Women & HealthPub Date : 2025-11-01Epub Date: 2026-02-23DOI: 10.1080/03630242.2026.2628763
F Kathrada, A Van Eyk, L Chauke
{"title":"Global variability in the clinical presentation of endometriosis: A scoping review.","authors":"F Kathrada, A Van Eyk, L Chauke","doi":"10.1080/03630242.2026.2628763","DOIUrl":"10.1080/03630242.2026.2628763","url":null,"abstract":"<p><p>Endometriosis affects approximately 10-15 percent of women of reproductive age, yet its clinical presentation remains inconsistently reported. This scoping review mapped the global spectrum of endometriosis-related symptoms and examined factors influencing symptom reporting. Following the JBI framework, studies were identified using two databases to identify studies published between 2004 to 2024. Of the 1286 articles initially screened, 95 articles were included. Studies reported on a range of symptoms (49 symptoms) involving multiple organ systems, with the most commonly reported symptoms being dysmenorrhea, pelvic pain and dyspareunia. Symptom assessment varied widely, with predominant use of numerical rating and visual analogue scales and limited uptake of endometriosis-specific tools. Symptom cyclicity was inconsistently reported, and minority populations were under-represented. Overall, the findings highlight substantial heterogeneity in symptom classification and measurement, contributing to an incomplete understanding of disease burden. These findings set a basis for the creation of standardized, culturally sensitive, and multidimensional symptom assessment frameworks necessary to improve diagnostic accuracy, equity, and global comparability in endometriosis research and care. Open Science Framework (OSF) registration: https://doi.org/10.17605/OSF.IO/6BWRE.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"871-882"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272174","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 : 2025-11-01Epub Date: 2026-01-29DOI: 10.1080/03630242.2026.2620681
Derya Öztürk Özen, İlknur Münevver Gönenç
{"title":"Factors affecting body image in pregnancy: A path analysis.","authors":"Derya Öztürk Özen, İlknur Münevver Gönenç","doi":"10.1080/03630242.2026.2620681","DOIUrl":"10.1080/03630242.2026.2620681","url":null,"abstract":"<p><p>Increasing knowledge about body image dissatisfaction and risk factors during pregnancy will provide opportunities to develop targeted interventions. This study examined body image and associated factors during pregnancy cross-sectionally. Data were collected from 931 pregnant women using a descriptive form and the Pregnancy Body Image Scale. Analyses used t-tests, ANOVA, Pearson correlation, regression, and path analysis. The study found that advanced age (β = .10), gestational weight gain (β = .17), health problems during pregnancy (β = .12), and low income (β = .16) increased body image dissatisfaction, whereas not paying attention to appearance before pregnancy (β = -.12), spousal support (β = -.09), and planned pregnancy (β = -.07) reduced it. Additionally, low income indirectly increased dissatisfaction by hindering planned pregnancy (β = -.11), while advanced age (β = .15), lack of pre-pregnancy concern for appearance (β = .09), and spousal support (β = .13) indirectly decreased dissatisfaction through promoting planned pregnancy. Based on the study results, it is recommended that midwives and nurses closely monitor and support women at risk of body image dissatisfaction, including those who are older, have low socioeconomic status, lack partner support, experience unplanned pregnancies or health problems, and pay attention to their appearance before pregnancy.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"834-845"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086984","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 : 2025-11-01Epub Date: 2026-02-18DOI: 10.1080/03630242.2026.2628760
Seçim Gümüş Sarı, Hacer Gök Uğur
{"title":"Evaluating the effectiveness of animation-supported menstrual education for students in a boarding secondary school.","authors":"Seçim Gümüş Sarı, Hacer Gök Uğur","doi":"10.1080/03630242.2026.2628760","DOIUrl":"10.1080/03630242.2026.2628760","url":null,"abstract":"<p><p>Adolescent girls experience various difficulties in managing the menstrual process and require support for healthy self-management. The study aimed to evaluate the effectiveness of animation-assisted menstrual education provided to boarding secondary school students. The study used a quasi-experimental one-group pretest-posttest design involving female students in Türkiye between May 1, 2023, and January 1, 2024. The sample comprised 43 students who met the inclusion criteria and provided parental consent. The data were collected using a Personal Information Form and a Knowledge Test. Institutional permission and ethics committee approval were obtained before the study. Students received animation-supported menstruation training sessions lasting approximately 30 minutes, conducted once a week for four weeks. The data were analyzed using descriptive statistics, paired two-sample t-tests, the McNemar test, linear regression, and analysis of covariance (ANCOVA). The analysis results indicated a statistically significant difference between the students' mean pretest and posttest knowledge scores (<i>p</i> < .001). Specifically, the mean knowledge score increased from 11.88 at pretest to 18.28 at posttest. The findings suggest that animation-supported menstrual education significantly increased students' knowledge levels.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"846-860"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221336","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 : 2025-11-01Epub Date: 2026-02-18DOI: 10.1080/03630242.2026.2628761
Miriam B Murphy, Aoife Lane, Geraldine Cuskelly, Patricia M Heavey
{"title":"Experiences of weight and body shape changes during perimenopause.","authors":"Miriam B Murphy, Aoife Lane, Geraldine Cuskelly, Patricia M Heavey","doi":"10.1080/03630242.2026.2628761","DOIUrl":"10.1080/03630242.2026.2628761","url":null,"abstract":"<p><p>Menopause indicates the end of the female reproductive lifespan. The hormonal shifts prior to this event result in a frequently symptomatic period known as perimenopause, which has been linked to unfavorable changes in body composition. This study explored women's experiences of perimenopause, including perception of body shape and weight. Perimenopausal women living in Ireland were recruited via convenience sampling to participate in semi-structured virtual interviews with a focus on experiences of weight and body shape. Interviews were recorded, transcribed and subjected to thematic analysis. Seventeen participants with an average age of 50.6 ± 2.8 years participated. Six main themes were produced, describing the far-reaching impact of menopause and its symptoms. The women expressed a differing experience of weight and body shape during perimenopause, compared to previous experiences. They were attempting to make sense of body shape and weight variations, with body image often negatively affected. Women aspired to make lifestyle changes, driven by a desire to manage weight, reduce symptoms, or improve present/future health. Challenges specific to this life stage, including symptoms or additional life factors, act as barriers to engaging with healthy lifestyle strategies. Women are seeking guidance to navigate perimenopause and any weight and body shape changes indicating that targeted lifestyle interventions are required, with a role for supportive weight management strategies.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"861-870"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221350","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 : 2025-11-01Epub Date: 2026-01-22DOI: 10.1080/03630242.2026.2615245
Nino José Wilson Moterani, Laura Bresciani Bento Gonçalves Moterani, Vinicius César Moterani, Francisco José Candido Dos Reis
{"title":"Impact of the COVID-19 pandemic on the mortality of women with breast cancer.","authors":"Nino José Wilson Moterani, Laura Bresciani Bento Gonçalves Moterani, Vinicius César Moterani, Francisco José Candido Dos Reis","doi":"10.1080/03630242.2026.2615245","DOIUrl":"10.1080/03630242.2026.2615245","url":null,"abstract":"<p><p>This study aimed to analyze all cause, breast cancer-specific, and other cause age-adjusted mortality rates among Brazilian women with breast cancer, comparing periods before and during the coronavirus disease (COVID-19) pandemic. We analyzed mortality registries data of the Brazilian Unified Health System, from January 2017 to December 2022. Deaths were categorized as breast cancer-specific, breast cancer-contributory, and non-breast cancer mortality. Age-standardized and age-specific crude mortality rates were calculated using the World Health Organization standard population. Temporal trends were analyzed using Joinpoint Trend Analysis software. There were 124,031 deaths in those with breast cancer. Before the pandemic, 58,346 women with breast cancer died, of which 54,284 (93.03 percent) due to the disease. During the pandemic, 65,685 women with breast cancer died, of which 57,734 (87.89 percent) due to the disease. There was a 12.5 percent increase in the number of women dying with a breast cancer diagnosis during the pandemic, the proportion of breast cancer-specific deaths decreased, indicating that the additional mortality burden arose mainly from other causes. The diversion of healthcare resources to manage COVID-19 may have contributed to an increased mortality from other causes. Breast cancer survivors present high risk of mortality in health care crisis, such as the COVID-19 pandemic.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"823-833"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030958","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 : 2025-10-01Epub Date: 2025-11-12DOI: 10.1080/03630242.2025.2587048
Diniz de Meiroz Grillo Barbalho, Nelio N Veiga-Junior, Luiz Francisco Cintra Baccaro, José Paulo de Siqueira Guida
{"title":"Maternal mortality rates due to abortion in Brazil: A 10-years analysis of national databases.","authors":"Diniz de Meiroz Grillo Barbalho, Nelio N Veiga-Junior, Luiz Francisco Cintra Baccaro, José Paulo de Siqueira Guida","doi":"10.1080/03630242.2025.2587048","DOIUrl":"10.1080/03630242.2025.2587048","url":null,"abstract":"<p><p>Abortion complications are significant contributors to maternal deaths (MD), particularly in regions with restrictive abortion laws and limited healthcare access. The impact of these causes on the maternal mortality ratios (MMR) in Brazil is scarce. We evaluated the MMR related to abortion in Brazil from 2012-2022, conducting a cross-sectional study using data from the Ministry of Health, analyzing MD related to abortion and calculating the MMR per 100,000 live births (LB). We evaluated the MMR according to age, skin color, and geographic region of living. Among 19,535 MDs, 663 (3.39 percent) were attributed to abortion. Indigenous (PR 3.23; 95 percent CI 1.94-5.36) and black (PR 1.95; 95 percent CI 1.48-2.58) women exhibited higher MMRs. Women aged 40-49 had the highest MMR (5.85 deaths per 100,000 LB), and North region exhibited a significantly higher MMR (PR 1.44; 95 percent CI 1.15-1.81). Abortion accounted for a small proportion of MD in a 10-year analysis of a Brazilian national database; however, the findings highlighted inequalities in the deaths. The indigenous and black women presented higher MMR; the same was observed among older women, and those who lived in North region of the country.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"795-801"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496703","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 : 2025-10-01Epub Date: 2025-10-16DOI: 10.1080/03630242.2025.2571775
Cengiz Şanli, Özlem Doğan Yüksekol, Mihriban Ulucan, Nazlı Baltaci
{"title":"Stigmatization and social isolation experienced by Human Papillomavirus-positive women: A phenomenological study.","authors":"Cengiz Şanli, Özlem Doğan Yüksekol, Mihriban Ulucan, Nazlı Baltaci","doi":"10.1080/03630242.2025.2571775","DOIUrl":"10.1080/03630242.2025.2571775","url":null,"abstract":"<p><p>HPV is a common sexually transmitted infection strongly associated with cervical cancer. Beyond its physical health implications, an HPV-positive diagnosis often leads to stigma, shame, and social isolation, which remain insufficiently explored in the literature. This study was conducted to determine the levels of stigma and social isolation in HPV positive women. This qualitative study was conducted using a phenomenological research design. A total of 22 women participated in the study. Data were collected through face-to-face interviews conducted in Turkiye. Snowball sampling was employed to recruit participants. The researchers conducted in-depth, individual, open-ended interviews to collect data. Data were collected through semi-structured in-depth interviews with the participants. Qualitative data were examined using content analysis. A total of three main themes and seven subthemes were generated from the analysis. The analysis identified three main themes: emotional burden and coping with HPV, social loneliness and ısolation, and stigmatization and HPV. This study revealed that HPV-positive women experienced negative emotions such as anger and shame, faced social isolation, and encountered stigma from both their social environment and healthcare professionals. The findings highlight the need for psychosocial support and healthcare policies to improve the well-being of HPV-positive women.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"749-760"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309428","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 : 2025-10-01Epub Date: 2025-11-10DOI: 10.1080/03630242.2025.2580459
Athar Rasekh Jahroomi, Solmaz Mohammadi, Zahra Noorozi, Sara Khani, Afsaneh Ranjbar, Vahid Rahmanian, Safieh Jamali, Aryan Khani
{"title":"Sexual function and sexual quality of life in women affected by endometriosis and adenomyosis compared to healthy women.","authors":"Athar Rasekh Jahroomi, Solmaz Mohammadi, Zahra Noorozi, Sara Khani, Afsaneh Ranjbar, Vahid Rahmanian, Safieh Jamali, Aryan Khani","doi":"10.1080/03630242.2025.2580459","DOIUrl":"10.1080/03630242.2025.2580459","url":null,"abstract":"<p><p>Adenomyosis and endometriosis are chronic gynecological disorders with overlapping mechanisms and symptoms, both linked to impaired sexual health and relationships. This study compared sexual function, sexual quality of life, and relationship satisfaction in affected women and healthy controls. This cross-sectional comparative study (2022-2023) included 90 women in three groups: endometriosis (n = 30), adenomyosis (n = 30), and healthy controls (n = 30), recruited from Jahrom University clinics in Iran. Participants completed the SQOL-F.FSFI, and RAS questionnaires. Data were analyzed with ANOVA and regression (SPSS 25, p < 0.05). Women with endometriosis (21.8 ± 3.8; 95% CI: 20.5-23.2; 19.3 ± 2.9; 95% CI: 18.3-20.4; 42.3 ± 8.9; 95% CI: 39.2-45.5) and adenomyosis (23.2 ± 4.6; 95% CI: 21.6-24.9; 19.3 ± 3.0; 95% CI: 18.2-20.4; 49.7 ± 11.0; 95% CI: 45.8-53.7) had significantly lower scores than controls (26.6 ± 4.8; 95% CI: 24.9-28.3; 22.2 ± 3.5; 95% CI: 20.9-23.4; 51.5 ± 12.3; 95% CI: 47.1-55.9; p < 0.0001). Univariate analysis showed sexual function, desire, and arousal were positive, and pain negative, predictors of sexual quality of life. Regression indicated marriage age and duration were negative, while spouse's age, sexual function, and relationship satisfaction were positive predictors, explaining 36.5% of variance.Endometriosis and adenomyosis significantly reduce sexual function and quality of life. Counseling and supportive care are recommended to address these challenges.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"802-812"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490396","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}