Journal of women's health最新文献_第2页

Maternal Chronic Physical Conditions and Alcohol and Substance Use Disorders in the Preconception and Perinatal Periods. 孕前和围产期产妇慢性身体状况和酒精和物质使用障碍。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2025-01-10 DOI: 10.1089/jwh.2024.0757

Hilary K Brown, Tara Gomes, Andrew S Wilton, Andi Camden, Astrid Guttmann, Cindy-Lee Dennis, Joel G Ray, Simone N Vigod

{"title":"Maternal Chronic Physical Conditions and Alcohol and Substance Use Disorders in the Preconception and Perinatal Periods.","authors":"Hilary K Brown, Tara Gomes, Andrew S Wilton, Andi Camden, Astrid Guttmann, Cindy-Lee Dennis, Joel G Ray, Simone N Vigod","doi":"10.1089/jwh.2024.0757","DOIUrl":"10.1089/jwh.2024.0757","url":null,"abstract":"Background: Chronic physical conditions (CPC) and alcohol and substance use disorders (SUD) frequently co-occur, but this has not been examined perinatally. We explored the combined effects of CPC and prepregnancy SUD on perinatal SUD-related adverse events and outpatient care. Materials and methods: This population-based study comprised 77,474 people with and 664,751 without CPC with a birth in Ontario, Canada, 2013-2020. We measured the prevalence of prepregnancy SUD in both groups. We then calculated adjusted relative risks (aRR) of: (1) SUD-related adverse events (toxicity resulting in acute care use/death, or other SUD-related acute care use) and (2) outpatient care for SUD between conception and 365 days postpartum, comparing individuals with prepregnancy CPC and SUD (CPC + SUD), and those with CPC or SUD alone, to those with neither condition. Finally, adjusted relative excess risk due to interaction (aRERI) was calculated to quantify excess risk of the outcomes associated with CPC + SUD, wherein RERI > 0 indicated positive interaction. Results: aRRs of perinatal SUD-related adverse events were 26.79 (95% confidence interval [CI]: 23.12, 31.04) for people with CPC + SUD, 22.09 (95% CI: 19.59, 24.91) for SUD alone, and 2.01 (95% CI: 1.78, 2.27) for CPC alone-each relative to neither condition. There was evidence of positive interaction for CPC + SUD (aRERI: 3.69, 95% CI: 1.13, 6.46). Similar elevated aRRs were observed for perinatal outpatient care for SUD, but without a positive interaction for people with CPC + SUD. Conclusion: As people with both CPC and SUD have the highest risk of perinatal SUD-related adversity, they may need greater preconception and perinatal support.","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"504-512"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency Department Utilization for Postpartum Behavioral Health Problems and Assault Injury During the COVID-19 Pandemic. COVID-19 大流行期间因产后行为健康问题和攻击伤害而使用急诊科的情况。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2024-10-28 DOI: 10.1089/jwh.2024.0758

Sidra Goldman-Mellor, Alison Gemmill, Mark Olfson, Claire Margerison

{"title":"Emergency Department Utilization for Postpartum Behavioral Health Problems and Assault Injury During the COVID-19 Pandemic.","authors":"Sidra Goldman-Mellor, Alison Gemmill, Mark Olfson, Claire Margerison","doi":"10.1089/jwh.2024.0758","DOIUrl":"10.1089/jwh.2024.0758","url":null,"abstract":"Objective: Distinctive stressors facing pregnant and postpartum individuals during the COVID-19 pandemic may have affected their emergency department (ED) care-seeking for behavioral health concerns and violence victimization. We tested whether the incidence of postpartum behavioral health and assault injury ED visits differed for individuals according to their months of postpartum pandemic exposure. Methods: We used statewide, longitudinally linked hospital and ED administrative claims data from California to classify all individuals with hospital deliveries between January 1, 2016, and December 31, 2020, according to their months of postpartum pandemic exposure. Outcomes comprised 12-month incidence of any ED visit for a psychiatric disorder, drug use disorder/overdose, alcohol use disorder/intoxication, or assault injury, defined using International Classification of Diseases-Clinical Modification, version 10 codes. Risk ratios compared the incidence of each outcome among people with 1-12 months of postpartum pandemic exposure to those with 0 months of exposure. Results: Compared to people with 0 months of postpartum pandemic exposure (n = 1,163,215), delivering people with 1-12 month' exposure (range: n = 26,836 to n = 273,561) were approximately equally likely to have a postpartum ED visit for a psychiatric disorder, drug use disorder, or alcohol use disorder, after adjusting for demographic differences (most p > 0.10). The incidence of assault injury was significantly lower among delivering individuals with 11 or 12 months of pandemic exposure (RRadj = 0.70 and 0.91, respectively; both p < 0.01) compared to those with 0 months. Conclusions: Contrary to expectations, the pandemic did not appear to have affected ED utilization for most behavioral health conditions among postpartum individuals, but assault injury ED visits declined.","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"572-577"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142503018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nonuse of Contraception at Conception Due to Partner Objection and Pregnancy-Related Health Care Utilization, Postpartum Health, and Infant Birth Outcomes. 因伴侣反对而在受孕时不使用避孕药具与妊娠相关的医疗保健使用、产后健康和婴儿出生结果。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2024-11-27 DOI: 10.1089/jwh.2024.0535

Denise V D'Angelo, Jennifer M Bombard, Kathleen C Basile, Rosalyn D Lee, Yanet Ruvalcaba, Heather Clayton, Cheryl L Robbins

{"title":"Nonuse of Contraception at Conception Due to Partner Objection and Pregnancy-Related Health Care Utilization, Postpartum Health, and Infant Birth Outcomes.","authors":"Denise V D'Angelo, Jennifer M Bombard, Kathleen C Basile, Rosalyn D Lee, Yanet Ruvalcaba, Heather Clayton, Cheryl L Robbins","doi":"10.1089/jwh.2024.0535","DOIUrl":"10.1089/jwh.2024.0535","url":null,"abstract":"Objective: Reproductive coercion has been associated with adverse reproductive health experiences. This study examined the relationship between nonuse of contraception due to partner objection, one aspect of reproductive coercion, and selected pregnancy-related outcomes. Methods: We used 2016-2020 data from the Pregnancy Risk Assessment Monitoring System in 22 jurisdictions to assess the prevalence of nonuse of contraception due to a partner objection by select characteristics among individuals with a recent live birth who reported an unintended pregnancy. We calculated adjusted prevalence ratios (aPRs) to understand associations with health care utilization, postpartum behaviors and experiences, postpartum contraceptive use, and infant birth outcomes. Results: Among people with a recent live birth in the study jurisdictions (n = 29,071), approximately 5% reported nonuse of contraception due to a partner objection and unintended pregnancy. This experience was associated with lower prevalence of attending a health care visit before pregnancy (aPR 0.8, 95% confidence interval [CI] 0.7-0.9), first trimester prenatal care, and attending a postpartum checkup (aPR 0.7, 95% CI 0.6-0.9 for both). Higher prevalence was observed for postpartum depressive symptoms (aPR 1.3, 95% CI 1.1-1.6) and partner objecting to using birth control postpartum (aPR 2.8, 95% CI 2.1-3.9). Conclusions: Nonuse of contraception due to a partner objection at conception was associated with poor mental health and lower health care utilization around the time of pregnancy. Prevention efforts may include strategies that ensure provider screening for intimate partner violence, and evidence-based approaches that teach about healthy relationships, enhance self-efficacy, and address underlying drivers of violence.","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"525-538"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reproductive Loss and the Law: The Nascent Evolution of Bereavement Remedies. 生育丧失与法律：丧亲救济的初步演变。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2024-12-12 DOI: 10.1089/jwh.2024.1026

Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen

引用次数: 0

52 mg Levonorgestrel Intrauterine System as a Long-Term Contraceptive Option. 52毫克左炔诺孕酮宫内系统作为长期避孕选择。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2025-02-14 DOI: 10.1089/jwh.2024.1135

Dewonna Ferguson, Jelena Pejic, Sara Shihab, Suneela Vegunta

引用次数: 0

Blood Pressure Monitoring and Knowledge in the First Year after a Hypertensive Disorder of Pregnancy. 妊娠期高血压疾病第一年的血压监测和知识。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1089/jwh.2024.0798

Natalie A Cameron, Hannah Begna, Eleanor B Schwarz

{"title":"Blood Pressure Monitoring and Knowledge in the First Year after a Hypertensive Disorder of Pregnancy.","authors":"Natalie A Cameron, Hannah Begna, Eleanor B Schwarz","doi":"10.1089/jwh.2024.0798","DOIUrl":"10.1089/jwh.2024.0798","url":null,"abstract":"Introduction: In the first year postpartum, hypertension is a leading cause of morbidity and mortality, particularly for those with hypertensive disorders of pregnancy (HDPs). Given that timely recognition of hypertension is key to reducing short- and long-term cardiovascular risk, we assessed knowledge of when to seek medical attention for blood pressure (BP) elevations and rates of BP measurement in the first year postpartum. Methods: This was a secondary analysis of a cohort of 405 primiparas who enrolled in a randomized trial during pregnancy. We calculated the proportion who stated they would contact a clinician for a systolic BP above 140 and a diastolic BP above 90 at 3 months postpartum, and the frequency and location of BP checks reported from 2 to 12 months postpartum by HDP status. Results: HDPs were reported by 16% of participants. Mean age was 32 ± 5 years; 40% identified as non-White, and 25% had public insurance. At 3 months postpartum, 44.6% with HDPs and 23.5% without identified a systolic BP of 140 as the threshold above which to contact a clinician (p < 0.01); 52.4% with HDPs and 28.5% without identified a diastolic BP threshold of 90 (p < 0.01). From 3 to 12 months postpartum, people with HDPs were more likely to report a BP check (83.1% versus 59.4%, p < 0.01) and home BP monitoring (41.6% versus9.7%, p < 0.01). Home monitoring was not associated with awareness of when to seek help for hypertension among those with HDPs. Conclusions: Efforts are needed to improve awareness of when to seek medical attention for postpartum hypertension.","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"485-490"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Commitment to Gender Equity in Medicine: An American Medical Women's Association Position Paper. 对医学性别平等的承诺：美国医学妇女协会立场文件。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2025-01-29 DOI: 10.1089/jwh.2024.0958

Devki Patel, Vaishnavi J Patel, Brianna Clark, Rosy Thachil, Joanna Georgakas, Michelle A S Drobny, Ariela Marshall, Roberta Gebhard

{"title":"A Commitment to Gender Equity in Medicine: An American Medical Women's Association Position Paper.","authors":"Devki Patel, Vaishnavi J Patel, Brianna Clark, Rosy Thachil, Joanna Georgakas, Michelle A S Drobny, Ariela Marshall, Roberta Gebhard","doi":"10.1089/jwh.2024.0958","DOIUrl":"10.1089/jwh.2024.0958","url":null,"abstract":"Background: The American Medical Women's Association (AMWA) highlights the ongoing gender inequities in the medical profession, particularly in pay, leadership roles, workplace treatment, and work-life integration. Objective: To present evidence of gender disparities in medicine, analyze their root causes, and propose strategies for fostering a more equitable and inclusive environment. Findings: Despite progress, women physicians continue to face significant disparities, including lower salaries, underrepresentation in leadership roles, and discrimination. These issues are particularly pronounced among minority women and physician mothers. Recommendations: AMWA advocates for transparent pay structures, robust antidiscrimination policies, comprehensive support for physician mothers, and a shift toward work-life integration to ensure that all physicians can thrive professionally and contribute fully to patient care. Conclusion: By addressing these inequities, the medical profession can create an environment where all physicians thrive professionally and contribute fully to patient care.","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"451-457"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Education About Breast Density Does Not Improve Screening Adherence Among Racial and Ethnic Minority Women. 关于乳腺密度的教育并不能提高少数种族和族裔妇女坚持筛查的积极性。

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2025-02-19 DOI: 10.1089/jwh.2024.1049

Brooke Nickel, Nehmat Houssami

引用次数: 0

Severe Maternal Morbidity and Postpartum Care: An Investigation Among a Privately Insured Population in the United States, 2008-2019. 严重孕产妇发病率和产后护理：2008-2019年美国私人保险人群调查

IF 3 3区医学

Journal of women's health Pub Date : 2025-04-01 Epub Date: 2024-12-09 DOI: 10.1089/jwh.2024.0826

Jennifer L Matas, Laura E Mitchell, Jason L Salemi, Cici X Bauer, Cecilia Ganduglia Cazaban

{"title":"Severe Maternal Morbidity and Postpartum Care: An Investigation Among a Privately Insured Population in the United States, 2008-2019.","authors":"Jennifer L Matas, Laura E Mitchell, Jason L Salemi, Cici X Bauer, Cecilia Ganduglia Cazaban","doi":"10.1089/jwh.2024.0826","DOIUrl":"10.1089/jwh.2024.0826","url":null,"abstract":"Objective: This study examines postpartum health care utilization among women with severe maternal morbidity (SMM) subtypes (e.g., blood transfusion, renal), focusing on both early (within 7 days) and late (8-42 days) postpartum periods. By including outpatient visits alongside inpatient and emergency department (ED) visits, the study offers a comprehensive view of postpartum health care needs among women with SMM. Methods: This retrospective cohort study used data from Optum's de-identified Clinformatics® Data Mart Database from 2008 to 2019. The primary outcomes were early and late postpartum inpatient readmissions, early and late ED visits, and outpatient care within 42 days after delivery. Multilevel logistic regression models were used to estimate the association between SMM subtypes and postpartum readmission, ED, and outpatient care. Results: Except for hemorrhage, most SMM subtypes increased the postpartum odds of health care utilization. Women with other medical SMM (e.g., puerperal cerebrovascular disorders or sickle cell disease with crisis) had 2.9 times the odds (odds ratio [OR]: 2.87, 95% confidence interval [CI]: 1.30-6.34) of experiencing early readmissions compared with those without other medical SMM. Women with sepsis had 4.5-fold elevated odds (OR: 4.53, 95% CI: 2.48-8.28) of late readmission, a 1.9-fold increased odds (OR: 1.85, 95% CI: 1.12-3.04) of early ED visits, and over a 2-fold increased odds (OR: 2.27, 95% CI: 1.67-3.08) of postpartum outpatient visits compared with those without sepsis. Conclusion: This study reveals that certain SMM subtypes significantly increase postpartum health care utilization, emphasizing the need for further research and interventions to improve outcomes for affected women.","PeriodicalId":17636,"journal":{"name":"Journal of women's health","volume":" ","pages":"539-548"},"PeriodicalIF":3.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preeclampsia Prevention: Key to the Reduction of Maternal Mortality. 预防子痫前期：降低孕产妇死亡率的关键。

IF 3 3区医学

Journal of women's health Pub Date : 2025-03-27 DOI: 10.1089/jwh.2025.0141

Steven J Ralston, Eli Y Adashi

引用次数: 0