Women & Health最新文献

{"title":"Severe maternal morbidity, maternal mortality and health-care quality: time to face the moment of truth.","authors":"Jussara Mayrink, José Guilherme Cecatti","doi":"10.1080/03630242.2025.2503533","DOIUrl":"https://doi.org/10.1080/03630242.2025.2503533","url":null,"abstract":"","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":"65 5","pages":"389-391"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175046","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":"Association of ultra-processed food consumption with menopausal symptoms in postmenopausal women.","authors":"Dilay Karabiyik, Hasret Aslan, Kevser Tari Selçuk, Alihan Tiğli, Sedat Arslan, Hande Öngün Yilmaz","doi":"10.1080/03630242.2025.2499175","DOIUrl":"10.1080/03630242.2025.2499175","url":null,"abstract":"<p><p>This study aimed to examine the relationship between Ultra-Processed Food (UPF) consumption and menopausal symptoms in postmenopausal women. In this cross-sectional study, data of 305 postmenopausal women were evaluated. The data were collected by the researchers through face-to-face interviews between December 2023 and March 2024 using the Introductory Information Form, Frequency of UPF Consumption and Menopause Symptom Rating Scale. Descriptive statistics (number, percentage, mean, standard deviation) and linear regression analysis were used in data analysis. The significance level of statistical tests was accepted as <i>p</i> < .05. The total UPF consumption of postmenopausal women was 56.56   +   116.77 g/day. The mean scores of somatic complaints, psychological complaints, and urogenital complaints subscales of the Menopause Symptom Rating Scale were 9.98   +   2.48, 9.28   +   2.67, and 6.06   +   2.15, respectively. While there was no relationship between daily UPF consumption and psychological and urogenital symptoms, Model 1 (β:0.129, <i>p</i> < .05), Model 2 (β:0.141, <i>p</i> < .05), Model 3 (β:0.167, <i>p</i> < .05) and Model 4 (β:0.150, <i>p</i> < .05) showed that daily UPF consumption was positively associated with somatic symptoms. In conclusion, the severity of somatic symptoms such as hot flashes, sweating, heart problems, and sleep problems increases as UPF consumption increases in postmenopausal women.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"429-441"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051262","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":"The spousal support and breastfeeding self-efficacy between mothers of healthy babies and babies in the NICU: a comparative and correlational study.","authors":"Ekin Dila Topaloğlu Ören, Büşra Cengiz","doi":"10.1080/03630242.2025.2498522","DOIUrl":"10.1080/03630242.2025.2498522","url":null,"abstract":"<p><p>This comparative and correlational study investigated the relationship between perceived spousal support and breastfeeding self-efficacy in mothers of healthy babies and babies hospitalized in the neonatal intensive care unit (NICU). The study was conducted with 416 mothers (206 mothers with healthy babies and 210 mothers whose babies were hospitalized in NICU) at a training and research hospital in western Türkiye. The results revealed no significant difference in the mean scores of the perceived spousal support (PSS) and breastfeeding self-efficacy scale (BSES) between the two groups (<i>p</i> > .05). However, the mean total score for perceived social support was higher among mothers of infants in the NICU. While a strong positive correlation was found between the total and subscale scores of perceived spousal support and the breastfeeding self-efficacy scores of mothers with NICU infants, only a weak positive correlation was observed in mothers of healthy infants. These findings underscore the critical role of perceived spousal support in fostering positive breastfeeding outcomes, especially for mothers of NICU-admitted infants. The results suggest that enhancing spousal support could significantly improve breastfeeding self-efficacy, particularly for mothers facing the additional challenges of caring for medically fragile infants. Lactation consultants, nurses and healthcare providers should prioritize family-centered approaches that actively involve both mothers and their partners in breastfeeding education and support.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"415-428"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018947","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":"Do Body Mass Index classes define our self-perceptions? Analysis of global, multidimensional, and physical self-esteem in women.","authors":"Lisa Moyon, David Le Foll, Kévin Nadarajah, Alain Somat, David Trouilloud, Geneviève Cabagno","doi":"10.1080/03630242.2025.2503299","DOIUrl":"10.1080/03630242.2025.2503299","url":null,"abstract":"<p><p>Considered as an indicator of good mental health contributing to positive behaviors, self-esteem is impacted by body perception. Obesity is a risk factor for the development of low self-esteem, particularly among women. Age also plays a protective role in both the healthy population and those living with obesity. Since the relationship between self-esteem and BMI does not appear to evolve linearly, the aims of this study were (1) to analyze the link between BMI classes and global, multidimensional, and physical self-esteem, and (2) to identify a potential moderating effect of age. Global, multidimensional, and physical self-esteem were assessed using French versions of RSE, MSE and PSPP scales respectively in 454 women aged 18 to 75 stratified into five BMI groups: healthy weight, overweight, obesity class I, II and III. Global, multidimensional, and physical self-esteem appear to be related to BMI classes. Healthy weight women had significantly higher emotional, professional, physical domains and subdomains self-esteem scores than those in obesity class I, II or III. \"Tipping points\" associated with reaching a BMI threshold at which scores of self-esteem stabilize have been highlighted. These appeared at obesity class I and II, respectively, for the emotional and physical domains of self-esteem, and at overweight and obesity class II, respectively, for the physical strength and attractive body physical subdomains. Results also revealed a protective moderating effect of age on the relationship between BMI and physical self-esteem, and its subdomains. Obesity intervention programs should consider self-perceptions.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"464-474"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052748","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":"Evaluating the necessity of endocone resection during LLETZ: Impact of routine ECC and follow-up testing in predicting persistent/recurrent cervical dysplasia.","authors":"Anne Cathrine Scherer-Quenzer, Jelena Findeis, Saskia-Laureen Herbert, Johanna Büchel, Bettina Blau-Schneider, Tanja Schlaiss, Achim Wöckel, Joachim Diessner, Matthias Kiesel","doi":"10.1080/03630242.2025.2501074","DOIUrl":"10.1080/03630242.2025.2501074","url":null,"abstract":"<p><p>The risk of cervical dysplastic changes, re-surgery, and abnormal Pap smear for patients after LLETZ due to high-grade squamous intraepithelial lesions is highest within patients with endocervical positive (surgical resection) margins of precancerous lesions and with cells of HSIL in the endocervical curettage in their primary LLETZ. This research aimed to determine whether performing endocone resection during LLETZ procedure with routine ECC reduces the risk of recurrent/persistent cervical dysplastic changes and to assess the significance of the Pap smear and high-risk human papillomavirus test in follow-up care. A retrospective analysis of 404 patients at the University of Wuerzburg was conducted. The risk of recurrent dysplastic changes was similar between patients with or without endocone resection when HSIL was present in the ECC (OR 19.66 vs OR 19.11). Abnormal Pap smears occurred in 21.4% patients without endocone resection and 27.3% with resection, both showing HSIL in the ECC. Regardless of endocone status, 50% patients with HSIL in the ECC required further surgery. HR-HPV positivity after surgery is correlated with higher rates of re-surgery (SR = 1.3) and recurrent dysplastic changes (SR = 4.0). This study indicates that performing an endocone resection is redundant, as ECC results sufficiently predict clinical outcomes.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"442-452"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015139","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":"Knowledge of breast and cervical cancer symptoms and perceived barriers to seek treatment among urban underserved women.","authors":"Siti Syuhada Suhairi, Ping Lei Chui, Haireen Abdul Hadi, Yuen Yi Kon, Anisha K Nijar, Nur Aishah Mohd Taib","doi":"10.1080/03630242.2025.2496933","DOIUrl":"10.1080/03630242.2025.2496933","url":null,"abstract":"<p><p>A significant number of Malaysian women are diagnosed with breast and cervical cancers at advanced stages, highlighting the need for early symptom recognition to improve treatment outcomes and reduce mortality. This study aimed to assess knowledge of breast and cervical cancer symptoms among underserved women and identify the barriers preventing them from seeking treatment. A cross-sectional survey involving 401 women at a public health clinic was conducted using validated questionnaires and convenience sampling. Descriptive statistics, chi-square tests, and logistic regression were used to analyze the data. Over half of the women demonstrated poor knowledge of both breast (55 percent) and cervical (69 percent) cancer symptoms, while only a smaller proportion exhibited good knowledge, 12 percent for breast cancer and 6 percent for cervical symptoms, respectively. Commonly recognized symptoms included a \"lump or thickening in the breast' and 'persistent, unpleasant-smelling vaginal discharge.\" The most reported barrier to seeking treatment was fear of diagnosis, reported by 49 percent of women. Logistic regression identified being married and having higher level of education were significantly associated with greater perceived barriers to seeking treatment. The research highlights the need for personalized health education to address individual concerns and barriers, ensuring content is relevant and effective.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"403-414"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034962","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":"Income and education inequalities in ovarian cancer mortality in Canada: 1990-2019.","authors":"Neha Katote, Mohammad Hajizadeh","doi":"10.1080/03630242.2025.2495907","DOIUrl":"10.1080/03630242.2025.2495907","url":null,"abstract":"<p><p>Ovarian cancer ranks as the fifth leading cause of cancer deaths among Canadian women. This study aims to investigate trends in socioeconomic inequalities in ovarian cancer mortality over the past three decades, from 1990 to 2019. A dataset was construed at Census Division (<i>n</i> = 280) level in Canada using information from the Canadian Vital Statistics Death Database, the Canadian Census of Population and the National Household Survey. Socioeconomic inequalities in ovarian cancer mortality were assessed using the age-standardized Concentration Index (C), based on average/median equivalized household income, and educational attainment (bachelor's degree or higher). The average crude mortality rate for ovarian cancer in Canada was 9.7 per 100,000, with the highest rates in British Columbia and the Atlantic region. The negative values of age-standardized C based on average income and educational attainment - indicating higher ovarian cancer mortality rates among low socioeconomic groups - reached statistical significance in certain years, particularly in the more recent period. Trend analysis revealed a notable pattern of increasing income inequality in ovarian cancer mortality over time based on average income. The observed socioeconomic inequalities in ovarian cancer mortality warrant further investigation to identify the underlying factors contributing to this pattern in Canada.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"392-402"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002828","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":"Workplace sexual harassment and violence among women: a systematic review and meta-analysis.","authors":"Aninda Debnath, Kapil Goel, Aparnavi P, Muhammad Aaqib Shamim, Prakasini Satapathy, Aravind P Gandhi","doi":"10.1080/03630242.2025.2478378","DOIUrl":"10.1080/03630242.2025.2478378","url":null,"abstract":"<p><p>The objective of the current systematic review and meta analysis was to assess workplace sexual violence among women, aiming to provide a comprehensive understanding of the issue's magnitude and implications across various professional sectors and geographical locations. A systematic search of six electronic databases was conducted following PRISMA guidelines, including studies published up to April 15, 2023. The JBI Critical Appraisal Tool was used for quality assessment, and a random-effects model calculated the pooled prevalence. Heterogeneity was assessed using I² statistics, with outliers identified through diagnostic and Baujat plots, followed by a leave-one-out meta-analysis. Publication bias was examined using the Doi plot and LFK index, and subgroup analyses explored variations in geographical location, occupational domain, and time period. A total of 912 studies were screened, with 129 meeting inclusion criteria, comprising 333,649 female participants. The pooled prevalence of workplace sexual violence was 26 percent (95 percent CI: 1-32 percent), with substantial variability observed across regions and occupational groups; prevalence was highest in Africa (38 percent, 95 percent CI: 29-47 percent), followed by North America (34 percent, 95 percent CI: 25-43 percent), and Asia (30 percent, 95 percent CI: 17-47 percent). Among occupational groups, security personnel experienced the highest prevalence (44 percent, 95 percent CI: 22-68 percent), while health-care workers were also highly affected (30 percent, 95 percent CI: 24-38 percent). Workplace sexual violence remains a global issue, affecting over a quarter of female workers, with its prevalence influenced by cultural, occupational, and temporal factors. These findings underscore the necessity for tailored interventions, comprehensive workplace policies, and supportive reporting mechanisms, while ongoing monitoring and evidence-based strategies are essential to mitigate risks, protect employees, and foster safer workplace environments worldwide.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"287-301"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664658","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":"Spirituality and women's health: The evidence calls to action.","authors":"Alexander Moreira-Almeida","doi":"10.1080/03630242.2025.2488061","DOIUrl":"10.1080/03630242.2025.2488061","url":null,"abstract":"","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"283-286"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754832","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":"Preeclampsia beyond pregnancy: investigating the long-term increase in cardiovascular disease and metabolic syndrome (PERLA- Brazil study).","authors":"Isabella Macedo Costa, Thaíse Emilia Moreira da Silva, Letícia Gonçalves Silva, Ana Paula Silva Ferreira, Camila Márcia da Conceição Paraguai, Cláudia Natália Ferreira, Luci Maria Sant'Ana Dusse, Jussara Mayrink, Patrícia Nessralla Alpoim","doi":"10.1080/03630242.2025.2489521","DOIUrl":"https://doi.org/10.1080/03630242.2025.2489521","url":null,"abstract":"<p><p>Brazilian Cohort Study of Preeclampsia: latent risks after pregnancy (PERLA-Brazil) are a retrospective cohort study including women with and without preeclampsia history, 6-15 years after pregnancy, aiming to evaluate lipid profile, clinical parameters and the frequency of metabolic syndrome. A total of 188 women from Belo Horizonte (Brazil), who became pregnant between 2008 and 2017, were included: 86 with PE history and 102 with normotensive pregnancy. The participants underwent an interview and had blood samples collected between 2022 and 2023. The following data were collected, using standard equipment and techniques: blood pressure, body weight, height, body fat percentage, waist and hip circumference and lipid profile. For variable comparisons, T-test, Mann-Whitney, and chi-square test were used. A linear regression model assessed the isolated effect of a positive history of PE on cardiovascular risk indicators. PE group had higher body mass index compared to normotensive pregnancy, as well as fat percentage, systolic blood pressure, diastolic blood and low-density lipoprotein. Finally, a higher frequency of metabolic syndrome was detected in PE history group. These results suggested that women who had PE showed a combination of cardiovascular risk markers and increased frequency of metabolic syndrome. To mitigate the risk of subsequent chronic diseases, lifestyle modifications are recommended, along with more frequent follow-ups with a health-care team.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":"65 4","pages":"328-339"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013372","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}