Pub Date : 2023-10-18DOI: 10.1080/23293691.2023.2255587
Glenn J. Wagner, Bonnie Ghosh-Dastidar, Laura Faherty, Jolly Beyeza-Kashesya, Juliet Nakku, Linda Kisaakye Nabitaka, Dickens Akena, Janet Nakigudde, Victoria Ngo, Ryan McBain, Hafsa Lukwata, Violet Gwokyalya, Barbara Mukasa, Rhoda K. Wanyenze
AbstractPerinatal depression has been shown to have deleterious effects on maternal postpartum functioning as well as early child development. However, few studies have documented whether depression care helps to mitigate these effects. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual problem solving therapy) on maternal functioning and infant development in the first 6 months post-delivery in an ongoing cluster randomized controlled trial of 391 HIV-infected women with at least mild depressive symptoms enrolled across eight antenatal care clinics in Uganda. A subsample of 354 (177 in each of the intervention and control groups) had a live birth delivery and composed the analytic sample, of whom 69% had clinical depression at enrollment; 70% of women in the intervention group (including 96% of those with clinical depression) received depression treatment. Repeated-measures multivariable regression models found that the intervention group reported better infant care, lower parental burden, and greater perceived adequacy of parental support, compared to the control group. These findings suggest that depression care for pregnant women living with HIV is important not only for maternal mental health but also because it helps women to better manage parenting and care for their infant.Keywords: Perinatal depressionmaternal functioninginfant developmentUgandaHIVproblem solving therapyantidepressant therapydepression care AcknowledgementWe acknowledge the contribution of our study coordinators: Alice Namuganda, Rose Kisa, and Mercylynn Agasha, who were responsible for participation recruitment, all data collection, and protocol coordination, and Mahlet Gizaw, who was responsible for data management. We thank the peer mothers and midwife nurses at each site for their efforts in implementing depression care and screening. Last, we thank all the women who agreed to participate in the study.Authors’ ContributionsAll authors contributed to the study conception and design. Material preparation and data analysis were performed by BGD and GW. The first draft of the manuscript was written by Wagner, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.Ethics ApprovalApproval was obtained from the institutional review boards at RAND and Makerere University School of Public Health, and the Uganda National Council for Science and Technology. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.Informed ConsentWritten informed consent was obtained from all individual participants included in the study.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementDe-identified dataset and statistical code are available to researchers upon submission of proposal and review by the study team.Additional informationFundingThe study was s
摘要围产期抑郁症已被证明对产妇产后功能和儿童早期发育有不良影响。然而，很少有研究证明抑郁症治疗是否有助于减轻这些影响。我们在乌干达8个产前护理诊所招募了391名至少有轻度抑郁症状的HIV感染妇女，在一项正在进行的集群随机对照试验中，研究了M-DEPTH (HIV母亲抑郁治疗)抑郁护理模式(包括抗抑郁药和个体问题解决疗法)对产后头6个月产妇功能和婴儿发育的影响。354名子样本(干预组和对照组各177名)活产，构成分析样本，其中69%在入组时患有临床抑郁症;干预组中70%的女性(包括96%的临床抑郁症患者)接受了抑郁症治疗。重复测量多变量回归模型发现，与对照组相比，干预组报告了更好的婴儿护理，更低的父母负担，以及更充分的父母支持。这些发现表明，对感染艾滋病毒的孕妇进行抑郁症护理不仅对母亲的心理健康很重要，而且还有助于妇女更好地管理育儿和照顾婴儿。关键词:围产期抑郁症产妇功能婴儿发育乌干达艾滋病病毒解决问题治疗抗抑郁药物治疗抑郁症护理我们感谢我们的研究协调员:Alice Namuganda, Rose Kisa和Mercylynn Agasha，他们负责参与招募、所有数据收集和方案协调，以及Mahlet Gizaw负责数据管理。我们感谢每个地点的同行母亲和助产士护士在实施抑郁症护理和筛查方面所做的努力。最后，我们感谢所有同意参加这项研究的女性。作者的贡献所有作者都对研究的构思和设计做出了贡献。通过BGD和GW进行材料制备和数据分析。手稿的初稿是瓦格纳写的，所有的作者都对以前的手稿版本进行了评论。所有作者都阅读并批准了最终的手稿。伦理批准获得了兰德公司和马凯雷雷大学公共卫生学院的机构审查委员会以及乌干达国家科学和技术委员会的批准。本研究使用的程序遵循《赫尔辛基宣言》的原则。知情同意书所有参与研究的个体均获得了书面知情同意书。披露声明作者未报告潜在的利益冲突。数据可用性声明在提交提案并由研究小组审查后，研究人员可以获得已识别的数据集和统计代码。本研究由美国国家心理健康研究所资助[grant R01MH115830;PI:瓦格纳]。
{"title":"Effects of M-DEPTH Model of Depression Care on Maternal Functioning and Infant Developmental Outcomes in the Six Months Post-Delivery: Results From a Cluster Randomized Controlled Trial","authors":"Glenn J. Wagner, Bonnie Ghosh-Dastidar, Laura Faherty, Jolly Beyeza-Kashesya, Juliet Nakku, Linda Kisaakye Nabitaka, Dickens Akena, Janet Nakigudde, Victoria Ngo, Ryan McBain, Hafsa Lukwata, Violet Gwokyalya, Barbara Mukasa, Rhoda K. Wanyenze","doi":"10.1080/23293691.2023.2255587","DOIUrl":"https://doi.org/10.1080/23293691.2023.2255587","url":null,"abstract":"AbstractPerinatal depression has been shown to have deleterious effects on maternal postpartum functioning as well as early child development. However, few studies have documented whether depression care helps to mitigate these effects. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual problem solving therapy) on maternal functioning and infant development in the first 6 months post-delivery in an ongoing cluster randomized controlled trial of 391 HIV-infected women with at least mild depressive symptoms enrolled across eight antenatal care clinics in Uganda. A subsample of 354 (177 in each of the intervention and control groups) had a live birth delivery and composed the analytic sample, of whom 69% had clinical depression at enrollment; 70% of women in the intervention group (including 96% of those with clinical depression) received depression treatment. Repeated-measures multivariable regression models found that the intervention group reported better infant care, lower parental burden, and greater perceived adequacy of parental support, compared to the control group. These findings suggest that depression care for pregnant women living with HIV is important not only for maternal mental health but also because it helps women to better manage parenting and care for their infant.Keywords: Perinatal depressionmaternal functioninginfant developmentUgandaHIVproblem solving therapyantidepressant therapydepression care AcknowledgementWe acknowledge the contribution of our study coordinators: Alice Namuganda, Rose Kisa, and Mercylynn Agasha, who were responsible for participation recruitment, all data collection, and protocol coordination, and Mahlet Gizaw, who was responsible for data management. We thank the peer mothers and midwife nurses at each site for their efforts in implementing depression care and screening. Last, we thank all the women who agreed to participate in the study.Authors’ ContributionsAll authors contributed to the study conception and design. Material preparation and data analysis were performed by BGD and GW. The first draft of the manuscript was written by Wagner, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.Ethics ApprovalApproval was obtained from the institutional review boards at RAND and Makerere University School of Public Health, and the Uganda National Council for Science and Technology. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.Informed ConsentWritten informed consent was obtained from all individual participants included in the study.Disclosure StatementNo potential conflict of interest was reported by the author(s).Data Availability StatementDe-identified dataset and statistical code are available to researchers upon submission of proposal and review by the study team.Additional informationFundingThe study was s","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135889293","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 : 2023-10-11DOI: 10.1080/23293691.2023.2179904
Ska Salden, Tatiana Graf, Ulrike Roth
AbstractTrans and intersex individuals are often not considered in obstetric care—neither in practice nor in research. This quantitative study used an online survey to compare the experiences of pregnant trans men, non-binary individuals, and intersex people with those of endosex cisgender individuals who received care in obstetrics. Trans men and non-binary individuals reported discrimination during pregnancy and childbirth on the interactional, institutional, and structural level: for example, they reported more unsatisfactory encounters with health care personnel and more barriers in the structure of health care services and facilities. Trans and intersex individuals had less access to information relevant to them concerning pregnancy and birth compared to cisgender endosex individuals. Although it happened less frequently, cisgender endosex individuals also reported negative experiences, such as discrimination or violence during birth in a hospital. Our findings indicate a need for change concerning several aspects of the obstetric care spectrum—especially, but not exclusively, for trans, non-binary, and intersex people. Some suggestions for improvement include the following: On the hospital level, measures should be implemented to reduce structural discrimination and to ascertain one-on-one care during active labor. Inclusive information material should be developed and disseminated and health care institutions should raise awareness among their staff regarding care for their LGBTIQ patients. More studies on obstetric issues concerning queer, trans, and especially intersex people should be conducted and diversity and inclusion should be implemented as core topics in the training curricula for midwives, physicians, and nurses.Keywords: LGBTIQqueerpregnancyhealthreproductive rights AcknowledgmentsThanks are due to Meike Watzlawik, Elisabeth Ponocny-Seeliger, and Joey Powers for their friendly intellectual support.Disclosure StatementThe authors report there are no competing interests to declare.Data Availability StatementThe data that support the findings of this study are available from the corresponding author, Ska Salden, upon reasonable request.Notes1 In Germany, all costs for a hospital birth are usually covered by national health insurance, while the birthing person has to carry some of the costs for a birth in a birth center or at home with a midwife.Additional informationFundingThis work was supported by the Gunda Werner Institute/Heinrich Böll Stiftung.
{"title":"Cisnormativity, Erasure, and Discrimination: How Do Trans, Non-Binary, and Intersex Persons Experience Obstetric Care Compared to Endosex Cisgender Individuals in Germany?","authors":"Ska Salden, Tatiana Graf, Ulrike Roth","doi":"10.1080/23293691.2023.2179904","DOIUrl":"https://doi.org/10.1080/23293691.2023.2179904","url":null,"abstract":"AbstractTrans and intersex individuals are often not considered in obstetric care—neither in practice nor in research. This quantitative study used an online survey to compare the experiences of pregnant trans men, non-binary individuals, and intersex people with those of endosex cisgender individuals who received care in obstetrics. Trans men and non-binary individuals reported discrimination during pregnancy and childbirth on the interactional, institutional, and structural level: for example, they reported more unsatisfactory encounters with health care personnel and more barriers in the structure of health care services and facilities. Trans and intersex individuals had less access to information relevant to them concerning pregnancy and birth compared to cisgender endosex individuals. Although it happened less frequently, cisgender endosex individuals also reported negative experiences, such as discrimination or violence during birth in a hospital. Our findings indicate a need for change concerning several aspects of the obstetric care spectrum—especially, but not exclusively, for trans, non-binary, and intersex people. Some suggestions for improvement include the following: On the hospital level, measures should be implemented to reduce structural discrimination and to ascertain one-on-one care during active labor. Inclusive information material should be developed and disseminated and health care institutions should raise awareness among their staff regarding care for their LGBTIQ patients. More studies on obstetric issues concerning queer, trans, and especially intersex people should be conducted and diversity and inclusion should be implemented as core topics in the training curricula for midwives, physicians, and nurses.Keywords: LGBTIQqueerpregnancyhealthreproductive rights AcknowledgmentsThanks are due to Meike Watzlawik, Elisabeth Ponocny-Seeliger, and Joey Powers for their friendly intellectual support.Disclosure StatementThe authors report there are no competing interests to declare.Data Availability StatementThe data that support the findings of this study are available from the corresponding author, Ska Salden, upon reasonable request.Notes1 In Germany, all costs for a hospital birth are usually covered by national health insurance, while the birthing person has to carry some of the costs for a birth in a birth center or at home with a midwife.Additional informationFundingThis work was supported by the Gunda Werner Institute/Heinrich Böll Stiftung.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136208771","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 : 2023-10-03DOI: 10.1080/23293691.2023.2258874
Priya Bhakat, Yatish Kumar
AbstractGlobally, adolescent pregnancy is one of the key issues in women’s reproductive health. Adolescent mothers face a higher risk of obstetrical concerns, and motherhood in adolescence is strongly influenced by lower education level and lower socioeconomic status. The present study was carried out across all Indian states and Union Territories using the National Family Health Survey, rounds 1 to 5 (1992–1993 to 2019–2021) in which various socioeconomic and cultural factors associated with adolescent pregnancies was examined in detail. The article uses univariate, bivariate with chi-square test, and multivariate logistic regression models to understand the extent of which socioeconomic factors and sexual behavior of the couple are related to early motherhood experiences. It was found that age at marriage, respondent education, employment, age gap between partners, and religion are some of the important variables that affect the likelihood of adolescent pregnancy among females in Indian states. Comprehensive institutional efforts like free contraceptives and counseling services should be provided to address the increasing risk of pregnancy among adolescents.Keywords: Adolescencereproductive healthpregnancyIndia AcknowledgmentsWe thank the anonymous reviewers for their comments and feedback. We also thank Dr. Nassif Muhammed Ali for his support in finalizing the article.Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data used in this article are publicly available at https://dhsprogram.com/.
{"title":"Adolescent Childbearing in India: Causes and Concerns","authors":"Priya Bhakat, Yatish Kumar","doi":"10.1080/23293691.2023.2258874","DOIUrl":"https://doi.org/10.1080/23293691.2023.2258874","url":null,"abstract":"AbstractGlobally, adolescent pregnancy is one of the key issues in women’s reproductive health. Adolescent mothers face a higher risk of obstetrical concerns, and motherhood in adolescence is strongly influenced by lower education level and lower socioeconomic status. The present study was carried out across all Indian states and Union Territories using the National Family Health Survey, rounds 1 to 5 (1992–1993 to 2019–2021) in which various socioeconomic and cultural factors associated with adolescent pregnancies was examined in detail. The article uses univariate, bivariate with chi-square test, and multivariate logistic regression models to understand the extent of which socioeconomic factors and sexual behavior of the couple are related to early motherhood experiences. It was found that age at marriage, respondent education, employment, age gap between partners, and religion are some of the important variables that affect the likelihood of adolescent pregnancy among females in Indian states. Comprehensive institutional efforts like free contraceptives and counseling services should be provided to address the increasing risk of pregnancy among adolescents.Keywords: Adolescencereproductive healthpregnancyIndia AcknowledgmentsWe thank the anonymous reviewers for their comments and feedback. We also thank Dr. Nassif Muhammed Ali for his support in finalizing the article.Disclosure StatementNo potential conflict of interest was reported by the authors.Data Availability StatementThe data used in this article are publicly available at https://dhsprogram.com/.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135696211","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 : 2023-08-08DOI: 10.1080/23293691.2023.2237968
Emily Rehbein, A. Moyer, M. Lobel
{"title":"Ways of Coping with Stress during Pregnancy: Differences Revealed through Meta-Analysis","authors":"Emily Rehbein, A. Moyer, M. Lobel","doi":"10.1080/23293691.2023.2237968","DOIUrl":"https://doi.org/10.1080/23293691.2023.2237968","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"2012 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86400903","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 : 2023-07-10DOI: 10.1080/23293691.2023.2230463
C. Hippman, L. Balneaves, Deirdre Ryan, J. Austin
{"title":"Development of the Creating Comfort in Choice Theory of Decision Making Regarding Antidepressant Use in Pregnancy: “The Biggest Decision I’ve Ever Made”","authors":"C. Hippman, L. Balneaves, Deirdre Ryan, J. Austin","doi":"10.1080/23293691.2023.2230463","DOIUrl":"https://doi.org/10.1080/23293691.2023.2230463","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87059734","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 : 2023-07-06DOI: 10.1080/23293691.2023.2229308
Neema Langa, T. Bhatta, A. Amuta
{"title":"Intersecting Upstream Factors: Inequities in Cervical Cancer Screening in Malawi","authors":"Neema Langa, T. Bhatta, A. Amuta","doi":"10.1080/23293691.2023.2229308","DOIUrl":"https://doi.org/10.1080/23293691.2023.2229308","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88665938","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 : 2023-07-06DOI: 10.1080/23293691.2023.2223825
O. Banjo
{"title":"Women’s Empowerment and Completed Fertility in Nigeria: What Is the Modulating Effect of Religion on the Relationship?","authors":"O. Banjo","doi":"10.1080/23293691.2023.2223825","DOIUrl":"https://doi.org/10.1080/23293691.2023.2223825","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75915506","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 : 2023-06-07DOI: 10.1080/23293691.2023.2215765
Natalie Dimitra M. Montgomery, Jenepher Lennox Terrion, E. Crighton
{"title":"Building Social Support: Disclosure and Communication Processes Between IVF Patients and Peers in Canada","authors":"Natalie Dimitra M. Montgomery, Jenepher Lennox Terrion, E. Crighton","doi":"10.1080/23293691.2023.2215765","DOIUrl":"https://doi.org/10.1080/23293691.2023.2215765","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73838456","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 : 2023-06-05DOI: 10.1080/23293691.2023.2215106
Alexandra S. Weis, Alyssa N. Zucker
Menstrual suppression, the reduction or elimination of occurrences of monthly bleeding, has become increasingly commonplace. As with many choices that women make about their bodies, however, the decision to suppress menstruation may be influenced at least in part by the socially constructed meanings associated with their bodies and its stigmatized functions. In this study, we investigated whether self-objectification may be associated with menstrual suppression using quantitative measures of objectified body consciousness. We found that one aspect of self-objectification in particular, body surveillance, was significantly correlated with menstrual suppression. We also explored menstruators’ self-reported motivations for pursuing suppression using open-ended responses and found that different groups of suppressors endorsed different motivations. That is, menstruators who sought short-term suppression were more likely to be motivated by specific activities for which periods are judged to be incompatible (i.e., sexual relations and important events), whereas menstruators who sought long-term suppression were more likely to be motivated by persistent unpleasant circumstances associated with menstruation (i.e., inconvenience and pain). Finally, we discuss the implications of these findings in context of health, stigma, objectification, and choice.
{"title":"Blood and Guts: Menstrual Suppression in the Context of Objectification, Gender, and Choice","authors":"Alexandra S. Weis, Alyssa N. Zucker","doi":"10.1080/23293691.2023.2215106","DOIUrl":"https://doi.org/10.1080/23293691.2023.2215106","url":null,"abstract":"Menstrual suppression, the reduction or elimination of occurrences of monthly bleeding, has become increasingly commonplace. As with many choices that women make about their bodies, however, the decision to suppress menstruation may be influenced at least in part by the socially constructed meanings associated with their bodies and its stigmatized functions. In this study, we investigated whether self-objectification may be associated with menstrual suppression using quantitative measures of objectified body consciousness. We found that one aspect of self-objectification in particular, body surveillance, was significantly correlated with menstrual suppression. We also explored menstruators’ self-reported motivations for pursuing suppression using open-ended responses and found that different groups of suppressors endorsed different motivations. That is, menstruators who sought short-term suppression were more likely to be motivated by specific activities for which periods are judged to be incompatible (i.e., sexual relations and important events), whereas menstruators who sought long-term suppression were more likely to be motivated by persistent unpleasant circumstances associated with menstruation (i.e., inconvenience and pain). Finally, we discuss the implications of these findings in context of health, stigma, objectification, and choice.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135657340","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 : 2023-05-30DOI: 10.1080/23293691.2023.2209077
Holly Sims, Bhuchitra Singh
AbstractExcessive menstrual bleeding (menorrhagia) and painful menstrual periods (dysmenorrhea) affect a substantial proportion of reproductive-aged women and impact their quality of life and work performance due to missed work or limitations in daily activities. This systematic literature review evaluated the impacts of menorrhagia/dysmenorrhea on work performance and identified potential health disparities related to socioeconomic status on the severity of consequences. PubMed, Embase, CINAHL Plus, and PsychINFO databases were searched for relevant articles published between the years 2001 and 2021. The authors synthesized data from studies which described associations between menstrual disorders and work performance, addressed menorrhagia or dysmenorrhea specifically, and contained study samples of employed adult women. The search strategy identified a total of 915 unique titles; 31 articles satisfied the eligibility criteria for full-text review. Twenty-one articles were ultimately included in the data synthesis. For women with menorrhagia/dysmenorrhea, the most common contributors to decreased work performance were absenteeism and decreased work productivity. Unemployment and loss of income were common work-related impacts of these menstrual symptoms. Few studies reported comprehensive demographic or socioeconomic data, and fewer than half of the studies collected any information from participants related to employment. The present literature on the impact of menstrual disorders on work performance is limited. Further investigations are needed to evaluate the disparities of menstruation-related symptoms on work performance based on socioeconomic status and occupational, demographic, and contextual variables.Keywords: Menstruationdysmenorrheamenorrhagiaquality of lifework performance
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