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Young Adults' Understanding of Modifiable Risk Factors of Infertility. 年轻人对可改变的不孕不育风险因素的了解。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.1089/whr.2024.0058
Lauren Lim, Meredith Hoppe, Lauren Kennedy, Allison Gunderson, Lingchen Wang, Neda Etezadi-Amoli

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.

目的评估年轻人对可改变的不孕不育风险因素的了解程度:设计:基于网络的验证调查:研究对象: 内华达大学里诺分校(UNR)的本科生:干预措施:干预措施:调查内容包括参与者的人口统计学特征、对不孕不育风险因素的理解、改变行为以预防不孕不育的意愿、个人对生育的重要性、以前的生育知识来源以及生育教育的首选来源:主要结果测量:受试者报告的对可改变的不孕不育风险因素的了解程度和生育价值:结果:共有 427 人做出了回答。37%的女性表示口服避孕药对其未来的生育能力有负面影响,34.4%的女性表示不确定。关于以前使用长效可逆避孕药对未来生育能力的影响,31.4% 的女性认为会产生负面影响,36.9% 的女性不确定其影响。只有 21.7% 的男性认为睾酮对生育有负面影响。与避免过量饮酒以预防肝病相比,参与者更倾向于避免某些可改变的风险因素以预防不孕症(p = 0.008)。最大比例的女性表示从社交媒体上获得了最多有关其生育的信息:结论:年轻人会从更好地了解自己的生育能力和可改变的不孕症风险因素中获益,也会对这些信息感兴趣。妇产科医生和初级保健提供者可以利用这些发现来指导教育和消除误解。
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引用次数: 0
Increased risks of Maternal Mental Health Conditions Following the COVID-19 Pandemic. COVID-19 大流行后产妇精神健康状况的风险增加。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 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.

背景:妇女在怀孕期间患焦虑症和抑郁症等精神疾病的风险会增加。妊娠期间的精神状况会使母亲和胎儿在妊娠前、妊娠期间和妊娠结束后面临身心健康恶化的风险。以往的研究表明,在 COVID-19 期间怀孕的妇女患精神疾病和面临压力的风险更大。虽然该领域的大多数研究仅关注孕产妇心理健康或压力因素与孕产妇心理健康之间的相互作用,但很少有研究对 COVID-19 前后和期间的孕产妇心理健康、人口统计学变量和社会经济变量进行比较:我们对 703 名母亲进行了一项观察性队列研究,根据入学时间将她们分为 "COVID-19 "前、"COVID-19 "期间和 "COVID-19 "后三组:结果:在 COVID-19 期间,产妇焦虑率(p < 0.001)、焦虑用药率(p < 0.001)、抑郁率(p < 0.001)、抑郁用药率(p < 0.001)、产后抑郁史(p < 0.001)和其他精神疾病用药率(p < 0.001)显著上升,与 COVID-19 前相比,COVID-19 后仍处于较高水平。与 COVID-19 前的水平相比,COVID-19 期间贫困线 150% 以上的收入(p = 0.003)、食品安全水平(p = 0.010)、婚姻状况(p = 0.001)和私人保险类型(p < 0.001)均明显增加:结论:未来的工作重点应是按种族和民族对 COVID-19 大流行对孕产妇心理健康的影响进行分层,并制定在流行病和大流行期间支持孕产妇心理健康的指南。
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引用次数: 0
Gut Akkermansia muciniphila, Prevotellaceae, and Enterobacteriaceae spp. as Possible Markers in Women-Related Nutritional and Clinical Trials: Familial Mediterranean Fever Disease. 肠道Akkermansia muciniphila、Prevotellaceae和Enterobacteriaceae spp.作为与妇女有关的营养和临床试验的可能标志物:家族性地中海热疾病。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 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.

背景:研究表明,健康男性和家族性地中海热(FMF)男性患者的肠道微生物群对安慰剂的反应不同。鉴于男性和女性的肠道微生物群组成不同,本研究旨在详细描述健康女性和家族性地中海热女性的肠道微生物群对安慰剂的反应:细菌对安慰剂的反应在之前基于 PhyloChip™ DNA 微阵列的检测(GEO Series;登录号 GSE111835)上进行了全面评估:结果:暴露于安慰剂的健康女性的可操作分类单元总数的变化大于健康男性,与 FMF 患者形成鲜明对比(分别为 704 对 140 和 409 对 7560 [p < 0.05])。健康人和 FMF 患者的肠道固有菌群对安慰剂更敏感,而粘液纤毛虫(Akkermansia muciniphila)在服用安慰剂后保持不变。健康受试者和 FMF 女性的肠道前鞭毛菌科(Prevotellaceae)和肠杆菌科(Enterobacteriaceae)的多样性也几乎与安慰剂相同。同时,FMF 男性的肠道肠杆菌科多样性中只有 56.35% 对安慰剂有抵抗力:结论:人的性别和健康状况不同,对安慰剂的反应也不同。健康女性和 FMF 女性的安慰剂研究组可分别排除 18725 种细菌中对安慰剂敏感的 704 种和 18725 种细菌中对安慰剂敏感的 409 种。由于安慰剂会导致健康妇女和 FMF 妇女的所有肠道细菌系统发生变化,而只有肠杆菌科和前生菌科的代表细菌以及粘多糖酵母菌不受安慰剂的影响,因此这些细菌可被视为妇女相关营养/临床试验的可能标记物。健康女性肠道微生物群对安慰剂的反应数据可用于除 FMF 以外的其他疾病的研究。不同分类群的肠道细菌对安慰剂的反应可为揭示这些细菌在肠道-大脑轴中的作用提供依据。
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引用次数: 0
Impact of Illness Perception in Overweight and Obesity on Bio-Functional Age and Eating/Movement Behavior-A Follow-Up Study. 超重和肥胖症患者的疾病认知对生物功能年龄和饮食/运动行为的影响--一项跟踪研究。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 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.

背景:尽管肥胖症普遍存在并对健康造成了潜在的不利影响,但大多数旨在减轻体重的干预措施却收效甚微。本研究旨在评估超重/肥胖症患者的疾病感知及其对生物功能年龄(BFA)和饮食及运动行为认知模式的影响:共纳入了40名来自2014年伯尔尼队列研究(BeCS14)原始超重/肥胖亚队列的受试者,并对其进行了2019-11-29至2020-07-14的随访评估。受试者完成了计算BFA的有效 "生物功能状态 "测试电池,以及饮食和运动行为及疾病感知有效问卷:结果:总体而言,受试者的生物功能比其实际年龄年轻(平均为 4.3 ± 6.9 岁),但衰老程度比预期更明显。与病因有关的心理职业为中度至高度,社会心理因素比自然因素更明显。从明显侧重于 PS 理论的定义理论向同时考虑 PS 和 NT 理论的分散理论转变。具有良好连贯性(SOC)的参与者不太可能在精神上专注于病因(p < 0.05,rs = -0.404),尤其是 PS 因素。关于疾病原因的 PS 理论与病态饮食行为相关(情绪化饮食:p > 0.05,rs = 0.378;诱惑:p < 0.01,rs = 0.486):结论:疾病认知确实会影响认知模式,将其纳入肥胖症患者的治疗管理可提高疗效。加强 SOC 对减少 PS 压力、改善主观健康、减少心理困扰和饮食行为障碍非常重要。
{"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}
引用次数: 0
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. 在与乌干达的助产士交流项目(MEWU-Midwife Exchange)实施质量改进系统的框架内,在乌干达分娩诊所开展基于网络的标准操作程序和助产士培训。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI: 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.

导言:撒哈拉以南非洲地区孕产妇和新生儿死亡率居高不下,这表明有必要采取全球干预行动。因此,汉诺威医学院与乌干达穆托莱雷医院合作成立了乌干达助产士交流诊所(MEWU)。作为 MEWU 框架内的首个干预项目,本研究探讨了基于网络的方法是否适合在穆托莱雷医院开发、培训和建立标准操作程序 (SOP)。我们重点评估了助产士对助产核心能力的信心:研究采用前瞻性、非控制干预设计。作为质量改进工具,实施了 "计划、实施、检查、行动 "循环。制定了标准产科护理 SOP,并通过在线会议进行培训。通过参与助产士在干预前后填写的调查问卷、评估、每次病例培训的会议记录和视频记录,以及穆托莱雷医院包含发病率和死亡率数据的年度分析报告,收集定性和定量数据:在线干预已成功实施。穆托莱雷医院制定了九项产科基本护理标准操作程序,通过在线案例培训进行了培训,并将其纳入了临床实践。据观察,助产士对所有调查的核心能力的信心都有所增强。医院的发病率和死亡率没有明显变化。为进一步优化后续项目,实施了质量管理系统:这项试点研究表明,在发展中国家,基于网络的干预措施作为一种质量改进工具具有潜力。开发的标准操作程序和视频数据库将用于后续研究,并推广到基索罗地区的更多医疗中心。
{"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}
引用次数: 0
Society's Attitude Toward Spousal Physical Abuse: Findings from the Philippines National Demographic and Health Survey, 2022. 社会对配偶身体虐待的态度:2022 年菲律宾全国人口与健康调查》。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI: 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.

背景:社会对配偶身体虐待的态度在防止暴力侵害妇女方面起着至关重要的作用。然而,这一公共卫生问题却没有得到充分解决。本研究探讨了社会对配偶身体虐待的态度与各种社会决定因素之间的关系:我们使用了 2022 年菲律宾全国人口与健康调查的数据。结果变量是对配偶身体虐待的态度。协变量包括妇女的社会人口特征、目睹父亲虐待行为的经历、亲密伴侣暴力(IPV)和控制行为。此外,还考虑了与伴侣相关的变量(年龄、教育水平、就业状况和饮酒行为)。使用 Stata 18.0 进行了描述性分析和逻辑回归分析,以研究配偶身体虐待的相关因素:总体而言,在 19 228 名女性中,有 1 920 人(9%)表示在至少一种情况下配偶的身体虐待是合理的。与同类女性相比,IPV 幸存者(调整后比值比 [aOR] = 1.35,95% 置信区间 [95% CI] = 1.06-1.73)和经历过伴侣控制行为的女性(aOR = 1.77,95% CI = 1.45-2.15)更有可能接受配偶的身体虐待。相反,与得分较低的女性相比,决策得分较高的女性接受配偶身体虐待的可能性较低(aOR = 0.74,95% CI = 0.56-0.98):研究结果表明,女性对配偶身体虐待的态度在很大程度上受到其 IPV 经历的影响。未来的健康研究、计划和政策应解决个人、人际和系统层面的风险因素,这些因素对妇女的健康有着深远的影响。
{"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}
引用次数: 0
Spatial Disparities in Mifepristone Use for Early Miscarriage and Induced Abortion Among Obstetrician-Gynecologists Practicing in Massachusetts. 马萨诸塞州妇产科医生使用米非司酮治疗早期流产和人工流产的空间差异。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI: 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.

背景:在美国,每年约有 25% 的妊娠以早期流产或人工流产告终。虽然米非司酮是治疗流产和人工流产最有效的药物方案的一部分,但监管负担和法律限制限制了其在妇产科实践中的应用。米非司酮使用的地域差异程度尚不清楚:我们试图通过马萨诸塞州卫生与公众服务执行办公室规定的地理区域,确定马萨诸塞州是否存在基于米非司酮的流产和堕胎护理的地区 "沙漠":我们对在马萨诸塞州执业的妇产科医生进行了横断面调查。我们对调查数据进行了加权处理,以考虑到医疗服务提供者的性别、地区和独立执业年限不同而导致的无响应情况:在有地区数据的独立执业妇产科医生中(n = 148),51.0% 的医生报告使用米非司酮治疗流产,43.5% 的医生报告使用米非司酮治疗流产。不同地区的报告使用率存在显著差异(两种适应症的 p 均小于 0.001)。使用米非司酮处理流产的障碍也因地区而异。波士顿和马萨诸塞州西部以外的受访者更有可能报告在法规和处方知识方面存在差距,而且之前使用米非司酮的经验较少。在调整医疗服务提供者性别和执业类型的多变量模型中,与波士顿的妇产科医生相比,波士顿以外的妇产科医生使用米非司酮治疗流产(调整后的几率比 [aOR] = 0.14,95% 置信区间 [95% CI] = 0.08-0.25)和堕胎(aOR = 0.46,95% CI = 0.26-0.82)的几率明显较低:结论:米非司酮的提供在马萨诸塞州各地区差异很大。这可能会导致生殖健康结果的空间差异。
{"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}
引用次数: 0
The Acceptability and Feasibility of Self-Collected HPV Testing for Cervical Cancer Screening Among Black and Latinx Women in Chicago: Perspectives from the Community. 芝加哥黑人和拉丁裔妇女对宫颈癌筛查自采 HPV 检测的接受度和可行性:来自社区的观点。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 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.

导言:在芝加哥,宫颈癌对黑人和拉丁裔妇女的影响尤为严重。与非拉丁裔白人妇女相比,黑人和拉丁裔妇女的宫颈癌诊断率更高,而宫颈癌筛查率却更低。自取高危人乳头瘤病毒(HPV)检测被认为是解决这些筛查障碍和预防宫颈癌的一种方法:本研究旨在了解自取式 HPV 检测作为解决芝加哥黑人和拉美裔妇女宫颈癌筛查障碍的新方法的可行性和可接受性:方法: 对大芝加哥地区的 17 名黑人和拉丁裔社区成员进行了半结构式访谈。结果:定性访谈的结果表明,在芝加哥黑人和拉美裔妇女中,宫颈癌筛查是一个新的障碍:定性访谈结果表明,社区成员非常支持自取式 HPV 检测。他们表示,由于自取式 HPV 检测能带来舒适感、可控性和减少焦虑,因此他们更倾向于自取式检测。经济限制、优先考虑其他生活需求以及过去的创伤被认为是传统宫颈筛查的主要障碍:结论:自取式 HPV 检测可为传统方法提供一种以患者为中心的微创替代方法,从而消除宫颈癌筛查的障碍。自取式 HPV 检测应该普及,纳入现有的宫颈癌筛查计划,并纳入医疗保险范围。
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引用次数: 0
Premenstrual Syndrome and the Attitudes Toward Seeking Professional Psychological Help Among College Students in Oman. 经前期综合征与阿曼大学生对寻求专业心理帮助的态度。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 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.

研究背景本研究探讨了经前期综合征(PMS)与阿曼大学生寻求专业心理帮助的态度之间的关系:本研究采用方便抽样的横断面设计。调查日期为 2024 年 1 月至 3 月。601名本科女学生填写了研究问卷,包括(1)社会人口学问卷、(2)经前期综合征量表和(3)寻求专业心理帮助的态度量表:研究共纳入了 601 名符合条件的参与者,年龄在 18-29 岁之间,大部分为单身(83.7%),住在校园里(68.6%)。经前综合征的患病率高达 87.9%,平均得分 109.4 分,大多数人(62.1%)的严重程度较低。参与者普遍对寻求心理帮助持积极态度(41.6%的人有较高意愿)。线性回归结果显示,经前期综合征的严重程度与求助态度之间存在正相关:本研究强调了经前期综合征的经历与阿曼女大学生寻求专业心理帮助的态度之间的重要关联。由于经前期综合征的发病率很高,研究结果表明,文化因素和支持系统在形成这些态度方面起着至关重要的作用。积极的求助倾向表明,这一人群对心理健康问题的认识在不断提高。在教育环境中加强心理健康服务和营造支持性环境,可以进一步增强学生应对经前综合症相关挑战的能力。
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引用次数: 0
The Maternal Voice: Exploration of Mothers and Birthing Individuals' Voices in Patient Safety Event and Feedback Reports. 产妇的声音:探索患者安全事件和反馈报告中母亲和分娩者的声音。
IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI: 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。
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引用次数: 0
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Women's health reports (New Rochelle, N.Y.)
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