Womens Health Issues最新文献

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Impact of the Affordable Care Act on Prescription Contraceptive Use and Costs Among Privately Insured Women, 2006–2020 《平价医疗法案》对私人保险妇女处方避孕药具使用和费用的影响,2006-2020年。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-06 DOI: 10.1016/j.whi.2023.08.007
Cynthia H. Chuang MD, MSc , Carol S. Weisman PhD , Guodong Liu PhD , Sarah Horvath MD, MSHP , Diana L. Velott MPA, MS , Amy Zheng BS , Douglas L. Leslie PhD
{"title":"Impact of the Affordable Care Act on Prescription Contraceptive Use and Costs Among Privately Insured Women, 2006–2020","authors":"Cynthia H. Chuang MD, MSc ,&nbsp;Carol S. Weisman PhD ,&nbsp;Guodong Liu PhD ,&nbsp;Sarah Horvath MD, MSHP ,&nbsp;Diana L. Velott MPA, MS ,&nbsp;Amy Zheng BS ,&nbsp;Douglas L. Leslie PhD","doi":"10.1016/j.whi.2023.08.007","DOIUrl":"10.1016/j.whi.2023.08.007","url":null,"abstract":"<div><h3>Background</h3><p>In the years immediately following the Affordable Care Act (ACA)'s contraceptive coverage requirement, out-of-pocket costs fell for all Food and Drug Administration–approved contraceptive methods and use of long-acting reversible contraception (LARC) increased. This analysis examines whether these trends have continued through 2020 for privately insured women.</p></div><div><h3>Methods</h3><p>Using 2006–2020 MarketScan data, we examined trends in prescription contraceptive use and out-of-pocket costs among women 13 to 49 years old. Multivariable analyses model the likelihood of contraceptive use and paying $0 post-ACA requirement (vs. pre-ACA requirement) for contraception, controlling for age group, U.S. region, urban versus rural, and cohort year.</p></div><div><h3>Results</h3><p>The likelihood of LARC insertion increased post-ACA requirement (adjusted odds ratio [aOR] 1.127, 95% confidence interval [CI] 1.121–1.133), with insertion rates peaking at 3.73% for intrauterine devices (IUDs) and 1.08% for implants in 2019, before declining with the onset of the COVID-19 pandemic in 2020. Although the likelihood of paying $0 for LARC increased after the ACA requirement (IUD: aOR 5.495, 95% CI 5.278–5.716; implant: aOR 7.199, 95% CI 6.992–7.412), the proportion of individuals paying $0 declined to 69% for IUDs and 73% for implants in 2020, after having peaked at 88% in 2014 and 90% in 2016, respectively. For oral contraceptives, both use (aOR 1.028, 95% CI 1.026–1.030) and paying $0 (aOR 20.399, 95% CI 20.301–20.499) increased significantly after the ACA requirement.</p></div><div><h3>Conclusion</h3><p>With the exception of oral contraceptives, the proportion of individuals paying $0 for all contraceptive methods declined after peaking in 2014 for IUDs, 2016 for the implant, and 2019 for non-LARC methods. Future monitoring is needed to understand the continuing impact of the ACA requirement on prescription contraceptive use and costs.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 1","pages":"Pages 7-13"},"PeriodicalIF":3.2,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723001548/pdfft?md5=c4714bbdd0007bb35aa156b79de8e840&pid=1-s2.0-S1049386723001548-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71522984","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}
引用次数: 0
New Resources to Advance Equity in Academic Publishing 促进学术出版公平的新资源。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.09.003
{"title":"New Resources to Advance Equity in Academic Publishing","authors":"","doi":"10.1016/j.whi.2023.09.003","DOIUrl":"10.1016/j.whi.2023.09.003","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Page 567"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719911","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}
引用次数: 0
Association Between Facility and Clinician Characteristics and Family Planning Services Provided During U.S. Outpatient Care Visits 在美国门诊期间提供的设施和临床医生特征与计划生育服务之间的关系。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.06.008
Alex Schulte BS , M. Antonia Biggs PhD
{"title":"Association Between Facility and Clinician Characteristics and Family Planning Services Provided During U.S. Outpatient Care Visits","authors":"Alex Schulte BS ,&nbsp;M. Antonia Biggs PhD","doi":"10.1016/j.whi.2023.06.008","DOIUrl":"10.1016/j.whi.2023.06.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Recent guidelines from the Centers for Disease Control and Prevention emphasize the importance of access to comprehensive family planning services and recommend patient-centered contraceptive counseling be incorporated into routine primary care visits for reproductive-age individuals. This study aims to describe family planning service provision in outpatient care settings and assess differences by facility and clinician characteristics.</p></div><div><h3>Methods</h3><p>Using National Ambulatory Medical Care Survey data, a nationally representative survey of outpatient care visits, we assessed family planning service provision by facility location, facility type, physician specialty, types of clinicians seen, and whether the patient was seen by their primary care provider. We used random intercept logistic regression with robust standard errors, adjusting for patient characteristics, and state and year fixed effects.</p></div><div><h3>Results</h3><p>The analytic sample included 53,489 patient visits with reproductive-age (15–49 years) individuals between 2011 and 2019. Family planning services were provided at 8% of total sampled visits and were more likely to be provided in urban compared with rural areas (adjusted odds ratio, 1.45; <em>p</em> = .02) and at community health centers compared with private physician practices (adjusted odds ratio, 1.74; <em>p</em> = .00). Family planning services were also more likely to be provided when the patient saw a physician assistant or nurse compared with only a physician. After controlling for observed covariates, measures of between-clinician heterogeneity indicate wide variation in which clinicians provided family planning services.</p></div><div><h3>Conclusions</h3><p>Family planning services were more likely to be provided in urban areas, at community health centers, and when patients received team-based care. The wide variation between clinicians suggests a need to better incorporate family planning services into primary care and other outpatient settings to meet patient needs and preferences.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 573-581"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723001287/pdfft?md5=6c588635df1c96fec4777294d6e93bf2&pid=1-s2.0-S1049386723001287-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9938011","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}
引用次数: 0
“I Wasn't Presented With Options”: Perspectives of Black Veterans Receiving Care for Uterine Fibroids in the Veterans Health Administration “我没有选择”:在退伍军人健康管理局接受子宫肌瘤护理的黑人退伍军人的观点。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.07.006
Cathea Carey MPH , Molly Silvestrini MA , Lisa S. Callegari MD, MPH , Jodie G. Katon PhD, MS , Andrew S. Bossick PhD, MPH , Kemi M. Doll MD, MCSR , Alicia Christy MD, MHSCR, FACOG , Donna L. Washington MD, MPH, FACP , Shanise Owens MA, MSc
{"title":"“I Wasn't Presented With Options”: Perspectives of Black Veterans Receiving Care for Uterine Fibroids in the Veterans Health Administration","authors":"Cathea Carey MPH ,&nbsp;Molly Silvestrini MA ,&nbsp;Lisa S. Callegari MD, MPH ,&nbsp;Jodie G. Katon PhD, MS ,&nbsp;Andrew S. Bossick PhD, MPH ,&nbsp;Kemi M. Doll MD, MCSR ,&nbsp;Alicia Christy MD, MHSCR, FACOG ,&nbsp;Donna L. Washington MD, MPH, FACP ,&nbsp;Shanise Owens MA, MSc","doi":"10.1016/j.whi.2023.07.006","DOIUrl":"10.1016/j.whi.2023.07.006","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Black women with uterine fibroids<span> experience greater symptom severity and worse treatment outcomes compared with their White counterparts. Black veterans who use Veterans </span></span>Health Administration<span> (VA) health care<span> experience similar disparities. This study investigated the experiences of Black veterans receiving care for uterine fibroids at VA.</span></span></p></div><div><h3>Methods</h3><p><span>We identified Black veterans aged 18 to 54 years with newly diagnosed symptomatic uterine fibroids between the fiscal years 2010 and 2012 using VA medical record data, and we recruited participants for interviews in 2021. We used purposive sampling by the last recorded fibroid treatment in the data (categorized as </span>hysterectomy, other uterine-sparing treatments, and medication only/no treatment) to ensure diversity of treatment experiences. In-depth semistructured interviews were conducted to gather rich narratives of veterans’ uterine fibroid care experiences. Transcribed interviews were analyzed using content analysis.</p></div><div><h3>Results</h3><p>Twenty Black veterans completed interviews. Key themes that emerged included the amplified impact of severe fibroid symptoms in male-dominated military culture; the presence of multilevel barriers, from individual to health care system factors, that delayed access to high-quality treatment; insufficient treatments offered; experiences of interpersonal racism and provider bias; and the impact of fertility loss related to fibroids on mental health and intimate relationships. Veterans with positive experiences stressed the importance of finding a trustworthy provider and self-advocacy.</p></div><div><h3>Conclusions</h3><p>System-level interventions, such as race-conscious and person-centered care training, are needed to improve care experiences and outcomes of Black veterans with fibroids.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 652-660"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246732","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}
引用次数: 0
Maternity Care at the Intersections of Language, Ethnicity, and Immigration Status: A Qualitative Study 语言、种族和移民身份交叉点的产妇护理:一项定性研究。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.04.004
May Sudhinaraset PhD , Rebecca A. Kolodner MD , Michelle Kao Nakphong PhD
{"title":"Maternity Care at the Intersections of Language, Ethnicity, and Immigration Status: A Qualitative Study","authors":"May Sudhinaraset PhD ,&nbsp;Rebecca A. Kolodner MD ,&nbsp;Michelle Kao Nakphong PhD","doi":"10.1016/j.whi.2023.04.004","DOIUrl":"10.1016/j.whi.2023.04.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Women of color and immigrant women are more likely than US-born White women to report mistreatment and poor quality of care during their reproductive health care. Surprisingly little research exists on how language access may impact immigrant women's experiences of maternity care, particularly by race and ethnicity.</p></div><div><h3>Methods</h3><p>We conducted qualitative in-depth, one-on-one semi-structured interviews from August 2018 to August 2019 with 10 Mexican and eight Chinese/Taiwanese women (<em>n</em> = 18) living in Los Angeles or Orange County who gave birth within the past 2 years. Interviews were transcribed and translated, and data were initially coded based on the interview guide questions. We identified patterns and themes using thematic analysis methods.</p></div><div><h3>Results</h3><p>Participants described how a lack of translators and language- and cultural-concordant health care providers and staff impeded their access to maternity care services; in particular, they described barriers to communication with receptionists, providers, and ultrasound technicians. Despite Mexican immigrants’ ability to access Spanish-language health care, both Mexican and Chinese immigrant women described how lack of understanding medical concepts and terminology resulted in poor quality of care, lack of informed consent for reproductive procedures, and subsequent psychological and emotional distress. Undocumented women were less likely to report using strategies that leveraged social resources to improve language access and quality care.</p></div><div><h3>Conclusions</h3><p>Reproductive autonomy cannot be achieved without access to culturally and linguistically appropriate health care. Health care systems should ensure that comprehensive information is given to women, in a language and manner they can understand, with particular attention toward providing in-language services across multiple ethnicities. Multilingual staff and health care providers are critical in providing care that is responsive to immigrant women.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 618-625"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723000956/pdfft?md5=0789bb2900505f9f157df28bbf43b078&pid=1-s2.0-S1049386723000956-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9898505","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}
引用次数: 1
Impact of the Choose Well Contraceptive Access Initiative on Method Use Among Women Enrolled in South Carolina's Medicaid Program: A Mid-line Assessment “选择良好的避孕方法获取倡议”对参加南卡罗来纳州医疗补助计划的妇女使用方法的影响:一项中线评估。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.07.003
Nathan Hale PhD , Wondimu S. Manalew PhD , Edward Leinaar MPH , Michael Smith DrPH , Bisakha Sen PhD , Amal Khoury PhD
{"title":"Impact of the Choose Well Contraceptive Access Initiative on Method Use Among Women Enrolled in South Carolina's Medicaid Program: A Mid-line Assessment","authors":"Nathan Hale PhD ,&nbsp;Wondimu S. Manalew PhD ,&nbsp;Edward Leinaar MPH ,&nbsp;Michael Smith DrPH ,&nbsp;Bisakha Sen PhD ,&nbsp;Amal Khoury PhD","doi":"10.1016/j.whi.2023.07.003","DOIUrl":"10.1016/j.whi.2023.07.003","url":null,"abstract":"<div><h3>Introduction</h3><p><span>A six-year statewide contraceptive access initiative focused on equitable access to contraception, removing cost barriers, capacity building and training, raising consumer awareness, and expanding contraceptive care at safety net clinics was implemented in South Carolina beginning in 2017. This study assessed changes in contraceptive method use among women enrolled in the South Carolina </span>Medicaid program during the first three years of Choose Well.</p></div><div><h3>Methods</h3><p><span><span>Contraception use among a retrospective cohort of women aged 15 to 45 enrolled in South Carolina Medicaid from 2012 to 2020 was examined. Interrupted </span>time series </span>regression analysis was used to assess changes in the use of intrauterine devices (IUDs) and contraceptive implants between 2012 and 2016 and 2017 and 2020. Analyses were conducted for all women and stratified by age groups.</p></div><div><h3>Results</h3><p>Long-acting reversible contraception use increased from 8.5% during the pre-Choose Well period to 10.9% during the Choose Well period (<em>p</em> &lt; .001), with IUD use increasing from 4.3% to 5.2% (<em>p</em> &lt; .001) and implant use increasing from 4.6% to 6.0% (<em>p</em><span> &lt; .001). The interrupted time series analysis found a significant positive change in the average level of monthly IUD use after Choose Well began (0.493 percentage points; 95% confidence interval, 0.311–0.675). The effect was stronger among women 20 to 25 years of age. Choose Well significantly increased the trend in IUD use among all women by a positive 0.013 percentage points (95% confidence interval, 0.006–0.020) per month beyond expected values.</span></p></div><div><h3>Conclusions</h3><p>At the mid-point of the Choose Well Evaluation, the use of IUD methods increased significantly beyond what would be expected had pre-Choose Well trends continued. This was particularly evident among women 20 to 25 years of age. These findings suggest that Choose Well succeeded in reducing barriers to the use of IUDs.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 626-635"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9997330","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}
引用次数: 0
Maternal Health Experiences of Black Deaf and Hard of Hearing Women in the United States 美国黑人聋人和重听妇女的孕产妇健康经历。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.07.005
Kaila V.T. Helm BA , Tiffany L. Panko MD, MBA , Melanie Herschel CCRP , Lauren D. Smith MPH , Monika Mitra PhD , Michael M. McKee MD, MPH
{"title":"Maternal Health Experiences of Black Deaf and Hard of Hearing Women in the United States","authors":"Kaila V.T. Helm BA ,&nbsp;Tiffany L. Panko MD, MBA ,&nbsp;Melanie Herschel CCRP ,&nbsp;Lauren D. Smith MPH ,&nbsp;Monika Mitra PhD ,&nbsp;Michael M. McKee MD, MPH","doi":"10.1016/j.whi.2023.07.005","DOIUrl":"10.1016/j.whi.2023.07.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Deaf and hard of hearing (DHH) women are faced with numerous health inequities, including adverse pregnancy and birth outcomes. These outcomes are likely exacerbated for Black DHH women because of the intersection of disability and race. This study aimed to explore the pregnancy and birth experiences of Black DHH women to identify factors that influence their pregnancy outcomes.</p></div><div><h3>Methods</h3><p>Semistructured interviews were conducted between 2018 and 2019 with 67 DHH women who gave birth in the past five years. The present study represents a subgroup analysis of eight of the 67 women who self-identified as Black. Interviews were recorded, transcribed, and analyzed for emerging themes.</p></div><div><h3>Results</h3><p>Primary themes centered on unmet needs, barriers, and facilitators. Barriers included limited access to health information owing to communication difficulties and challenges obtaining accommodations. Key facilitators included the availability of sign language interpreters, familial support, and cultural understanding from providers. Participants emphasized these facilitators in their recommendations to providers and DHH women. Findings also underscored the critical role of recognizing cultural identity in perinatal health care delivery.</p></div><div><h3>Conclusions</h3><p>This study outlines themes that affect pregnancy and birthing experiences among Black DHH women in the United States. Study implications include a call to action for providers to prioritize communication accommodations, accessible information, and compassionate care for all Black DHH women. Furthermore, future work should explore the impact of cultural and racial concordance between patients and their health care<span> providers and staff. Understanding how intersectional identities affect perinatal health care access is crucial for reducing disparities among Black DHH women.</span></p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 610-617"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124468","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}
引用次数: 0
Canadian Newspapers Support Mifepristone Medication Abortion to Improve Fulfillment of the AAAQ Right to Health Framework (2015–2019) 加拿大报纸支持米非司酮药物流产,以改善AAAQ健康权框架的实现(2015-2019)。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.05.008
Tamil Kendall PhD , Pallavi Sriram MD , Amrit Parmar BA , Wendy V. Norman MD, MHSc
{"title":"Canadian Newspapers Support Mifepristone Medication Abortion to Improve Fulfillment of the AAAQ Right to Health Framework (2015–2019)","authors":"Tamil Kendall PhD ,&nbsp;Pallavi Sriram MD ,&nbsp;Amrit Parmar BA ,&nbsp;Wendy V. Norman MD, MHSc","doi":"10.1016/j.whi.2023.05.008","DOIUrl":"10.1016/j.whi.2023.05.008","url":null,"abstract":"<div><h3>Background</h3><p>In 2015, mifepristone in combination with misoprostol, the international gold standard for medication abortion, was approved for use in Canada. By 2019, all Canadian provinces had included the medication as a publicly insured health benefit.</p></div><div><h3>Methods</h3><p>Our content analysis of Canadian newspaper coverage describes arguments in favor of or against medication abortion and the evolving regulatory framework for mifepristone from 6 months before regulatory approval until the last significant regulatory barrier to use was removed (2015–2019).</p></div><div><h3>Results</h3><p>Our study found an exceptionally high level of support for the approval of, introduction of, and removal of regulatory barriers to mifepristone for medication abortion. Of 402 pieces, 67% were pro-medication abortion, 25% presented balanced or neutral coverage, and only 8% presented solely anti-medication abortion viewpoints. Of the 761 individuals quoted, more than 90% made positive or neutral statements about medication abortion. Most pieces discussed medication abortion as a health issue and described how liberalization of the regulatory framework would improve abortion availability (68%), accessibility (87%), acceptability (34%), and quality (28%).</p></div><div><h3>Conclusions</h3><p>Rather than formal balance, which presents contrasting arguments as equally valid even when the scientific evidence for one vastly outweighs the other, our study identified evidentiary balance, in which coverage aligned with the weight of evidence and expert opinion. Our results differ from analyses in other high-income countries (United Kingdom, United States) where media outlets frame abortion in relation to morality or electoral politics rather than as a health issue. The Canadian print media presented overwhelmingly favorable arguments toward the expansion of mifepristone medication abortion and framed the introduction and universal coverage of medication abortion as advancing the “Availability, Accessibility, Acceptability, and Quality” (AAAQ) Right to Health Framework that establishes international human rights standards for health information, facilities, goods, and services.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 592-599"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1049386723001081/pdfft?md5=36454b459400b4547671e4e552556479&pid=1-s2.0-S1049386723001081-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114395","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}
引用次数: 0
(Re)Framing Strength: How Superwoman Schema May Impact Perinatal Anxiety and Depression among African American Women 框架强度:女超人图式如何影响非裔美国妇女围产期焦虑和抑郁。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.05.003
Tamara Nelson PhD, MPH , Cecelela L. Tomi MSW , Samrawit B. Gebretensay BA
{"title":"(Re)Framing Strength: How Superwoman Schema May Impact Perinatal Anxiety and Depression among African American Women","authors":"Tamara Nelson PhD, MPH ,&nbsp;Cecelela L. Tomi MSW ,&nbsp;Samrawit B. Gebretensay BA","doi":"10.1016/j.whi.2023.05.003","DOIUrl":"10.1016/j.whi.2023.05.003","url":null,"abstract":"","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"33 6","pages":"Pages 568-572"},"PeriodicalIF":3.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9630289","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}
引用次数: 0
Association of Medicaid Expansion Under the Affordable Care Act With Medicaid Coverage in the Prepregnancy, Prenatal, and Postpartum Periods 根据《平价医疗法案》,医疗补助扩大协会在孕前、产前和产后期间提供医疗补助。
IF 3.2 2区 医学
Womens Health Issues Pub Date : 2023-11-01 DOI: 10.1016/j.whi.2023.08.002
Jiajia Chen PhD , Lijing Ouyang PhD , David A. Goodman PhD , Ekwutosi M. Okoroh MD , Lisa Romero DrPH, MPH , Jean Y. Ko PhD , Shanna Cox MSPH
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