Journal of women's health (2002)最新文献

{"title":"Understanding the Reach and Impact of the Centers for Disease Control and Prevention's Women's Health Research, 2018-2023.","authors":"Victoria E Dunkley, Joy Ortega, Martha Knuth, Christie Kim, Mary G Reynolds, Bao-Ping Zhu","doi":"10.1177/15409996251379401","DOIUrl":"10.1177/15409996251379401","url":null,"abstract":"<p><p>Understanding the public health impact of women's health research is crucial for improving health outcomes and guiding future research priorities. Bibliometric analysis offers a unique suite of tools to identify opportunities to increase impact and measure the dissemination of women's health research. Using 2018-2021 mortality data from the National Vital Statistics System, we utilized age-adjusted death rates to identify conditions with the highest relative mortality risk for females versus males. Our analysis showed that breast cancer, Alzheimer's disease, infections of the kidney, and acute rheumatic fever and chronic rheumatic heart diseases were associated with the highest relative mortality risk for females. Using a systematic keyword search strategy, we identified 219 Centers for Disease Control and Prevention (CDC)-authored publications published between 2018 and 2023 featuring these conditions in a database of CDC-authored publications. For relevant publications on each condition, we evaluated five bibliometric indicators measuring media attention, academic citations, and policy citations. Overall, CDC's publications on these conditions did not demonstrate a gap in media attention, academic citations, and policy citations compared with other agency publications, underscoring the agency's effectiveness in disseminating its research on these topics. Assessing bibliometric indicators for published research on conditions with disproportionate relative mortality risk for females can reveal potential gaps in research coverage, highlight research successes, and inform strategic decisions for disseminating women's health research.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145116036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Female Sexual Dysfunction with Medical Conditions, Life Changes, and Gynecological Conditions: A Cross-Sectional Study of Women.","authors":"Hannah Ahrendt, Elizabeth E Stanley, Stephen Rhodes, Adonis Hijaz, Rachel J Pope","doi":"10.1177/15409996251379727","DOIUrl":"https://doi.org/10.1177/15409996251379727","url":null,"abstract":"<p><p><b><i>Background:</i></b> Female sexual dysfunction is a prevalent medical condition defined as a distressing problem with sexual pain, desire, arousal, or orgasm; however, little epidemiological research on dysfunction accounts for participants' distress. Our objective was to evaluate associations between potential risk factors and sexual dysfunction among women, in order to inform clinical care. <b><i>Methods:</i></b> This cross-sectional survey of women in Ohio, Michigan, and Pennsylvania screened for sexual dysfunction using the Female Sexual Function Index (FSFI) and Female Sexual Distress Scale (FSDS). Respondents' perceived cause of decreased desire was evaluated using the Decreased Sexual Desire Screener. Multivariable logistic regression was used to identify factors (i.e., chronic medical conditions, life changes, or gynecological conditions) associated with sexual activity in the past 6 months, sexual problems, sexual distress, sexual dysfunction, and decreased desire. <b><i>Results:</i></b> Among the 1,390 respondents, the median age was 48, 49% (693) were sexually active in the past 6 months, and 622 completed the FSFI and FSDS. Of these 622, 49% (306) were experiencing sexually-related distress (FSDS ≥ 11), 50% (311) were experiencing sexual problems (FSFI ≤ 26.55), 39% (242) met criteria for sexual dysfunction (FSFI ≤ 26.55 and FSDS ≥ 11), and 27% (166) had experienced a decrease in desire. Having at least one medical condition was associated with experiencing sexual dysfunction (aOR = 2.50, 95% CI: 1.60-3.97), sexually related distress (aOR = 2.74, 95% CI: 1.80-4.23), and decreased desire (aOR = 2.54, 95% CI: 1.52-4.41). Having at least one gynecological condition was associated with experiencing sexual dysfunction (aOR = 1.81, 95% CI: 1.27-2.59), sexually-related distress (aOR = 1.94, 95% CI: 1.37-2.77), and decreased desire (aOR = 2.18, 95% CI: 1.48-3.25). <b><i>Conclusions:</i></b> Chronic medical conditions and gynecological conditions are associated with sexual dysfunction, sexually related personal distress, and decreased desire. When a new condition is diagnosed, health care professionals should inquire about the patient's sexual concerns.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and Ethnic Differences in Postpartum Pain and Opioid Consumption after Cesarean Delivery.","authors":"Jenna M Wilson, Emily Rosado, Angelina R Franqueiro, Jingui He, Cody R Sain, Ayumi Maeda, Michaela K Farber, Lawrence C Tsen, Antje M Barreveld, Samantha M Meints, Victoria R Falso, James P Rathmell, Mieke Soens, Kristin L Schreiber","doi":"10.1177/15409996251379391","DOIUrl":"https://doi.org/10.1177/15409996251379391","url":null,"abstract":"<p><p><b><i>Background:</i></b> Retrospective studies suggest that Black and Hispanic patients may experience greater postpartum pain and receive fewer analgesic medications after cesarean delivery compared with Asian and White patients. This study prospectively investigated racial and ethnic differences in postpartum pain and opioid consumption. <b><i>Methods:</i></b> In this prospective, observational study conducted from 2018 to 2021, women scheduled for cesarean delivery completed validated psychological and pain questionnaires. On postoperative days (PODs) 0-2, nurses assessed pain (0-10) and administered opioid analgesics as needed. Average and maximal pain severity scores across PODs 0-2 were calculated. Administered opioid doses were converted to morphine milligram equivalents and normalized per hour (MME/hour) across PODs 0-2. Analyses of covariance examined racial and ethnic differences in postpartum pain and opioid consumption, controlling for maternal age, body mass index, preoperative pain severity, cesarean delivery type, and surgical duration. <b><i>Results:</i></b> Patients (<i>N</i> = 641) identified as African American (<i>n</i> = 67, 10.5%), Asian (<i>n</i> = 38, 5.9%), Hispanic/Latina (<i>n</i> = 64, 10%), and White (<i>n</i> = 472, 73.6%). No significant racial or ethnic differences were observed in preoperative psychological factors, including anxiety, depression, and pain catastrophizing. African American and Hispanic/Latina patients experienced greater postpartum pain and received higher opioid doses (MME/hour) than Asian and White patients. <b><i>Conclusion:</i></b> Substantial variability in postpartum pain was observed within each racial and ethnic group, highlighting the importance of factors beyond race and ethnicity that may modulate pain. Given the lack of significant differences in psychological factors assessed, future research should investigate additional psychosocial factors (e.g., experiences of discrimination) and resilience factors (e.g., optimism) that may help identify targets for intervention.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertension and Obesity in Women with PCOS: Now Is the Time to Improve Women's Care.","authors":"Damian G Romero, Ahmed M Abdelhameed, Manar A Eissa, Licy L Yanes Cardozo","doi":"10.1177/15409996251380342","DOIUrl":"https://doi.org/10.1177/15409996251380342","url":null,"abstract":"","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of Polycystic Ovary Syndrome and Non-Hispanic Black Race Are Predictive of Hypertension in Reproductive Age Women with Polycystic Ovary Syndrome.","authors":"Faith Okifo, Lubna Pal, Margaret Mushi, Nina Stachenfeld","doi":"10.1177/15409996251376161","DOIUrl":"https://doi.org/10.1177/15409996251376161","url":null,"abstract":"<p><p><b><i>Introdution:</i></b> Hypertension (HTN), metabolic syndrome (MetS), and obesity are common in women with polycystic ovary syndrome (PCOS); these comorbidities may be more common in non-Hispanic Black (NHB) and Hispanic women with PCOS. <b><i>Methods:</i></b> We examined electronic health records in an academic health care system using International Classification of Diseases, Tenth Revision, diagnostic codes to identify PCOS cases (<i>n</i> = 4,479) and control women (<i>n</i> = 771). We examined associations between PCOS and blood pressure (BP) (<i>elevated BP [Stage 0 HTN], Stage 1, Stage 2 HTN, and overall HTN [Stages 1 and 2]</i>), with obesity (class 1 [body mass index or BMI, 30-<35 kg/m²], class 2 [BMI, 35-<40 kg/m²], and class 3 [BMI, ≥40 kg/m²]), and pre-metabolic syndrome (pre-MetS). Analyses were stratified by obese, BMI ≥30 kg/m² versus nonobese, BMI <30 kg/m². Age, race, and ethnicity were included as covariates for all adjusted analyses. Associations are presented as adjusted odds ratio (aOR) and 95% confidence interval (CI) for logistic regression and β coefficient (SEM) for linear regression analyses. PCOS had higher BMI (33 [27-40]) than controls (29 [23-33], <i>p</i> = 0.001), and obese PCOS had 35% greater HTN incidence (aOR 1.35, 95% CI 1.05-1.75). <b><i>Results:</i></b> Independent of PCOS, nonobese NHB were ∼60% more likely to be hypertensive (aOR 1.57, 95% CI 1.14-2.17). Obese Hispanic women were less likely to have Stage 1 (aOR 0.59, 95% CI 0.46-0.75), whereas nonobese Hispanic women were more likely to have Stage 1 (aOR 1.52, 95% CI 1.04-2.24) HTN. PCOS was six-fold more likely to have class 3 obesity versus controls (aOR 6.29, 95% CI 4.60-8.60). Adjusting for age, race, and ethnicity, PCOS (aOR 2.25, 95% CI 1.77-2.86) and NHB (aOR 1.83, 95% CI 1.53-2.20) had an increased likelihood for pre-MetS. <b><i>Conclusions:</i></b> Independent of PCOS, nonobese NHB women were more likely to be hypertensive and pre-MetS compared with other races. Our findings indicate roles for race and ethnicity on BP and metabolic regulation in PCOS.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estrogen Therapy Use in Early-Stage Endometrial Cancer Survivors.","authors":"Dewonna Ferguson, Sara Shihab, Kristina Butler, Suneela Vegunta","doi":"10.1177/15409996251380344","DOIUrl":"https://doi.org/10.1177/15409996251380344","url":null,"abstract":"","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's Unique Health Needs and the Sustainable Development Goals: A Meeting Report from the 79th United Nations General Assembly Science Summit.","authors":"Irene O Aninye, Sarah Chew, Nicole Althaus, Michele Barry, Ru-Fong Cheng, Carolyn Harris, Eleanor Nwadinobi, Beth Battaglino, Aisha K Brooks, Janna Guinen, Anuradha Gupta, Mitzi Krockover, Rachel Sturke, Marleen Temmerman","doi":"10.1177/15409996251377432","DOIUrl":"https://doi.org/10.1177/15409996251377432","url":null,"abstract":"<p><p>Biological sex, hormones, and gender uniquely affect health and disease, often resulting in disparities for women across the lifespan and from different racial and ethnic groups, geographical locations, and socioeconomic backgrounds. Without intentional investment and infrastructure to support good health and wellbeing for women, half of the world's population remains vulnerable to preventable morbidity and mortality. The Society for Women's Health Research and ECHAlliance-The Global Health Connector convened a women's health program as part of the 10th Annual Science Summit during the United Nations 79th General Assembly. This hybrid event was held in New York, NY, (USA) and virtually in September 2024. The program entitled \"Women's Unique Health Needs and the Sustainable Development Goals\" comprised a series of discussions about preventive care, policy infrastructure, and workforce inclusivity to promote advancements in women's health care, research, leadership, and policymaking to achieve the Sustainable Development Goals. This report highlights key points from each session and opportunities to engage in efforts to close the global gender health gap.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145035055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parity, Age at Childbirth, and Later-Life Health-Related Quality of Life in Postmenopausal Women.","authors":"Zailing Xing, Amy C Alman, Henian Chen, Mary Ashley Cain, Russell S Kirby","doi":"10.1177/15409996251374597","DOIUrl":"https://doi.org/10.1177/15409996251374597","url":null,"abstract":"<p><p><b><i>Objective:</i></b> We aimed to examine the long-term effects of parity, age at first childbirth, and age at last childbirth on later-life health-related quality of life (HRQoL) in postmenopausal women. <b><i>Materials and Methods:</i></b> The Women's Health Initiative data included 15,416 postmenopausal women with repeated measures in HRQoL. We used propensity score matching to create matched samples, where each exposure group was matched with a reference group based on their propensity scores. We employed mixed-effects models to examine the associations of parity and age at childbirth with HRQoL. We performed multiple mediation analyses to assess the effects of potential mediators on the associations. <b><i>Results:</i></b> The overall HRQoL scores of women with parity of 4 and 5+ compared to parity of 2 significantly increased by 1.4 (95% confidence interval [CI]: 0.56-2.24) and 1.3 (95% CI: 0.36-2.24), respectively. Having the last childbirth after 40 was associated with increased overall HRQoL by 2.2 (95% CI: 0.50-4.4). However, the HRQoL for women with age at first childbirth of <20 was reduced by 2.7 (95% CI: 1.66-3.74) compared to age at first childbirth of 25-29. In multiple mediation analyses, we identified the path: age at first childbirth of <20 → premature menopause → reduced HRQoL. <b><i>Conclusions:</i></b> The mixed-effects models demonstrated that age at first childbirth of <20 was related to decreased HRQoL over time, while parity of 4 and ≥5 and late age at last childbirth were associated with increased HRQoL. Premature menopause significantly mediated the association between young age at first childbirth and reduced HRQoL.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145035092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cervical Cancer Screening: Perspectives from an Interdisciplinary Lens to Inform Future Research, Practice, Policy, and Intervention Strategies.","authors":"Preeti Pushpalata Zanwar","doi":"10.1177/15409996251370876","DOIUrl":"https://doi.org/10.1177/15409996251370876","url":null,"abstract":"","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Scoping Review of Women with Physical Disabilities and Cervical Cancer Screening.","authors":"Diane M Harper, P F Anderson, LaTeesa N James, Martha Alves, Susan Ernst, Angela McGrady, Claire Kalpakjian","doi":"10.1177/15409996251374587","DOIUrl":"https://doi.org/10.1177/15409996251374587","url":null,"abstract":"<p><p><b><i>Background:</i></b> Women with physical disabilities (WWPDs) have lower screening rates for cervical cancer than the general population globally. This scoping review aims to define the type of studies and content of studies currently available to promote cervical cancer screening among WWPDs. It seeks to clarify the type of disabilities WWPDs have that lead to the poorest participation in cervical cancer screening and highlight how health care systems can address the disclosed gaps. <b><i>Methods:</i></b> We developed our scoping review in compliance with the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for Scoping Review. We reviewed Ovid Medline, Scopus, and REHABDATA sources with librarian-created search strategies between August 2, 2021, and September 2023. <b><i>Results:</i></b> We identified 891 articles from OVID Medline, 1,237 from Scopus, and 27 from REHABDATA for 2,155 articles. After removing duplicates and articles with exclusion criteria, 17 articles remained for full review. Their study designs were limited to cohort and cross-sectional studies. The definition of disability was either self-described or a medical diagnosis. Eighty-two percent of the studies used secondary data sources, and nearly all came from high-income countries. Cervical cancer documentation was self-reported for some and medically linked for others, but all occurred in the physician's office. No study described the cervical cancer screening technique. The severity of disability and the increasing age of the WWPDs led to less screening. <b><i>Conclusions:</i></b> The gaps identified included the need for studies to address self-sampling for primary HPV testing for WWPDs for future increases in cervical cancer screening.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}