screening programs, and be covered by health insurance.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"735-743"},"PeriodicalIF":1.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514450","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 : 2024-09-30eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0055
Mohammed Qutishat, Lina Shakman, Safiya Alyaqoubi
Background: This study examines the relationship between premenstrual syndrome (PMS) and the attitude toward seeking professional psychological help among Omani college students.
Method: This study used a cross-sectional design with a convenience sampling approach. The date was issued between January and March 2024. A sample of 601 undergraduate female students completed the study questionnaires, including (1) a sociodemographic questionnaire, (2) the Premenstrual Syndrome Scale and (3) the attitude toward seeking professional psychological distress scale.
Results: The study included 601 eligible participants of age 18-29 years who were mostly single (83.7%) and living on campus (68.6%). PMS prevalence was high at 87.9%, with a mean score of 109.4, indicating low severity for most (62.1%). Participants generally had positive attitudes toward seeking psychological help (41.6% high willingness). A linear regression showed a positive link between PMS severity and help-seeking attitudes.
Conclusion: This study highlights a significant association between the experiences of PMS and attitudes toward seeking professional psychological help among Omani female undergraduate students. With a high prevalence of PMS reported, the findings suggest that cultural factors and support systems play crucial roles in shaping these attitudes. The positive inclination toward seeking help indicates a growing awareness of mental health issues within this demographic. Enhancing mental health services and fostering supportive environments in educational settings can further empower students to address PMS-related challenges.
{"title":"Premenstrual Syndrome and the Attitudes Toward Seeking Professional Psychological Help Among College Students in Oman.","authors":"Mohammed Qutishat, Lina Shakman, Safiya Alyaqoubi","doi":"10.1089/whr.2024.0055","DOIUrl":"10.1089/whr.2024.0055","url":null,"abstract":"<p><strong>Background: </strong>This study examines the relationship between premenstrual syndrome (PMS) and the attitude toward seeking professional psychological help among Omani college students.</p><p><strong>Method: </strong>This study used a cross-sectional design with a convenience sampling approach. The date was issued between January and March 2024. A sample of 601 undergraduate female students completed the study questionnaires, including (1) a sociodemographic questionnaire, (2) the Premenstrual Syndrome Scale and (3) the attitude toward seeking professional psychological distress scale.</p><p><strong>Results: </strong>The study included 601 eligible participants of age 18-29 years who were mostly single (83.7%) and living on campus (68.6%). PMS prevalence was high at 87.9%, with a mean score of 109.4, indicating low severity for most (62.1%). Participants generally had positive attitudes toward seeking psychological help (41.6% high willingness). A linear regression showed a positive link between PMS severity and help-seeking attitudes.</p><p><strong>Conclusion: </strong>This study highlights a significant association between the experiences of PMS and attitudes toward seeking professional psychological help among Omani female undergraduate students. With a high prevalence of PMS reported, the findings suggest that cultural factors and support systems play crucial roles in shaping these attitudes. The positive inclination toward seeking help indicates a growing awareness of mental health issues within this demographic. Enhancing mental health services and fostering supportive environments in educational settings can further empower students to address PMS-related challenges.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"744-754"},"PeriodicalIF":1.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514447","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 : 2024-09-26eCollection Date: 2024-01-01DOI: 10.1089/whr.2024.0020
Allan Fong, Christian L Boxley, Seth Krevat, Emily K Mutondo, Angela D Thomas
Background: There is a growing body of research highlighting that Black women have more adverse maternal health events. Instead of only focusing on severe maternal morbidity and mortality events, patient safety events (PSEs) and feedback reports are data sources that can offer insights into a broader spectrum of maternal safety, including near misses, and unsafe conditions. In this work, we explore the racial differences in the representation of mothers and birthing individuals' (MBIs) voices in PSE and feedback reports.
Materials and methods: We analyze patient experience themes, dissatisfaction, and disrespect in PSE and patient feedback reports from two large birthing hospitals. We compare racial differences in how the voices of MBIs are represented in these reports. Reports were manually coded for the presence of MBIs' voices, patient experience themes, dissatisfaction, and disrespect by staff.
Results: In total, 866 reports were reviewed, of which 271 had explicit mentions of MBIs' voices. A statistically significant association (p < 0.001) was observed between patient experience themes and report type, driven by clinical safety event themes in PSE reports. A statistically significant association (p = 0.030) was observed between race and report type in 190 reports explicitly mentioning dissatisfaction.
Discussion: Delays with handoff and transfer, pain management, patient staff violence, and procedural harm were proportionally more commonly reported among Black MBIs, supporting prior research in pain management and procedural harm disparities. We also identified themes of positive feedback and good catches by patients, which are key components to patient-centered care and promoting resilience in the care process.
Conclusions: PSE reports tended to capture predominantly clinical themes from Black MBIs, while feedback reports captured predominantly administrative themes from White MBIs. Important perspectives of the safety narrative can be missed when only PSE reports or feedback reports are considered.
背景:越来越多的研究强调,黑人妇女发生的不良孕产妇健康事件更多。患者安全事件(PSEs)和反馈报告不仅关注严重的孕产妇发病率和死亡率事件,而且是能够深入了解更广泛的孕产妇安全问题(包括险情和不安全状况)的数据来源。在这项工作中,我们探讨了患者安全事件和反馈报告中母亲和分娩者(MBIs)声音的种族差异:我们分析了两家大型分娩医院的 PSE 和患者反馈报告中的患者体验主题、不满和不尊重。我们比较了这些报告中如何体现产妇和婴儿的声音的种族差异。我们对报告中是否有产妇和婴儿的声音、患者体验主题、不满意度以及员工的不尊重行为进行了人工编码:共审查了 866 份报告,其中 271 份明确提到了履行机构的声音。在 PSE 报告中的临床安全事件主题驱动下,观察到患者体验主题与报告类型之间存在统计学意义上的显著关联(p < 0.001)。在 190 份明确提及不满意的报告中,种族与报告类型之间存在统计学意义上的关联(p = 0.030):讨论:在黑人 MBI 中,交接和转运延迟、疼痛管理、患者员工暴力和程序伤害的报告比例更高,这支持了之前关于疼痛管理和程序伤害差异的研究。我们还发现了患者的积极反馈和良好捕捉的主题,这些都是以患者为中心的护理和促进护理过程中复原力的关键组成部分:PSE 报告倾向于主要捕捉黑人 MBI 的临床主题,而反馈报告则主要捕捉白人 MBI 的行政主题。如果只考虑 PSE 报告或反馈报告,可能会忽略安全叙述的重要视角。
{"title":"The Maternal Voice: Exploration of Mothers and Birthing Individuals' Voices in Patient Safety Event and Feedback Reports.","authors":"Allan Fong, Christian L Boxley, Seth Krevat, Emily K Mutondo, Angela D Thomas","doi":"10.1089/whr.2024.0020","DOIUrl":"https://doi.org/10.1089/whr.2024.0020","url":null,"abstract":"<p><strong>Background: </strong>There is a growing body of research highlighting that Black women have more adverse maternal health events. Instead of only focusing on severe maternal morbidity and mortality events, patient safety events (PSEs) and feedback reports are data sources that can offer insights into a broader spectrum of maternal safety, including near misses, and unsafe conditions. In this work, we explore the racial differences in the representation of mothers and birthing individuals' (MBIs) voices in PSE and feedback reports.</p><p><strong>Materials and methods: </strong>We analyze patient experience themes, dissatisfaction, and disrespect in PSE and patient feedback reports from two large birthing hospitals. We compare racial differences in how the voices of MBIs are represented in these reports. Reports were manually coded for the presence of MBIs' voices, patient experience themes, dissatisfaction, and disrespect by staff.</p><p><strong>Results: </strong>In total, 866 reports were reviewed, of which 271 had explicit mentions of MBIs' voices. A statistically significant association (<i>p</i> < 0.001) was observed between patient experience themes and report type, driven by clinical safety event themes in PSE reports. A statistically significant association (<i>p</i> = 0.030) was observed between race and report type in 190 reports explicitly mentioning dissatisfaction.</p><p><strong>Discussion: </strong>Delays with handoff and transfer, pain management, patient staff violence, and procedural harm were proportionally more commonly reported among Black MBIs, supporting prior research in pain management and procedural harm disparities. We also identified themes of positive feedback and good catches by patients, which are key components to patient-centered care and promoting resilience in the care process.</p><p><strong>Conclusions: </strong>PSE reports tended to capture predominantly clinical themes from Black MBIs, while feedback reports captured predominantly administrative themes from White MBIs. Important perspectives of the safety narrative can be missed when only PSE reports or feedback reports are considered.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"5 1","pages":"727-734"},"PeriodicalIF":1.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514460","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}