Women & HealthPub Date : 2024-11-04DOI: 10.1080/03630242.2024.2422884
Sibel Peksoy-Kaya, Sena Kaplan, Esra Başkaya
{"title":"A survey of the effect of an information-motivation-behavioral model-based intervention on university students' osteoporosis knowledge, health beliefs, and self-efficacy.","authors":"Sibel Peksoy-Kaya, Sena Kaplan, Esra Başkaya","doi":"10.1080/03630242.2024.2422884","DOIUrl":"https://doi.org/10.1080/03630242.2024.2422884","url":null,"abstract":"<p><p>This randomized controlled trial investigated the effectiveness of a Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model (HLAPPO-IMB) in university students [intervention group (<i>n</i> = 43), control group (<i>n</i> = 44)]. The intervention group completed the online training to prevent osteoporosis in the information stage of the IMB. In the motivation stage, the researchers texted (WhatsApp) the intervention group spot and reminder notifications concerning the prevention of osteoporosis. They also provided them with telephone counseling. In the final stage, the researchers evaluated whether the intervention group participants developed target behavioral skills. The intervention group had significantly higher mean posttest and follow-up Osteoporosis Knowledge Test scores than the control group (respectively, <i>r =</i> .519, <i>r =</i> .513, <i>p <</i> .001), indicating a large effect size in the posttest and follow-up test. There was no significant difference in pretest and follow-up Osteoporosis Health Belief Scale, Osteoporosis Self-Effective Scale, and International Physical Activity Questionnaire-Short Form scores between the groups (<i>p ></i> .05). The results showed that the HLAPPO-IMB helped the intervention group participants expand their knowledge of osteoporosis. However, it did not improve their self-efficacy in doing weight-bearing exercises, taking calcium, and engaging in physical activity.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Women & HealthPub Date : 2024-11-04DOI: 10.1080/03630242.2024.2422876
Yuanyuan Jin, Yifan Huang, Jianfang Zhu, Dan Liao, Shumei Zeng, Xiaoqing Jin
{"title":"Acupoint catgut embedding regulates community structure of intestinal flora in central obesity during perimenopause.","authors":"Yuanyuan Jin, Yifan Huang, Jianfang Zhu, Dan Liao, Shumei Zeng, Xiaoqing Jin","doi":"10.1080/03630242.2024.2422876","DOIUrl":"https://doi.org/10.1080/03630242.2024.2422876","url":null,"abstract":"<p><p>Acupoint catgut embedding (ACE) is a safe and effective method for treating obesity. However, how it modulates intestinal flora and adiponectin remains unclear. We employed 16s rRNA sequencing technology to investigate ACE induced changes in intestinal flora and its association with adiponectin in subjects who received real (<i>n</i> = 41) and Sham (<i>n</i> = 41) stimulation. After treatment, the ACE group's body weight, BMI, WC, HC, WHtR, and WHR were significantly lower than those of the Control group (<i>p</i> < .01), there was statistically significant differences in ADPN between the two groups (<i>p</i> < .01). ACE reduces the species abundance and increased the diversity and differences of the gut microbiota in perimenopausal patients with central obesity. Most notably, there was an increase in Kosakonia and Klebsiella after ACE treatment in the patients. Significant negatively correlations were found between body weight/waist circumference and adiponectin. Increases in Klebsiella and Kosakonia were positively correlated with adiponectin, and were negatively correlated with body weight/waist circumference. Our results showed increases in Klebsiella and Kosakonia were correlated with body weight/waist circumference and adiponectin. These findings suggest that ACE-induced weight loss is probably in part associated with increases in adiponectin, Klebsiella and Kosakonia.<b>Trial re-registration:</b> www.chictr.org.cn, ID: ChiCTR2400087718, Registration Date: August 2nd 2024.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Women & HealthPub Date : 2024-10-27DOI: 10.1080/03630242.2024.2420215
Sibel Kiyak, Serap Batı
{"title":"The relationship between sleep quality, depression, and smartphone addiction in pregnant women: a mediation analysis.","authors":"Sibel Kiyak, Serap Batı","doi":"10.1080/03630242.2024.2420215","DOIUrl":"https://doi.org/10.1080/03630242.2024.2420215","url":null,"abstract":"<p><p>In recent years, the prevalence of smartphone addiction has significantly increased. This situation has raised concerns about its potential impact on health aspects, such as sleep quality and mental health, particularly among vulnerable populations like pregnant women. This study aimed to identify the factors that determine sleep quality in pregnant women and examine the relationship between smartphone addiction, depression, and sleep quality. This descriptive correlational study included 257 pregnant women in their second and third trimesters who were registered at six family health centers between September 2022 and March 2023. Data were collected using a sociodemographic questionnaire, the Smartphone Addiction Scale Short Form, Edinburgh Postnatal Depression Scale, and Pittsburgh Sleep Quality Index. Regression and mediation analyses were performed for the data. Of the participants, 44.4 percent had poor sleep quality. Depression and third trimester were significant determinants of sleep quality. The bootstrapping results revealed that smartphone addiction led to an increase in the level of depression (β = 0.145; <i>p</i> < .001). Depression worsened sleep quality (β = 0.262; <i>p</i> < .001). The smartphone addiction did not significantly affect sleep quality (β = 0.020; <i>p</i> = .279). Depression mediates the relationship between sleep quality and smartphone addiction (β = 0.038; 95 percent CI [0.018: 0.062]). The study highlights that while smartphone addiction does not directly impact sleep quality in pregnant women, it is associated with increased depression levels, which subsequently worsen sleep quality. It is recommended that healthcare providers monitor smartphone usage and mental health in pregnant women to mitigate the risk of sleep disturbances and improve overall well-being.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of eHealth literacy on maternal and neonatal outcomes.","authors":"Esra Keles, Leyla Kaya, Neşe Yakşi, Zahide Kaya, Pınar Kumru","doi":"10.1080/03630242.2024.2420211","DOIUrl":"https://doi.org/10.1080/03630242.2024.2420211","url":null,"abstract":"<p><p>eHealth literacy plays a crucial role during pregnancy, as maternal health behavior can influence health outcomes for both mother and child. This study assessed the impact of eHealth literacy on maternal-fetal health outcomes through a cross-sectional analysis of 1,265 pregnant women admitted to a tertiary maternity hospital in Turkey between April and July 2022. Data on sociodemographic information, obstetric variables, birth outcomes, Internet usage, and eHealth Literacy Scale (eHEALS) were collected. Kolmogorov-Smirnov, Mann - Whitney U, Kruskal-Wallis, and Spearman correlation were used for data analysis. The median age of women was 28 years, and the mean gestational age was 38.6 weeks. Median eHealth literacy score was 21 (range:8-40). Pregnant women who had planned pregnancies, received spousal support, attended 9-12 antenatal care visits, received vaccinations, adhered to iron and folic acid supplementation, engaged in regular physical activity, and maintained regular sleep patterns exhibited higher eHealth scores (all <i>p</i> < .001). eHEALS scores were higher in women who experienced normal vaginal deliveries (<i>p</i> < .001), while lower eHEALS scores were noted in those with comorbidities (<i>p</i> = .001). The study suggested that higher eHealth literacy among pregnant women was associated with improved health-promoting behaviors, more favorable health perceptions, increased utilization of health services, and better maternal and fetal outcomes.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Women & HealthPub Date : 2024-10-23DOI: 10.1080/03630242.2024.2419053
Gabrielle Fine, Einat Shuper Engelhard
{"title":"Body, belief, and postpartum recovery: perceptions of exercise, body image, and postpartum wellbeing amongst ultra-Orthodox women.","authors":"Gabrielle Fine, Einat Shuper Engelhard","doi":"10.1080/03630242.2024.2419053","DOIUrl":"https://doi.org/10.1080/03630242.2024.2419053","url":null,"abstract":"<p><p>Exercise during the postpartum period positively influences mothers' mental health, including body image, which is critical for a successful postpartum experience. Ultra-Orthodox women, subject to strict religious laws governing their bodies, strongly adhere to the commandment to procreate, resulting in a higher birth rate compared to the general population. These unique characteristics may find expression in the way religion shapes their postpartum body image and exercise experience. This study aims to explore these elements, addressing the scarcity of research on this population, to better understand unique cultural sensitivities during this critical period of mothers' health. Semi-structured interviews with ultra-Orthodox postpartum women following 12 weeks of exercise, revealed: (1) The perception of the body among postpartum ultra-Orthodox women, including the body (1.1) perceived as a means, not a goal, (1.2) disrupted by pregnancy, and (1.3) healing through exercise. The second theme found (2) Exercise raises cultural conflicts, and participants (2.1) provided justification for exercise and (2.2) hiding participation. The discussion focuses on the interplay between religious beliefs, the postpartum female body, and internal conflicts arising in relation to the postpartum exercise experience. This qualitative study highlights the ways that these cultural nuances may advance or hinder postpartum wellbeing of ultra-Orthodox women.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Women & HealthPub Date : 2024-10-23DOI: 10.1080/03630242.2024.2420230
Eungyeong Kim
{"title":"Factors influencing sleep duration among middle-aged women in Korea: insights from the community health survey.","authors":"Eungyeong Kim","doi":"10.1080/03630242.2024.2420230","DOIUrl":"https://doi.org/10.1080/03630242.2024.2420230","url":null,"abstract":"<p><p>This study aimed to investigate the influence of demographic and health-related characteristics on sleep duration among middle-aged women aged 44-64. Utilizing raw data from the 2022 Community Health Survey, a cross-sectional analysis was conducted. The study included middle-aged women who participated in the survey, with data collected through structured interviews. χ2 tests and logistic regression analysis were employed to assess associations between sleep duration and demographic as well as health-related factors. The findings revealed that sleep duration in middle-aged women was significantly associated with multiple factors. Age (<i>p</i> < .001), spouse status (<i>p</i> = .001), occupation (<i>p</i> < .001), self-rated health (<i>p</i> = .004), perceived stress (<i>p</i> < .001), depression (<i>p</i> < .001), cognitive impairment (<i>p</i> = .009), unmet medical needs (<i>p</i> = .034), current cigarette smoking (<i>p</i> = .001), and binge drinking (<i>p</i> = .006) were all identified as important determinants of sleep duration. The results highlight the need for targeted interventions that address both health and psychological risk factors contributing to sleep disturbances among middle-aged women. An integrated approach, considering these factors, is essential to improve sleep health in this vulnerable population.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring factors associated with domestic violence among pregnant women in Pakistan and its implications for maternal and perinatal health.","authors":"Sabeen Aslam, Naushin Farooq, Qurrat Ul Ain, Laila Khalid, Nazia Siraj, Nasir Mushtaq","doi":"10.1080/03630242.2024.2419055","DOIUrl":"https://doi.org/10.1080/03630242.2024.2419055","url":null,"abstract":"<p><p>Domestic violence during pregnancy is a critical health issue due to its significant implications for both maternal and fetal well-being. Women in South Asian countries are particularly at a higher risk of experiencing domestic violence. The objective of this study was to identify factors associated with domestic violence among pregnant women attending tertiary care antenatal services in Pakistan. The secondary aim was to evaluate the impact of domestic violence on maternal and perinatal outcomes. The study participants were 681 pregnant women registered for antenatal care and delivery at a tertiary care hospital in Islamabad, Pakistan. Data were collected through in-person surveys and medical chart reviews. Associations between domestic violence and study variables were examined by logistic regression analysis. Among the study participants, 31.4%experienced some form of domestic violence during pregnancy, with psychological abuse (16.4%) being the most prevalent followed by sexual abuse (9.5%) and physical violence (1.8%). Women whose husbands were unemployed were three times more likely to experience domestic violence (aOR; 3.3, 95%CI: 1.6, 7.0). Similarly, husband's substance abuse was significantly associated with domestic violence during pregnancy (aOR: 120.8, 95%CI: 57.9, 252.2). Domestic violence was a significant predictor of adverse maternal outcomes, including anemia, preterm labor, and recurrent abdominal pain. Similarly, domestic violence was a significant predictor of NICU admission (aOR: 20.6, 95%CI: 12.6, 33.8) and low birthweight (aOR: 24.4, 95%CI: 10.2, 58.4). The study findings emphasize the urgent need for comprehensive interventions targeting domestic violence among women and preventing its cascading effects on pregnancies.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of auriculotherapy on labor duration: systematic review and meta-analysis.","authors":"Foruzan Sharifipour, Zaynab Mohaghegh, Kowsar Qaderi, Maryam Zahedian, Faeze Azizi, Shahla Faal Siahkal","doi":"10.1080/03630242.2024.2419054","DOIUrl":"https://doi.org/10.1080/03630242.2024.2419054","url":null,"abstract":"<p><p>Length of labor is one of the factors contributing to maternal and neonatal childbirth outcomes. Auriculotherapy is a potential therapeutic intervention for reducing labor duration. This systematic review aims to evaluate the efficacy of auriculotherapy in shortening labor time.This systematic review and meta-analysis included randomized controlled trials published from inception until July 2024. Scopus, Cochrane Library, Web of Science, Embase, and PubMed were searched for eligible studies. Article screening was performed using Endnote X8. Data analysis and assessment of the risk of bias were performed by Review Manager 5.3. Analysis of pooled data was performed using fixed and random effect models. Five studies (<i>n</i> = 433 participants) were included in the meta-analysis from an initial pool of 150 articles. The participants' mean age was 25.07 ± 4.52. Auriculotherapy reduced the length of the active and second phases of labor by approximately sixty (MD = -63.54; 95 percent CI: -84.47, -42.62; <i>p</i> < .00001) and seven minutes (MD = -7.67; 95 percent CI: -13.46, -1.89, <i>p</i> = .009), respectively. Auriculotherapy was found to significantly decrease the duration of the active and second phases of labor. However, it is not possible to generalize the results and further high-quality studies involving more individuals from various socioeconomic backgrounds are needed to provide support for these findings.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Women & HealthPub Date : 2024-10-20DOI: 10.1080/03630242.2024.2416219
Jenna C Adams, Madelyn Conner, Jacqueline Wong, Andrea Knittel, Michelle Louie
{"title":"Patient preferences regarding the cervix, ovaries, and fallopian tubes at the time of hysterectomy: a qualitative study.","authors":"Jenna C Adams, Madelyn Conner, Jacqueline Wong, Andrea Knittel, Michelle Louie","doi":"10.1080/03630242.2024.2416219","DOIUrl":"https://doi.org/10.1080/03630242.2024.2416219","url":null,"abstract":"<p><p>Our objective is to understand patients' preexisting values, beliefs, and preferences regarding removal or preservation of the cervix, ovaries, and fallopian tubes at the time of hysterectomy for benign indications. We performed semi-structured interviews from August 2021 to March 2022 with patients referred for hysterectomy. Participants were recruited according to pre-specified diversity axes. The interview guide was informed by literature review, expert stakeholders, and pilot testing. pers. comm. occurred prior to scheduled consultation. Responses were analyzed for themes, with thematic saturation reached. Age of participants (<i>n</i> = 13) ranged from 24 to 60 years. Identified themes included knowledge, decision-making, treatment goals, short- and long-term consequences, fertility, identity, and lack of concern. Many participants expressed lacking necessary knowledge of the risks and benefits of removing the cervix and adnexa. Treatment goals included symptom relief and definitive treatment. Long-term consequences included concerns about menopause and future cancer. Many patients expressed some degree of lack of knowledge, desire to remove most or all pelvic structures, or no attachment to their reproductive organs. Many patients expressed decision-making based on the effects of organ removal on long-term consequences and the relief of current symptoms, rather than immediate surgical risk. This information can help to inform patient-centered surgical counseling.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Women & HealthPub Date : 2024-10-01Epub Date: 2024-10-05DOI: 10.1080/03630242.2024.2410883
Luis Enrique Espinoza, Mandy Golman, Sarah Guy, Melissa Leal, Jennifer L Talleff, Tanya Faglie
{"title":"Inequities between rural and urban realities: young Hispanic women's pregnancy intentions and birth outcomes.","authors":"Luis Enrique Espinoza, Mandy Golman, Sarah Guy, Melissa Leal, Jennifer L Talleff, Tanya Faglie","doi":"10.1080/03630242.2024.2410883","DOIUrl":"10.1080/03630242.2024.2410883","url":null,"abstract":"<p><p>The present study sought to determine if inequities exist in Hispanic women's pregnancy intentions and birth outcomes by metropolitan status. In the U.S. pregnancy intentions and birth outcomes of young Hispanic women are a significant public health problem as they are often overlooked on health issues such as pregnancy and childbirth. Data were from the 2015 to 2019 National Survey of Family Growth and focused on the first pregnancies of Hispanic women aged 18 to 24 years old who were not pregnant at the time of the interview and answered the nativity question. Multivariable multinomial regression was used to evaluate how metropolitan status affects pregnancy intentions and birth outcomes. Additionally, multivariable multinomial regression was used to evaluate how metropolitan status affects each pregnancy intention-birth outcome combination. There was no significant association solely between metropolitan status and pregnancy intention (i.e. unintended pregnancy). Metropolitan Hispanic women reported more miscarriages than live births. Hispanic women in the suburbs were more likely to miscarry during an intended pregnancy than those in urban. These findings can improve family planning services for rural women by identifying the specific factors that affect pregnancy intentions and developing targeted interventions to reduce unintended pregnancies.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}