Journal of women's health (2002)最新文献

{"title":"A Woman's Burden: Mental Health Outcomes Among US Women with Heavy Drinkers in Their Lives.","authors":"Deidre Patterson, Madhabika B Nayak, Thomas K Greenfield, Katherine J Karriker-Jaffe","doi":"10.1177/15409996251376926","DOIUrl":"https://doi.org/10.1177/15409996251376926","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> Alcohol's secondhand effects include violence, financial problems, and emotional abuse. We examined mental health among adult women with a heavy drinker in their life. <b><i>Methods:</i></b> Using a sample of 1,503 women (13.1% African American, 14.5% Hispanic, 64.7% White) from the nationally representative 2015 US National Alcohol's Harm to Others Survey, we examined associations of personal well-being and emotional distress with having a heavy drinker in one's life, having a heavy drinker in the household, and the degree of harm caused by a known heavy drinker in the past year. <b><i>Results:</i></b> Two in five women had a heavy drinker in their life, and 6% lived with a heavy drinker. Among those with a heavy drinker in their life, 22% of women reported being negatively affected in the past year. In adjusted models, women with a heavy drinker in their life rated their personal well-being significantly lower than women without a known heavy drinker. Those with a heavy drinker in their household also had significantly lower personal well-being. The degree of harm from a heavy drinker was linked to lower personal well-being and increased emotional distress. <b><i>Conclusions:</i></b> Women with a heavy drinker in their life were more likely to report lower personal well-being than women without a known heavy drinker, especially when the heavy drinker lived with them. Screening for exposure to heavy drinkers and interventions to support women, such as increasing social support and enhancing coping strategies, and policies to reduce alcohol use may help improve women's mental health.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014250","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":"Prenatal Body Image: Association with Disordered Eating Behaviors and Depressive Symptoms Across Pregnancy.","authors":"Michelle L Miller, Margaret H Drake, Emily B K Thomas, Kristen G Riedle, Michael W O'Hara","doi":"10.1177/15409996251371098","DOIUrl":"https://doi.org/10.1177/15409996251371098","url":null,"abstract":"<p><p><b><i>Background:</i></b> Disordered eating behaviors and depressive symptoms can be problematic during pregnancy for both the individual and their offspring. Our study aimed to determine the extent to which body image dissatisfaction early in pregnancy predicts eating disorder behaviors and/or depressive symptoms across pregnancy. <b><i>Methods:</i></b> Participants (<i>N</i> = 253) completed self-report assessments of depressive and eating disorder symptoms alongside the modified Body Image in Pregnancy Scale in their first, second, and third trimesters. Latent trajectory modeling was used to examine eating disorder behaviors and depressive symptoms across time. <b><i>Results:</i></b> Latent trajectory modeling demonstrated that body image-namely, Preoccupation with Body Size, Preoccupation with Attractiveness, and Dissatisfaction with Strength, Tone, and Flexibility-significantly predicted both disordered eating and depressive symptoms in the third trimester, even when controlling for body mass index, eating pathology symptoms, and depressive symptoms in the first trimester. Change in Dissatisfaction with Strength, Tone, and Flexibility across pregnancy also significantly predicted third-trimester disordered eating (<i>b</i> = 0.41, standard error [SE] = 0.12, <i>p</i> < 0.001) and depressive symptoms (<i>b</i> = 0.40, SE = 0.12, <i>p</i> = 0.001). <b><i>Conclusions:</i></b> Although depressive symptoms are often assessed during prenatal care, disordered eating behaviors during pregnancy are often missed. While it is unknown how many participants met criteria for an eating disorder or major depressive disorder given only self-report measures were utilized rather than clinical interviews, this study suggests that assessing body image concerns early during the first trimester could help to identify individuals who may benefit from psychological treatment during pregnancy.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014280","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":"Maternal Bone Mineral Density Changes during Pregnancy: A Longitudinal Prospective Study Using Radiofrequency Echographic Multi-Spectrometry.","authors":"Fabian Arechavaleta-Velasco, Laura Diaz-Cueto, Sergio Rosales-Ortiz","doi":"10.1177/15409996251372853","DOIUrl":"10.1177/15409996251372853","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> The contribution of bone resorption to fetal calcium demand during pregnancy is still unclear due to the methods used to study bone turnover. Recently, bone mineral density (BMD) was measured in the third trimester of pregnancy using radiofrequency echographic multi-spectrometry (REMS) technology, a nonionizing technique. Thus, the present study aimed to determine changes in maternal BMD during pregnancy in healthy women using REMS. <b><i>Methods:</i></b> A prospective cohort study was conducted among 164 pregnant women. Femoral neck BMD was determined in all patients once in each trimester by REMS densitometry. Lifestyle and demographic data were collected by interview. Previous reports in postmenopausal women identified two subpopulations based on the annual rate of bone loss; thus, the bone loss group was stratified into slow and fast bone loser groups. <b><i>Results:</i></b> BMD was significantly lower in the second and third trimesters compared with the first trimester. A wide interindividual variation in BMD change was observed; therefore, women were stratified into two groups: bone loss (<i>n</i> = 136) and bone gain (<i>n</i> = 28) according to the rate of BMD loss or gain from the first to third trimester. Binary logistic regression revealed that no calcium + vitamin D and no multivitamin intake were independent factors significantly associated with bone loss at the end of pregnancy. Fisher's exact test revealed a significant association between gravidity and fast bone loss. <b><i>Conclusions:</i></b> Decreased BMD during pregnancy is associated with no multivitamin intake and no calcium + vitamin D intake. In addition, fast bone loss is associated with the number of pregnancies.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144986596","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 Quantitative Assessments of Women's Bladder Health Knowledge, Attitudes, and Beliefs.","authors":"D Yvette LaCoursiere, Shayna D Cunningham, Camille P Vaughan, Lisa Kane Low, Haitao Chu, Alayne D Markland, Diane K Newman, Sheila Gahagan, Jean F Wyman","doi":"10.1089/jwh.2024.0997","DOIUrl":"10.1089/jwh.2024.0997","url":null,"abstract":"<p><p><b><i>Background:</i></b> To determine the need for an instrument to measure knowledge, attitudes, and beliefs (KAB) regarding bladder health for use in a population-based study of community-dwelling women, we performed a scoping review of the extant literature focusing on studies utilizing survey methodology to characterize bladder health KAB. <b><i>Objectives:</i></b> To synthesize quantitative studies on women's KAB regarding bladder health and characterize their survey instruments. <b><i>Methods:</i></b> A systematic search in Ovid Medline was conducted for articles published from January 1990 through April 2024. We included quantitative studies that used questionnaires to assess adolescent and adult women's bladder health KAB. Titles, abstracts, and full-text articles were screened, followed by data extraction of key study elements, questionnaire items, and quality. <b><i>Results:</i></b> We identified 83 articles across seven topic areas. Studies were conducted in 26 countries in clinically (52%) and community-based (47%) settings. The majority (74%) used cross-sectional designs. Most studies used investigator-designed instruments (<i>n</i> = 36), the Prolapse and Incontinence Knowledge Questionnaire (<i>n</i> = 20), Urinary Incontinence Quiz (<i>n</i> = 6), Knowledge, Attitudes, and Practice (<i>n</i> = 5), and the Urinary Incontinence Knowledge Scale (<i>n</i> = 4). The 33,444 respondents generally had limited knowledge of urinary incontinence. Although awareness of pelvic floor muscle exercises was high, respondents often could not articulate performance or indications. Few studies assessed bladder health and function, and there were limited data on attitudes and beliefs. <b><i>Conclusions:</i></b> There is some evidence regarding women's knowledge of bladder and pelvic floor dysfunctions, particularly urinary incontinence, but less is known about women's knowledge of other bladder health topics. Even fewer data exist on bladder health attitudes and beliefs. Survey instruments that comprehensively assess bladder health are needed.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1099-1124"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328480","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":"Exploring Allostatic Load as an Objective Measure of Stress Among U.S. Women With and Without HIV: A Pilot Study.","authors":"Katherine C Hall, Masoumeh Karimi, Laree M Hiser, Wondwosen Yimer, Ilene Brill, Pariya L Fazeli, Maria L Alcaide, Marlene Camacho-Rivera, Aruna Chandran, Mardge H Cohen, Andrew Edmonds, Anjali Sharma, Amanda Spence, Sheri D Weiser, Gina Wingood, Deborah Konkle-Parker","doi":"10.1089/jwh.2024.0814","DOIUrl":"10.1089/jwh.2024.0814","url":null,"abstract":"<p><p><b><i>Background:</i></b> Stress has been found to be linked to adverse health outcomes. Having an objective measure of stress to complement validated self-reported stress measures is helpful for assessing the impact of interventions aimed at reducing stress and measuring its associations with health outcomes. Allostatic load is an objective measure that summarizes stress's impact on multiple physiological systems. However, inconsistent combinations of indicators in an allostatic load index (ALI) are found in literature. The purpose was to (1) explore the ability to identify a set of indicators for inclusion in an ALI related to perceived stress and (2) explore the ability of the calculated ALI to identify an association between ALI and Perceived Stress Scale (PSS) score category among a small sample of women with HIV and comparable women without HIV. <b><i>Materials and Methods:</i></b> Data were from participants of the Women's Interagency HIV Study in the United States during 2014-2019 whose PSS score on the PSS-10 questionnaire were in the highest (<i>n</i> = 103) and lowest (<i>n</i> = 103) quartiles for the cohort. The pilot study explored an ALI based on a combination of 15 indicators selected from a literature review. Stepwise regression and logistic regression were used to perform the preliminary analysis. <b><i>Results:</i></b> Stepwise regression models identified five indicators for an ALI based on PSS scores. A positive association was found where the ALI predicted membership in the higher stress group (odds ratio = 1.62; 95% confidence interval: 1.11, 2.37; <i>p</i> = 0.012). <b><i>Conclusion:</i></b> This pilot study identified a concise set of ALI indicators that may be useful for future stress research and practice. Although preliminary, the identification of an ALI for operationalizing stress may provide a cost-effective and straightforward tool for future research. With further refinement, this measure could offer a method for researchers studying chronic stress, with potential for future clinical application for managing stress-related health outcomes.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1090-1098"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Adenomyotic Abnormal Bleeding and Prevalence of Bacterial Vaginosis.","authors":"Arielle N Valdez-Sinon, Aileen Zhang, Yunzhi Wang, Miranda R Jones, Sarah Olson, Kristin Voegtline, Marie Bielman, Anna M Powell, Bhuchitra Singh, James H Segars","doi":"10.1089/jwh.2025.0115","DOIUrl":"10.1089/jwh.2025.0115","url":null,"abstract":"<p><p><b><i>Background:</i></b> Bacterial vaginosis (BV) is one of the most common vaginal conditions and is associated with significant obstetric and gynecological risks. Previous studies have demonstrated an association between menses and the vaginal dysbiosis underlying the development of BV. Given this association, we hypothesized that increased vaginal bleeding, such as abnormal uterine bleeding (AUB) caused by adenomyosis, might increase the risk of developing BV. <b><i>Objective:</i></b> This study assesses whether AUB in patients with adenomyosis was associated with BV diagnoses. <b><i>Methods:</i></b> We performed a retrospective study of 372 patients diagnosed with adenomyosis between 2016 and 2020 at a tertiary care center. Characteristics of patients who developed BV within 3 years of adenomyosis diagnosis were compared to patients without subsequent BV diagnoses. <b><i>Results:</i></b> The prevalence of BV in patients diagnosed with adenomyosis between 2016 and 2020 was 19.4%. Patients who developed BV following their diagnosis of adenomyosis had higher rates of menorrhagia than those who did not develop BV (<i>p</i> < 0.01). While patients with BV were primarily diagnosed with adenomyosis by radiological findings, patients without BV were mostly diagnosed with adenomyosis by post-hysterectomy histopathologic evaluation. Treatment of adenomyosis-related symptoms was significantly different between the two study groups. There was also a positive association between the prevalence of menorrhagia and the number of BV episodes, demonstrating a relationship between AUB and BV. <b><i>Conclusions:</i></b> This study provides evidence for an association between the menorrhagia caused by adenomyosis and a diagnosis of BV. Based on these findings, prospective studies are needed to assess the contribution of abnormal uterine bleeding pathologies to the development of BV.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1166-1172"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532831","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":"Assessing Patient Demographics Associated with Telehealth and In-Person Contraceptive Care at a Tertiary Care Institution.","authors":"Amanda S Farrell, Anna Roselle, Elysia Larson, Annliz Macharia, Sara Neill","doi":"10.1089/jwh.2024.0484","DOIUrl":"10.1089/jwh.2024.0484","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To describe the patient population accessing in-person versus telehealth contraceptive care and to identify demographic disparities in telehealth care utilization. <b><i>Design:</i></b> We conducted a retrospective chart review of patients accessing telehealth and in-person contraceptive care at an academic health center between January 1, 2021, and December 31, 2021. Billing data were used to identify medical records for patients aged 18-54 who had a contraceptive visit during this time. Demographic and past medical history were collected from the electronic health record. <b><i>Results:</i></b> A total of 1,435 unique patients were included. Of 1,691 total visits, 16% were telehealth visits. Being publicly insured was significantly associated with decreased likelihood of having a telehealth visit compared with an in-person visit and remained so after adjusting for race, marital status, and language (adjusted risk ratio [aRR]: 0.51, confidence interval [CI]: 0.33-0.78). Individuals aged 45 years and older were less likely to have telehealth visits (aRR: 0.52, CI: 0.27-1.02). Being single was positively associated with accessing telehealth contraceptive care (aRR: 1.57, CI: 1.06-2.23). There were no statistically significant associations by race or ethnicity. Intrauterine devices were the most commonly prescribed contraceptive type after an in-person visit (35%) while oral contraceptives were the most commonly prescribed after telehealth visits (37%). <b><i>Conclusions:</i></b> Our study found decreased utilization of telehealth for contraceptive care among patients who are publicly insured and older than 45. We found no differences in the use of telehealth for contraceptive care by race, ethnicity, or language. Telehealth is a powerful tool with the potential to increase equity in health care. It is important to continue research to understand how patient demographics affect use of telehealth for contraceptive care to facilitate more equitable access.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1135-1139"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144319194","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":"Impact of Medicaid Coverage of Tele-Mental Health Services on Postpartum Mental Health Services: Evidence from Massachusetts.","authors":"Chanup Jeung, Laura B Attanasio, Kimberley H Geissler","doi":"10.1089/jwh.2024.1152","DOIUrl":"10.1089/jwh.2024.1152","url":null,"abstract":"<p><p><b><i>Background:</i></b> Tele-mental health services have the potential to reduce barriers to postpartum mental health care, particularly for Medicaid-insured individuals who face geographic and logistical challenges. In January 2019, Massachusetts Medicaid became one of the few states to implement payment parity for tele-mental health services before the COVID-19 pandemic, ensuring equal coverage for tele-mental health and in-person visits. This policy change provides a unique opportunity to evaluate whether payment parity improves postpartum mental health service utilization. This study aimed to estimate the impact of Massachusetts Medicaid's coverage of tele-mental health services at parity with in-person visits on postpartum mental health service utilization among Medicaid-insured birthing individuals. <b><i>Methods:</i></b> A difference-in-differences (DD) analysis using the Massachusetts All-Payer Claims Database from January 1, 2016, to March 10, 2020. This study compared Medicaid and privately insured individuals before and after Massachusetts implemented tele-mental health payment parity in January 2019. <b><i>Results:</i></b> Among the 138,669 individuals in the sample, 81,494 were covered by Medicaid, and 57,175 were privately insured. Postpartum tele-mental health use was minimal across the sample (0.07%). The adjusted DD analysis indicated no statistically significant increase in tele-mental health utilization among Medicaid enrollees compared to privately insured individuals (adjusted difference: 0.08 percentage points; 95% CI: -0.02 to 0.17). <b><i>Conclusion:</i></b> The implementation of tele-mental health payment parity did not significantly increase tele-mental health utilization among Medicaid-insured birthing individuals in Massachusetts. Despite policy changes, systemic barriers likely limited the uptake of tele-mental health services, highlighting the need for additional interventions to improve access to postpartum mental health care.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1075-1083"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144218517","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":"The Mediating Role of Social and Environmental Determinants of Health in the Association Between Race and Preterm Birth Risk.","authors":"Julia J Brittain, Shawn J Latendresse, Ananda B Amstadter, Jerome F Strauss, Timothy P York","doi":"10.1089/jwh.2024.1076","DOIUrl":"10.1089/jwh.2024.1076","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To evaluate the mediating role of social and environmental determinants of health (SEDH) in the relationship between self-identified race and preterm birth risk. <b><i>Methods:</i></b> Data on birth outcomes and five broad domains of SEDH were obtained from the Pregnancy, Race, Environment, Genes study, a prospective cohort of pregnant women (50% Black American) in Richmond, Virginia. Configural consistency across racial groups for SEDH domains assessed <i>via</i> multiple indicators was evaluated using unidimensional confirmatory factor models. Mediation models tested the extent to which individual variables/constructs and broader SEDH domains accounted for the association between self-identified <i>race</i> and <i>gestational age at delivery</i> (<i>GAD</i>). <b><i>Results:</i></b> Economic Stability, Education, Health/Health Care, and Social/Community Context showed evidence of mediation through one or more specific subdimensions. Education and Economic Stability fully mediated the association between <i>race</i> and <i>GAD</i>, indexed by maternal educational attainment and current job duration, respectively. In contrast, consideration of Social/Community Context exposed an even larger association between <i>race</i> and <i>GAD</i>. <b><i>Conclusions:</i></b> This study highlights the role of specific and broader SEDH domains in the association between <i>race</i> and spontaneous preterm birth (PTB) risk. Findings underscore the significant impact of educational access and economic security on reproductive outcomes.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1064-1074"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311202","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":"Postpartum Primary Care in the United States: A Scoping Review of the Evidence Base and Opportunities.","authors":"Rachel D'Amico Gordon, Jenna Hatab, Christiane E Voisin, Shannon L Gillespie, Alicia Bunger, Mariela Rodriguez Miranda, Tamare P Piersaint, Rochanda Mitchell, Seuli Bose Brill","doi":"10.1089/jwh.2024.0813","DOIUrl":"10.1089/jwh.2024.0813","url":null,"abstract":"<p><p><b><i>Background:</i></b> The United States is experiencing a maternal health crisis that continues to worsen in the face of racial/ethnic disparities, rising chronic disease burden among birthing patients, and policy barriers to health care access. Longitudinal postpartum primary care is critical to mitigating these trends, but current rates of use are low, and evidence-based interventions are limited. This scoping review aims to understand the current literature and components of the Chronic Care Model (CCM) used in postpartum primary care and its impact on maternal health outcomes. <b><i>Methods:</i></b> We identified 74 studies published between 2000 and 2023 through comprehensive searches of four databases. Extracted data was synthesized for their impact on maternal health, including equity considerations and the primary CCM element. <b><i>Results:</i></b> The studies were collated based on their primary maternal health priority (general health <i>n</i> = 13, depression and anxiety <i>n</i> = 34, diabetes <i>n</i> = 3, hypertension <i>n</i> = 5, adolescent parents <i>n</i> = 6, and substance use disorder <i>n</i> = 13). The most common CCM elements were Delivery System Design and Self-Management Support. The least common CCM element was Clinical Information Systems, with electronic health record challenges noted as a barrier. We identified successful interventions that increased depression screening, postpartum hypertension follow-up <i>via</i> telehealth, and integrated contraceptive education within shared parent-child medical homes for adolescent parents. Interventions were largely feasible and acceptable for both patients and clinicians. <b><i>Conclusions:</i></b> This review highlights several potential strategies to improve and scale longitudinal postpartum primary care. Further work is needed to ensure equitable delivery, improved connection with community resources, and to expand informatics in postpartum care.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1140-1165"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153300","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}