As the COVID-19 vaccine became available, pregnant people from marginalized communities disproportionately delayed vaccination. Although the urgency of vaccination has subsided, COVID-19 infection during pregnancy continues to pose maternal and fetal risks. Interviews with 45 Latinas residing on the US-Mexico border who were pregnant during the first two years of the pandemic revealed varying degrees of hesitancy related to vaccination during pregnancy. Utilizing a spectrum of hesitancy to frame the analysis revealed patterns of delayed vaccination and how varying degrees of trust in medical authority contributed to these patterns. Understanding patterns driving vaccine uptake and delays can inform clinical practice.
{"title":"The Spectrum of Hesitancy in COVID-19 Vaccine Uptake Among Pregnant Latinas on the United States-Mexico Border.","authors":"Carina Heckert, Kimberly Anaya, Alondra Arias, Sireesha Reddy","doi":"10.1080/23293691.2025.2500352","DOIUrl":"https://doi.org/10.1080/23293691.2025.2500352","url":null,"abstract":"<p><p>As the COVID-19 vaccine became available, pregnant people from marginalized communities disproportionately delayed vaccination. Although the urgency of vaccination has subsided, COVID-19 infection during pregnancy continues to pose maternal and fetal risks. Interviews with 45 Latinas residing on the US-Mexico border who were pregnant during the first two years of the pandemic revealed varying degrees of hesitancy related to vaccination during pregnancy. Utilizing a <i>spectrum of hesitancy</i> to frame the analysis revealed patterns of delayed vaccination and how varying degrees of trust in medical authority contributed to these patterns. Understanding patterns driving vaccine uptake and delays can inform clinical practice.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144982052","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 : 2025-01-01Epub Date: 2025-07-24DOI: 10.1080/23293691.2025.2524377
Makenzie Schroeder, Rikki A Roscoe, Virginia Ramseyer Winter
Weight stigma is a widespread issue in the U.S., including in healthcare, where even well-intentioned providers may harbor fatphobic biases that negatively impact patient outcomes. Despite growing research on the healthcare needs of fat individuals, sexual and reproductive healthcare remains underexplored. This study investigates how weight stigma disrupts long-term care relationships and affects discussions on sexual health and family planning for fat women. Our findings show that fat women are more likely to engage in doctor shopping and have less communication with providers about sexual and reproductive health, including family planning, likely due to weight stigma and implicit bias.
{"title":"Weight Stigma and Implicit Bias in Healthcare: Investigating the Impact of Women's Body Size on Continuity of Care and Communication About Sexual and Reproductive Health.","authors":"Makenzie Schroeder, Rikki A Roscoe, Virginia Ramseyer Winter","doi":"10.1080/23293691.2025.2524377","DOIUrl":"10.1080/23293691.2025.2524377","url":null,"abstract":"<p><p>Weight stigma is a widespread issue in the U.S., including in healthcare, where even well-intentioned providers may harbor fatphobic biases that negatively impact patient outcomes. Despite growing research on the healthcare needs of fat individuals, sexual and reproductive healthcare remains underexplored. This study investigates how weight stigma disrupts long-term care relationships and affects discussions on sexual health and family planning for fat women. Our findings show that fat women are more likely to engage in doctor shopping and have less communication with providers about sexual and reproductive health, including family planning, likely due to weight stigma and implicit bias.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"12 3","pages":"873-889"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12571227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410986","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 : 2025-01-01Epub Date: 2024-07-29DOI: 10.1080/23293691.2024.2377963
Britni L Ayers, Philmar Mendoza Kabua, Sarah Moore, Leslie Stone, Jennifer A Andersen, Krista Langston, Pearl A McElfish
Immigrant women in the United States often have poorer maternal and infant outcomes and suboptimal experiences of maternity care compared to non-immigrant women in the same setting. The purpose of this study was to explore community-based doulas' experiences of working with immigrant clients and maternal health care providers in Arkansas. A descriptive qualitative design was used. Themes emerged within three categories: 1) experiences with immigrant clients; 2) experiences with maternal health care providers; and 3) suggestions to improve support for immigrant clients. Within the first theme, three subthemes emerged: 1) language barriers; 2) transportation; and 3) access to food and housing. Within the second theme, two subthemes emerged: 1) dismissive; and 2) takes time to build rapport. Within the third theme, two subthemes emerged: 1) listen to the client and improve communication; and 2) more community-based doulas. Community-based doula programs may help address poorer health outcomes faced by immigrant women.
{"title":"Exploring the Experiences of Community-Based Doulas That Serve Immigrant, Migrant, and Refugee Clients in Arkansas.","authors":"Britni L Ayers, Philmar Mendoza Kabua, Sarah Moore, Leslie Stone, Jennifer A Andersen, Krista Langston, Pearl A McElfish","doi":"10.1080/23293691.2024.2377963","DOIUrl":"10.1080/23293691.2024.2377963","url":null,"abstract":"<p><p>Immigrant women in the United States often have poorer maternal and infant outcomes and suboptimal experiences of maternity care compared to non-immigrant women in the same setting. The purpose of this study was to explore community-based doulas' experiences of working with immigrant clients and maternal health care providers in Arkansas. A descriptive qualitative design was used. Themes emerged within three categories: 1) experiences with immigrant clients; 2) experiences with maternal health care providers; and 3) suggestions to improve support for immigrant clients. Within the first theme, three subthemes emerged: 1) language barriers; 2) transportation; and 3) access to food and housing. Within the second theme, two subthemes emerged: 1) dismissive; and 2) takes time to build rapport. Within the third theme, two subthemes emerged: 1) listen to the client and improve communication; and 2) more community-based doulas. Community-based doula programs may help address poorer health outcomes faced by immigrant women.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"12 1","pages":"16-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060481","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 : 2023-11-08DOI: 10.1080/23293691.2023.2274351
Clare Bellhouse, Meredith Temple-Smith, Jade Bilardi, Louise Newman
AbstractThe Supporting Transitions and Relationships (STAR Mums) program was developed in response to the clinical need for psychological intervention in pregnancy where mothers have risk factors for difficulties in the transition to parenthood. The program focuses on the developing relationship between the mother and the unborn child and aims to facilitate the normal psychological processes that are known to occur in pregnancy to prepare for the relationship with the infant and to reduce risk factors that may negatively impact this relationship. This article reports on interview data from the final follow-up of 12 high-risk participants at 12 to 14 weeks postpartum regarding their transition to parenthood and aspects of parental reflective function. These women presented with issues in developing their maternal identity and representation in the context of difficulties processing their own difficult childhood experiences. They also demonstrated some issues with limited reflective capacity in their understanding of their infant’s emotional world and experiences. Though there are ongoing issues for these women, they provided feedback that the STAR Mums program included valued discussion around the changes in both self and relationships involved in parenting that helped them to prepare for their experiences of early parenthood by supporting their wondering about the baby and the changes that this new relationship may bring for them as a parent.Keywords: Perinataltransitioninfantparentintervention Compliance and Ethics StandardsThis research includes human subjects and informed consent was obtained from all participants. This study was approved by the Ethics Committee.Disclosure StatementNo potential conflict of interest was reported by the authors.Data AvailabilityThe data sets generated during the current study and/or analyzed during the current study are not publicly available due to the sensitive nature of the topics discussed and the potential for confidentiality to be breached but are available from the corresponding author on reasonable request.Additional informationFundingThis work was supported by Australian Research Council and the National Health and Medical Research Council.
{"title":"Adaptation and Reflection in the Transition to Parenthood for Women With Risk Factors for Early Parenting Difficulties Who Participated in the STAR Mums Program","authors":"Clare Bellhouse, Meredith Temple-Smith, Jade Bilardi, Louise Newman","doi":"10.1080/23293691.2023.2274351","DOIUrl":"https://doi.org/10.1080/23293691.2023.2274351","url":null,"abstract":"AbstractThe Supporting Transitions and Relationships (STAR Mums) program was developed in response to the clinical need for psychological intervention in pregnancy where mothers have risk factors for difficulties in the transition to parenthood. The program focuses on the developing relationship between the mother and the unborn child and aims to facilitate the normal psychological processes that are known to occur in pregnancy to prepare for the relationship with the infant and to reduce risk factors that may negatively impact this relationship. This article reports on interview data from the final follow-up of 12 high-risk participants at 12 to 14 weeks postpartum regarding their transition to parenthood and aspects of parental reflective function. These women presented with issues in developing their maternal identity and representation in the context of difficulties processing their own difficult childhood experiences. They also demonstrated some issues with limited reflective capacity in their understanding of their infant’s emotional world and experiences. Though there are ongoing issues for these women, they provided feedback that the STAR Mums program included valued discussion around the changes in both self and relationships involved in parenting that helped them to prepare for their experiences of early parenthood by supporting their wondering about the baby and the changes that this new relationship may bring for them as a parent.Keywords: Perinataltransitioninfantparentintervention Compliance and Ethics StandardsThis research includes human subjects and informed consent was obtained from all participants. This study was approved by the Ethics Committee.Disclosure StatementNo potential conflict of interest was reported by the authors.Data AvailabilityThe data sets generated during the current study and/or analyzed during the current study are not publicly available due to the sensitive nature of the topics discussed and the potential for confidentiality to be breached but are available from the corresponding author on reasonable request.Additional informationFundingThis work was supported by Australian Research Council and the National Health and Medical Research Council.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341734","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 : 2023-11-08DOI: 10.1080/23293691.2023.2267533
Amanda A. Shea, Meghana Kulkarni, Jonathan Thornburg, Cécile Ventola, Erin Walker, Virginia J. Vitzthum
The contraceptive needs of women for whom the benefits of menstrual bleeding may outweigh its disadvantages have largely been overlooked, especially outside high-income countries. Some providers and researchers have assumed that users of nonhormonal birth control (non-HBC) are misinformed about the positive and negative effects of HBC and/or the need for menstrual bleeding. This study takes the position that many of those rejecting HBC in favor of methods that do not alter bleeding are, in fact, making informed decisions. Using questionnaire data from 4,255 contraceptive users in three countries, we compared current HBC users explicitly open to hormone use (“H-receptive”) and non-HBC users explicitly rejecting hormones (“H-averse”). To the extent that menstrual bleeding attitudes affect contraceptive choice, these two groups should have the greatest contrasts in those attitudes. This novel study design mitigates ambiguities arising from posing hypothetical scenarios to those ambivalent about using hormones or who are not currently using contraception. In all three countries, of those agreeing with the prompt, “I don’t want to change my natural menstrual cycle,” the fractions of H-averse and H-receptive users are disproportionally high and low, respectively (p ≤ .0026). Responses to other prompts varied across populations, revealing complex juxtapositions of multiple criteria, including bleeding preferences, that likely influence contraceptive choices. These patterns, reflecting personal and culturally salient values, highlight the necessity of not assuming that menstrual bleeding is undesirable or relying on a single criterion to ascertain clients’ contraceptive needs and preferences. Rather, acknowledging a client’s personal hierarchy of preferences regarding contraceptive attributes best serves their goals.
{"title":"A Bother or a Benefit? How Contraceptive Users Balance the Trade-Offs Between Preferred Menstrual Bleeding Patterns and Preferred Contraceptive Methods in India, South Africa, and the United States","authors":"Amanda A. Shea, Meghana Kulkarni, Jonathan Thornburg, Cécile Ventola, Erin Walker, Virginia J. Vitzthum","doi":"10.1080/23293691.2023.2267533","DOIUrl":"https://doi.org/10.1080/23293691.2023.2267533","url":null,"abstract":"The contraceptive needs of women for whom the benefits of menstrual bleeding may outweigh its disadvantages have largely been overlooked, especially outside high-income countries. Some providers and researchers have assumed that users of nonhormonal birth control (non-HBC) are misinformed about the positive and negative effects of HBC and/or the need for menstrual bleeding. This study takes the position that many of those rejecting HBC in favor of methods that do not alter bleeding are, in fact, making informed decisions. Using questionnaire data from 4,255 contraceptive users in three countries, we compared current HBC users explicitly open to hormone use (“H-receptive”) and non-HBC users explicitly rejecting hormones (“H-averse”). To the extent that menstrual bleeding attitudes affect contraceptive choice, these two groups should have the greatest contrasts in those attitudes. This novel study design mitigates ambiguities arising from posing hypothetical scenarios to those ambivalent about using hormones or who are not currently using contraception. In all three countries, of those agreeing with the prompt, “I don’t want to change my natural menstrual cycle,” the fractions of H-averse and H-receptive users are disproportionally high and low, respectively (p ≤ .0026). Responses to other prompts varied across populations, revealing complex juxtapositions of multiple criteria, including bleeding preferences, that likely influence contraceptive choices. These patterns, reflecting personal and culturally salient values, highlight the necessity of not assuming that menstrual bleeding is undesirable or relying on a single criterion to ascertain clients’ contraceptive needs and preferences. Rather, acknowledging a client’s personal hierarchy of preferences regarding contraceptive attributes best serves their goals.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"134 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135342372","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 : 2023-11-08DOI: 10.1080/23293691.2023.2274356
Tristin Agtarap, Lora Adair
AbstractWithin this article, we present the results of a thematic analysis of responses (N = 267) regarding perceived and anticipated mental health implications of accurate and comprehensive sex education. The superordinate theme of psychological functioning and well-being reflects participants’ belief that sex education normalizes and destigmatizes diverse sexual experiences and can reduce fear, anxiety, and worry about sex. The superordinate theme of knowledge captures patterns in responses wherein participants reflected on the benefits of knowledge, including that it facilitates safety, confidence, improved decision-making skills, and provides awareness. Implications and applications for these themes are thoroughly discussed and outlined.Keywords: Sexualitysex and relationship educationmental healthwell-being Disclosure StatementThe authors report that there are no competing interests to declare.Ethics Committee Approval StatementThe Health, Medicine, and Life Sciences Ethics Committee approved the study at Brunel University London. Approval codes: 30075-MHR-Apr/2021-32372-2 and 32039-MHR-Oct/2021-34631-3.Data AvailabilityThe data supporting this study’s findings are available from the first author, TA, upon reasonable request.Additional informationFundingThis research was funded via the corresponding author’s research funds allocated by their institution.
{"title":"Healthy Body, Healthy Mind: Exploring the Mental Health Implications of Comprehensive Sex Education","authors":"Tristin Agtarap, Lora Adair","doi":"10.1080/23293691.2023.2274356","DOIUrl":"https://doi.org/10.1080/23293691.2023.2274356","url":null,"abstract":"AbstractWithin this article, we present the results of a thematic analysis of responses (N = 267) regarding perceived and anticipated mental health implications of accurate and comprehensive sex education. The superordinate theme of psychological functioning and well-being reflects participants’ belief that sex education normalizes and destigmatizes diverse sexual experiences and can reduce fear, anxiety, and worry about sex. The superordinate theme of knowledge captures patterns in responses wherein participants reflected on the benefits of knowledge, including that it facilitates safety, confidence, improved decision-making skills, and provides awareness. Implications and applications for these themes are thoroughly discussed and outlined.Keywords: Sexualitysex and relationship educationmental healthwell-being Disclosure StatementThe authors report that there are no competing interests to declare.Ethics Committee Approval StatementThe Health, Medicine, and Life Sciences Ethics Committee approved the study at Brunel University London. Approval codes: 30075-MHR-Apr/2021-32372-2 and 32039-MHR-Oct/2021-34631-3.Data AvailabilityThe data supporting this study’s findings are available from the first author, TA, upon reasonable request.Additional informationFundingThis research was funded via the corresponding author’s research funds allocated by their institution.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"28 41","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390940","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 : 2023-11-02DOI: 10.1080/23293691.2023.2273166
Katarina Sousa
{"title":"Waging War on the Women: A Review of <i>The Trials of Nina McCall: Sex, Surveillance, and the Decades-Long Government Plan to Imprison \"Promiscuous\" Women</i> Stern, S. W. (2019). The Trials of Nina McCall: Sex, Surveillance, and the Decades-Long Government Plan to Imprison “Promiscuous” Women. Beacon Press. ISBN: 9780807021859, Paperback: $19.00","authors":"Katarina Sousa","doi":"10.1080/23293691.2023.2273166","DOIUrl":"https://doi.org/10.1080/23293691.2023.2273166","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"50 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934058","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 : 2023-11-02DOI: 10.1080/23293691.2023.2271919
Catherine Stewart, Jennifer Hall
Pregnancy preparation, to optimize health before pregnancy, has been shown to reduce adverse maternal and neonatal outcomes. This study investigated the changes that women, and their partners, made in preparation for pregnancy. Analyses showed that less than half of women (n = 134, 49%) and only 24% of partners (n = 22) reported making any changes in preparation for pregnancy. Desire to Avoid Pregnancy (DAP) score was the only significant factor associated with pregnancy preparation; every 1-point increase in DAP reduced the odds of a woman reporting preparing for pregnancy by 78% (OR = 0.22, 95% CI = 0.15 to 0.34). This study highlights the need for interventions addressing pregnancy preparation.
{"title":"Pregnancy Preparation Among Women and Their Partners in the UK: How Common Is It and What Do People Do?","authors":"Catherine Stewart, Jennifer Hall","doi":"10.1080/23293691.2023.2271919","DOIUrl":"https://doi.org/10.1080/23293691.2023.2271919","url":null,"abstract":"Pregnancy preparation, to optimize health before pregnancy, has been shown to reduce adverse maternal and neonatal outcomes. This study investigated the changes that women, and their partners, made in preparation for pregnancy. Analyses showed that less than half of women (n = 134, 49%) and only 24% of partners (n = 22) reported making any changes in preparation for pregnancy. Desire to Avoid Pregnancy (DAP) score was the only significant factor associated with pregnancy preparation; every 1-point increase in DAP reduced the odds of a woman reporting preparing for pregnancy by 78% (OR = 0.22, 95% CI = 0.15 to 0.34). This study highlights the need for interventions addressing pregnancy preparation.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"45 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933909","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 : 2023-11-01DOI: 10.1080/23293691.2023.2271917
Annika Gunst, Kateryna Pinchuk, Elin Sjöström, Jan Antfolk
AbstractMothers with multiple-partner fertility have longer interbirth intervals (IBIs) than mothers with single-partner fertility, suggesting that partner change hinders achieving the preferred IBI. Previous studies have, however, overlooked possible differences in preferred IBI between these two groups. Using data from 724 Finnish mothers, we investigated how partner change between the first and second child moderated the association between actual and preferred IBI. Mothers with multiple-partner fertility had 54 months longer IBIs than mothers with single-partner fertility. The association between actual and preferred IBI was weaker in mothers with multiple-partner fertility. Our results further indicated that this difference could partly be explained by the mothers’ deliberate actions, such as contraceptive use and abortions among mothers with multi-partner fertility. Family planning support could gain from mapping out the reasons among women with a partner change for postponing otherwise desired pregnancies and offering increased support in these areas.Keywords: Interbirth intervalsbirth spacingmultiple-partner fertilitypartner changefamily planning Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data set is available at https://osf.io/bwhpe/.Additional informationFundingThis work was supported by a grant from Sundell’s Foundation to the last author. The funder had no role in the study design or implementation of the study.
{"title":"Preferred and Actual Interbirth Intervals in Women With Multiple-Partner Fertility","authors":"Annika Gunst, Kateryna Pinchuk, Elin Sjöström, Jan Antfolk","doi":"10.1080/23293691.2023.2271917","DOIUrl":"https://doi.org/10.1080/23293691.2023.2271917","url":null,"abstract":"AbstractMothers with multiple-partner fertility have longer interbirth intervals (IBIs) than mothers with single-partner fertility, suggesting that partner change hinders achieving the preferred IBI. Previous studies have, however, overlooked possible differences in preferred IBI between these two groups. Using data from 724 Finnish mothers, we investigated how partner change between the first and second child moderated the association between actual and preferred IBI. Mothers with multiple-partner fertility had 54 months longer IBIs than mothers with single-partner fertility. The association between actual and preferred IBI was weaker in mothers with multiple-partner fertility. Our results further indicated that this difference could partly be explained by the mothers’ deliberate actions, such as contraceptive use and abortions among mothers with multi-partner fertility. Family planning support could gain from mapping out the reasons among women with a partner change for postponing otherwise desired pregnancies and offering increased support in these areas.Keywords: Interbirth intervalsbirth spacingmultiple-partner fertilitypartner changefamily planning Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data set is available at https://osf.io/bwhpe/.Additional informationFundingThis work was supported by a grant from Sundell’s Foundation to the last author. The funder had no role in the study design or implementation of the study.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"380 1-3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326700","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}
AbstractBackground: Developing and improving education and training programs for future health professionals as a way to enhance perinatal care and reduce obstetric traumas is a necessity. Objective: The goal of the current study is to adapt a questionnaire that evaluates health science students’ attitudes toward women’s childbirth experiences (CAVE-ST; acronym is for cuestionario de actitudes sobre vivencias y experiencias en el parto) into Turkish and assess its psychometric properties. Method: The sample comprised 950 undergraduate students in midwifery departments in Turkey aged between 20 and 41 years (M = 22.42, SD = 1.79). Participants filled out the Demographic Information Form as well as CAVE-ST-TR. Item and scale content validity index (I-CVI and S-CVI), confirmatory factor analysis (CFA), Pearson’s correlation coefficients, Cronbach’s alpha reliability coefficient, and Guttman split-half coefficient were used to examine psychometric properties. Results: The results revealed that the 52-item and four-factor CAVE-ST-TR is a valid and reliable tool to assess health science students’ attitudes toward women’s childbirth experiences. Conclusion: This study would enhance the cross-cultural utility of the questionnaire.Keywords: CAVE-STCAVE-ST-TRchildbirthperinatal carevalidityreliability AcknowledgementsThis paper contributes to the EU COST Action 18211: DEVoTION: Perinatal Mental Health and Birth-Related Trauma: Maximising best practice and optimal outcomes (supported by COST [European Cooperation in Science and Technology]). GGİ is management committee member, and all authors are members of COST Action CA18211.Research Involving Human Participants and/or AnimalsAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Mersin University, Date: 28.10.2020, No: 22/728) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed ConsentInformed consent was obtained from all individual participants included in the study.Author ContributionStudy conception and design: BKA, GGI, EGM.Data collection: BKA, GGI.Data analysis and interpretation: BKA.Drafting of the article: BKA, GGI, EGM.Critical revision of the article: BKA, GGI, EGM.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementThe datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
{"title":"Assessment of the Attitudes Toward Childbirth in Health Sciences Students–Turkish Adaptation of the Questionnaire CAVE-ST-TR","authors":"Burcu Kömürcü Akik, Gözde Gökçe İsbir, Ernesto González-Mesa","doi":"10.1080/23293691.2023.2270956","DOIUrl":"https://doi.org/10.1080/23293691.2023.2270956","url":null,"abstract":"AbstractBackground: Developing and improving education and training programs for future health professionals as a way to enhance perinatal care and reduce obstetric traumas is a necessity. Objective: The goal of the current study is to adapt a questionnaire that evaluates health science students’ attitudes toward women’s childbirth experiences (CAVE-ST; acronym is for cuestionario de actitudes sobre vivencias y experiencias en el parto) into Turkish and assess its psychometric properties. Method: The sample comprised 950 undergraduate students in midwifery departments in Turkey aged between 20 and 41 years (M = 22.42, SD = 1.79). Participants filled out the Demographic Information Form as well as CAVE-ST-TR. Item and scale content validity index (I-CVI and S-CVI), confirmatory factor analysis (CFA), Pearson’s correlation coefficients, Cronbach’s alpha reliability coefficient, and Guttman split-half coefficient were used to examine psychometric properties. Results: The results revealed that the 52-item and four-factor CAVE-ST-TR is a valid and reliable tool to assess health science students’ attitudes toward women’s childbirth experiences. Conclusion: This study would enhance the cross-cultural utility of the questionnaire.Keywords: CAVE-STCAVE-ST-TRchildbirthperinatal carevalidityreliability AcknowledgementsThis paper contributes to the EU COST Action 18211: DEVoTION: Perinatal Mental Health and Birth-Related Trauma: Maximising best practice and optimal outcomes (supported by COST [European Cooperation in Science and Technology]). GGİ is management committee member, and all authors are members of COST Action CA18211.Research Involving Human Participants and/or AnimalsAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Mersin University, Date: 28.10.2020, No: 22/728) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.Informed ConsentInformed consent was obtained from all individual participants included in the study.Author ContributionStudy conception and design: BKA, GGI, EGM.Data collection: BKA, GGI.Data analysis and interpretation: BKA.Drafting of the article: BKA, GGI, EGM.Critical revision of the article: BKA, GGI, EGM.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementThe datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"127 40","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135863452","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}
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