Women & Health最新文献

{"title":"Frequency of post-treatment disease after excisional procedure in stage IA1 squamous cervical carcinoma - a case series.","authors":"Pedro Abreu Azzi, Fábio Bastos Russomano, Cecilia Vianna de Andrade, Maria José de Camargo, Paula Moskovics Jordão","doi":"10.1080/03630242.2023.2264398","DOIUrl":"10.1080/03630242.2023.2264398","url":null,"abstract":"<p><p>Early stages of cervical cancer in young women need conservative treatments. Electrosurgical therapies (LLETZ, LEEP, SWETZ, NETZ) have been recommended for these women. However, there are recommendations to perform a second excision when the specimen margins are not free of disease. This can lead to some important complications. This article aims to verify the frequency of residual invasive or microinvasive disease after the excisional procedure in women with IA1CC. Data on women with IA1CC diagnosed between 1990 and 2022, were retrieved from medical records. Post-treatment disease was detected during a second surgical procedure or postoperative follow-up. Among the 69 included women, three (4.3 percent; CI95 percent 0-9.2) had residual microinvasive lesions, while none showed invasive disease during a second procedure or follow-up. Only the age of 37 years or more was significantly related to the presence of preinvasive or microinvasive residual lesions. Nearly 80 percent of the women who underwent a second procedure showed no residual lesions. The absence of invasive disease in a second procedure or during the follow-up of these women and the large proportion of women with no residual lesion questions the need for a new surgical procedure even when the surgical margins of the initial specimen are involved.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148613","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":"Care experiences and care expectations of hospitalized high-risk pregnant women: a qualitative study.","authors":"Elif Keten Edis,&nbsp;Aslı Kurtgöz","doi":"10.1080/03630242.2023.2262614","DOIUrl":"10.1080/03630242.2023.2262614","url":null,"abstract":"<p><p>Gaining insight into the prenatal care experiences and expectations of high-risk pregnant women is crucial for offering holistic care that aligns with their individualized needs. This study aimed at determining the care experiences and expectations of women with high-risk pregnancies. We adopted a descriptive qualitative approach in the research. The data were collected through in-depth interviews between March and June 2022. The participants included 27 high-risk pregnant women selected by purposive sampling. We analyzed the data using inductive content analysis. We utilized the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist to report data. The participants' ages ranged from 22 to 40 years. The participants' gestational ages ranged from 29 to 38 weeks. We identified three themes, namely \"Emotions felt in the course of pregnancy\", \"Care experiences; satisfaction and dissatisfaction\", and \"Expectations for ideal care\". The findings showed that women experienced fear, stress, and anxiety while expecting supportive, attentive, and understanding care during the course of pregnancy. Our results revealed that high-risk pregnant women have some unmet care needs. Healthcare professionals should strive to provide individualized and holistic care for high-risk pregnant women.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157323","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":"Fertility preservation for women diagnosed with breast cancer: looking beyond the horizon.","authors":"Larissa Milani Coutinho,&nbsp;Fernanda Polisseni","doi":"10.1080/03630242.2023.2261685","DOIUrl":"https://doi.org/10.1080/03630242.2023.2261685","url":null,"abstract":"Breast cancer is the most frequently malign tumor diagnosed globally (Ferlay et al. 2021). According to the World Health Organization (WHO), by the year 2040, there will be more than 3 million cases of the disease per year all around the world. Avoidable breast cancer deaths still remain a burden mainly in lowand middle-income countries, whereas in high-income countries the 5-year-survival rates have significantly increased in recent years, exceeding 90 percent (WHO 2023). As oncological therapeutics advance, other issues regarding cancer survivors’ well-being arise. Young women undergoing chemotherapy, radiation, and surgery may have their reproductive health threatened. Accordingly, clinicians and patients must be aware of future consequences on sexuality, body image, and fertility (Miaja, Platas, and Martinez-Cannon 2017). In recent years, the Oncofertility Consortium emerged as a global initiative to join experts in different fields to carry out good-quality research on fertility care of young patients with cancer (Woodruff 2010). Undoubtedly, when a cancer diagnosis arises, the main concern for both patients and oncologists is prompt treatment. In such scenarios, reproductive health issues may easily lose importance. However, qualitative data shows that supportive oncofertility care access diminishes the emotional burden experienced by oncological patients (Wang et al. 2020). In this context, the availability of a multidisciplinary team is of utmost importance. In addition to oncologists, surgeons, and psychologists, a specialist in reproductive medicine is also welcome to provide proper care and counseling (Shao et al. 2019). Current guidelines recommend that health-care providers discuss with patients the potential risks to fertility, make referrals to fertility specialists when appropriate, and allow patients the opportunity to undergo fertility preservation (ESHRE 2020). The sooner the interdisciplinary group acts, the better the overall prognosis is (Shao et al. 2019). Methods for preserving fertility in women include ovarian suppression and cryopreservation of oocytes, embryos, and ovarian cortex. Both oocyte and embryo cryopreservation are well-established techniques, and the first is usually the choice for women undergoing treatment for breast cancer. Although embryo freezing is a widely available and long-established part of Assisted Reproductive Technology (ART), the need for joint legal ownership with the male partner is an important consideration that may result in difficulties later on. Both methods require controlled ovarian stimulation (COS) and ultrasound monitoring of follicle development for 10–12 days. The oocyte retrieval aims to collect, in a safe way, a sufficient number of mature eggs within a limited time frame. Therefore, at least 2 weeks are needed before the patient can start oncological treatment (ESHRE 2020). Current data show that oocyte cryopreservation can be done in a timely manner without further delaying on","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41214563","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":"Cervical screening among LGBTQ people: how affirming services may aid in achieving cervical cancer elimination targets.","authors":"Lucille Kerr,&nbsp;Adam Bourne,&nbsp;Adam O Hill,&nbsp;Ruth McNair,&nbsp;Kerryann Wyatt,&nbsp;Anthony Lyons,&nbsp;Marina Carman,&nbsp;Natalie Amos","doi":"10.1080/03630242.2023.2263594","DOIUrl":"10.1080/03630242.2023.2263594","url":null,"abstract":"<p><p>To reach cervical cancer elimination targets it is necessary to increase screening rates among underserved populations such as LGBTQ communities. This paper examines rates of attendance and associated factors of cervical screening in LGBTQ communities. Data from 2,424 people aged 25 to 74 years and assigned female at birth were drawn from an online national Australian survey of LGBTQ adults. Over half of the sample had accessed cervical screening in the past 2 years. Using a multivariable logistic regression analysis, significant associations were found between screening, sociodemographic traits and health-care access. Trans men were least likely to access cervical screening, while bisexual, pansexual and queer identified participants were most likely to access screening. People who lived outside inner-suburban areas and those who had a disability were less likely to have had screening. Evidence of trusting relationships with a general practitioner (having a regular GP and GP's knowledge of the individual's LGBTQ identity) increased the likelihood that participants had screened, as did recent access to a medical service that was LGBTQ-inclusive or catered specifically to LGBTQ communities. The findings suggest the importance of training health providers, as well as targeted public health messaging for increasing uptake of cervical screening among LGBTQ people.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177178","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":"Mediating role of relational aggression in the association between infertility stigma and marital relationship distress in infertile women.","authors":"Niloofar Mikaeili, Sanaz Eyni, Seyede Elham Mousavi, Matine Ebadi","doi":"10.1080/03630242.2023.2265497","DOIUrl":"10.1080/03630242.2023.2265497","url":null,"abstract":"<p><p>Infertility is a multifaceted problem that can cause significant impairments with emotional, social, and psychological consequences, including problems in the marital relationship. This study aimed to mediate the role of relational aggression in the association between infertility stigma and marital relationship distress in infertile women. The research method was descriptive and path analysis. The statistical population of the study consisted of all infertile women who were referred to infertility centers and obstetrics and gynecology medical centers in Tehran in 2021 (July to October), and due to lack of full access to them, 300 people were selected by available sampling method who participated in the research through an online questionnaire. Data were collected using the Marital Self-Reporting Questionnaire, Infertility Stigma, and Relational Aggression Questionnaire. Data analysis was performed using structural equation modeling. The results showed that the causal model of the relationship between infertility stigma, relational aggression, and marital relationship distress in infertile women was confirmed based on different fitting indices. Infertility stigma and associated aggression directly affect the marital turmoil of infertile women. On the other hand, infertility stigma indirectly affects infertile women's marital distress through relational aggression (<i>P</i> < .05). Therefore, the infertility stigma and relational aggression play an important role in marital distress in infertile women, and targeting these two components in psychological therapies can effectively reduce marital chaos.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41214564","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 compounding effects of income loss and change in living arrangement on emerging adult women's mental health during COVID's onset.","authors":"Leora Trub, J L Stewart, M Oberndorf, V Parker, Tyrel J Starks","doi":"10.1080/03630242.2023.2262620","DOIUrl":"10.1080/03630242.2023.2262620","url":null,"abstract":"<p><p>Research suggests that young adult women were among those more susceptible to mental health declines in the initial months of COVID-19. Unfortunately, longitudinal data examining mental health before and after the pandemic's onset are extremely limited. In a sample of 240 women ages 18-29 who were surveyed online first in November-December 2019 and then again between May and July 2020, this study aimed to examine how major life changes associated with the pandemic (i.e. loss of income, loss of employment, change in relationship status, and change in living arrangement) impacted mental health (i.e. depression, anxiety, stress). Multivariate regression analyses were conducted on three models predicting stress, anxiety, and depression from the four life changes, controlling for the effects of mental health before the COVID-19 pandemic. Results showed that a change in living arrangement was uniformly associated with increased mental health problems among women who also experienced a decrease in income. Likewise, loss of income was uniformly related to increased mental health problems among women who also experienced a change in living arrangement. In contrast, job loss was associated with a decrease in stress, and changes in relationship status were not associated with mental health outcomes. These findings highlight the potential for COVID-19 to produce co-occurring and synergistic stressors. Meanwhile, the impact of job loss on mental health may have been attenuated by enhanced unemployment benefits. Mental health interventions that aim to support young women as the pandemic abates should be tailored to address the impact of multiple psychosocial stressors.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150286","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 effect of prenatal anxiety on prenatal attachment in high-risk pregnant women and related factors: a cross-sectional study.","authors":"Elif Keten Edis,&nbsp;Sümeyye Bal","doi":"10.1080/03630242.2023.2262609","DOIUrl":"10.1080/03630242.2023.2262609","url":null,"abstract":"<p><p>High-risk pregnant women experience stress and anxiety. Anxiety may affect prenatal attachment. This study aimed to examine the effect of anxiety on prenatal attachment in high-risk pregnant women. The study was cross-sectional and conducted on 290 high-risk pregnant women who applied to the perinatology outpatient clinic of a university hospital between February and July 2022. The data were collected with the descriptive information sheet, Prenatal Attachment Inventory (PAI), and Perinatal Anxiety Screening Scale (PASS). Mann-Whitney U, Kruskal Wallis-H, and Spearman's Correlation tests were used to analyze the data. The mean age of the examined pregnant women was 28.12 ± 5.36, and most of them were multigravida (65.5 percent) and in the third trimester (80.7 percent). The PAI and PASS mean scores were 64.09 ± 11.31 and 27.98 ± 16.52, respectively. There was a weak positive correlation between anxiety and prenatal attachment (<i>r</i> = .227, <i>p</i> < .001). The levels of prenatal attachment were higher in primigravidas and women with no children. Also, the anxiety levels of pregnant women in the third trimester were lower. Health professionals should evaluate the prenatal attachment and anxiety levels of high-risk pregnant women, and consider obstetrical factors that may influence both prenatal attachment and anxiety levels.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41136156","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":"Species identification, antifungal susceptibility patterns, and vitamin D3 level in women with vaginal candidiasis: a case-control study in Iran.","authors":"Rahil Maani-Shirazi,&nbsp;Somayeh Yazdanpanah,&nbsp;Maryam Yazdani,&nbsp;Kamiar Zomorodian,&nbsp;Amin Ayatollah-Mosavi","doi":"10.1080/03630242.2023.2262623","DOIUrl":"10.1080/03630242.2023.2262623","url":null,"abstract":"<p><p>Vulvovaginal candidiasis (VVC) is a fungal infection that is a global issue of women's health due to its association with morbidity, infertility, and economic costs. This study aimed to compare the vitamin D3 levels between women with VVC to healthy controls and determine the species distribution and susceptibility pattern of isolates. Species identification was performed using sequencing of the ITS-rDNA regions and amplification of the <i>HWP1</i> gene. Antifungal susceptibility testing was determined by the disk diffusion method. Moreover, serum vitamin D3 levels were measured using a commercial ELISA (enzyme-linked immunosorbent assay) kit. Our results indicated that vitamin D3 level in women with VVC was lower than those of healthy women (<i>p</i>-value < .001). <i>Candida albicans</i> complex (62.8 percent) was the most common species, and most species were susceptible to fluconazole, itraconazole, ketoconazole, and nystatin. In conclusion, our study revealed a potential link between vitamin D3 deficiency and VVC in women. Although our findings showed significantly lower vitamin D3 levels in women with VVC, further research is needed to establish a definitive causative relationship between vitamin D3 deficiency and VVC. Nonetheless, our study highlights the potential importance of maintaining adequate levels of vitamin D3 and the need for further exploration in this area.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41138343","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 predictors of sexual quality of life and relationship happiness during the COVID-19 pandemic: a sample of Turkey.","authors":"Fatma Keskin, Gülçin Nacar","doi":"10.1080/03630242.2023.2262606","DOIUrl":"10.1080/03630242.2023.2262606","url":null,"abstract":"<p><p>The purpose of this study is to examine the predictors of sexual quality of life and relationship happiness during the COVID-19 pandemic in a sample in Turkey. This study utilized a descriptive and relational screening design. It was conducted between June 2021 and November 2021 during the pandemic. The participants included 307 women who were accessed online through social networks. The linear multiple regression analysis results showed a significant relationship between changes in the family income level during the pandemic (β-coefficient -0.120; <i>p</i> = .006), sexual compatibility with the spouse (β-coefficient 0.541; <i>p</i> = .001) and experiencing problems in sexual life (β-coefficient 0.173; <i>p</i> = .001) and sexual quality of life. A significant relationship was found between relationship happiness and quality of the time spent with the spouse during the pandemic (β-coefficient -0.282; <i>p</i> = .001), sexual compatibility with the spouse (β-coefficient -0.327; <i>p</i> = .001) and marriage compatibility (β-coefficient -0.152; <i>p</i> = .019). This study found that women's sexual quality of life and relationship happiness were affected by the COVID-19 pandemic. Therefore, women should be provided with consultancy services through the evaluation of their sexual life and relationship happiness when their health problems are evaluated during the pandemic period.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150287","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":"Investigation of the relationship between depression, cyberchondria levels and the quality of life of female students during the COVID-19 pandemic.","authors":"Yasemin Aydın Kartal,&nbsp;Leyla Kaya,&nbsp;Handan Özcan","doi":"10.1080/03630242.2023.2255312","DOIUrl":"10.1080/03630242.2023.2255312","url":null,"abstract":"<p><p>This study aimed to explore the correlation between cyberchondria levels, depression risk, and the quality of life among female students amidst the COVID-19 pandemic. The research was conducted with 534 female students enrolled in a public university. Participants were asked to complete a Personal Information Form, Cyberchondria Severity Scale (CSS), Beck Depression Inventory (BDI), and \"Short Form-36 (SF-36)\" questionnaire. The findings from the multiple linear regression analysis revealed that the level of cyberchondria increased the depression risk by 0.06 times among students. Additionally, nonsmokers were found to have a depression risk that was 4.06 times lower than smokers. A negative and weak correlation was observed between the total score of the CSS and the SF-36 survey. Based on the study's results, it can be concluded that the participants exhibited a moderate level of cyberchondria. Moreover, the study revealed a decreased quality of life and an increased risk of depression in participants as their level of cyberchondria increased. In order to mitigate the adverse impact of current and future health crises, it is imperative to prioritize organizing educational programs aimed at enhancing the e-health literacy level among female students, along with interventions to manage cyberchondria behaviors.</p>","PeriodicalId":23972,"journal":{"name":"Women & Health","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153488","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}