Frontiers in global women's health最新文献

{"title":"Global, regional, and national burdens of PUD in women of reproductive age from 1992 to 2021: a trend analysis based on the global burden of disease study 2021.","authors":"Xiaofeng Wang, Song Yang, Shanzhi Zhao, Zhitao Yang, Enqiang Mao, Erzhen Chen, Ying Chen","doi":"10.3389/fgwh.2025.1529549","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1529549","url":null,"abstract":"<p><strong>Background: </strong>Peptic ulcer disease (PUD) constitutes a significant global health concern, particularly in women of childbearing age (WCBA), who face elevated risks of severe pregnancy-associated complications. This investigation aimed to map the temporal dynamics and forecast the future incidence of PUD in this demographic to inform targeted prevention and control initiatives.</p><p><strong>Methods: </strong>This analysis drew on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021, extracting data on PUD incidence and mortality across seven age groups (15-49 years) in WCBA. Age-standardized incidence and mortality rates were calculated using the direct method of age standardization. Temporal trends from 1992 to 2021 were analyzed using joinpoint regression. The study further employed age-period-cohort analysis to discriminate the effects of these variables on incidence and mortality, and frontier analysis to evaluate potential reductions in burden by country based on developmental status. Nordpred modeling was used to project epidemiological trends up to 2044.</p><p><strong>Results: </strong>In 2021, the global age-standardized incidence rates (ASIR) and death rates (ASDR) for PUD among WCBA were 24.18 per 100,000 (95% CI: 14.72-36.38) and 0.54 per 100,000 (95% CI: 0.42-0.66), respectively. The highest incidence rates were observed in Oceania, while the greatest mortality rates were recorded in South Asia. Over the period from 1992 to 2021, global age-standardized mortality rates showed a significant decline. Conversely, after an initial drop, age-standardized incidence rates began to rise, with considerable regional and country-specific variation. This increase was particularly marked in regions with high Socio-demographic Index (SDI). Frontier analyses indicate that countries or regions in the middle SDI quintiles possess significant untapped potential to enhance both access to and quality of healthcare. Despite predictions of declining age-standardized incidence and mortality rates, total case numbers are expected to continue rising modestly through 2044.</p><p><strong>Conclusions: </strong>The study underscores substantial global disparities in PUD trends in WCBA, with increasing case numbers and regional inequalities. The findings highlight the need for focused attention on high SDI regions and older WCBA cohorts to refine disease management and prevention strategies, aiding in the mitigation of PUD's public health impact.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1529549"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060046","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":"Monitoring sexual hormones in women going to high altitude-a pilot study.","authors":"Aijan Taalaibekova, Michelle Meyer, Stefanie Ulrich, Gulzada Mirzalieva, Maamed Mademilov, Mona Lichtblau, Cornelia Betschart, Talant M Sooronbaev, Silvia Ulrich, Konrad E Bloch, Michael Furian","doi":"10.3389/fgwh.2025.1544832","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1544832","url":null,"abstract":"<p><strong>Background: </strong>The susceptibility to acute mountain sickness (AMS) in relation to sexual hormones in women remains elusive, partly because hormones could not be conveniently measured. We evaluated a novel kit for self-monitoring sexual hormones in women and recorded AMS incidence during high-altitude sojourns.</p><p><strong>Methods: </strong>Two groups of healthy, premenopausal women, mean ± SD age 23.1 ± 2.3 years, residing <1,000 m underwent baseline evaluations at 760 m before travelling to and staying for 2 days and nights (48 h) at 3,100 m or 3,600 m, respectively. Participants self-monitored morning urine sexual hormone concentrations (estrone-1-glucuronide, E1G, pregnanediol-3-alpha-glucuronide, PdG, and luteinizing hormone, LH) daily for 30d including altitude sojourns using the simple \"<i>Proov</i>\" kit (MFB Fertility Inc). Follicular and luteal menstrual cycle phases detected by LH peak, altitude-related adverse health effects (ARAHE), AMS [Lake Louise score 2018 (LLS) ≥ 3 points including headache] and pulse oximetry (SpO₂) were assessed.</p><p><strong>Results: </strong>1,172 of 1,250 (93.8%) hormone measurements were successful, 78 of 1,250 (6.2%) failed due to nonadherence or technical failure. At 3,600 m, mean differences in urinary PdG concentration were 3.8 mcg/ml (95% CI, 0.6-7.1) between luteal and follicular cycle phases. At 3,100 m, corresponding difference was 8.5 mcg/ml (95% CI, 5.0-12.0). At 3,100 m, 9 of 21 (43%) women were diagnosed with AMS with SpO₂ of 93.0 ± 1.6% and LLS of 0.3 ± 1.4 in the morning after the first night. At 3,600 m, 12 of 21 (57%) women had AMS (<i>p</i> = 0.355 vs. 3,100 m) with SpO₂ of 86.8 ± 1.8% (<i>p</i> < 0.05 vs. 3,100 m) and LLS of 1.9 ± 1.4 (<i>p</i> < 0.05 vs. 3,100 m).</p><p><strong>Conclusion: </strong>Self-monitoring female sexual hormones during high-altitude field studies with the employed kit is feasible and provides physiologically plausible trends of hormone levels over the menstrual cycle. Our data provide a valuable basis for designing further studies to evaluate AMS susceptibility in women.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1544832"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052150","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":"Applying authoritative knowledge to better understand preparation for breastfeeding.","authors":"Margaret S Butler, Sera L Young, Lauren Keenan-Devlin","doi":"10.3389/fgwh.2025.1540376","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1540376","url":null,"abstract":"<p><strong>Introduction: </strong>In this qualitative study, we employ the construct of authoritative knowledge to better understand how birthing people prepare for breastfeeding experiences postpartum. This construct has seldom been applied to the postpartum period, despite its application by reproductive anthropologists to pregnancy and childbirth experiences cross-culturally. Consistent with these applications, we define authoritative knowledge domains by the purveyors. We aimed to characterize the acquisition and valuation of information sources participants used to prepare for breastfeeding.</p><p><strong>Methods: </strong>Twenty-five participants were recruited from a hospital-based pregnancy study in Chicagoland, Illinois, USA to complete interviews between November 2020 and March 2021. Audio recorded interviews were coded using <i>a priori</i> themes and iterative code development. Codes were used to characterize information sources and the designation of three domains of authoritative knowledge: biomedical, social network, and lived experience.</p><p><strong>Results: </strong>All participants received information about breastfeeding from both biomedical and social network domains, with those with prior child rearing experiences also using the personal experience domain. Use of online resources like pregnancy tracking apps and social media platforms resulted in the domains of authoritative knowledge overlapping. Participants valued information from health care providers the most but found social network information was more accessible and fulfilled their desire for experiential information.</p><p><strong>Discussion: </strong>In this first application of authoritative knowledge within the context of infant feeding, participants consistently cited biomedical sources as the most accurate and important. However, they cited barriers to gaining this information such as the short duration of prenatal appointments and the challenge of completing prenatal education courses. Many participants sought evidence-based information about breastfeeding on apps, social media, and websites, however content and quality across platforms varies significantly. This may be an avenue to improve access to reliable and helpful breastfeeding information.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1540376"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059567","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":"Adverse maternal outcomes among women who gave birth at public hospitals in eastern Ethiopia: a cross-sectional study.","authors":"Masresha Leta, Abera Kenay Tura, Haymanot Mezmur, Kasiye Shiferaw, Nega Assefa","doi":"10.3389/fgwh.2025.1569815","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1569815","url":null,"abstract":"<p><strong>Background: </strong>An adverse maternal outcome, such as anemia, postpartum hemorrhage, and postpartum eclampsia, poses a significant risk to women. While studies on the burden of adverse maternal outcomes have been conducted in various countries, including Ethiopia, many predictors beyond obstetric factors have not been fully explored. This study aimed to determine the magnitude and factors associated with adverse maternal outcomes among women who gave birth at selected public hospitals in eastern Ethiopia.</p><p><strong>Methods: </strong>A hospital-based cross-sectional study was conducted among 2,608 randomly selected women who gave birth in six public hospitals in eastern Ethiopia from November 2023 to March 2024. Data were collected through face-to-face interviews and clinical chart reviews. Factors associated with adverse maternal outcomes were identified using bivariable and multivariable robust Poisson regression analyses. Adjusted relative risk (ARR) with a 95% confidence interval (CI) was used to report the strength of the association. The variables with a <i>p</i>-value of <0.05 were considered statistically significant.</p><p><strong>Results: </strong>The magnitude of adverse maternal outcomes was 15.68% (95% CI: 14.70%-16.66%). A poor wealth index (ARR = 4.41; 95% CI: 3.46-5.62), having danger signs at admission (ARR = 1.86; 95% CI: 1.18-2.91), alcohol use during pregnancy (ARR = 1.86; 95% CI: 1.32-2.62), duration of labor ≥24 h (ARR = 1.69; 95% CI: 1.00-2.85), and maternal age greater than 35 years (ARR = 1.39; 95% CI: 1.03-1.86) increased the risk of adverse maternal outcomes. In contrast, folic acid intake during pregnancy (ARR = 0.47; 95% CI: 0.38-0.57), having partner support (ARR = 0.70; 95% CI: 0.59-0.83), and spontaneous vaginal delivery (ARR = 0.58; 95% CI: 0.49-0.68) reduced the risk of adverse maternal outcomes.</p><p><strong>Conclusion: </strong>One in six women who gave birth in eastern Ethiopia experienced adverse maternal outcomes. This rate was determined to be moderate when compared to the WHO projections for lower- and middle-income countries and better than the higher averages reported by the WHO. Targeted intervention programs, such as targeted education and empowerment programs, and the strengthening of the community health worker program would help address socioeconomic disparities and improve early detection and management of danger signs during pregnancy, which would aid in averting the occurrence of adverse outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1569815"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054696","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":"Improving postnatal social support using antenatal group-based psychoeducation: a cluster randomized controlled trial.","authors":"Marta Tessema, Muluemebet Abera, Zewdie Birhanu","doi":"10.3389/fgwh.2025.1510725","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1510725","url":null,"abstract":"<p><strong>Background: </strong>Inadequate social support is the predominant cause of postnatal depression, which needs to be promoted through interventions. The objective of this study was to investigate the effect of antenatal group-based psychoeducation on improving postnatal social support.</p><p><strong>Methods: </strong>The trial design was a cluster randomized controlled trial. The study was conducted on 32 non-adjusted health centers (clusters) among 550 pregnant women. Using simple randomization, health centers were randomized into 16 intervention and 16 control groups. The intervention group received both standard prenatal care and group-based psychoeducation sessions, whereas the control group received standard prenatal care alone. The study included all pregnant women who were between 12 and 20 weeks gestation and had a Patient Health Questionnaire-9 <10 level of depression. We used a functional social support questionnaire in a face-to-face interview to assess social support at 12-20 weeks of gestation and 6 weeks postpartum. An intention-to-treat analysis was done. We used relative risk and a mixed-effects multilevel logistic regression for data analysis.</p><p><strong>Result: </strong>Out of 550 enrolled pregnant women, end-line data were collected from 511 participants, with an overall end-line response rate of 92.9%. Statistical analysis revealed that the intervention resulted in a substantial difference in all dimensions of social support between arms, although no difference was detected at baseline. As compared to that in controls, the total postnatal social support in the intervention clusters was considerably higher [190 (66.4%) vs. 88 (33.3%)], <i>P</i> = 0.001). Mothers who were under the intervention arms and received antenatal group-based psychoeducation were 2.04 times more likely to have postnatal social support (RR = 2.044, 95% CI: 1.684-2.481) compared to those who were under the control arms and received the usual care. Finally, mixed-effect analysis indicates that after adjusting for individual and community-level variables, the final model shows the intervention increased the total social support by 3.61 (AOR = 3.61, 95% CI: 2.14-6.09).</p><p><strong>Conclusion: </strong>The implementation of antenatal group-based psychoeducation intervention resulted in a statistically significant effect in improving postnatal social support. This intervention approach must therefore be implemented and promoted in maternal healthcare services.</p><p><strong>Clinical trial registration: </strong>https://pactr.samrc.ac.za/, identifier (PACTR 202203616584913).</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1510725"},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058071","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":"Maternal outcomes of severe preeclampsia and eclampsia and associated factors among women admitted at referral hospitals of amhara regional state, institutional-based cross-sectional study, North-West Ethiopia.","authors":"Misganaw Fikrie Melesse, Getie Lake Aynalem, Martha Berta Badi, Bewket Yeserah Aynalem","doi":"10.3389/fgwh.2025.1555778","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1555778","url":null,"abstract":"<p><strong>Introduction: </strong>Severe preeclampsia/eclampsia is a multi-systemic pregnancy condition that manifests after 20 weeks of gestation and is linked to a high global rate of maternal morbidity and mortality. It is responsible for 11%-14% of maternal mortality globally and is the second most frequent direct obstetrical cause of death. This study aimed to assess maternal outcomes of severe preeclampsia/eclampsia and associated factors in mothers admitted to referral hospitals in the Amhara Regional State of North West Ethiopia.</p><p><strong>Methods: </strong>An institutionally based cross-sectional investigation on the outcomes of severe preeclampsia/eclampsia in mothers was carried out from April 1 to September 30, 2018. Using the census sampling technique, 456 study participants were included in the study. Data were coded, verified, and imported into Epi-info version 7.2 before being exported and analyzed in SPSS version 26. To determine the determinants of maternal outcomes of severe preeclampsia or eclampsia, binary logistic regression was employed, with a significance level of 95% confidence interval of odds ratio at <i>p</i>-value 0.05 or below.</p><p><strong>Results: </strong>Overall, severe preeclampsia and eclampsia were shown to have unfavorable maternal outcomes in 37.7% (95% CI: 32.8%, 42.3%). The following variables had statistically significant associations with unfavorable maternal outcomes of severe preeclampsia and eclampsia: educational status (AOR = 4.5, 95% CI: 1.95, 12.31), residence (AOR = 2.1, 95% CI: 1.17, 3.72), monthly family income (AOR = 2.7, 95% CI: 1.25, 6.12), parity (AOR = 6.7, 95% CI: 1.55, 12.6), history of abortion (AOR = 3.5, 95% CI: 1.63, 7.58), booking status (AOR = 5.8, 95% CI: 3.15, 9.72), and time of drug given (AOR = 4.9, 95% CI: 1.86, 13.22).</p><p><strong>Conclusion: </strong>It was discovered that severe preeclampsia and eclampsia had a high overall rate of unfavorable maternal outcomes. Promoting early antenatal care booking and formal education for women can reduce preeclampsia and eclampsia outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1555778"},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030185","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":"Medroxyprogesterone acetate and meningioma: a global issue.","authors":"Noémie Roland, Sébastien Froelich, Alain Weill","doi":"10.3389/fgwh.2025.1470539","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1470539","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1470539"},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11979271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054698","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":"Midwives' experiences working with women and girls surviving violence in Yemen: a qualitative study.","authors":"Marwah Al-Zumair, Luz Marina Leegstra, Hussein Zaid, Raisa Ferrer Pizarro, Monia Al-Zumair, Lamya Bawahda, Albrecht Jahn, Lauren Maxwell","doi":"10.3389/fgwh.2025.1450053","DOIUrl":"10.3389/fgwh.2025.1450053","url":null,"abstract":"<p><strong>Background: </strong>Yemeni women and girls have long endured pervasive violence, a situation further exacerbated by the ongoing humanitarian crisis. Violence against women and girls (VAWG) is strongly stigmatized in the Yemeni context. In under-resourced, rural settings like Yemen, where gender inequities prevent women and girls from accessing the formal health system, community midwives may be an important resource for women and girls who experience interpersonal violence. This study explored community midwives' knowledge, training, and applied experience working with women and girls who experience interpersonal violence.</p><p><strong>Methods: </strong>We conducted 20 in-depth interviews with community midwives in four Yemeni governorates. A female Yemeni physician and qualitative researcher trained in the ethical conduct of VAWG-related research conducted interviews using a semi-structured interview guide. Participants gave verbal consent for participation in the one-time interview. We used thematic analysis to summarise the findings. Interviews were transcribed in Arabic and English, and differences in interpretation were resolved through consensus.</p><p><strong>Results: </strong>While midwives had limited formal training in supporting women and girls who experience interpersonal violence, they play a critical role in responding to VAWG in Yemen. Community midwives provide psychological support, contraception, violence-related health care, and referrals to more advanced healthcare and protection services, including women-friendly spaces (WFSs) and shelters. Lack of training and treatment guidelines, in addition to a lack of supportive services and VAWG-related stigma, were important barriers for midwives working with VAWG. The stigma associated with sexual violence discouraged women from seeking health care or accessing limited protection services.</p><p><strong>Conclusion: </strong>Community midwives in Yemen are well-placed to support women and girls who experience violence. Midwives should receive context-appropriate training and support to work with women and girls who experience violence. The lack of available services and the stigma associated with experiencing, reporting and supporting VAWG survivors must be carefully considered before designing any intervention.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1450053"},"PeriodicalIF":2.3,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797174","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":"Breast self-examination practice and associated factors among pastoralist women in the West Guji Zone, Oromia, Ethiopia: a community-based cross-sectional study.","authors":"Mohammed Aliyi, Yimar Hotessa, Abdisa Haro, Belda Negesa Beyene, Misgana Desalegn, Derese Eshetu Debela","doi":"10.3389/fgwh.2025.1501001","DOIUrl":"10.3389/fgwh.2025.1501001","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer is the most common cancer among women. It is the leading or second cause of female cancer-related deaths in both developed and developing countries, including Ethiopia. Breast self-examination is an effective and efficient screening method used by women for the early detection of breast cancer. There is limited data about breast self-examination practice among pastoralist women in the study area. Therefore, the aim of this study was to assess the magnitude of breast self-examination practice and associated factors among women of childbearing age in the West Guji Zone, South Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from 1 March to 30 April 2023 on 424 randomly selected women of childbearing age in the West Guji Zone. A systematic sampling technique was employed to select the study participants. Data was collected using pre-tested and structured questionnaires through face-to-face interviews, entered into EpiData version 4.6 and then exported to SPSS version 25 for cleaning and analysis. Bivariable and multivariable analyses were conducted using binary logistic regression to identify factors associated with breast self-examination practice. Statistical significance was declared at a <i>P</i>-value <0.05.</p><p><strong>Result: </strong>In this study, 62 (14.6%) of the women had a good practice of breast self-examination. Maternal age (25-34 years) [adjusted odds ratio (AOR) = 1.98, 95% confidence interval (CI): 1.07-3.70], monthly income (AOR = 3.92, 95% CI: 1.34-11.49), residence (AOR = 2.28, 95% CI: 1.09-4.78), and knowledge about breast self-examination (AOR = 2.15, 95% CI: 1.14-4.05) were factors significantly associated with breast self-examination practice<b>.</b></p><p><strong>Conclusion: </strong>The study's findings indicated a significantly low level of breast self-examination practice among pastoralist women. Women's education should be promoted, income generated, and the practice of breast self-examination should be advocated.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1501001"},"PeriodicalIF":2.3,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781951","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":"Challenges and prospects: women's education in contemporary Afghanistan.","authors":"Basir Ahmad Hasin, Mir Mohammad Ayoubi, Nasar Ahmad Shayan","doi":"10.3389/fgwh.2025.1477145","DOIUrl":"10.3389/fgwh.2025.1477145","url":null,"abstract":"<p><p>Since the fall of the republic government in Afghanistan on August 15, 2021, the situation for women's education has regressed drastically. This article explores the multifaceted impact of Afghanistan's Current DeFacto government policies on women's educational opportunities. With a historical overview of women's rights in Afghanistan, this article delves into the current restrictions imposed by the regime, including the ban on women's higher education and the limited scope of semi-higher education. This highlights the significant challenges faced by Afghan women, such as cultural barriers, economic hardships, and restrictive policies on women's rights. The article also discusses potential solutions, including international pressure, infrastructure development, and cultural shifts towards a more inclusive interpretation of Islam. By examining these factors, this article aims to provide a nuanced understanding of the ongoing struggle for women's rights and education in Afghanistan while emphasizing the resilience of Afghan women and the crucial role of global advocacy in supporting their fight for equality.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1477145"},"PeriodicalIF":2.3,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781955","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}