Womens Health Issues最新文献

{"title":"Disability-Related Disparities in Screening for Intimate Partner Violence During the Perinatal Period: A Population-Based Study","authors":"Kathryn Laughon PhD, RN, FAAN ,&nbsp;Rosemary B. Hughes PhD ,&nbsp;Genevieve Lyons MSPH ,&nbsp;Kana Roarty BSN, RN ,&nbsp;Jeanne Alhusen PhD, CRNP, RN, FAAN","doi":"10.1016/j.whi.2024.12.001","DOIUrl":"10.1016/j.whi.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Persons with disabilities are at higher risk of experiencing intimate partner violence (IPV) during the perinatal period than persons without disabilities. Although screening for IPV during the perinatal period is recommended by many organizations, little is known about screening rates for IPV by disability status.</div></div><div><h3>Methods</h3><div>Our objective was to compare rates of IPV screening during the perinatal period among persons with and without disabilities in the United States. A cross-sectional sample of 43,837 respondents provided data on disability, including difficulty in vision, hearing, ambulation, cognition, communication, and self-care. We conducted a secondary analysis of nationally representative data from the 2018–2020 Pregnancy Risk Assessment Monitoring System.</div></div><div><h3>Results</h3><div>During pregnancy, respondents with disabilities had a lower odds of IPV screening as compared with respondents without disabilities (adjusted odds ratio .83, 95% confidence interval [.70, .99]). Despite similar screening rates in the 12 months before conception and postpartum among respondents with and without disabilities who attended health care visits, those with disabilities were less likely to receive pregnancy-related care during pregnancy (<em>p</em> &lt; .0001) and in the postpartum period (<em>p</em> &lt; .0001) and thus missed opportunities to be screened.</div></div><div><h3>Conclusion</h3><div>Our findings demonstrate a need for health care providers to collaborate with policy makers, disability advocates, and researchers to reduce the disparities people with disabilities face in accessing health care, including screening for IPV during the perinatal period. Such efforts are essential for maximizing the health and safety of pregnant persons and new parents with disabilities and their children during the perinatal period.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 2","pages":"Pages 97-104"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956907","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":"Addressing Weight Stigma in Perinatal Care: Strategies for Health Care Providers and Organizations","authors":"Natalie M. Papini PhD ,&nbsp;Taniya S. Nagpal PhD ,&nbsp;Anna R. Whelan MD, FACOG ,&nbsp;Tiffany A. Moore Simas MD, MPH, MEd ,&nbsp;Molly E. Waring PhD","doi":"10.1016/j.whi.2024.11.002","DOIUrl":"10.1016/j.whi.2024.11.002","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 3-6"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899450","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 MD ,&nbsp;Julia E. Kohn PhD, MPA ,&nbsp;Roselle Bleck MD, MPH ,&nbsp;Carolyn L. Westhoff MD, MSc","doi":"10.1016/j.whi.2024.10.001","DOIUrl":"10.1016/j.whi.2024.10.001","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 7-13"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","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":"Psychological and Social Predictors of Poverty: Differences Between Lesbian and Bisexual Women","authors":"Bianca D.M. Wilson PhD ,&nbsp;Andy Lin PhD ,&nbsp;Lauren J.A. Bouton MA","doi":"10.1016/j.whi.2024.10.004","DOIUrl":"10.1016/j.whi.2024.10.004","url":null,"abstract":"<div><h3>Purpose</h3><div>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).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>These findings suggest that policy, advocacy, and service interventions should consider tailoring approaches to address poverty for bisexual and lesbian women differently.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 28-38"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","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":"OA","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 MD,&nbsp;Rachel Flink-Bochacki MD, MPH,&nbsp;Brooke Zaiz MD,&nbsp;Johanna Bringley DO","doi":"10.1016/j.whi.2024.09.006","DOIUrl":"10.1016/j.whi.2024.09.006","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study Design</h3><div>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.</div></div><div><h3>Participants</h3><div>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%).</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 14-19"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","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":"“Just Google It”: A Qualitative Study of Reproductive-Age Women's Stigmatizing Experiences When Accessing Buprenorphine for Opioid Use Disorder","authors":"Dominique Bulgin PhD, RN ,&nbsp;Velma McBride Murry PhD ,&nbsp;Tamarra McElroy MPH ,&nbsp;David Schlundt PhD ,&nbsp;Kemberlee Bonnet MA ,&nbsp;Stephen W. Patrick MD, MPH, MS","doi":"10.1016/j.whi.2024.10.003","DOIUrl":"10.1016/j.whi.2024.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>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 calls to outpatient buprenorphine-waivered providers.</div></div><div><h3>Objectives</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>The findings demonstrate a need for multilevel interventions to improve women's access to medications for OUD.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 45-53"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","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":"Community-dwelling Black Women's Experiences With Urinary Incontinence: A Qualitative Study","authors":"Gnankang Sarah Napoé MD, MS ,&nbsp;Courtney Judkins BA ,&nbsp;Flor de Abril Cameron PhD, MPH ,&nbsp;Megan E. Hamm PhD ,&nbsp;Judy C. Chang MD, MPH ,&nbsp;Pamela A. Moalli MD, PhD","doi":"10.1016/j.whi.2024.10.002","DOIUrl":"10.1016/j.whi.2024.10.002","url":null,"abstract":"<div><h3>Objectives</h3><div>We explored Black women's experiences, concerns, decisions, and challenges of seeking care for urinary incontinence (UI).</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 39-44"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's Health Care Delivery and Coordination After Transitioning From One Electronic Health Record to Another: Perspectives From Staff in the Veterans Health Administration","authors":"Samantha K. Benson MPH ,&nbsp;Zoe H. Pleasure MPH ,&nbsp;Ann Guillory BSN ,&nbsp;Sharon K. Gill MD ,&nbsp;Kristen E. Gray PhD","doi":"10.1016/j.whi.2024.09.002","DOIUrl":"10.1016/j.whi.2024.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>The Veterans Health Administration (VA) is transitioning its 1,300 health care facilities from one electronic health record (EHR) to another. The transition aims to improve care delivery and interoperability; however, specific effects on women veterans, who comprise only 7.5% of the patient population, may be obscured without focused evaluation. We aimed to characterize the perspectives of VA staff regarding the impact of transitioning EHRs on women's health care delivery.</div></div><div><h3>Methods</h3><div>We conducted semistructured interviews with VA staff members involved in delivering or coordinating care for women at three sites that had transitioned EHRs within the past year. Interviews were audio-recorded and transcribed. We used a rapid, templated qualitative analytic approach to identify salient themes in the data.</div></div><div><h3>Results</h3><div>We interviewed 16 staff members across VA departments and roles. Although some participants felt the new EHR held promise, most identified challenges with the EHR rollout and implementation (e.g., insufficient training) and the EHR product (e.g., system inefficiencies and latency). Participants highlighted several ways the EHR transition disproportionately affected care delivery for women veterans, including via backlogs of community care referrals, insufficient opportunities for providers to gain proficiency with sex-specific workflows in the new EHR, and outdated listings for veterans who have changed their names. Participants reported that these issues affected their morale and contributed to decreases in productivity and delayed care.</div></div><div><h3>Conclusions</h3><div>Many of our findings reflect challenges that affect VA staff broadly, whereas others may be compounded among women veterans and the VA staff who serve them. To achieve the goal of delivering timely, equitable, high-quality, comprehensive health care services to women veterans, continued efforts to monitor and address the impacts of the EHR transition on this population are needed.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 54-60"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477829","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":"Consensus Preconception Educational Domains for People With Mobility Disabilities: A Delphi Study","authors":"Amelia Gabor MS ,&nbsp;Jennifer Stephens RN ,&nbsp;Michael M. McKee MD, MPH ,&nbsp;Hilary K. Brown PhD ,&nbsp;Kara B. Ayers PhD ,&nbsp;Anne Valentine PhD ,&nbsp;Willi Horner-Johnson PhD ,&nbsp;Monika Mitra PhD ,&nbsp;John A. Harris MD, MSc","doi":"10.1016/j.whi.2024.11.001","DOIUrl":"10.1016/j.whi.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Preconception health education is critical to improve pregnancy and neonatal outcomes, but people with mobility disabilities have specific, often unique issues related to preparing for pregnancy. This study sought to develop consensus-based domains for a preconception education curriculum for people with mobility disabilities.</div></div><div><h3>Methods</h3><div>We used a mixed-methods approach, including a literature review and a Delphi method to develop consensus. Delphi panel members and domains were identified by a systematic review and purposive sampling and the panel included physicians, researchers, and individuals with lived experience of mobility disabilities. A Delphi method was used to reach consensus on domains for a preconception education curriculum for people with mobility disabilities.</div></div><div><h3>Results</h3><div>The systematic review identified 53 domains of preconception health education. Seventeen individuals participated in the Delphi panel process. After three rounds of quantitative and qualitative consensus feedback, 13 educational domains were selected for preconception education for people with mobility disabilities. The domains were 1) Pregnancy Interest; 2) Infertility and Obstetric History; 3) Genetic History and Screening; 4) Medical History; 5) Medication History; 6) Mental Health History; 7) Nutrition and Weight History; 8) Social Determinants of Health; 9) Intimate Partner Violence and Caregiver Abuse; 10) Functional Mobility and Physical Accommodations; 11) Musculoskeletal and Skin Health; 12) Bowel and Bladder Surgery; and 13) Neurological and Neurosurgical History.</div></div><div><h3>Conclusions</h3><div>A consensus preconception education curriculum for people with mobility disabilities includes standard domains plus additional domains focused on functional mobility and physical accommodations: musculoskeletal and skin health, bowel and bladder surgery, and neurological and neurosurgical history.</div></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"35 1","pages":"Pages 20-27"},"PeriodicalIF":2.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878155","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":"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 ,&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.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}