Women & Health最新文献

{"title":"Sleep disturbances are associated with cognitive impairment in postmenopausal women.","authors":"Álvaro Monterrosa-Castro, Peter Chedraui, Juan E Blümel, Alejandra Elizalde-Cremonte, María T Espinoza, Carlos Escalante, Gustavo Gómez-Tabares, Mónica Ñañez, Eliana Ojeda, Claudia Rey, Doris Rodríguez-Vidal, Marcio Alexandre H Rodrigues, Carlos Salinas, Konstantinos Tserotas, María S Vallejo, Andrés Calle, Maribel Dextre","doi":"10.1080/03630242.2025.2581747","DOIUrl":"10.1080/03630242.2025.2581747","url":null,"abstract":"<p><p>To evaluate the association between severe sleep problems and mild cognitive impairment (MCI) in postmenopausal women, we conducted a sub-analysis of a cross-sectional, multinational investigation between January and November 2023 among postmenopausal women younger than 70 years attending gynecological consultations in nine Latin American countries. MCI was assessed using the Montreal Cognitive Assessment (MoCA) tool, and severe sleep problems were evaluated with two validated instruments: the third question of the Menopause Rating Scale (MRS, score ≥3) and the Jenkins Sleep Scale (JSS, total score ≥12). Two adjusted logistic regression models were used to examine the association between the two measures of severe sleep problems and MCI, adjusting for relevant covariates. The analysis included 1,185 postmenopausal women with a mean age of 56.9 years. Severe sleep problems were significantly more frequent among women with MCI compared to those without MCI, whether assessed by the MRS (28.3 percent vs. 16.6 percent) or the JSS (31.6 percent vs. 18.4 percent; both <i>p</i> < .001). In adjusted regression models, severe sleep problems remained independently associated with MCI (MRS: aOR = 1.81, 95 percent CI: 1.26-2.60; JSS: aOR = 1.88, 95 percent CI: 1.31-2.69). Additional factors associated with a higher likelihood of MCI included physical inactivity and greater parity, while ever-use of menopausal hormone therapy and higher educational attainment were associated with a reduced likelihood of MCI. In this sample of postmenopausal Latin American women, severe sleep problems were associated with a higher likelihood of MCI, and factors such as physical inactivity, educational attainment, parity, and ever use of menopausal hormone therapy were also independently related to this condition.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"783-794"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402194","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":"Physical performance and severity of menopausal symptoms in Brazilian climacteric women.","authors":"Ercilia de Souza Andrade, Ana Keite Dos Santos Prestes, Tarciano Batista Siqueira, Fátima Kremer Ferretti, Maria Paula Santos","doi":"10.1080/03630242.2025.2580466","DOIUrl":"10.1080/03630242.2025.2580466","url":null,"abstract":"<p><p>The climacteric period is associated with physical and psychosocial symptoms that may adversely affect functional capacity. This study aimed to assess physical performance and the severity of climacteric symptoms in women undergoing the menopausal transition, and to analyze the relationship between symptom intensity and physical performance. A cross-sectional study was conducted with 184 women presenting climacteric symptoms, aged between 40 and 65 years, in the pre-menopause, perimenopause, and post-menopause stages. Menopausal status was determined using the Stage of Reproductive Aging Workshop, and climacteric symptoms were assessed with the Menopause Rating Scale. Physical performance was assessed using the Short Physical Performance Battery, while cognitive function was evaluated through the Montreal Cognitive Assessment instrument. Absolute and relative frequencies, means, and standard deviations were used. Group comparisons were evaluated using the Kruskal-Wallis test, and correlation between variables were assessed using the Spearman correlation test. A significance level of <i>p</i> < .05 and a 95 percent confidence interval were considered. Postmenopausal women exhibited lower scores in balance (<i>p</i> = 0,025) and sit-to-stand (<i>p</i> = 0,006) compared to premenopausal women. Overall, 70,1 percent of participants reported severe menopausal symptoms. There were weak but significant correlations between greater symptom intensity and worse gait speed performance (r_s = 0.18; <i>p</i> = 0.014), as well as between somatovegetative symptoms (r_s = 0.20; <i>p</i> = 0.007) reduced balance (r_s = -0.18; <i>p</i> = 0.016) and gait performance (<i>r</i> ₂= 0.20; <i>p</i> = 0.007). Advanced menopausal stages are associated with poorer physical performance. Symptom severity additionally impacts physical function, reinforcing the importance of preventive strategies.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"772-782"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379063","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":"Menstrual health at school and in the workplace: time to bust myths, shame and stigma.","authors":"Márcia Mendonça Carneiro","doi":"10.1080/03630242.2025.2589252","DOIUrl":"https://doi.org/10.1080/03630242.2025.2589252","url":null,"abstract":"","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":"65 9","pages":"745-748"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597748","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 influence of respectful maternity care on the maternal self-confidence and mother-child bonding in primigravida women: A prospective cohort study.","authors":"Aida Ghaffari, Azam Maleki, Koorosh Kamali, Elahe Ahmadnia","doi":"10.1080/03630242.2025.2579905","DOIUrl":"10.1080/03630242.2025.2579905","url":null,"abstract":"<p><p>Respectful maternity care (RMC) plays a crucial role in shaping maternal experiences during childbirth. This study aimed to examine the influence of RMC on maternal self-confidence and mother-infant bonding in primigravida women. A prospective cohort study was conducted on 336 primigravida women admitted to the maternity ward of Ayatollah Mousavi Hospital, Zanjan, Iran, in 2022. Eligible participants were selected using convenience sampling. Data were collected using the RMC Questionnaire, the Lips Maternal Self-Confidence Scale (LMSCS), and the Brockington Postpartum Bonding Questionnaire (PBQ). Maternal self-confidence and RMC were assessed at discharge, and mother-infant bonding was evaluated six weeks postpartum. Statistical analysis was performed using SPSS version 16 at a 95 percent confidence level. The total score of RMC and its dimensions were significantly higher in the group benefiting from RMC, except for the nondiscriminatory care dimension (<i>p</i> = .001). However, the direct relationship between RMC exposure and mother-infant bonding was not significant (<i>p</i> = .258). Promoting a respectful and supportive childbirth environment is essential for enhancing maternal and infant outcomes.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"761-771"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393613","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":"Examining provider responses to pain during first obstetric physical exams.","authors":"Tien C Nguyen, Abisola Olaniyan, Judy C Chang","doi":"10.1080/03630242.2025.2590692","DOIUrl":"10.1080/03630242.2025.2590692","url":null,"abstract":"<p><p>Pain during gynecologic exams is prevalent and the quality of provider communication can shape how patients experience and perceive it. This secondary analysis examined provider responses to patients' verbal expressions of pain during initial obstetric physical exams. Audio-recorded and transcribed data from 200 first prenatal visits, randomly selected from a larger National Institutes of Health-funded communication study, was analyzed for instances of pain expression and corresponding provider responses. Logistic regression was used to assess associations between provider and patient characteristics and response types. Fifty providers conducted exams with a diverse patient cohort (mean age 25.4 years; 45.6 percent Black, 38.6 percent White, 15.8 percent Multiracial). Patients vocalized pain in over one-quarter of exams, with providers responding with supportive and non-supportive communication. Providers acknowledged or apologized for pain in 63.2 percent of these encounters and offered positive reinforcement in 33.3 percent. In contrast, pain was referred to as something else in 22.8 percent of exams and ignored in 19.3 percent. Providers were more likely to offer no verbal response when a third-party person was present (OR 5.3, 95 percent CI 1.3-22.4). Findings indicate that pain is frequently expressed and variably addressed even during routine obstetric exams. Educational interventions for gynecologic examination training should emphasize empathetic, trauma-informed communication.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"813-820"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534670","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":"Correlation of cardiometabolic index (CMI) with postmenopausal depression: a cross-sectional study based on NHANES 2005-2018.","authors":"Changxing Liu, Zhirui Zhang, Tianwei Meng, Chengjia Li, Boyu Wang, Xiyin Guo, Jia Chen, He Wang, Zhiping Liu","doi":"10.1080/03630242.2025.2570176","DOIUrl":"10.1080/03630242.2025.2570176","url":null,"abstract":"<p><p>The risk of depression increases significantly in women after menopause. Therefore, it is particularly important to identify and intervene early in postmenopausal depression. The aim of this study was to assess the relationship between cardiometabolic index (CMI) and depression in postmenopausal women. A cross-sectional study was conducted by collecting information from the 2005-2018 National Health and Nutrition Examination Survey (NHANES). Multiple linear regression models were used to investigate the association between CMI and depression among postmenopausal women. Threshold effects analyses and fitted smoothed curves were used to describe nonlinear associations. In addition, interaction tests and subgroup analyses were performed.A total of 956 individuals participated in this study and their mean age was 64.67 ± 9.17 years. CMI was positively associated with postmenopausal depression in a fully corrected model [OR = 1.35 (1.05, 1.77), <i>p</i> = .0202]. Our study found that postmenopausal women with higher CMI were at greater risk of depression. Subgroup analyses found a stronger positive correlation between CMI and depression in postmenopausal women who had experienced a stroke and a higher number of pregnancies (<i>P</i> for interaction < 0.05).We found a non-linear association between postmenopausal depression and CMI (<i>P</i> for log likelihood ratio < 0.05). In addition, our study found that CMI was a better predictor of postmenopausal depression than WWI.Increased CMI is associated with an increased risk of postmenopausal depression.CMI can be used as a new anthropometric measure for predicting postmenopausal depression with greater predictive power than the WWI.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"706-718"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233647","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":"Psychometric assessment of the attitude towards menopause checklist: A Persian version.","authors":"Masoudeh Babakhanian, Melika Gharizadeh, Masumeh Ghazanfarpour, Khadijeh Miraliakbari, Khalvati Maliheh, Tahereh Yaghoubi, Yun-Chen Chang","doi":"10.1080/03630242.2025.2555321","DOIUrl":"10.1080/03630242.2025.2555321","url":null,"abstract":"<p><p>This study aimed to develop and evaluate the psychometric properties of the Attitude Toward Menopause (ATM) Checklist within the Iranian cultural context. Data were collected in 2017 from a total of 700 postmenopausal women residing in Semnan and Khorasan Razavi provinces. Content validity was assessed by a panel of eight experts using the Lawshe method and Content Validity Index (CVI), resulting in the elimination of 11 items that did not meet the required thresholds. Internal consistency analysis yielded a Cronbach's alpha of 0.69, indicating acceptable reliability. Exploratory factor analysis (EFA), conducted on a randomly selected subsample of 350 participants (mean age = 55.45, <i>SD</i> = 5.58), supported a five-factor structure explaining 48 percent of the total variance. Confirmatory factor analysis (CFA) on the remaining 350 participants validated the revised 18-item model, with fit indices demonstrating an acceptable model fit (χ²/df = 2.21, CFI = 0.90, GFI = 0.91, RMSEA = 0.059). These findings suggest that the culturally adapted ATM Checklist is a valid and reliable tool for assessing attitudes toward menopause among Iranian women. Further studies are recommended to confirm its applicability across diverse subpopulations.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"653-660"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971863","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 and attitudes of emergency healthcare professionals toward domestic violence against women during the COVID-19 lockdown.","authors":"Mohammad M Alnaeem, Mohammad A Abu Sabra, Anas Shehadeh","doi":"10.1080/03630242.2025.2553115","DOIUrl":"10.1080/03630242.2025.2553115","url":null,"abstract":"<p><p>Domestic violence (DV) is a global public health and social issue with serious physical and psychological consequences. The incidence of DV rose significantly during the COVID-19 lockdowns. Healthcare professionals (HCPs), especially in emergency departments, are often the first point of contact for victims and play a crucial role in identification and intervention. This study aimed to assess the knowledge and attitudes of HCPs in emergency departments toward DV against Jordanian women during the COVID-19 lockdown. A descriptive cross-sectional study was conducted among a convenience sample of 453 HCPs. The majority of HCPs demonstrated good knowledge of DV (79.7 percent) and a generally positive attitude toward assisting victims (77 percent). Most HCPs (90.1 percent) considered DV a significant healthcare issue. Knowledge levels differed significantly across forms of violence, with higher awareness of psychological (F = 3.37, <i>p</i> < .05), physical (F = 2.53, <i>p</i> < .05), and sexual abuse (F = 6.10, <i>p</i> < .001), but not deprivation or neglect (F = 1.83, <i>p</i> > .05). While HCPs in Jordanian emergency departments generally show good knowledge and attitudes toward DV, gaps remain in recognizing nonphysical forms of abuse. Tailored training programs and structured protocols are needed to enhance identification, support, and referral practices in both routine and crisis contexts, such as pandemics.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"661-674"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001459","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 importance of resident training in menopause.","authors":"A Gompel","doi":"10.1080/03630242.2025.2575574","DOIUrl":"https://doi.org/10.1080/03630242.2025.2575574","url":null,"abstract":"","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":"65 8","pages":"651-652"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145347832","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":"Examining the role of significant others in shaping family planning decisions and utilization patterns among ever-married women in Nigeria.","authors":"Olukemi G Adebola, Olusegun S Ewemooje, Adetola A Adediran, Dorothy N Ononokpono, Ganiyu Oboh, Steve Metiboba, Danjuma Jibasen, Femi B Adebola","doi":"10.1080/03630242.2025.2563237","DOIUrl":"10.1080/03630242.2025.2563237","url":null,"abstract":"<p><p>Nigeria has the highest population in sub-Saharan Africa and low contraceptive use, leading to high maternal and child mortality rates. The study's purpose is to examine how significantly others influence women's attitudes and decisions regarding family planning (FP). A cross-sectional study involving 2,433 ever-married women of reproductive age across Nigeria was carried out using a three-stage sampling technique. Descriptive and inferential analyses using a binary logistic regression model were used to model the impact of significant others. Support from significant others varied, with 54.6 percent receiving support from husbands and lower rates from mothers, mothers-in-law, and the community. Factors like Islam, rural living, lack of education, unemployment, and early marriage negatively impacted women's experiences, while Christianity, urban living, education, delayed marriage, and male children had positive effects. Women experiencing positive impacts were three times more likely to use FP (OR = 3.041; CI = 2.507-3.690). The study highlights the importance of advocating for gender equality in education, women's empowerment, and job access to improve family planning decisions among women. Strengthening family planning uptake in Nigeria requires engaging significant others, especially husbands and community leaders, while empowering vulnerable women through educational and culturally sensitive health interventions.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":" ","pages":"694-705"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087490","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}