Womens Health Issues最新文献

{"title":"Psychological and Social Predictors of Poverty: Differences Between Lesbian and Bisexual Women.","authors":"Bianca D M Wilson, Andy Lin, Lauren J A Bouton","doi":"10.1016/j.whi.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.whi.2024.10.004","url":null,"abstract":"<p><strong>Purpose: </strong>Research has demonstrated that sexual minority populations are more likely to experience poverty than sexual majority populations and that many of these disparities are driven by specific sexual minority subgroups, including cisgender bisexual women. Yet, little is known about the factors associated with economic insecurity that explain the intragroup differences in economic outcomes among sexual minorities, particularly among those of the same gender (i.e., cisgender bisexual vs. lesbian women).</p><p><strong>Methods: </strong>We used a U.S. national probability sample of non-transgender sexual minority adults to assess the relationship between poverty and demographic (age, race/ethnicity, education), psychological (psychological distress, self-acceptance, felt stigma, and experienced discrimination), and social (outness, partnership and parental status, partner gender, and gender expression) characteristics for each subgroup of women, lesbian/gay (n = 324) and bisexual (n = 355). We calculated odds ratios and adjusted odds ratios (AORs) estimated from logistic regression models that relate risk factors to poverty.</p><p><strong>Results: </strong>Race/ethnicity (i.e., identifying as Black) and education (i.e., having a high school diploma or less) were associated with living in poverty for both groups. The role of minority stressors, such as outness, everyday discrimination, and internalized homophobia did not strongly predict poverty for either group. However, reports of experienced stigma related to one's sexual orientation and masculine gender expression were associated with poverty among lesbians but not for bisexual women, and having children was a strong predictor of poverty for bisexual women, but not lesbians.</p><p><strong>Conclusions: </strong>These findings suggest that policy, advocacy, and service interventions should consider tailoring approaches to address poverty for bisexual and lesbian women differently.</p>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Just Google It\"-A Qualitative Study of Reproductive-Age Women's Stigmatizing Experiences When Accessing Buprenorphine for Opioid Use Disorder.","authors":"Dominique Bulgin, Velma McBride Murry, Tamarra McElroy, David Schlundt, Kemberlee Bonnet, Stephen W Patrick","doi":"10.1016/j.whi.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.whi.2024.10.003","url":null,"abstract":"<p><strong>Introduction: </strong>The opioid crisis is increasingly impacting women, and access to buprenorphine to treat opioid use disorder (OUD) is limited by the number of providers authorized to dispense it. Stigma can represent an additional barrier to accessing medication for OUD. Qualitative data were analyzed from a randomized simulated patient field experiment of outpatient buprenorphine-waivered providers.</p><p><strong>Objectives: </strong>Our primary objective was to analyze descriptions of barriers women encountered when seeking buprenorphine to treat OUD to account for differential experiences based on pregnancy status, race/ethnicity, and insurance status. Our secondary objective was to identify potential intervention strategies to improve access to medications for OUD.</p><p><strong>Methods: </strong>The Health Stigma and Discrimination framework was applied to guide our study of barriers encountered by women seeking OUD treatment. Callers representing vocal features of white, Hispanic, and Black women and simulating ages 25-30 were randomized to represent combinations of public/private insurance and pregnant/not pregnant characteristics. Callers contacted 5,944 buprenorphine-waivered providers requesting to make an appointment to obtain medications to treat OUD. There were 15,358 free-text comments in response to the prompt \"Please give an objective play-by-play of the description of what happened in this conversation.\" Data were coded and analyzed using an iterative inductive-deductive approach. We consulted six community experts, women who had sought treatment for OUD, to inform our study findings and identify patient-driven solutions to address barriers.</p><p><strong>Results: </strong>Findings revealed that experiences of interpersonal stigma were connected to systemic barriers such as stigmatizing behaviors within institutional cultures and normative practices. Key results indicate that race/ethnicity, pregnancy status, and insurance status influence experiences of stigma. For instance, Black and Hispanic callers reported experiencing race-based microaggressions, and pregnant women faced additional judgment and reduced access to treatment. Qualitative findings and community experts' insights underscored the necessity for the adoption of anti-stigma policies and practices that facilitate easier access to medications for OUD across socioecological levels.</p><p><strong>Conclusions: </strong>The findings demonstrate a need for multilevel interventions to improve women's access to medications for OUD.</p>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abortion Provision at New York State Regional Perinatal Centers Following Implementation of the Reproductive Health Act.","authors":"Gopika R Krishna, Julia E Kohn, Roselle Bleck, Carolyn L Westhoff","doi":"10.1016/j.whi.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.whi.2024.10.001","url":null,"abstract":"<p><strong>Objective: </strong>Signed in 2019, New York State's Reproductive Health Act enabled expansion of abortion care up to 28 weeks for any indication. This study aimed to describe how implementation of the New York State Reproductive Health Act affected abortion provision among the state's regional perinatal centers (RPCs)-tertiary referral centers for complex pregnancies that may care for patients seeking abortion later in pregnancy. A secondary objective was to identify barriers to and facilitators of expanding abortion care.</p><p><strong>Methods: </strong>From January to May 2023, we recruited clinicians from the 17 New York RPCs, including family planning specialists, maternal-fetal medicine specialists, and genetic counselors. Respondents completed an online survey. We then invited respondents to complete an in-depth interview. We calculated descriptive statistics to characterize the study population and summarize survey responses. We analyzed qualitative interview data using thematic analysis.</p><p><strong>Results: </strong>Twenty-nine respondents completed the survey, representing 16 of 17 New York State RPCs. Seventeen respondents, representing 11 RPCs, completed an interview. All institutions provided abortion care. Twenty-three of 29 survey respondents (79%) reported barriers to providing abortion for any indication after 24 weeks from last menstrual period (LMP). Eighteen of 29 (62%) reported barriers to providing abortion after 24 weeks LMP for maternal or fetal indications. The most commonly reported barriers in the survey results were staff resistance and institutional policy. During interviews, respondents identified staff discomfort, restrictive institutional policies, and lack of clarity around policy as barriers, while highlighting advocates and collaboration within their institutions as facilitators to expansion of abortion services later in pregnancy.</p><p><strong>Conclusions: </strong>RPCs in New York State face barriers in providing abortion, especially after 24 weeks LMP, even though they are ideally situated to provide such care. These barriers exist despite the legality of abortion after 24 weeks in New York and policy efforts to expand access to abortion.</p>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-dwelling Black Women's Experiences With Urinary Incontinence: A Qualitative Study.","authors":"Gnankang Sarah Napoé, Courtney Judkins, Flor de Abril Cameron, Megan E Hamm, Judy C Chang, Pamela A Moalli","doi":"10.1016/j.whi.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.whi.2024.10.002","url":null,"abstract":"<p><strong>Objectives: </strong>We explored Black women's experiences, concerns, decisions, and challenges of seeking care for urinary incontinence (UI).</p><p><strong>Methods: </strong>After screening for UI, we collected questionnaires confirming UI bother. We performed semistructured, one-on-one interviews via video or phone with adult participants who self-identify as Black women and had symptoms of UI. We asked about experiences with UI, perceived impact on quality of life, care-seeking behaviors, and any challenges to seeking care. Audio recordings were transcribed and coded. We then explored the patterns and relationships between codes to identify categories and themes.</p><p><strong>Results: </strong>We interviewed 24 Black women with UI, aged 19 to 73 years. All had some college education, and more than one-half had degrees ranging from associate to graduate. Five themes emerged: 1) UI symptoms bring up negative emotions and require adaptations; 2) normalization of UI decreases symptom reporting and care seeking; 3) participants' UI and other medical symptoms were often minimized or dismissed by clinicians; 4) participants desire routine UI screening by clinicians and enhanced UI education; and 5) participants encourage more diversity and higher quality care to improve patient trust.</p><p><strong>Conclusions: </strong>In addition to embarrassment, Black women's challenges to seeking UI care include prior experiences of trauma within the health care system. Routine screening of patients, enhanced UI education, and provider trust building could improve Black women's experiences and willingness to seek UI care.</p>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Neither Side Really Knows… What an Abortion Is Like\": A Qualitative Analysis of Medical Students' Experiences With Second-Trimester Procedural Abortions.","authors":"Kathryn Crofton, Rachel Flink-Bochacki, Brooke Zaiz, Johanna Bringley","doi":"10.1016/j.whi.2024.09.006","DOIUrl":"https://doi.org/10.1016/j.whi.2024.09.006","url":null,"abstract":"<p><strong>Objectives: </strong>Medical students value abortion education; however, there has been little study regarding participation in second-trimester procedures, which are less common yet receive significant societal attention. We aimed to explore medical students' perceptions of participation in second-trimester procedural abortions to optimize this educational experience.</p><p><strong>Study design: </strong>We conducted qualitative semi-structured interviews with third- and fourth-year medical students who voluntarily participated in second-trimester dilation and evacuation cases. We coded interviews inductively and performed thematic content analysis until thematic saturation was reached.</p><p><strong>Participants: </strong>We interviewed 25 medical students, including 16 third-year and nine fourth-year students. Most participants were female (64%) and white (58%) and had no prior abortion care experience (80%).</p><p><strong>Results: </strong>Four major themes emerged: 1) students felt unprepared for second-trimester procedural abortions and were unable to find adequate educational resources for preparation; 2) students experienced complex emotional reactions to the procedures, often finding the experience more challenging than expected; 3) students observed implicit expectations and biases in the learning environment; and 4) students highly valued their involvement in abortion procedures, noting that participation was important for their future practice and allowed acquisition of essential clinical skills.</p><p><strong>Conclusions: </strong>Medical students value the educational opportunity to participate in second-trimester procedural abortions; however, most feel unprepared for the technical and emotional aspects, despite utilizing available educational resources. To maximize educational experience and psychological safety, educators should develop specialized training resources. This could strengthen physician knowledge and comfort with abortion care in the future, ultimately improving patient care.</p>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective Factors Associated With Lower Likelihood of Injection Drug Use and Experiencing Overdose Among Incarcerated Women","authors":"Michele Staton PhD, MSW ,&nbsp;Martha Tillson PhD ,&nbsp;Mary M. Levi MS ,&nbsp;Carl Leukefeld DSW ,&nbsp;Megan Dickson PhD ,&nbsp;Carrie B. Oser PhD ,&nbsp;Laura Fanucchi MD ,&nbsp;Jaxin Annett MA ,&nbsp;Erin Winston MPA ,&nbsp;J. Matthew Webster PhD","doi":"10.1016/j.whi.2024.09.001","DOIUrl":"10.1016/j.whi.2024.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Prior studies evaluated protective factors individually as they relate to fewer drug use risk behaviors and related consequences. This is the first study to examine protective factors as part of a multilevel framework along a risk continuum among women involved in the criminal legal system who use drugs. This study describes factors within the socio-ecological framework that are protective against engaging in injection drug use and experiencing nonfatal overdose.</div></div><div><h3>Method</h3><div>Data were collected from 900 women with a history of opioid use disorder who were incarcerated and enrolled in the National Institutes of Health/National Institute on Drug Abuse–funded Justice Community Opioid Innovation Network cooperative. Analysis focused on the relationship among individual, interpersonal, and community- or institutional-level protective factors associated with not injecting drugs and not experiencing an overdose in the 90 days before incarceration using multinomial logistic regression.</div></div><div><h3>Findings</h3><div>Findings from this study suggest that, even among a sample of women who use drugs, there are a number of factors associated with being less likely to report higher-risk injection behavior and/or overdose experiences at the individual level (age, religiosity, and less polysubstance use), interpersonal level (not having a partner who injects drugs), and community or institutional level (fewer months incarcerated, less treatment utilization, and less enacted stigma by health care workers).</div></div><div><h3>Conclusions</h3><div>Findings from this study underscore the importance of being able to target prevention interventions to women at different stages of substance use severity and to capitalize on protective factors for those at lower-risk levels to reduce the trajectory of risk of injection practices and overdose experiences.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 636-644"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Women's Lives Are on the Line, and Our Hands Are Tied”: How Television Is Reckoning With a Post-Dobbs America","authors":"Stephanie Herold MPH","doi":"10.1016/j.whi.2024.09.004","DOIUrl":"10.1016/j.whi.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Since the 2022 <em>Dobbs v. Jackson Women’s Health Organization</em> Supreme Court decision revoked federal protection for abortion rights, many states have restricted abortion. Although news media covers this shifting landscape through reporting, this article documents how entertainment content is responding to this new reality in its storytelling.</div></div><div><h3>Methods</h3><div>The sample is from a public database of abortion plotlines on American television (<span><span>abortiononscreen.org</span><svg><path></path></svg></span>). I separated the sample of 150 plotlines into two groups: plotlines that filmed and/or aired pre-<em>Dobbs</em> (January 2020–August 2022) and those that aired post-<em>Dobbs</em> (September 2022–December 2023). Coding occurred in Microsoft Excel.</div></div><div><h3>Results</h3><div>Post-<em>Dobbs</em>, there was an increase in the proportion of abortion plotlines that depicted procedural abortions compared with pre-<em>Dobbs</em>, but no change in the consistently low proportion of medication abortion depictions. The post-<em>Dobbs</em> sample included a 10% increase in teen characters compared with pre-<em>Dobbs</em>. Pre-<em>Dobbs</em>, the vast majority of plotlines (77%) did not portray any barriers to abortion care. Post-<em>Dobbs</em>, 33% depicted barriers. The most common reason for abortion seeking in both samples was age (11%). Pre-<em>Dobbs</em>, the next most common was a mis-timed pregnancy (10%). Post-<em>Dobbs</em>, the next most common was health concerns (11%).</div></div><div><h3>Conclusions</h3><div>Since <em>Dobbs</em>, more television plotlines are portraying obstacles to abortion care, yet they continue to tell stories of white, non-parenting teenagers who make up a small percentage of real abortion patients. Plotlines overrepresent procedural abortion over the more common medication abortion. Depictions of health-related reasons for abortion seeking obscure more commonly provided reasons for abortions, such as mistimed pregnancies, caregiving responsibilities, and financial concerns. Considering the low levels of abortion knowledge nationwide, understanding what (mis)information audiences encounter onscreen is increasingly important.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 589-596"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncertainty in Postpartum Permanent Contraception Decision-Making: Physician and Patient Perspectives","authors":"Brooke W. Bullington BA ,&nbsp;Madeline Thornton MD, MPH ,&nbsp;Madison Lyleroehr MA ,&nbsp;Kristen A. Berg PhD, CRC ,&nbsp;Kari White PhD, MPH ,&nbsp;Margaret Boozer MD ,&nbsp;Tania Serna MD, MPH ,&nbsp;Emily S. Miller MD ,&nbsp;Jennifer L. Bailit MD, MPH ,&nbsp;Kavita Shah Arora MD, MBE, MS","doi":"10.1016/j.whi.2024.06.005","DOIUrl":"10.1016/j.whi.2024.06.005","url":null,"abstract":"<div><h3>Purpose</h3><div>We sought to understand how patients and physicians conceptualize uncertainty in the permanent contraception decision-making process.</div></div><div><h3>Basic Procedures</h3><div>In 2022–2023, we interviewed postpartum patients with a documented desire for permanent contraception (<em>n</em> = 81) and their delivering physicians (<em>n</em> = 67). Eligible patients gave birth at one of our four study hospitals in California, Ohio, Illinois, and Alabama. We used rapid content analysis and thematic content analysis to develop and refine themes related to uncertainty in permanent contraceptive decision-making.</div></div><div><h3>Main Findings</h3><div>Most patients reported full certainty in their decision regarding permanent contraception, although some expressed doubts. After receiving permanent contraception, some patients discussed grief but overall affirmed their decision. One patient said they wished they had considered other contraceptive options. Physicians reported using a range of strategies to safeguard from patient regret, including ensuring patients were 100% certain with their decision, inferring certainty based on their characteristics, asking patients to think through all scenarios that could affect decision-making, and repeat counseling during multiple interactions.</div></div><div><h3>Principal Conclusions</h3><div>Patient experiences reveal the depth, fluidity, and nuance of patients' contraceptive decision-making processes. Physicians sometimes failed to grapple with this nuance by centering potential regret in their counseling. Personalized and supportive contraceptive counseling that acknowledges the complexity of contraceptive decision-making is imperative. Shared decision-making can help ensure patients can make informed and autonomous decisions about their reproductive lives.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 572-579"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hair and Health Among African American Women: Historical and Sociocultural Considerations for Physical Activity and Mental Health","authors":"Patricia O'Brien-Richardson PhD, MS Ed","doi":"10.1016/j.whi.2024.07.005","DOIUrl":"10.1016/j.whi.2024.07.005","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 549-552"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Experience of Pain and Pain Management for Pregnant and Postpartum Veterans with Chronic Musculoskeletal Pain","authors":"Aimee Kroll-Desrosiers PhD ,&nbsp;Kate F. Wallace MPH ,&nbsp;Diana M. Higgins PhD ,&nbsp;Steve Martino PhD ,&nbsp;Valerie Marteeny MS ,&nbsp;Lorrie Walker MA ,&nbsp;Kristin M. Mattocks PhD, MPH","doi":"10.1016/j.whi.2024.07.004","DOIUrl":"10.1016/j.whi.2024.07.004","url":null,"abstract":"<div><h3>Background</h3><div>To examine how veterans experience and treat pain during the perinatal period, we conducted a qualitative study to explore the experiences of pain, pain management, and facilitators and barriers to treatment among perinatal veterans.</div></div><div><h3>Methods</h3><div>We identified veterans who received care at any of the 15 Veterans Health Administration (VHA) facilities across the United States and were enrolled in an ongoing cohort study. All participants gave birth to a newborn between March 2016 and June 2021 and met the inclusion criteria for having a prepregnancy pain-related musculoskeletal condition. We completed interviews with 30 veterans between November 2021 and January 2022. We used a framework approach to our qualitative analysis.</div></div><div><h3>Results</h3><div>Veterans in our sample were, on average, 31 years of age, married (80%), and white (47%). The most common type of pain diagnoses were back pain (93%) and joint disorders (73%). We identified the following major themes: 1) veteran experiences of pain during pregnancy, 2) challenges to pain care during the perinatal period, and 3) veteran recommendations for VHA perinatal pain care. Experiences of pain during pregnancy varied and several barriers to pain care were identified. Veterans suggested several ways the VHA could improve pain care during the perinatal period, including more training for VHA providers on perinatal pain care and greater complementary and integrative health coverage.</div></div><div><h3>Conclusions</h3><div>Understanding the unique needs of pregnant veterans with chronic pain is important to provide high-quality care during the perinatal period. Veterans who participated in this study highlighted several areas where the VHA could improve pain management during pregnancy and postpartum.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 628-635"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}