{"title":"Appropriateness of maternal referral system and its associated factors in Eastern Ethiopia: a facility-based cross-sectional study.","authors":"Betelhem Mengist Sharew, Agumasie Semahegn, Shegaye Yibabie Damtie, Nigus Kassie Worku, Abera Kenay Tura","doi":"10.3389/fgwh.2025.1473191","DOIUrl":"10.3389/fgwh.2025.1473191","url":null,"abstract":"<p><strong>Background: </strong>Given majority of obstetric complications are often unpredictable, an appropriate maternal referral system is crucial to manage life-threatening obstetric complications and prevent maternal deaths. Although Ethiopia is one of the countries with high maternal deaths, there is a paucity of data on the appropriateness of maternal referrals. The aim of this study was to assess the appropriateness of maternal referrals and its associated factors in eastern Ethiopia.</p><p><strong>Methods: </strong>A facility-based cross-sectional study was conducted among randomly selected women who were referred to the major referral hospitals during pregnancy, childbirth or the postpartum. Data on maternal conditions and referral related information were collected through review of the medical records using structured checklist. Data were entered into EpiData 3.1 and exported to SPSS 20 for analysis. Bivariable and multivariable logistic regression analyses were fitted to identify factors associated with the appropriateness of referrals using adjusted odds ratio (AOR) along with 95% confidence interval (CI). Significant association was declared at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of 422 maternal referrals reviewed, only 10.1% (95% CI: 7.1-13.1%) were appropriate. Referrals on working days (AOR = 3.77; 95% CI: 1.29-10.99), which arrived during working time (AOR = 3.64; 95% CI: 1.54-8.61), referred from governmental hospitals (AOR = 5.69; 95% CI: 1.33-24.32) or from private/non-governmental organization facilities (AOR = 2.94; 95% CI: 1.09-7.93), those written on standard referral forms (AOR = 5.52; 95% CI: 1.71-17.85), and which contains referral feedback (AOR = 4.90; 95% CI: 1.93-12.47) were more likely to be appropriate maternal referral.</p><p><strong>Conclusion: </strong>Only one in ten maternal referrals from public health facilities in eastern Ethiopia were found to be appropriate. Referrals on working days and time, from governmental hospitals, private facilities, standard referral forms used, and those with referral feedback were found to be appropriate. Strengthening referral system through focusing on non-working hours and during weekends as well as co-creating standards forms are essential for making maternal referrals appropriate and effective in reducing maternal deaths.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1473191"},"PeriodicalIF":2.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of antenatal relaxation practices in enhancing maternal psychological wellbeing and childbirth experiences: an observational study.","authors":"Mo Tabib, Tracy Humphrey, Katrina Forbes-McKay","doi":"10.3389/fgwh.2025.1597174","DOIUrl":"10.3389/fgwh.2025.1597174","url":null,"abstract":"<p><strong>Introduction: </strong>There is growing qualitative evidence that antenatal education on relaxation practices can enable women to deliberately induce a deep state of emotional calmness. Learning to shift focus from distressing emotions such as anxiety and fear to this altered state of calmness may significantly enhance women's confidence, thereby protecting maternal psychological wellbeing and leading to more positive childbirth experiences. However, the generalisability of these findings remains uncertain. This study aimed to bridge this gap by using quantitative methods to validate and extend the qualitative evidence.</p><p><strong>Methods: </strong>Through an observational study with a prospective longitudinal cohort design, ninety-one women attending a single antenatal relaxation class at a Scottish NHS maternity service completed online surveys including Childbirth Self-Efficacy Inventory (CBSEI), Warwick Edinburgh Mental Well-Being Scale (WEMWBS), Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), and Six-item State-Trait Anxiety Inventory (STAI-6) at pre-class, post-class and post-birth.</p><p><strong>Results: </strong>Findings indicated significant improvements in childbirth self-efficacy expectancy, mental wellbeing, fear of childbirth, and both trait and state anxiety after attending the class, and these improvements remained stable until 4-8 weeks after birth. Women widely reported using relaxation practices, with the majority perceiving a positive influence on their pregnancy and childbirth experiences. The majority also viewed their overall childbirth experiences as positive.</p><p><strong>Discussion: </strong>Consequently, maternity services should consider reforming current antenatal education to align with these findings.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1597174"},"PeriodicalIF":2.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200990","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":"Factors causing work related stress and strategies for stress management: a study of working women in private and public sectors in the Indian context.","authors":"Saranya Chandrasekaran, Rajakumar Guduru, Saranraj Loganathan","doi":"10.3389/fgwh.2025.1597409","DOIUrl":"10.3389/fgwh.2025.1597409","url":null,"abstract":"<p><p>In the present context, various underlying social factors such as workload, lack of support, job insecurity, work-life imbalance, mental health, gender bias, financial pressure, harassment, and discrimination cause stress to women. Therefore, the main purpose of this study is to identify some of the pertinent factors affecting working women's mental health and physical health in the work place. The study also aims at finding strategies for coping with stress. A cross-sectional research design and simple random sampling method were used in this study. This study was conducted between the women employees of both public and private sector institutes employed in the fields of teaching, banking, nursing, clerical and IT professionals across the state of Tamil Nadu, India. The study adopted the survey method and the data were collected by administering questionnaires to 200 (100 public sector and 100 private sector) participants through online mode and were analysed both qualitatively and quantitatively. The results of the study showed that the majority of the women (32.5%) experienced stress when evaluated performance by superiors and given negative feedback, by their employers. The analysis also showed that the most effective strategy for stress management was spending time with children, with an average rank of 3.55 whereas doing yoga and meditation has the lowest average rank of 2.65, indicating that respondents rarely use this strategy for managing stress. The study offers some measures to support their mental and physical health and to ensure equal opportunities for all. Finally, AI-driven solutions are recommended to foster a dynamic and responsive environment that empowers working women to proactively manage stress, boost mental well-being, and improve overall productivity.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1597409"},"PeriodicalIF":2.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200989","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":"Contraceptive behaviors and media influence among women in Bangladesh: exploring the effects of age and education.","authors":"Monira Parvin Moon","doi":"10.3389/fgwh.2025.1492105","DOIUrl":"10.3389/fgwh.2025.1492105","url":null,"abstract":"<p><strong>Background: </strong>Married Bangladeshi women of reproductive age have improved their contraceptive use in recent decades. This review study searched PubMed, Scopus, and Google Scholar to examine how age and education affect Bangladeshi women's contraceptive behaviors.</p><p><strong>Results: </strong>Modern approaches were most used by 15-19-year-olds. Between 2011 and 2017-2018, fewer educated women read a newspaper or magazine at least once a week, suggesting older women watch more TV. Over time, elderly adults utilize none of the three media at least once a week. According to the findings, elderly women are the least likely to receive weekly media coverage of their contraceptive treatments. In short, the study found that younger women utilize current contraceptive techniques, while older women may employ them less frequently, and better education significantly enhances contraceptive use, as there is a strong correlation between educational attainment and the utilization of contraception. Moreover, the results indicated that women who were not exposed to the media were less likely than those who were to use contemporary techniques.</p><p><strong>Conclusion: </strong>The report strongly recommends improving the education of disadvantaged people, particularly Bangladeshi women. To boost the nation's usage of contraceptives, women need effective health behavior education, family planning, and counseling programs.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1492105"},"PeriodicalIF":2.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200988","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}
Genna M Losinski, Mickeal N Key, Eric D Vidoni, Jonathan Clutton, Jill K Morris, Jeffrey M Burns, Amber Watts
{"title":"<i>APOE4</i> and chronic health risk factors are associated with sex-specific preclinical Alzheimer's disease neuroimaging biomarkers.","authors":"Genna M Losinski, Mickeal N Key, Eric D Vidoni, Jonathan Clutton, Jill K Morris, Jeffrey M Burns, Amber Watts","doi":"10.3389/fgwh.2025.1531062","DOIUrl":"10.3389/fgwh.2025.1531062","url":null,"abstract":"<p><strong>Introduction: </strong>Two thirds of Alzheimer's disease (AD) patients are female. Genetic and chronic health risk factors for AD affect females more negatively compared to males.</p><p><strong>Objective: </strong>This multimodal neuroimaging study aimed to examine sex differences in cognitively unimpaired older adults on: (1) amyloid-β via 18F-AV-45 Florbetapir PET imaging, (2) neurodegeneration via T1 weighted MRI volumetrics, (3) cerebral blood flow via ASL-MRI. We identified AD risk factors including genetic (<i>APOE</i> genotype status) and health markers (fasting glucose, mean arterial pressure, waist-to-hip ratio, and android and gynoid body fat) associated with neuroimaging outcomes for which we observed sex differences.</p><p><strong>Methods: </strong>Participants were sedentary, amyloid-β positive older adults (<i>N</i> = 112, ages 65-87 years) without evidence of cognitive impairment (CDR = 0).</p><p><strong>Results: </strong>Multivariate analysis of covariance models adjusted for intracranial volume, age, and years of education demonstrated lower volume [<i>F</i> (7, 102) = 2.67, <i>p</i> = 0.014] and higher blood flow <i>F</i> (6, 102) = 4.25, <i>p</i> ≤ 0.001) among females compared to males in regions of interest connected to AD pathology and the estrogen receptor network. We did not observe sex differences in amyloid-β levels. Higher than optimal waist to hip ratio was most strongly associated with lower volume among female participants.</p><p><strong>Discussion: </strong>Findings suggest genetic and chronic health risk factors are associated with sex-specific AD neuroimaging biomarkers. Underlying sex-specific biological pathways may explain these findings. Our results highlight the importance of considering sex differences in neuroimaging studies and when developing effective interventions for AD prevention and risk reduction.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1531062"},"PeriodicalIF":2.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183524","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}
Amanda L Stuart, Michael Berk, Julie A Pasco, Mohammadreza Mohebbi, Shae E Quirk, Lana J Williams
{"title":"Pain in women with and without bipolar spectrum disorder.","authors":"Amanda L Stuart, Michael Berk, Julie A Pasco, Mohammadreza Mohebbi, Shae E Quirk, Lana J Williams","doi":"10.3389/fgwh.2025.1501382","DOIUrl":"10.3389/fgwh.2025.1501382","url":null,"abstract":"<p><strong>Introduction: </strong>Bipolar disorder is associated with several physical conditions and possibly increased pain, although research outside hospital settings is limited. We compared perceived pain among population-based women with and without bipolar disorder.</p><p><strong>Method: </strong>This study examined 113 women with bipolar disorder (59 euthymic, 54 symptomatic in past month) and 316 age-matched women without bipolar disorder drawn from studies located in the same region of south-eastern Australia. Mental disorders were confirmed by clinical interview (SCID-I/NP). Pain during the past week was determined by numeric rating scale (0-10, 10 = pain as severe as I can imagine) and deemed present if ≥5. Demographic, lifestyle, and health information was obtained via questionnaire. Odds ratios (OR) with 95% confidence intervals for the likelihood of pain were estimated using marginal binary logistic regression models, adjusting for potential confounders.</p><p><strong>Results: </strong>Women with bipolar disorder who were euthymic at the appointment were at increased odds of headache [adjOR 3.4, 95% CI (1.4, 7.9)], back pain [2.6 (1.3, 5.4)], overall pain(s) [5.7 (2.9, 11.4)], pain at ≥3 sites [2.3 (1.0, 5.2)] and were in pain ≥50% time spent awake [2.3 (1.1, 5.1)] compared to women without bipolar disorder. The pattern of association was similar but stronger for women symptomatic in the past month; headache [6.0 (2.6, 13.9)], back pain [4.2 (2.0, 8.5)], overall pain(s) [7.2 (3.4, 15.4)], pain at ≥3 sites [5.1 (2.3, 11.1)] and ≥50% time in pain [4.5 (2.2, 9.3)]. Daily activity interference from pain did not differ between groups (all <i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Women with bipolar disorder are more likely to report pain regardless of phase. Assessment and management of pain is necessary to reduce associated burden.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1501382"},"PeriodicalIF":2.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175942","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":"Orgasmic birth: the anatomy of pleasure in childbirth.","authors":"Debra Pascali-Bonaro","doi":"10.3389/fgwh.2025.1565300","DOIUrl":"10.3389/fgwh.2025.1565300","url":null,"abstract":"<p><p>Contemporary childbirth practices, which have long been globally dominated by a biomedicalized framework, have sterilized the birthing experience, have stripped away emotional and physical pleasures as well as essential aspects of women's sexuality, and have led to a loss of autonomy for many women and birthing people. In this article, I propose an alternative model of care- \"orgasmic birth\". And I explain that this model emphasizes respectful perinatal care, pleasurable births, and childbearers' empowerment. By drawing on my reviews of the extensive scientific literature on hormonal interplays, the anatomies of pleasure, and sexuality, in this article, I also discuss how biomedical interventions such as synthetic hormones, epidural nerve blocks, and cesareans disrupt the natural hormonal flow that is associated with pleasurable births. The results of my literature reviews have shown that a more holistic, respectful approach to perinatal care can reduce pain, decrease birth traumas, and improve satisfaction by acknowledging the important roles of pleasure and sexuality during childbirth. I also strongly argue that future research should explore how biomedical systems can integrate practices that honor both safety and the potential for pleasure during childbirth.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1565300"},"PeriodicalIF":2.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164237","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}
Anna Carannante, Marco Giustini, Federica Rota, Paolo Bailo, Andrea Piccinini, Gabriella Izzo, Valentina Bollati, Simona Gaudi
{"title":"Intimate partner violence and stress-related disorders: from epigenomics to resilience.","authors":"Anna Carannante, Marco Giustini, Federica Rota, Paolo Bailo, Andrea Piccinini, Gabriella Izzo, Valentina Bollati, Simona Gaudi","doi":"10.3389/fgwh.2025.1536169","DOIUrl":"10.3389/fgwh.2025.1536169","url":null,"abstract":"<p><p>Intimate Partner Violence (IPV) is a major public health problem to be addressed with innovative and interconnecting strategies for ensuring the psychophysical health of the surviving woman. According to the World Health Organization, 27% of women worldwide have experienced physical and sexual IPV in their lifetime. Most of the studies on gender-based violence focus on short-term effects, while long-term effects are often marginally included even though they represent the most serious and complex consequences. The molecular mechanisms underlying stress-related disorders in IPV victims are multiple and include dysregulation of the hypothalamic-pituitary-adrenal axis, inflammatory response, epigenetic modifications, neurotransmitter imbalances, structural changes in the brain, and oxidative stress. This review aims to explore the long-term health consequences of intimate partner violence (IPV), emphasizing the biological and psychological mechanisms underlying stress-related disorders and resilience. By integrating findings from epigenetics, microbiome research, and artificial intelligence (AI)-based data analysis, we highlight novel strategies for mitigating IPV-related trauma and improving recovery pathways. Genome-wide environment interaction studies, enhanced by AI-assisted data analysis, offer a promising public health approach for identifying factors that contribute to stress-related disorders and those that promote resilience, thus guiding more effective prevention and intervention strategies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1536169"},"PeriodicalIF":2.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152315","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, regional, and national trends and burden of hypertensive disorders in pregnancy among women of childbearing age from 1990 to 2021.","authors":"Zhongyun Tang, Chao Ma, Jin Liu, Chongdong Liu","doi":"10.3389/fgwh.2025.1533843","DOIUrl":"10.3389/fgwh.2025.1533843","url":null,"abstract":"<p><strong>Background: </strong>Hypertensive disorders of pregnancy (HDP) are a significant cause of maternal and perinatal morbidity and mortality worldwide. This study aims to use the Global Burden of Disease 2021 database to analyze the prevalence trends and disease burden of HDP across the globe from 2019 to 2021.</p><p><strong>Methods: </strong>We analyzed four key metrics related to HDP (prevalence, incidence, mortality, and DALYs) using data from the GBD Database. Trends were assessed using the estimated annual percentage change (EAPC) and changes in disease burden.</p><p><strong>Results: </strong>In 2021, global HDP prevalence cases, incidence cases, mortality cases, and DALYs were 3.51 million, 18.00 million, 37.58 million, and 2.44 million, respectively, with percentage changes of 14%, 15%, -29%, and -29% over the study period. Prevalence and incidence rates increased (EAPCs: -0.7 and -0.67), while mortality and DALYs rates decreased (EAPCs: -2.29 and -2.28). Low Socio-demographic Index (SDI) regions had the highest HDP burden, accounting for about half of the global total. The 25-29 age group had the highest incidence cases.</p><p><strong>Conclusion: </strong>Over the past 32 years, HDP prevalence cases and incidence cases have risen globally, but death cases and DALYs cases have significantly decreased, particularly in low SDI regions and the 25-29 age group. The global HDP burden is higher in regions with lower SDI. Our findings highlight regional and age-related disparities in HDP, providing a basis for targeted interventions and prevention strategies.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1533843"},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144625","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":"Factors associated with sexually transmitted infections among reproductive age women in Ivory Coast: evidenced by 2021 Ivory Coast Demographic and Health Survey.","authors":"Gosa Mankelkl, Beletu Kinfe","doi":"10.3389/fgwh.2025.1490762","DOIUrl":"10.3389/fgwh.2025.1490762","url":null,"abstract":"<p><strong>Background: </strong>Globally, sexually transmitted infections (STIs) continue to be a major public health problem. STIs are a major cause of morbidity and mortality in many developing countries due to their effects on reproductive and child health and their role in spreading HIV infection. This study ' to determine the factors associated with STIs among women in Ivory Coast using data from the 2021 Ivory Coast Demographic and Health Survey (DHS).</p><p><strong>Methods: </strong>A total of 14,877 women from the 2021 Ivory Coast Demographic and Health Survey participated in this study. The Ivory Coast DHS employed a community-based cross-sectional study design for data collection. STATA version 14 was used for data extraction, recoding, descriptive analysis, and analytical analysis. Bivariable analysis was performed to identify factors for multivariable analysis. In the multivariable analysis, factors with a significance level of <i>P</i> < 0.05 were considered significant predictors of STIs among reproductive-age women. Finally, frequency, percentage, and odds ratios with a 95% confidence interval were reported.</p><p><strong>Result: </strong>This study includes a total weighted sample of 14,877 women from the 2021 Ivory Coast Demographic and Health Survey. The prevalence of STIs among reproductive-age women in the last 12 months was 6.82%, with a 95% CI (6.42, 7.23). The results of the multivariate analysis showed that among women, STIs were statistically and significantly associated with age range of 20-24 years [adjusted odds ratio (AOR): 1.558, 95% CI: (1.108, 2.359); <i>P</i> = 0.011], 25-29 years [AOR: 1.523, 95% CI: (1.089, 2.129); <i>P</i> = 0.014], and 30-34 years [AOR: 1.655, 95% CI: (1.191, 2.300); <i>P</i> = 0.003]; living in Denguele [AOR:2.138, 95% CI: (1.328, 3.439); <i>P</i> = 0.002], Montagnes [AOR: 2.930, 95% CI: (1.909, 4.497); <i>P</i> = 0.0001], and Zanzan [AOR: 2.330, 95% CI: (1.476, 3.679); <i>P</i> = 0.0001]; being married [AOR: 0.705, 95% CI: (0.520, 0.975); <i>P</i> = 0.034]; being Muslim [AOR: 0.785, 95% CI: (0.621, 0.993); <i>P</i> = 0.011]; listening to radio at least once a week [AOR: 1.524, 95% CI: (1.241, 1.871); <i>P</i> = 0.0001]; watching television less than once a week [AOR: 1.649, 95% CI: (1.156, 2.352); <i>P</i> = 0.006]; using the internet almost every day [AOR: 1.359, 95% CI: (1.081, 1.708); <i>P</i> = 0.008]; having a history of a terminated pregnancy [AOR: 1.170, 95% CI: (1.017, 1.376); <i>P</i> = 0.043]; using modern contraceptives [AOR: 1.213, 95% CI: (1.032,1.427); <i>P</i> = 0.0001]; and being tested for HIV [AOR: 1.342, 95% CI: (1.149, 1.569); <i>P</i> = 0.0001].</p><p><strong>Conclusion and recommendations: </strong>This study found that nearly seven out of a hundred reproductive-age women in Ivory Coast had sexually transmitted infections, influenced by factors such as age group, region, religion, marital status, media exposure (reading magazines, watching television, and using the inte","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1490762"},"PeriodicalIF":2.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095955","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}