Frontiers in global women's health最新文献

{"title":"Evaluating treatment options for symptomatic uterine fibroids: a systematic review and meta-analysis of effectiveness, recovery, and long-term outcomes (MARIE WP1).","authors":"Elena Bedggood, Sun Jie, Snehal Ghosh, Vindya Pathiraja, Tharanga Mudalige, Nirmala Rathnayake, Heitor Cavalini, Om Kurmi, George Uchenna Eleje, Peter Phiri, Paula Briggs, Jian Qing Shi, Gayathri Delanerolle, Sohier Elneil","doi":"10.3389/fgwh.2025.1601341","DOIUrl":"10.3389/fgwh.2025.1601341","url":null,"abstract":"<p><strong>Background: </strong>Uterine fibroids can significantly impair the quality of life of women. While most fibroids remain asymptomatic, 25% of women diagnosed with uterine fibroids require medical intervention.</p><p><strong>Methods: </strong>A systematic review and meta-analysis protocol was developed and published in PROSPERO (CRD42022346251) to explore surgical treatment outcomes linked to uterine fibroids. Data was gathered using PubMed, Web of Science and ScienceDirect. The pooled data was analysed using the meta-package (version 8.0-1 and version 4.6-0) in R software (version 4.4.2).</p><p><strong>Results: </strong>Five studies met the eligibility criteria, and were further analysed to report quality of life, symptom severity and complications linked to surgery. Three studies (<i>n</i> = 520) assessed HRQoL via UFS-QoL pre- and post-uterine artery embolisation and myomectomy. The pooled mean difference was -6.99 [95% CI: (-16.49, 2.51); <i>I</i> ² = 71.9%; <i>P</i> = 0.03], indicating no significant difference in quality of life impact between procedures. However, the pooled mean difference for UFS-QoL symptom severity was 4.85 [95% CI: (0.50, 9.21); <i>I</i> ² = 0.0%; <i>P</i> = 0.52], suggesting myomectomy significantly reduces symptom severity compared to uterine artery embolisation. Most studies did not report race and ethnicity, and the study sample was not representative of the global female populous.</p><p><strong>Conclusion: </strong>Uterine artery embolisation and myomectomy result in comparable improvements in health-related quality of life although myomectomy appears to offer a greater reduction in symptom severity compared to uterine artery embolisation. These findings can assist clinicians and patients make improved shared decisions when selecting the most appropriate treatment for uterine fibroids. Improved research study designs and representation in sample need to be considered when conducting future research.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1601341"},"PeriodicalIF":2.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877052","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":"Association of body mass index and sexual dysfunction among married women in Makkah City, Saudi Arabia.","authors":"Lujain Safwan Filfilan, Nesrin Kamal Abd El-Fatah","doi":"10.3389/fgwh.2025.1616496","DOIUrl":"10.3389/fgwh.2025.1616496","url":null,"abstract":"<p><strong>Background: </strong>Female sexual dysfunction (FSD) is a prevalent yet understudied health concern among married women in Saudi Arabia, where obesity rates among women are alarmingly high. This study aimed to investigate the prevalence of FSD and its association with BMI among married women attending primary health care centers (PHCs) in Makkah, Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 332 married women aged 18-50 years attending PHCs in Makkah. Participants completed a structured questionnaire assessing sociodemographics, medical history, reproductive health, and sexual function using the validated Arabic Female Sexual Function Index (ArFSFI). Anthropometric measurements were taken to calculate Body Mass Index (BMI). Chi-square tests, logistic regression, and Kruskal-Wallis analyses were used to examine associations between BMI, FSD, and significant contributors.</p><p><strong>Results: </strong>The prevalence of FSD was 84.6%. Obesity was significantly associated with FSD (OR = 2.86, 95% CI: 1.38-5.30, <i>p</i> = .005), particularly affecting lubrication (<i>p</i> = .002) and orgasm (<i>p</i> = .014). Key correlates of FSD included partner-related factors, such as the husband's sexual dysfunction (40.9% vs. 5.9%, <i>p</i> < .001), and weight-related comments (33.8% vs. 15.7%, <i>p</i> = .010). Psychological distress, particularly higher levels of anxiety (32.0% vs. 11.8%, <i>p</i> = .003) and depression (44.5% vs. 7.8%, <i>p</i> < .001), was also significantly associated with FSD. Reproductive factors, such as irregular menstruation (<i>p</i> = .001), and reproductive surgeries (<i>p</i> = .003) were significantly associated with FSD.</p><p><strong>Conclusion: </strong>This study highlights a high burden of FSD among Saudi women with obesity, strongly associated with obesity, mediated by psychological and partner-related factors, as well as reproductive factors. Integrated interventions addressing weight management, mental health, and couples' counseling are urgently needed. Cultural sensitivity in sexual health education and clinical practice is essential to reduce stigma and improve care access.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1616496"},"PeriodicalIF":2.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877051","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":"Do perceived social support mitigate the influence of infertility stigma on fertility quality of life?","authors":"Saher Al Sabbah, Ansarullah Tantry, Lisa Bayliss-Pratt","doi":"10.3389/fgwh.2025.1577951","DOIUrl":"10.3389/fgwh.2025.1577951","url":null,"abstract":"<p><strong>Introduction: </strong>Infertility is a medical condition that affects both males and females and can cause the individuals biopsychosocial, spiritual, and medical detriments. Quality of life among such couples or singles is a matter of concern. The question that we need to address is whether infertility affects the quality of life. Does the stigma associated with Infertility deter Infertile females from leading normal lives? This research explores how infertility stigma affects the quality of life of infertile females and whether perceived social support reduces the stress related to stigma thereby contributing to a better quality of life among females battling Infertility in India.</p><p><strong>Methods: </strong>Participants from Jammu and Kashmir who identified as currently or previously infertile discussed their feelings about fertility stigma, the quality of their fertility-related social support, and their fertility quality of life. Only 302 fully complete questionnaires were obtained from the 351 identified individuals who were given data collection tools. Structural Equation Modeling (SEM) was used to treat data.</p><p><strong>Results: </strong>It was seen that infertility stigma and perceived social support had an impact on fertility quality of life, either directly or indirectly. Infertility quality of life was reduced by stigma (<i>β</i> = -.413, SE = .017, <i>p</i> ≤ .01 level of significance, CI, 95%), and this link was partially mediated by infertile female's perceptions of social support (<i>β</i> = .512, <i>p</i> ≤ .01 level of significance, CI, 95%). In other words, it can be said that the negative effects of infertility stigma were buffered by perceived social support and improved fertility quality of life. Additionally, the sense of stigma was adversely linked with the overall quality of past fertility-related support.</p><p><strong>Discussion: </strong>The findings of study confirms that perceived social support significantly mitigates the negative impact of infertility-related stigma on fertility quality of life among infertile females, highlighting the crucial role of emotional and social resources in mitigating distress. These findings emphasize the importance of encouraging supportive environment and interventions to enhance quality of life in females experiencing infertility stigma.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1577951"},"PeriodicalIF":2.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849920","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":"Navigating norms: a qualitative exploration of factors shaping contraceptive use in Senegal.","authors":"Manuela Reveiz, Rahmatoulah Gueye, Thaïs González Capella, Marieme Fall, Nour Horanieh, Elizabeth Larson, Beniamino Cislaghi","doi":"10.3389/fgwh.2025.1527733","DOIUrl":"10.3389/fgwh.2025.1527733","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the increasing contraceptive, women in Senegal are facing both material and social obstacles to access family planning (FP) services. Decisions regarding contraceptive use involve an interplay of influencers, including the woman, her partner, family members, healthcare providers, and the social norms in place. This study employs social norms theory to explore how these dynamics shape women's contraceptive choices, examining the societal expectations, influential relationships, and strategies women use.</p><p><strong>Methods: </strong>This qualitative study involved 256 participants (130 men and 126 women) from four regions of Senegal (Dakar, Tambacounda, Ziguinchor, and Matam). We employed semi-structured interviews (116) and focus group discussions (16 FGDs with 8-10 participants each) to explore experiences related to family planning access and services. Participants were recruited through purposive sampling. Thematic analysis was performed using NVivo 12 Pro.</p><p><strong>Results: </strong>Participants highlighted how social norms on marriage, infertility, and childbearing heavily influence women's contraceptive use decisions. Participants also mentioned social norms that directly discouraged contraception use, labeling women who used it as disloyal or unloving. The failure to fulfill normative expectations resulted in various forms of sanctions. Given the normative system, numerous women opted to make decisions regarding childbearing in secrecy. Finally, a system of beliefs that participants held about religion and healthcare providers intersected with contraceptive utilization.</p><p><strong>Discussion: </strong>Our findings provide evidence of the importance of integrating social interventions into FP interventions to help reframe social relations. Three policy implications arise: (1) Addressing broader social needs and support mechanisms. (2) Integrating insights from violence against women research and theories on the dynamics of abuse into FP programs. (3) Integrating men further into FP programming to address misconceptions.</p><p><strong>Conclusion: </strong>Drawing on data from 256 young people, men, and women of reproductive age, we uncovered how women navigate the terrain of social norms within their networks, shaping their choices concerning contraceptive utilization.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1527733"},"PeriodicalIF":2.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823338","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":"Exploring disparities in satisfaction with obstetric-gynecological care among insured and uninsured women in Almaty, Kazakhstan: a comparative cross-sectional study.","authors":"Sholpan Aliyeva, Vyacheslav Lokshin, Maksut Kamaliev, Sholpan Sarmuldayeva, Gani Kaldybayev, Oxana Tsigengagel","doi":"10.3389/fgwh.2025.1580888","DOIUrl":"10.3389/fgwh.2025.1580888","url":null,"abstract":"<p><strong>Background: </strong>Patient satisfaction is a key indicator of healthcare quality. Although crucial, limited research has explored factors contributing to satisfaction disparities in outpatient obstetric-gynecological care, particularly in Kazakhstan. The objective of the study is to explore disparities in satisfaction with obstetric-gynecological care between insured and uninsured women in Almaty, Kazakhstan, and to identify the key determinants of patient satisfaction.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 107 insured and uninsured patients over three months in early 2024 at a hospital in the Almaty region, Kazakhstan. Using a five-point Likert scale, a structured questionnaire assessed socio-demographics, patient-reported experiences with the care process, and overall satisfaction across 16 dimensions. The survey instrument was pilot-tested and demonstrated strong internal consistency (Cronbach's alpha = 0.83). Chi-square tests examined associations, and multivariable logistic regression identified key predictors of patient satisfaction.</p><p><strong>Results: </strong>A multivariable analysis revealed a \"satisfaction paradox\": insured patients had lower odds of being satisfied compared to uninsured patients (AOR = 0.15, 95% CI: 0.03-0.81). Specifically, a lack of insurance was associated with higher reported satisfaction in doctor-patient communication (OR = 1.8) and nursing care (OR = 2.1). Other significant predictors of satisfaction included having kidney disease and a shorter hospital stay.</p><p><strong>Conclusions: </strong>Our findings suggest that expanding insurance coverage is necessary for access but insufficient for ensuring patient satisfaction. The observed \"satisfaction paradox\" highlights that policy must adopt a dual focus: promoting enrolment while simultaneously improving the quality of patient-provider interactions to meet the higher expectations of insured patients.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1580888"},"PeriodicalIF":2.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818412","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":"\"We have been depriving them\": examining the sense of coherence of clinical staff as they implement skin-to-skin contact.","authors":"Kajsa Brimdyr, Scovia N Mbalinda, Anna Blair, Karin Cadwell","doi":"10.3389/fgwh.2025.1595266","DOIUrl":"10.3389/fgwh.2025.1595266","url":null,"abstract":"<p><strong>Background: </strong>Skin-to-skin contact (SSC) immediately after birth, when the newborn baby and mother remain together during the first hour after birth, has positive health effects on the dyad's physical and emotional wellbeing; however, implementation, the purview of the hospital's labor and birthing unit staff, has been a challenge in many settings.</p><p><strong>Objective: </strong>To investigate Antonovsky's salutogenic theory's sense of coherence (SOC) of birthing staff members before and after implementing skin-to-skin contact immediately after birth in a regional referral hospital in Uganda.</p><p><strong>Method: </strong>This qualitative study explored and analyzed before-and-after interviews of clinical staff regarding their experience of practice change to immediate, continuous, and uninterrupted skin-to-skin contact for at least the first hour after birth. The semistructured interviews took place at a regional referral hospital in Western Uganda. Using thematic analysis, the interviews were analyzed for the three components central to SOC: whether the proposed change in practice (pre-SSC intervention) and experience of the change in practice (postintervention) was comprehensible, manageable, and meaningful.</p><p><strong>Results: </strong>An analysis indicated a high level of SOC before the intervention in relation to the meaningfulness and comprehensibility of SSC, with concerns about manageability. An analysis of postintervention interviews indicated a high level of SOC for all three aspects.</p><p><strong>Conclusion: </strong>We postulate that a high level of sense of coherence for hospital staff both before and after an intervention may play a role in successfully implementing immediate, uninterrupted skin-to-skin contact in the first hour after birth. Skin-to-skin contact immediately after birth has life-long consequences for the emotional wellbeing of both the mother and the newborn.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1595266"},"PeriodicalIF":2.4,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12331732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818411","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":"Editorial: Maternal health in conflict settings: volume II.","authors":"Isabelle L Lange, Ribka Amsalu, Tabassum Firoz","doi":"10.3389/fgwh.2025.1647567","DOIUrl":"10.3389/fgwh.2025.1647567","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1647567"},"PeriodicalIF":2.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801117","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":"Mental and physical health burden and quality of life in Czech women with lipedema.","authors":"Monika Kunzová, Eliška Lagová, Leslyn Keith","doi":"10.3389/fgwh.2025.1629077","DOIUrl":"10.3389/fgwh.2025.1629077","url":null,"abstract":"<p><strong>Background: </strong>Lipedema is a chronic condition characterized by excessive fat deposition in the hips, buttocks, and lower legs, significantly impacting quality of life. In Czechia, limited research exists on the relationship between lipedema symptoms and depressive symptoms, despite the condition's prevalence and its impact on mental health.</p><p><strong>Aim: </strong>This study aims to investigate the relationship between lipedema symptoms and the severity of depressive symptoms among Czech women and assess their quality of life.</p><p><strong>Methods: </strong>We administered an online survey to 43 women with lipedema. Participants completed questionnaires on quality of life (WHOQOL-BREF), sociodemographic and clinical characteristics, and depressive symptoms severity, evaluated using the PHQ-9 tool.</p><p><strong>Results: </strong>PHQ-9 results showed that 50.9% of participants exhibited moderate to severe depressive symptoms. Quality of life ratings varied, with 27.9% of participants rating their health as poor or very poor. Significant correlations were found between lipedema symptoms, such as shortness of breath, muscle stiffness, and depression severity, indicating a complex relationship between physical symptoms and mental health.</p><p><strong>Conclusion: </strong>These findings highlight the significant mental health burden faced by individuals with lipedema. The association between physical and depressive symptoms emphasizes the need for comprehensive, tailored interventions, especially integrated mental and physical healthcare approaches, aimed at improving overall well-being in this population.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1629077"},"PeriodicalIF":2.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801118","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":"Women's health facility choices for antenatal, delivery, and postnatal care in Eastern Visayas, Philippines.","authors":"Ahreum Choi, Heunghee Kim, Sherlyn Mae P Provido, Hee Sun Kim, Romil Jeffrey Juson, Diana Lucas, Heyeon Ji, Jihwan Jeon, Yunhee Kang","doi":"10.3389/fgwh.2025.1575896","DOIUrl":"10.3389/fgwh.2025.1575896","url":null,"abstract":"<p><strong>Background: </strong>This study aims to identify socioeconomic factors associated with the choice of antenatal care (ANC) facilities and to analyze trends in the utilization of health facilities for delivery and postnatal care (PNC) based on the type of ANC facility in Eastern Visayas, Philippines.</p><p><strong>Methods: </strong>This secondary data analysis uses baseline and one-year follow-up survey data from a quasi-experimental study conducted in September 2023 and 2024. Data from 1,414 women with information on maternal health facility utilization was analyzed. ANC facilities were categorized into four groups: Barangay Health Station (BHS), Rural Health Unit (RHU), hospital/clinic and others. Multinomial logistic regressions were applied, adjusting for socio-economic status and Barangay location, to examine associations between socio-economic factors and ANC facility choice, as well as trends in delivery and PNC facility utilization based on ANC facility type.</p><p><strong>Results: </strong>Among 1,414 postpartum mothers, 35.6% received ANC at BHS, 34.1% at RHU, 32.7% at hospital/clinic, and 0.6% did not receive ANC. Most deliveries (83.3%) and PNC (61.4%) services occurred in hospital/clinic settings. Mothers who received ANC at a hospital/clinic were more likely to have higher education (aRRR = 7.04, 95% CI: 3.97, 12.50) and be wealthier (aRRR = 2.00, 95% CI: 1.09, 3.69) compared to those who received ANC at BHS. Mothers receiving ANC at RHU (aRRR = 0.52, 95% CI: 0.34, 0.79) or hospital/clinic (aRRR = 0.55, 95% CI: 0.38, 0.78) were less likely to be single with a partner compared to those receiving ANC at BHS. Mothers who received ANC at hospital/clinic were more likely to deliver at a hospital/clinic (aRRR = 8.49, 95% CI: 3.56, 20.26) than at a RHU/BHS, and to receive PNC at a hospital/clinic (aRRR = 2.07, 95% CI: 1.32, 3.24) instead of at a BHS, compared to those receiving ANC at BHS. Mothers receiving ANC at RHU were more likely to also receive PNC at an RHU (aRRR = 16.13, 95% CI: 7.80, 33.36) compared to those receiving ANC at BHS.</p><p><strong>Conclusions: </strong>Socioeconomic disparities are associated with ANC facility choice, which in turn affects subsequent decisions regarding facilities for delivery and PNC in Eastern Visayas. As such, facility selection should be guided by healthcare needs rather than socioeconomic status.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1575896"},"PeriodicalIF":2.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801119","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":"Global impact of Occupational Noise-Induced Hearing Loss (ONIHL): trends, gender disparities, and future projections: 1990-2036.","authors":"Dandan Liu, Huixia Ji, Ye Chen, Wenying Li","doi":"10.3389/fgwh.2025.1584639","DOIUrl":"10.3389/fgwh.2025.1584639","url":null,"abstract":"<p><strong>Background: </strong>The burden of Occupational Noise-Induced Hearing Loss (ONIHL) is escalating globally, presenting significant challenges to society and healthcare systems. This study aims to provide a comprehensive assessment of the global burden of ONIHL from 1990 to 2021, analyze these impacts by gender, and project the future burden of ONIHL over the next fifteen years.</p><p><strong>Methods: </strong>The data were sourced from the Global Burden of Disease (GBD) study conducted in 2021. A Joinpoint regression model was employed to calculate the annual percentage change (APC) in ONIHL Years Lived with Disability (YLDs) rate, and a decomposition analysis was utilized to quantify the influences of age structure, population growth, and epidemiological changes on the global burden of ONIHL. Additionally, predictions of future YLDs rate trends were made using Bayesian Age-Period-Cohort (BAPC) and Autoregressive Integrated Moving Average (ARIMA) models.</p><p><strong>Results: </strong>The global rate of ONIHL YLDs escalated from 3,838,055 person-years in 1990 to 7,847,445 person-years in 2021, with an age-standardized YLDs rate experiencing a 23% increase. Males exhibited a higher number and rate of YLDs than females, however, the growth rate for females was greater, with Estimated Annual Percentage Changes (EAPCs) recorded at 0.42 (0.41-0.43) for females and 0.11 (0.09-0.12) for males, respectively, and Average Annual Percentage Changes (AAPCs) of 0.44 (95% CI: 0.43-0.45) for females compared to 0.13 (95% CI: 0.12-0.14) for males. In 2021, the YLDs rate decreased as the Socio-Demographic Index (SDI) increased across 224 countries, indicating a concentration of the burden in countries with a medium SDI. Between 1990 and 2021, the incidence of ONIHL among females exhibited an upward trend in most countries, whereas among males, it predominantly reflected a downward trend. The decomposition analysis revealed that population growth was the primary factor contributing to the increase in YLDs. Projections indicate that by 2036, the YLDs rate for ONIHL will reach 103.45 per 100,000 in males and 74.19 per 100,000 in females.</p><p><strong>Conclusion: </strong>The global burden of ONIHL is rising at a concerning rate, particularly in countries with a medium SDI and among females. Therefore, it is imperative to implement targeted health education, regular screenings, and accessible hearing protection measures to mitigate the risks associated with ONIHL, specifically for females.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1584639"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790870","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}