Womens Health Issues最新文献

{"title":"Corrigendum to: Development of a Maternal Health Toolkit for Emergency Department Education in Illinois [Women’s Health Issues 34 (2024), 553-561]","authors":"Katherine A. Craemer MPH , Lauren Sayah MPH , Emilie Glass MA , Shirley Scott DNP , Daniel R. Wachter MD, MPH , Cara J. Bergo PhD, MPH , Stacie E. Geller PhD, MPA","doi":"10.1016/j.whi.2025.01.004","DOIUrl":"10.1016/j.whi.2025.01.004","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Page 61"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014085","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":"Gibbs Leadership Prize: Best Manuscript of 2024 in Women’s Health Issues","authors":"","doi":"10.1016/j.whi.2025.01.001","DOIUrl":"10.1016/j.whi.2025.01.001","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 1-2"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143230089","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}

{"title":"Development of a Maternal Health Toolkit for Emergency Department Education in Illinois","authors":"Katherine A. Craemer MPH ,&nbsp;Lauren Sayah MPH ,&nbsp;Emilie Glass MA ,&nbsp;Shirley Scott DNP ,&nbsp;Daniel R. Wachter MD, MPH ,&nbsp;Cara J. Bergo PhD, MPH ,&nbsp;Stacie E. Geller PhD, MPA","doi":"10.1016/j.whi.2024.08.001","DOIUrl":"10.1016/j.whi.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Most pregnancy-related deaths in Illinois are preventable. Many of those who died in recent years had at least one emergency department (ED) visit during pregnancy or the postpartum period. This suggests that with the proper training and education, EDs can play an important role in reducing maternal mortality.</div></div><div><h3>Methods</h3><div>A Task Force of 33 interdisciplinary stakeholders from across Illinois met monthly over 1 year to gather and develop educational content focused on obstetric emergency medicine and produce the Maternal Health Emergency Department Toolkit (Toolkit) training. A survey and listening session collected stakeholders’ feedback about factors that supported Toolkit development, barriers, and recommendations for similar projects.</div></div><div><h3>Results</h3><div>The Task Force members adapted existing tools and developed novel resources to fill the gaps in maternal health education for the ED setting. The Toolkit consists of five educational modules including didactic information, case-based learning, and resources for additional reading and local implementation. The modules focus on ED recommendations from the Illinois Maternal Mortality Review Committees, triage and management of emergencies in perinatal patients, screening and treatment of mental health and substance use conditions, addressing trauma, performing resuscitation during pregnancy, and conducting safe and coordinated discharge of perinatal patients from the ED. Task Force members described the inclusion of experts with interdisciplinary knowledge, working in small groups, and grounding the educational content in maternal health data as factors contributing to the project's success. They identified scheduling conflicts as a challenge and recommended future projects like this one include more ED providers and staff members.</div></div><div><h3>Conclusion</h3><div>Through promoting cross-disciplinary engagement, education, and collaboration with obstetrics and other service lines, the Toolkit can help fill the gaps in maternal ED education to decrease maternal mortality and morbidity in Illinois.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 553-561"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298789","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":"Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success","authors":"Katherine M. Iverson PhD ,&nbsp;Julianne E. Brady MA ,&nbsp;Omonyêlé L. Adjognon ScM ,&nbsp;Kelly Stolzmann MS ,&nbsp;Melissa E. Dichter PhD, MSW ,&nbsp;LeAnn E. Bruce PhD, LCSW ,&nbsp;Galina A. Portnoy PhD ,&nbsp;Samina Iqbal MD ,&nbsp;Megan R. Gerber MD, MPH ,&nbsp;Sally G. Haskell MD ,&nbsp;Christopher J. Miller PhD","doi":"10.1016/j.whi.2024.07.001","DOIUrl":"10.1016/j.whi.2024.07.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The Veterans Health Administration (VHA) employed implementation facilitation (IF) as a strategy to boost uptake of intimate partner violence (IPV) screening programs in primary care. This study examined the sustainment of screening uptake 1 year after IF and identified factors impacting sustainment success.</div></div><div><h3>Methods</h3><div>A mixed-methods evaluation using quantitative and qualitative data was conducted. IPV screening rates from the conclusion of the IF period (i.e., initial adoption) through the 1-year sustainment period served as the primary outcome. We categorized sites into four groups of screening adoption and sustainment success (high adoption and high sustainment, moderate adoption and moderate sustainment, low adoption and low sustainment, and no adoption and/or no sustainment). Qualitative analysis of key informant interviews was used to identify contextual factors affecting screening 12 months post-IF. A mixed sustainment analysis matrix integrated quantitative and qualitative findings and enabled the identification of cross-site patterns.</div></div><div><h3>Main Findings</h3><div>Seven of the nine sites sustained IPV screening at the most basic level (saw static or increased screening rates). High adopting and high sustaining sites (<em>n</em> = 3) were marked by consistently supportive medical center leadership, ongoing training for clinicians, clear protocols for responding to positive screens, and robust referral options for women experiencing IPV. Nonsustaining sites (<em>n</em> = 2) were marked by a host of barriers including staffing shortages, competing priorities, and inconsistent messaging from leadership regarding the importance of IPV screening.</div></div><div><h3>Conclusions</h3><div>Knowing barriers and facilitators to successful IPV screening sustainment can inform health care systems to tailor IF and other implementation strategies to sustain IPV screening in primary care. Sustainment of IPV screening requires attention to a combination of facilitators (e.g., consistent leadership support and robust referral options) as well as addressing key barriers (e.g., staff turnover and competing priorities).</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 617-627"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037351","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":"A Mixed Methods Longitudinal Investigation of Maternal Depression Across the Perinatal Period Among Mothers Who Gave Birth During the COVID-19 Pandemic","authors":"Amy M. Claridge PhD ,&nbsp;Tishra Beeson DrPH","doi":"10.1016/j.whi.2024.09.005","DOIUrl":"10.1016/j.whi.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Depression during the perinatal period is associated with negative outcomes for both mothers and children, including higher rates of chronic depression in mothers and physical, emotional, and cognitive issues in children. This study aimed to determine how the stressors of the COVID-19 pandemic contributed to prenatal and postpartum depressive symptoms among a sample of peripartum mothers who gave birth during the pandemic. This study also examined risk factors for postpartum depression, including prenatal depressive symptoms, demographic characteristics, timing of birth during the pandemic, pregnancy intention, birth expectations and experiences, and pandemic-related concerns.</div></div><div><h3>Methods</h3><div>This mixed methods study included data from online surveys using a convenience sample of 284 expectant mothers with due dates from April 2020 to September 2021, and qualitative interviews with a subset of participants. Depressive symptoms and risk for clinical depression were assessed using the Edinburgh Postnatal Depression Scale during the third trimester of pregnancy and again within 8 weeks postpartum. Multiple regression models examined potential risk factors to determine which variables most predicted participants’ postpartum depressive symptoms and risk of clinical depression.</div></div><div><h3>Results</h3><div>Among this nonrepresentative, mostly white, and highly resourced sample, one-third of participants (33.8%) met the criteria for risk of clinical depression during the prenatal period, and 32.7% met this threshold in the postpartum period. Participants who reported higher levels of prenatal depressive symptoms, gave birth earlier in the pandemic, reported lower income, or had more pandemic-related concerns tended to report more postpartum depressive symptoms, adjusting for demographic characteristics and other variables of interest. Peripartum mothers who reported symptoms consistent with risk of clinical depression prenatally were almost four times more likely to screen positive for depression in the postpartum period, even after adjusting for other variables. In interviews, participants attributed negative emotions in pregnancy to uncertainty related to pandemic-related changes in care and expressed grief about missed pregnancy and postpartum experiences. In the postpartum period, some participants reported that their births were ultimately less stressful than anticipated.</div></div><div><h3>Conclusions</h3><div>Findings highlight the need for consistent and frequent depression screenings across the perinatal period, especially among participants who report depressive symptoms prenatally. Participants who gave birth early in the pandemic were at the highest risk of postpartum depression and may continue to need additional supports.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 6","pages":"Pages 605-616"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559152","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}