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Understanding the Intersections of IPV and HIV and Their Impact on Infant Feeding Practices among Black Women: A Narrative Literature Review 理解IPV和HIV的交叉点及其对黑人妇女婴儿喂养实践的影响:叙述文献综述
Pub Date : 2023-11-06 DOI: 10.3390/women3040039
Manal Fseifes, Josephine Etowa
Intimate partner violence (IPV), particularly sexual and emotional violence, against Black mothers who acquire human immunodeficiency virus (HIV) during childbearing age is a significant health and social concern requiring targeted interventions and precautions. IPV against women increases the chances of early mixed feeding, placing infants at high risk of mother-to-child transmission of HIV and increasing infant morbidities. Although violence complicates many Black mothers’ lives, limited research evidence exists about the critical intersections of violence, HIV, and motherhood. Women’s fear associated with IPV makes them less likely to disclose their positive HIV status to their partners, which subsequently prevents them from applying the guidelines for safe infant feeding practices. This review aims to explore the critical intersections between IPV and HIV and their impact on the infant feeding practices of Black mothers living with HIV. Furthermore, the theme of IPV and how it overlaps with other factors such as HIV-positive status and gender dynamics to compromise the motherhood experience is also the focus of this narrative review of existing literature. Understanding the intersection of IPV and other factors influencing infant feeding practices among women living with HIV will help inform programming and policy interventions for HIV-positive Black women who may experience IPV during the perinatal period.
针对育龄期间感染人体免疫缺陷病毒(艾滋病毒)的黑人母亲的亲密伴侣暴力,特别是性暴力和情感暴力,是一个严重的健康和社会问题,需要有针对性的干预和预防措施。针对妇女的IPV增加了早期混合喂养的机会,使婴儿面临母婴传播艾滋病毒的高风险,并增加了婴儿发病率。尽管暴力使许多黑人母亲的生活复杂化,但关于暴力、艾滋病毒和母性之间的关键交叉点的研究证据有限。妇女对IPV的恐惧使她们不太可能向伴侣透露自己的艾滋病毒阳性状况,从而使她们无法应用安全婴儿喂养方法指南。本综述旨在探讨IPV和艾滋病毒之间的关键交叉点及其对感染艾滋病毒的黑人母亲喂养婴儿的影响。此外,IPV的主题以及它如何与艾滋病毒阳性状态和性别动态等其他因素重叠以损害母性经验也是本文对现有文献的叙述回顾的重点。了解感染艾滋病毒的妇女中IPV与影响婴儿喂养做法的其他因素之间的相互关系,将有助于为可能在围产期经历IPV的艾滋病毒阳性黑人妇女的规划和政策干预提供信息。
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引用次数: 0
Menstruation-Related School Absenteeism: An Urban Centre Study in the Northern Region of Ghana 经期相关的学校缺勤:加纳北部地区城市中心研究
Pub Date : 2023-11-01 DOI: 10.3390/women3040038
Mubarick Nungbaso Asumah, Qorinah Estiningtyas Sakilah Adnani, Edem Kojo Dzantor, Mirza Adil Beig, Gifty Mary Wuffele, Doreen-Remember Donkor, Abdul-Malik Abdulai, Wisdom Klutse Azanu, Ali Davod Parsa, Russell Kabir, Abdulai Abubakari
Menstruation-related school absenteeism significantly affects girls’ academic progress and general wellbeing. This study aimed to assess menstruation-related school absenteeism in an urban population in the Northern Region of Ghana. A school-based cross-sectional study was conducted to determine the prevalence of school absenteeism among girls using a structured questionnaire, which was pretested. The data were analyzed using Stata 16. Descriptive and inferential statistics, including cross-tabulation, the chi-square test, and binary logistic regression, were performed. The majority (59%) was between the ages of 15 and 19 years. Approximately one fifth of all respondents missed school during menstruation. Reasons assigned to missing school were menstrual pains (57%), stained clothes (43%), heavy bleeding (40%), and self-stigmatization (2%). The majority (95%) of respondents used some form of materials to absorb menstrual blood. About 88% of respondents used sanitary pads, 11% used cloth, and 1% used tissues to absorb their menstrual blood. The multivariable analysis showed that school girls < 15 years old (AOR: 3.69, 95% CI: 2.02–6.73), first year of Junior High School (AOR: 4.68, 95% CI: 2.14–10.22), and public school (AOR: 3.57, 95% CI: 1.83–6.94) were associated with increased odds of menstruation-related school absenteeism. Menstruation-related school absenteeism is considered high and could affect girls’ educational attainment. School absenteeism due to menstruation, particularly in public schools, warrants attention by the Ghana Education Service.
与月经有关的缺课严重影响女孩的学业进步和整体福祉。本研究旨在评估加纳北部地区城市人口中与月经相关的学校缺勤情况。一项以学校为基础的横断面研究采用结构化问卷进行了预先测试,以确定女孩旷课的流行程度。使用Stata 16分析数据。进行描述性统计和推理统计,包括交叉表、卡方检验和二元逻辑回归。大多数(59%)年龄在15至19岁之间。大约五分之一的受访者在月经期间缺课。缺课的原因包括经痛(57%)、衣服污渍(43%)、大出血(40%)和自我羞辱(2%)。大多数(95%)答复者使用某种形式的材料来吸收经血。约88%的受访者使用卫生巾,11%使用布,1%使用纸巾吸收经血。多变量分析表明,在校女生15岁(AOR: 3.69, 95% CI: 2.02-6.73)、初中一年级(AOR: 4.68, 95% CI: 2.14-10.22)和公立学校(AOR: 3.57, 95% CI: 1.83-6.94)与月经相关的缺勤率增加有关。与月经有关的缺课率被认为很高,可能影响女孩的受教育程度。经期缺课,特别是在公立学校,值得加纳教育服务处注意。
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引用次数: 0
Weight Concern and Body Image Dissatisfaction among Hispanic and African American Women 西班牙裔和非裔美国女性的体重担忧和身体形象不满
Pub Date : 2023-10-16 DOI: 10.3390/women3040037
Norma Olvera, Molly Matthews-Ewald, Rongfang Zhang, Rhonda Scherer, Weihua Fan, Consuelo Arbona
Weight concern and body image dissatisfaction continue to be understudied among African American and Hispanic women. To address the gap in the extant literature, this study examined a sample of Hispanic and African American women (N = 477, Meanage = 43.7 years) and explored (a) differences in weight concern and body image dissatisfaction; (b) the contribution of perceived weight status and body image dissatisfaction to weight concern; and (c) the extent to which the association between body image dissatisfaction and weight concern was moderated by ethnicity. Participants completed a health survey and a figure rating scale. The findings indicated that Hispanic women compared to African American women endorsed smaller silhouettes as an ideal body size (χ2(7, n = 436) = 22.36, p = 0.002, Cramer’s V = 0.23). More Hispanic women (77%) than African American women (62%) had a discrepancy between their perceived actual and ideal body size. The relationship between body image dissatisfaction and weight concern varied by ethnicity. That is, the relationship between body image dissatisfaction and weight concern was statistically significant among African American women (β = 0.21, p = 0.008) but was insignificant among Hispanic women (β = 0.11, p = 0.135). This study has implications regarding the identification of risk factors associated with weight concern.
对体重的担忧和对身体形象的不满在非裔美国人和西班牙裔女性中仍未得到充分研究。为了解决现有文献中的差距,本研究调查了西班牙裔和非洲裔美国女性(N = 477,平均年龄= 43.7岁)的样本,并探讨了(a)体重担忧和身体形象不满的差异;(b)对体重状况的认知和对身体形象的不满意对体重的影响;(c)对身体形象不满和体重担忧之间的关联在多大程度上受到种族的缓和。参与者完成了一份健康调查和身材评定量表。研究结果表明,与非裔美国女性相比,西班牙裔女性认为身材更小是理想身材(χ2(7, n = 436) = 22.36, p = 0.002, Cramer’s V = 0.23)。更多的西班牙裔女性(77%)比非裔美国女性(62%)认为自己的实际体型和理想体型存在差异。对身体形象不满和体重担忧之间的关系因种族而异。也就是说,身体形象不满意与体重担忧之间的关系在非裔美国女性中具有统计学意义(β = 0.21, p = 0.008),而在西班牙裔女性中不显著(β = 0.11, p = 0.135)。这项研究对确定与体重有关的危险因素具有启示意义。
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引用次数: 0
Gonadotropin and Ovarian Hormone Monitoring: Lateral Flow Assays for Clinical Decision Making 促性腺激素和卵巢激素监测:用于临床决策的侧流测定
Pub Date : 2023-10-11 DOI: 10.3390/women3040036
Anna Targonskaya, Katherine Maslowski
FSH, estrogen and progesterone testing are widely utilized in clinical practice. Lateral flow assays (LFAs) are cost-effective tools used for diagnosing infectious diseases, pregnancy, and substance testing. The focus of this narrative review is the potential for the wider utilization of listed hormone LFAs. A search was conducted with PubMed, Google Scholar and Wiley online libraries using keywords without any limitation on the publication date; animal studies were excluded. Clinical guidelines for the related conditions were included. According to published data, E3G and PdG are used to determine ovulatory cycles and can be utilized for research purposes to establish the normal range of menstrual cycles, as there is currently disagreement among guidelines. FSH measurement in blood samples is utilized to predict oocyte yield in assisted cycles and to differentiate women with premature ovarian insufficiency from hypothalamic amenorrhea, and can be replaced with more convenient urine testing. PdG was tested to assess the risk of pregnancy complications, specifically miscarriage and ectopic pregnancy, and might become a screening tool for miscarriage in the future. PMS, PMDD and ovarian carcinogenesis could be extensively studied using LFAs to gain a better understanding of the biology behind these conditions. Before implementing these LFAs into clinical practice, the reproducibility of progesterone assays should be evaluated. The results are critical for treatment decisions, and universally recognized standards for estradiol measurement should be developed.
FSH、雌激素和孕激素检测在临床中应用广泛。横向流动测定法(LFAs)是用于诊断传染病、妊娠和物质检测的经济有效的工具。本文综述的重点是所列激素LFAs的广泛应用潜力。在PubMed、Google Scholar和Wiley在线图书馆中使用关键词进行搜索,不受出版日期的限制;排除了动物研究。包括相关疾病的临床指南。根据已发表的数据,E3G和PdG用于确定排卵周期,可用于研究目的,以确定月经周期的正常范围,目前在指南中存在分歧。血液样本中的FSH测量用于预测辅助周期中的卵母细胞产量,并用于区分卵巢功能不全和下丘脑闭经的女性,可以用更方便的尿液检测代替。PdG测试是为了评估妊娠并发症的风险,特别是流产和异位妊娠,并可能成为未来流产的筛查工具。经前症候群、经前不悦症和卵巢癌的发生可以通过lfa进行广泛的研究,从而更好地了解这些疾病背后的生物学原理。在将这些LFAs应用于临床实践之前,应评估黄体酮测定的可重复性。结果对治疗决策至关重要,应该制定普遍认可的雌二醇测量标准。
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引用次数: 0
Dancing toward Well-Being: Effects on Mood and Well-Being of a 12-Week Flamenco Dance Workshop in Women Aged 60–80 Years 走向幸福的舞蹈:一个为期12周的弗拉门戈舞蹈工作坊对60-80岁女性情绪和幸福的影响
Pub Date : 2023-09-22 DOI: 10.3390/women3040035
José M. León-Rubio, Carmen Rivera-Rodríguez, Jose M. León-Pérez, Carlos Sepúlveda, Francisco J. Cantero-Sánchez
The objective of this study was to examine the effect of a flamenco dance program on the mood and subjective well-being of 34 self-selected women from the community, aged between 62 and 79 years. The mean age was 70.11 (SD = 5.13). Participants voluntarily enrolled in a 12-week flamenco dance workshop conducted by the Autoestima Flamenca Association, with one two-hour session per week. Every two weeks, mood measurements (sadness, anxiety, anger and joy) were taken, and subjective well-being assessments were conducted before and after each session. It was found that the participants’ overall mood and subjective well-being improved significantly following the intervention. These improvements were observed at both the individual and group levels. Overall, our findings suggest that participation in a free 12-week flamenco dance program had a positive impact on mood and subjective well-being in this segment of the population.
本研究的目的是研究弗拉门戈舞蹈节目对34名年龄在62岁至79岁之间的社区妇女的情绪和主观幸福感的影响。平均年龄70.11岁(SD = 5.13)。参与者自愿报名参加由Autoestima Flamenca协会举办的为期12周的弗拉门戈舞蹈讲习班,每周一次两小时的课程。每两周进行一次情绪测量(悲伤、焦虑、愤怒和喜悦),并在每次疗程前后进行主观幸福感评估。研究发现,干预后参与者的整体情绪和主观幸福感显著改善。这些改善在个人和群体层面都可以观察到。总的来说,我们的研究结果表明,参加为期12周的免费弗拉门戈舞蹈项目对这部分人群的情绪和主观幸福感有积极的影响。
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引用次数: 0
Recreational Female Athletes’ Understanding of and Perceived Impact of the Menstrual Cycle on Physical Performance, Mood, and Sleeping Behaviour 娱乐性女运动员对月经周期对身体表现、情绪和睡眠行为的理解和感知影响
Pub Date : 2023-09-15 DOI: 10.3390/women3030034
Eleni Anna Michelekaki, Marcos Michaelides, Karuppasamy Govindasamy, Koulla Parpa
This study aimed to examine female recreational (FRC) athletes’ knowledge of the menstrual cycle and their perception of how each phase affects their performance, mood, and sleep. One hundred and sixty-four (n = 164) FRC athletes completed an online survey. The questionnaire employed was based on previously validated questionnaires and consisted of three different sections: (a) knowledge about the menstrual cycle, (b) menstrual cycle symptoms, and (c) menstrual cycle and performance. The results indicated that 70.1% of the surveyed FRC athletes were not knowledgeable regarding the phases of the menstrual cycle, with 55.5% being ignorant of the specific hormones released during the cycle. Furthermore, 37.8% perceived that their performance was sometimes affected during the early follicular phase, with the main symptoms being physical fatigue (17.9%) and a more irritable mood (25.9%). In addition, 19.5% of the FRC athletes reported sleeping disturbances, and 20.4% described changes in sleep quality during menstruation. Lastly, 11.9% of the FRC athletes reported suffering from a combination of mood swings, sleeping problems, bloating or stomach issues, breast tenderness, headaches, and fatigue prior to menstruation. The results of this study provide valuable insights into how FRC athletes experience the menstrual cycle, which can help RC athletes and trainers better understand their needs and support them in achieving optimal performance.
本研究旨在考察女性休闲运动员对月经周期的认识,以及她们对每个月经周期如何影响她们的表现、情绪和睡眠的感知。164名FRC运动员完成了一项在线调查。所采用的调查问卷基于先前有效的调查问卷,由三个不同部分组成:(a)关于月经周期的知识,(b)月经周期症状,以及(c)月经周期和表现。结果显示,70.1%的受访FRC运动员不了解月经周期的阶段,55.5%的人不知道月经周期中释放的特定激素。此外,37.8%的人认为他们的表现有时在卵泡早期受到影响,主要症状是身体疲劳(17.9%)和更烦躁的情绪(25.9%)。此外,19.5%的FRC运动员报告睡眠障碍,20.4%的运动员描述了月经期间睡眠质量的变化。最后,11.9%的FRC运动员报告在月经前患有情绪波动、睡眠问题、腹胀或胃部问题、乳房胀痛、头痛和疲劳。这项研究的结果为FRC运动员如何经历月经周期提供了有价值的见解,这可以帮助RC运动员和教练更好地了解他们的需求,并支持他们实现最佳表现。
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引用次数: 0
Sociodemographic Influences on Perceived Stress during Pregnancy: Results from the CCREOH Environmental Epidemiologic Study, Suriname. 社会人口学对怀孕期间感知压力的影响:苏里南CCREOH环境流行病学研究结果。
Pub Date : 2022-06-01 Epub Date: 2022-05-20 DOI: 10.3390/women2020014
Aloysius Ph Koendjbiharie, Ashna D Hindori-Mohangoo, Wilco C W R Zijlmans, Arti Shankar, Firoz Z Abdoel Wahid, Hannah H Covert, Maureen Y Lichtveld, Stacy S Drury

Screening for prenatal stress is not routine in Suriname, despite its significant impact on maternal and newborn health. This study assessed the prevalence of high perceived prenatal stress and its sociodemographic predictors in three geographic areas in Suriname. In this cross-sectional study, data from 1190 participants of the Caribbean Consortium for Research in Environmental and Occupational Health cohort study were analyzed. Cohen's Perceived Stress Scale was completed during pregnancy to ascertain high perceived stress (cut-off score 20). The association between maternal sociodemographic factors and high perceived stress was examined using the chi-square test and logistic regression models; 27.5% of all participants had high perceived stress with statistically significant lower rates in Nickerie (18.8%) compared with Paramaribo (29.8%; p = 0.001) and the Interior (28.6%; p = 0.019). Maternal sociodemographic factors moderated the difference between the Interior and Nickerie. Participants from Paramaribo had statistically significant higher odds of high perceived stress compared to those from Nickerie, independent of their age and educational level (adjusted OR = 1.94; 95% confidence interval 1.32-2.86). Perceived stress during pregnancy is predicted by sociodemographic factors. These findings identified target groups for interventions in Suriname. Policy makers should consider integrating perceived stress assessment as a routine part of prenatal care.

尽管产前压力筛查对孕产妇和新生儿健康有重大影响,但在苏里南并不是常规筛查。本研究评估了苏里南三个地理区域的高感知产前压力患病率及其社会人口预测因素。在这项横断面研究中,分析了加勒比环境与职业健康研究联盟队列研究的1190名参与者的数据。在怀孕期间完成科恩感知压力量表以确定高感知压力(截止分20分)。采用卡方检验和logistic回归模型检验产妇社会人口学因素与高应激感知的关系;27.5%的参与者有高感知压力,Nickerie(18.8%)比Paramaribo (29.8%;p = 0.001)和内陆地区(28.6%;P = 0.019)。母亲的社会人口因素缓和了内陆和尼克里之间的差异。来自Paramaribo的参与者与来自Nickerie的参与者相比,具有统计学上显著的高感知压力的几率,与他们的年龄和教育水平无关(调整后OR = 1.94;95%置信区间1.32-2.86)。怀孕期间的感知压力是由社会人口因素预测的。这些发现确定了苏里南的干预目标群体。政策制定者应考虑将感知压力评估作为产前护理的常规部分。
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引用次数: 2
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Women (Basel, Switzerland)
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