Journal of women's health (2002)最新文献

{"title":"Postpartum Tubal Sterilization in Sickle Cell Disease in the 2012-2019 National Inpatient Sample.","authors":"Amy Luo, Alison Gemmill, Jayla L Scott, Anne E Burke, Lydia H Pecker","doi":"10.1177/15409996251359820","DOIUrl":"https://doi.org/10.1177/15409996251359820","url":null,"abstract":"<p><p><b><i>Background:</i></b> Sickle cell disease (SCD) is associated with high-risk pregnancy and low rates of hormonal contraception use. Intersectional vulnerabilities among individuals with SCD in the United States raise historically and socially contingent questions about tubal sterilization (TS), yet immediate postpartum TS rates among individuals with SCD remain unknown. <b><i>Methods:</i></b> Using the 2012-2019 National Inpatient Sample, we conducted a repeated cross-sectional study to estimate the rate of TS among delivery hospitalizations for people with SCD, without SCD (non-SCD), Black people with and without SCD, and people with cystic fibrosis (CF). Logistic regression models estimated the adjusted odds of TS between SCD and comparison groups. Interaction analyses examined whether severe maternal morbidity (SMM) modified the association between TS and SCD. <b><i>Results:</i></b> After adjusting for patient and hospital characteristics, SCD had higher odds of TS compared with non-SCD deliveries (adjusted odds ratio [aOR] = 1.38 [1.06, 1.79]). Among deliveries coded with Black race, SCD deliveries had higher odds of TS than non-SCD deliveries (aOR = 1.42 [1.06, 1.90]). There was no difference in the odds of TS between SCD and CF deliveries (aOR = 1.0 [0.51, 2.24]). SMM more than doubled the odds of TS in SCD deliveries (interaction: aOR = 2.34 [1.57, 3.47]; aOR = 2.14 [1.40, 3.24] in Black race deliveries). <b><i>Conclusion:</i></b> Even after accounting for patient and hospital characteristics, people with SCD have higher odds of immediate postpartum TS compared with comparison groups. Possibly, SMM severity, patient preference, or clinician recommendations inform this finding. SMM is three to seven times more common in SCD than non-SCD pregnancies and may be a modifiable risk factor for TS in SCD deliveries.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610951","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":"Recent Trends in Tubal Ligation Incidence Among Active-Duty Servicewomen.","authors":"Tracey Pérez Koehlmoos, Amandari Kanagaratnam, Amanda Banaag","doi":"10.1089/jwh.2025.0021","DOIUrl":"https://doi.org/10.1089/jwh.2025.0021","url":null,"abstract":"<p><p><b><i>Background:</i></b> <i>Dobbs v. Jackson Women's Health Organization</i> (<i>Dobbs</i>) has had far-reaching effects on reproductive health care in the United States. Studies have shown increased demand for permanent contraception following <i>Dobbs</i>. In the Military Health System (MHS), vasectomy incidence increased significantly post-<i>Dobbs</i>. No research has yet evaluated the impact of <i>Dobbs</i> on permanent contraception for women (tubal ligation/sterilization) in the MHS. <b><i>Methods:</i></b> We queried health care data from the MHS Data Repository to identify active-duty servicewomen (ADSW) ages 18-45 between fiscal years 2020 and 2023. Study analyses included descriptive statistics, monthly incidence rates of tubal ligation/sterilization per 1,000 ADSW overall and at the state level to compare trends in Texas and Virginia, and <i>t-</i>test and chi-square tests to assess demographic differences before and after <i>Dobbs</i>. <b><i>Results:</i></b> Of the 339,052 ADSW included in the study, less than 2% received tubal ligations/sterilizations during the study period. The majority of these were aged 30-34 years, non-Hispanic White, married, senior enlisted, and in the Air Force. There was an abrupt increase in tubal ligations/sterilizations among ADSW within 2 months after <i>Dobbs</i>, and the rate remained above pre-<i>Dobbs</i> levels for 4 months. No differences were observed in the rate of tubal ligation/sterilizations in Texas and Virginia. <b><i>Conclusions:</i></b> The trend in tubal ligations/sterilizations among ADSW mirrors the general population. The abrupt increase indicates an association between <i>Dobbs</i> and changes to contraceptive decision-making. It is important to consider these changes to understand the short- and long-term effects of <i>Dobbs</i> on reproductive health care in the MHS and the nation.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562643","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":"Update in Breast Cancer.","authors":"Melissa McNeil","doi":"10.1089/jwh.2025.0258","DOIUrl":"https://doi.org/10.1089/jwh.2025.0258","url":null,"abstract":"<p><p>The goal in selecting these recent articles was to help identify literature that may change the clinical practice of women's health for practitioners in the primary care setting. Articles were identified by reviewing the high-impact medical and women's health journals, national guidelines, ACP JournalWise, and NEJM Journal Watch. In this Clinical Update, recent publications relevant to the screening for and treatment of breast cancer were selected.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500297","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":"Factors Associated with Cervical Cancer Screening for Women in New York State: Analyzing the 2022 NYS BRFSS.","authors":"Aaron Shaykevich, Martha Wojtowycz","doi":"10.1089/jwh.2025.0027","DOIUrl":"https://doi.org/10.1089/jwh.2025.0027","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Cervical cancer remains a significant public health challenge despite being largely preventable through early screening and treatment and is one of the largest causes of cancer-related deaths among women aged 20-39. New York State, with its diverse population, may have unique differences and disparities that can impact cervical cancer screening rates. <b><i>Methods:</i></b> Using the 2022 NYS Behavioral Risk Factor Surveillance System, we analyzed data from 3,968 participants. Bivariate analysis and logistic regression assessed the associations between demographic, general health, economic, and health behavior with cervical cancer screening. <b><i>Results:</i></b> Among the predictors of screening, we found that younger women were significantly less likely to screen compared with older women (aOR: 2.03; confidence interval [CI]: 1.67-2.46). Disparities were also observed by race (aOR: 1.55; CI: 1.27-1.89), income (aOR: 1.81; CI: 1.33-2.47), as well as type of insurance (aOR: 0.71; CI: 0.56-0.89). Health behaviors, such as having a prior checkup (aOR: 1.42; CI: 1.13-1.79) or flu vaccination (aOR: 1.32; CI: 1.10-1.57), were strongly associated with adherence, whereas personal economic barriers and general health challenges were largely not significant. <b><i>Discussion:</i></b> This study highlights health behaviors and engagement with the medical system as a significant predictor, suggesting that promoting trust in health care may enhance screening rates. The study also identified systemic barriers, such as insurance type and provider access, as determinants of cervical cancer screening. <b><i>Conclusion:</i></b> Addressing cervical cancer screening disparities in NYS requires interventions that consider behavioral and systemic factors. In particular, emphasizing trust in health care systems. These findings highlight areas of improvement in screening.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478542","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":"Obstetrics and Gynecology Trainee Insights Regarding the Effect of the <i>Dobbs</i> Supreme Court Decision.","authors":"Kate V Meriwether, A Jenna Beckham, Shunaha Kim-Fine, Tova Ablove, Arthur Ollendorff, Lindsay E Dale, Jamie W Krashin, Francisco Orejuela, Donna Mazloomdoost, Cara L Grimes, William D Winkelman, Katie Propst, Maria E Florian-Rodriguez, Jema K Turk, Olivia H Chang, Sarah Horvath, Stephanie T Ros, Catrina C Crisp, Timothy R Petersen, Cheryl B Iglesia","doi":"10.1089/jwh.2024.0095","DOIUrl":"https://doi.org/10.1089/jwh.2024.0095","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> The impact of the <i>Dobbs v. Jackson Women's Health Organization</i> (Dobbs) Supreme Court decision on training of United States Obstetrics and Gynecology (OBGYN) residents and fellows needs qualitative exploration. We aimed to describe how OBGYN residents and fellows feel their training may be affected. <b><i>Methods:</i></b> We disseminated a REDCap survey from September 19, 2022, to December 1, 2022, among OBGYN residents and fellows with open-ended questions querying trainees' opinions around how the Dobbs decision may affect their training and the field of OBGYN. <b><i>Results:</i></b> The survey received 469 responses, of which 70% contributed data for qualitative analyses. The qualitative data indicated four themes: uncertainty about the future, concerns about patient care, concerns and discrepancies in OBGYN training, and suggestions and hopes for the future. Trainees, even if currently well trained in their view, are concerned about other trainees, patient safety in OBGYN clinical situations, and uncertainty about their own careers and the future of OBGYN. They are concerned that restrictions on family planning and pregnancy management in certain states will restrict care access, limit patient safety, and affect the OBGYN workforce in those locations. <b><i>Conclusions:</i></b> This survey of OBGYN trainees indicates significant uncertainty about equity for training and patient care in clinical situations potentially affected by the Dobbs decision and a wider concern about how this will affect the field of OBGYN and the safety of women in the United States.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":"34 6","pages":"823-834"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278099","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 Adolescent Abortion Information Sources and Preferences post-<i>Dobbs</i> in the Midwestern United States.","authors":"Lee Hasselbacher, Vanya Manthena, Sophie Knifton, Madeline Quasebarth","doi":"10.1089/jwh.2024.0563","DOIUrl":"https://doi.org/10.1089/jwh.2024.0563","url":null,"abstract":"<p><p>Adolescents face increasing obstacles to abortion services and information. Limited research post-<i>Dobbs</i> suggests that adolescents turn to social media for information, but more research is needed to understand where adolescents expect to find reliable information about abortion and access to care. We conducted in-depth interviews with participants aged 16-19 years from Midwestern states (Illinois, Wisconsin, Indiana, Iowa, Missouri, Michigan, Ohio, and Minnesota) to explore how they engage with abortion information and which sources they trust and prefer. Interviews were conducted <i>via</i> Zoom between April and June 2023 and lasted from 30 to 45 minutes. Interviews were deidentified, transcribed, and coded in Dedoose to identify emergent themes. We interviewed 39 participants from 7 states. Social media emerged as the primary information source for participants, with specific mentions of platforms such as TikTok, Reddit, and YouTube. Many participants expressed skepticism of information on social media and often looked to verify from other sources, including friends or family. If a friend was seeking abortion, most participants emphasized helping them find safe and reliable information online or through trusted sources, like a local Planned Parenthood. In general, participants preferred engaging with reliable, easily accessible abortion online and through social media as well as in school health classes. Adolescents in the Midwestern United States primarily encounter abortion information <i>via</i> social media but rely on more trustworthy sources (e.g., clinics, government websites) for practical information. Trusted organizations and providers supporting youth access to abortion should consider outreach to adolescents <i>via</i> social media and leveraging this trust to direct youth to other validated sources.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":"34 6","pages":"804-809"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278094","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":"How Will Abortion Bans Affect Maternal Health? Forecasting the Maternal Mortality and Morbidity Consequences of Banning Abortion in 14 U.S. States.","authors":"Silpa Srinivasulu, Frank W Heiland","doi":"10.1089/jwh.2024.0544","DOIUrl":"10.1089/jwh.2024.0544","url":null,"abstract":"<p><p>Abortion bans may exacerbate high maternal mortality and severe maternal morbidity (SMM) in the United States. We estimate the expected increase in maternal deaths and SMM arising from banning abortion and continuing pregnancy in 14 states with bans (or no providers). Compiling national, state, and race/ethnicity-specific data on abortion, maternal mortality rate (MMR), and SMM, we conduct a cross-sectional prediction of additional maternal deaths and SMM overall and by race/ethnicity over a 4-year period, beginning 1 year after a state enforced an abortion ban. Our main prediction assumes all wanted abortions are denied in-state, each abortion denied leads to 0.336 births, and a respective increase in exposure to maternal mortality and SMM occurs. We conduct sensitivity analyses to estimate additional deaths and SMM under various travel and self-managed abortion scenarios. Using state-specific MMRs, we predict 42.0 (95% confidence interval [CI]: 33.5, 51.7) additional maternal deaths over 4 years in the 14 states (sensitivity range: 17.0-66.9) compared with 31.7 (95% CI: 30.4, 33.0) using the national MMR (sensitivity range: 12.9-50.64). Applying 2016-2017 national and region-specific SMM rates, we estimate 2,174 and 2,241 new SMM, respectively. Applying 2018-2021 national SMM rates, we predict 2,693 additional SMM. Among 10 states, we predict 29.6 more maternal deaths, with Black women representing 63%. Racial inequities in maternal deaths are pronounced in certain states. Despite innovative efforts to expand abortion access, not all the harms of <i>Dobbs</i> will be ameliorated. State-level policymakers and practitioners must improve maternal health care to mitigate geographic and racial disparities.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":"34 6","pages":"843-854"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278097","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":"Advocacy in Academic Medicine.","authors":"Frances Casey, Dawn Bingham","doi":"10.1089/jwh.2025.0072","DOIUrl":"10.1089/jwh.2025.0072","url":null,"abstract":"","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":"34 6","pages":"722-724"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278087","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 Between State Abortion Restrictiveness and Perinatal Depression.","authors":"Stephanie V Hall, Andrea Pangori, Faelan Jacobson Davies, Anca Tilea, Rieham Owda, Kara Zivin, Vanessa Dalton","doi":"10.1089/jwh.2024.0533","DOIUrl":"10.1089/jwh.2024.0533","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Abortion services represent a critical component of reproductive health care. Barriers to a full range of reproductive health care may harm mental health. We sought to determine whether restrictive state-level abortion policies increase the risk of perinatal depression, overall and among women with intended and unintended pregnancies. <b><i>Methods:</i></b> This cross-sectional analysis used surveillance data from the Pregnancy Risk Assessment and Monitoring System. Restrictive state-level abortion policies were measured using the Guttmacher Abortion Policy Hostility Index. The primary outcome of interest was incident perinatal depression, measured as a self-reported diagnosis of depression during pregnancy or a positive 2-item Patient Health Questionnaire during the postpartum period. <b><i>Results:</i></b> Women living in states with highly restrictive abortion policies experienced 1.23 (95% confidence interval [CI]: 1.12-1.37) times greater odds of perinatal depression compared to women living in states with less restrictive abortion policies after adjusting for age, race/ethnicity, maternal education, marital status, and insurance type. Women with unintended pregnancies had a higher predicted probability of perinatal depression than women with intended pregnancies in both highly restrictive states (17.3%, 95% CI: 13.9 - 21.3% versus 14.8%, 95% CI: 10.7 - 16.9%) and in less restrictive states (14.8%, 95% CI: 11.7 - 18.5% versus 11.3%, 95% CI: 9.0 - 14.2%). <b><i>Conclusions:</i></b> Restrictive state-level abortion policies were associated with an increased risk of perinatal depression regardless of pregnancy intent. Abortion restrictions may contribute to poor mental health outcomes directly, by obstructing access to wanted abortion services, or indirectly, as a marker for states that do not fully support delivering women with adequate health or social services. The mental health of the birthing population represents an important consideration for evolving reproductive health policies.</p>","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":"34 6","pages":"835-842"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278089","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":"Brief of St. Luke's Health System as Amicus Curiae in Support of Respondent, submitted to Moyle v. United States, 603 U.S. ___ (2024).","authors":"","doi":"10.1089/jwh.2025.0155","DOIUrl":"10.1089/jwh.2025.0155","url":null,"abstract":"","PeriodicalId":520699,"journal":{"name":"Journal of women's health (2002)","volume":"34 6","pages":"725-753"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144278090","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}