Journal of women's health (2002)最新文献

{"title":"Physical Activity and Menstrual Health Symptoms and Characteristics: A Systematic Review and Meta-Analysis of Observational Studies.","authors":"Lucy I M Buchanan-Smith, Adrian Ho Pang, Natania K Yeshitila, Emilia Nygaard Parsons, Joanna M Blodgett","doi":"10.1177/15409996251365804","DOIUrl":"https://doi.org/10.1177/15409996251365804","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> There is some evidence that structured exercise may improve menstrual health outcomes; however, it is unclear if habitual or lifestyle physical activity (PA) is also a protective factor. This systematic review synthesizes existing observational studies examining associations between PA and menstrual health outcomes. <b><i>Methods:</i></b> Medline, Embase, Web of Science, and SportDiscus were searched to identify peer-reviewed, English-language articles examining associations between PA and menstrual health in observational studies. Random-effects meta-analyses of differences in menstrual health outcomes between no-to-low PA and medium-high PA groups were conducted where possible, and narrative synthesis was used where heterogeneity was too high. <b><i>Results:</i></b> Of 3,620 studies screened, 82 (<i>n</i> = 101,413 women) were included. Outcomes explored included symptoms, such as pain (<i>n</i> = 32 studies) and premenstrual syndrome (PMS; <i>n</i> = 33), and cycle characteristics, such as regularity (<i>n</i> = 20), cycle length (<i>n</i> = 14), bleed length (12=), flow (<i>n</i> = 10), and other \"menstrual problems\" (<i>n</i> = 7). Meta-analyses suggested lower PA levels were associated with higher odds of menstrual pain (1.67 [95% CI: 1.31-2.11]; 21 studies), PMS (1.22 [1.03-1.45]; 18 studies), and cycle irregularity (1.73 [0.92-3.24]; 11 studies). Associations between PA and bleed length, cycle length, and flow were mixed. Study quality was low (mean 3.3/7; SD: 1.1), with most studies relying on cross-sectional designs, self-reported PA measures, and inconsistent definitions of menstrual health outcomes. <b><i>Conclusions:</i></b> This review found strong evidence suggesting high PA levels are associated with reduced menstrual symptoms but mixed evidence for menstrual characteristics. Despite methodological limitations, PA appears to be a promising, low-cost, and accessible intervention for menstrual health. Future research should standardize methodologies, exploring PA types and intensities to develop effective guidelines for managing menstrual health.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791795","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":"Cardiometabolic Diseases During Pregnancy and Their Impact on Long-Term Health.","authors":"Paru David, Rujuta Takalkar, Suneela Vegunta","doi":"10.1089/jwh.2025.0281","DOIUrl":"10.1089/jwh.2025.0281","url":null,"abstract":"","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1058-1060"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278085","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":"Pharyngeal <i>Chlamydia trachomatis</i> Screening in Women: A Retrospective Study.","authors":"Esra Berber, Vincent Le Moing, Nacim Benchabane, Jordan Lejeune, Marie Bistoquet, Cyril Perrollaz, Charlotte Boullé","doi":"10.1089/jwh.2025.0123","DOIUrl":"10.1089/jwh.2025.0123","url":null,"abstract":"<p><p><b><i>Background:</i></b> <i>Chlamydia trachomatis</i> (CT) infections are among the most prevalent sexually transmitted infections (STIs), particularly affecting young adults. In women, CT can cause pelvic inflammatory disease, infertility, and ectopic pregnancy, justifying routine vaginal swab screening. However, due to diverse sexual practices, CT can colonize multiple anatomical sites, including the pharynx. Pharyngeal CT carriage in women is underdiagnosed and may contribute to ongoing transmission. <b><i>Objectives and Methods:</i></b> This study aimed to assess the rate of pharyngeal CT carriage, describe the rate of isolated pharyngeal CT carriage, and identify factors with pharyngeal CT carriage. We conducted a retrospective study at Montpellier University Hospital (France) and the public STI clinic of the city, including all cisgender women who provided at least one pharyngeal sample for CT testing between May 1^st, 2018, and June 30, 2023. <b><i>Results:</i></b> A total of 567 women (median age 24 years) contributed 666 samples. Pharyngeal CT carriage was found in 2.8% of the population. Most cases were concurrent with vaginal CT, but 5 women had isolated pharyngeal carriage, representing 0.9% of the study population and accounting for 11.1% of detected cases. Young age and a history of CT infection appeared to be independently associated with pharyngeal CT carriage in multivariate mixed model analysis. <b><i>Conclusion:</i></b> We observed a pharyngeal CT carriage rate consistent with the literature, which was low but not insignificant. Notably, 11.1% of CT infections would have been missed without pharyngeal screening, underscoring the importance of considering extragenital testing.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"1016-1024"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144218566","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":"With Increasing Vaccination Reluctance, Does Rubella Immunity Predict Rubeola Immunity Well Enough?","authors":"Rachel Marohl, Kortni McCormick, Hayrettin Okut, Jennifer Keomany, David Wallace, David A Grainger, Laura Tatpati","doi":"10.1089/jwh.2024.0975","DOIUrl":"10.1089/jwh.2024.0975","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Recent outbreaks of measles (rubeola) have underscored the importance of immunity and vaccination. By late 2019, measles had a decade of rising cases, culminating in widespread outbreaks. The COVID-19 pandemic exacerbated this event due to disruptions in healthcare services. Unlike rubella, rubeola testing is not routinely performed in the United States. The objective of this study is to evaluate rubella and rubeola immunization status and the potential concordance between rubella and rubeola immunity. <b><i>Methods:</i></b> This was a retrospective study of patients treated at a single reproductive endocrinology clinic between January 1, 2015, and March 31, 2019. Patients were excluded if rubella or rubeola results were missing. Results were classified as immune (positive) or nonimmune (negative or indeterminate). Logistic regression analysis was used to predict immunity status based on factors such as age, body mass index, and race. <b><i>Results:</i></b> Of 524 cases, 387 (73.9%) patients were immune to both rubella and rubeola while 86 (16.4%) exhibited immunity to rubella only. There was a statistically significant difference in concordance between rubeola and rubella immunity (<i>p</i> = 0.0014) with more immune to rubella (90.3%, <i>n</i> = 473) compared with rubeola (72.2%, <i>n</i> = 415). Nearly two-thirds of patients reported receiving the measles, mumps, and rubella (MMR) vaccine (<i>n</i> = 361, 68.9%). Most patients were white/Caucasian (<i>n</i> = 442, 84.45%), obese or morbidly obese (<i>n</i> = 247, 47.1%), and >30 years old (<i>n</i> = 276, 52.7%). <b><i>Conclusions:</i></b> Rubella immunization status does not definitively predict rubeola immunity. Given increasing risk of measles outbreaks in the United States, prenatal testing for rubeola could prove beneficial.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":"973-978"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268441","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":"Associations Between Emotional Distress and Lower Urinary Tract Symptoms Among Somali Women Who Have Experienced Female Genital Cutting.","authors":"Sonya S Brady, Ryan Rahm-Knigge, Beatrice Bean E Robinson, Nissrine Nakib, Jennifer Jo Connor","doi":"10.1177/15409996251363801","DOIUrl":"https://doi.org/10.1177/15409996251363801","url":null,"abstract":"<p><p><b><i>Background:</i></b> Associations between different forms of emotional distress (depression, anxiety, posttraumatic stress) and lower urinary tract symptoms (LUTS) among general populations of women are well established. <b><i>Objective:</i></b> To contribute to culturally informed clinical practice, this study examines the association between emotional distress and LUTS among Somali migrant women who have experienced female genital cutting (FGC). <b><i>Methods:</i></b> Data was analyzed from the Our body, Our health study of Somali women (<i>n</i> = 300; mean age, 36 years). Data were collected <i>via</i> audio computer-assisted self-survey between September 2021 and April 2023. The Refugee Health Screener was used to assess emotional distress (symptoms of depression, anxiety, and posttraumatic stress). LUTS items were adapted from the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms. <b><i>Results:</i></b> In logistic regression analyses adjusting for covariates (age, education, vaginal childbirth, episiotomy, FGC type), total emotional distress was associated with greater odds of experiencing all assessed LUTS (urgency, frequency, nocturia, urgency and stress urinary incontinence, straining, bladder pain). For example, for each 1-unit increment in total emotional distress, participants' odds of urgency increased by 10% (OR = 1.10, 95% CI = 1.05, 1.16), urgency urinary incontinence by 9% (OR = 1.09, 95% CI = 1.04, 1.14), and stress urinary incontinence by 12% (OR = 1.12, 95% CI = 1.07, 1.18). <b><i>Conclusions:</i></b> In this cross-sectional study of Somali migrant women who had experienced FGC, consistent associations were observed between emotional distress in the past month and an array of LUTS. Women who present with LUTS should be screened for emotional distress and referred for mental health services as indicated.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777649","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":"Preconception and Prenatal Medicaid Coverage for Medicaid-Insured Births.","authors":"Emily F Gregory, Adya I Maddox, Laura Gibson, Molly Passarella, Eric T Roberts, Scott A Lorch","doi":"10.1177/15409996251362599","DOIUrl":"https://doi.org/10.1177/15409996251362599","url":null,"abstract":"<p><p><b><i>Background:</i></b> Medicaid provides insurance for 40% of U.S. births. Patterns of preconception Medicaid enrollment are not well-described. <b><i>Methods:</i></b> Using Medicaid Analytic Extract files, this retrospective cohort study of individuals with a 2014 Medicaid-insured birth examined months of Medicaid enrollment and changes in enrollment status during 84 months prior to birth. We used linear regression to assess the association between enrollment months and 2014 age, race and ethnicity, rural residence, any Medicaid eligibility due to disability, foster care involvement, or pregnancy, chronic health conditions, and state of residence. We examined variation across states in the relationship between enrollment months and changes in enrollment status. <b><i>Results:</i></b> We identified 944,068 individuals in 30 states. Individuals had a median of 40.6 (SD 27.3) enrollment months of Medicaid and 3.2 (SD 2.3) changes in enrollment status. Twenty-eight percent were enrolled in Medicaid for ≥63 months. In regression analysis, age, race and ethnicity, and chronic health conditions were associated with enrollment months. Each year of age was associated with -0.93 enrollment months (95% CI -1.27, -0.60). For chronic conditions, hypertension was associated with an additional 3.12 enrollment months (95% CI 2.53, 3.71), diabetes with 3.28 (95% CI 2.24, 4.32), and mental health with 6.27 (95% CI 5.55, 6.98). The relationship between enrollment months and changes in enrollment status varied across states. <b><i>Conclusions:</i></b> Medicaid plays a substantial role in preconception health insurance for individuals with Medicaid-insured births. This is particularly true for younger individuals and those with comorbidities associated with adverse birth outcomes.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715251","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":"Practice-Level Severity Case Mix and Treatment Patterns for Premenopausal Noncancerous Hysterectomy.","authors":"Joacy G Mathias, Natalie A Rivadeneira, Kemi M Doll, Chanelle J Howe, Annie Green Howard, Mollie E Wood, Lauren Anderson, Michael Green, Erin T Carey, Evan Myers, Timothy S Carey, Til Stürmer, Whitney R Robinson","doi":"10.1177/15409996251360548","DOIUrl":"https://doi.org/10.1177/15409996251360548","url":null,"abstract":"<p><p><b><i>Background:</i></b> Hysterectomy for noncancerous conditions is a patient-preference-sensitive procedure. Therefore, gynecological practices may provide hysterectomy at varying levels of symptom severity. We assess whether practice-level severity case mix associates with segregation of patients by race and ethnicity or insurance status. <b><i>Methods:</i></b> In this case series, we analyzed electronic health records of 1,590 noncancerous hysterectomy patients across 20 clinical practices within a large health care system in the U.S. South (2014-2017). By abstracting 12-month presurgical medical notes, we developed severity scores for bleeding, pain, and bulk symptoms. The practice-level severity case mix measure distinguished six practices where ≥18% of patients had below median scores for bleeding, pain, and bulk. Log-binomial models estimated prevalence ratios (PRs) for severity case mix by race and ethnicity and insurance, adjusting for age, body mass index, gynecological conditions, previous abdominal surgeries, and prior uterine sparing treatments. <b><i>Results:</i></b> Patients at practices with lower severity case mix differed in surgical indications, had fewer uterine-sparing treatments before undergoing hysterectomy, and were largely (96%) privately insured. Compared to White patients, Hispanic patients underwent hysterectomy less frequently at lower severity practices (PR: 0.52 [0.33-0.82]) while Black patients showed no difference based on the point estimate (PR: 1.00 [0.87-1.14]). Publicly-insured and uninsured patients were less likely than privately-insured patients to receive hysterectomy at lower severity practices (PR: 0.13 [0.05-0.36] and PR: 0.28 [0.12-0.68], respectively). <b><i>Conclusions:</i></b> Publicly insured and uninsured patients receiving hysterectomy-including nearly all Hispanic patients-were concentrated in practices with a higher symptom severity case mix.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661750","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":"Clinician Implicit Racial Bias and Contraceptive Counseling in the United States.","authors":"Kathleen M Morrell, Jessica L Rosenblum, Sophia Joslin-Roher, Howard Minkoff","doi":"10.1177/15409996251360908","DOIUrl":"https://doi.org/10.1177/15409996251360908","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Unequal treatment of patients based on race or ethnicity still exists in reproductive health. One possible reason is clinician bias. While explicit bias has been studied in relation to contraception, the influence of a clinician's implicit bias on contraceptive recommendations has not been examined. We sought to assess the degree of implicit racial bias among reproductive health clinicians and to determine whether bias correlates with recommendations for contraception. <b><i>Methods:</i></b> Clinicians were approached in-person at multiple hospitals in New York City and one national conference over a 7-month period. The computer-based study included a demographic survey, clinical vignettes about contraception, and a racial Implicit Association Test. The clinical vignettes were randomized 1:1 to describe either all white patients or all Black patients for each provider. We assessed the likelihood that patient race would factor into contraceptive counseling, looking separately at white and Black clinicians. <b><i>Results:</i></b> Of 500 clinicians invited to participate, 426 completed the survey and were analyzed. They were mostly non-Hispanic, white female attending physicians working in urban areas. White clinicians showed a pro-white bias (<i>p</i> < 0.001), while Black clinicians did not show racial bias in either direction (<i>p</i> = 0.637). White clinicians with pro-white bias were significantly more likely to recommend sterilization to Black patients than to white patients. <b><i>Conclusions:</i></b> Implicit racial bias differed based on clinician race, and contraceptive recommendations differed based on their level of bias. It is important for all reproductive health professionals to understand their own implicit bias and how it may affect their contraceptive counseling.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002717","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 Reproductive Factors with Osteoarthritis and the Mediating Effect of Body Mass Index Among Postmenopausal Women.","authors":"Renyang Liu, Yang Hu, Ximing Zhang, Jun Li","doi":"10.1177/15409996251360149","DOIUrl":"https://doi.org/10.1177/15409996251360149","url":null,"abstract":"<p><p><b><i>Background:</i></b> Osteoarthritis (OA) is the leading cause of disability worldwide, with a higher prevalence and severity of functional impairment observed in women over the age of 50. However, the reasons for this gender disparity are not well understood. This study aims to investigate the potential association between reproductive factors and OA prevalence in postmenopausal women, as well as whether body mass index (BMI) mediates this relationship. <b><i>Methods:</i></b> Public data from 6,066 postmenopausal women collected by the National Health and Nutrition Examination Survey from 1999 to 2018 were used for the analysis. Weighted multivariable logistic regression assessed the association between reproductive factors and OA prevalence, with restricted cubic splines (RCS) analyzing nonlinear associations, and mediation analysis examining BMI's mediating role. <b><i>Results:</i></b> RCS models revealed a W-shaped relationship between OA risk and age at menopause, a U-shaped relationship with age at first birth, and an inverted W-shaped relationship with age at last birth. Weighted multivariable logistic regression showed that postmenopausal women with bilateral oophorectomy (odds ratio [OR] = 1.29), exogenous hormone use (OR = 1.44), or a history of breastfeeding (OR = 1.31) had a higher risk of OA, while a later age at menarche was significantly associated with a lower risk (OR = 0.93). Mediation analysis indicated that BMI mediated 34.53% of the association between age at menarche and OA and 18.39% between bilateral oophorectomy and OA. <b><i>Conclusions:</i></b> Multiple reproductive factors are independent risk factors for OA. Early surveillance and preventive interventions for OA might be strengthened in high-risk populations with specific reproductive characteristics.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639513","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 Rates Within a Large National Network of Community-Based Health Care Organizations: A Cross-Sectional Study.","authors":"Keely Ulmer, Kristin Scott, Taona P Haderlein, Amanda Bruegl","doi":"10.1177/15409996251359829","DOIUrl":"https://doi.org/10.1177/15409996251359829","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Insufficient cervical cancer screening contributes to increased cervical cancer rates, particularly among disadvantaged groups, yet research on screening practices by race and ethnicity is underreported. Our objectives were to find the rates of up-to-date (UTD) cervical cancer screening within a nationwide network. <b><i>Methods:</i></b> A cross-sectional study was conducted using data from OCHIN, a diverse, national database consisting of over 6 million publicly or underinsured patients in rural and medically underserved communities that provides electronic health records to over 34,500 U.S. providers. We included all females between the ages of 21 and 65 with a cervix and at least one encounter at an OCHIN clinic from January 2015 to December 2023. UTD cervical cancer screening was the primary outcome. <b><i>Results:</i></b> Of the 2,464,565 patients with OCHIN, 2,279,808 met the inclusion criteria. The 2015-2023 rates of UTD cervical cancer screening for all races and ethnic groups were below the Healthy People 2030 goal of 84.3% and below the 2021 national screening average of 75.2%. Screening varied by race/ethnicity, with Hispanic individuals having the highest rates of UTD screening. Geographic location (urban, large rural, or isolated rural) did not show statistically significant differences in screening rates. <b><i>Conclusions:</i></b> In our analysis, we noted lower rates of participation in cervical cancer screening than national goals and the national average among all ages and racial/ethnic groups. Efforts to increase access and participation in cervical cancer screening programs are critical to eliminating preventable cervical cancer health inequities.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639514","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}