Frontiers in global women's health最新文献

{"title":"Do dietary habits and iron-folic acid intake make a difference? Factors associated with anemia in pregnancy: a multi-center cross-sectional study.","authors":"Serawit Lakew Chillo, Endrias Markos Woldesemayat, Mesay Hailu Dangisso","doi":"10.3389/fgwh.2025.1599842","DOIUrl":"10.3389/fgwh.2025.1599842","url":null,"abstract":"<p><strong>Background: </strong>Anemia in pregnancy impacts the well-being of the women and the conception. Anemia is associated with increased risks of maternal mortality. In Ethiopia, three in ten pregnant women were affected by either mild, moderate, or severe anemia. The recent evidence was limited in the study locations of southern Ethiopia and needs to be updated. No report of anemia as relation to dietary factors observed in the region. This study therefore aimed to assess factors associated with anemia in pregnancy in the region.</p><p><strong>Methods: </strong>A multicenter, cross-sectional study was conducted from January 2 to 30, 2025, in five selected public health facilities in Arba Minch district, South Ethiopia.</p><p><strong>Results: </strong>A total of 476 (96%) respondents had participated in the survey. Explanatory variables were modeled in logistic regression to test for statistical associations at a <i>P</i> value of <0.05. The study participants were in the age range of 18 to 40 years. Of the respondents who completed the survey, 103 (21.6%, 95%CI 18.2-25.6%) were diagnosed as anemic. Participants who received iron-folic acid during the current pregnancy were 66% less likely to be anemic, AOR (95% CI), 0.34 (0.19, 0.61). Participants with high education status, sleeping under insecticide-treated bed nets (ITN), not being infected with malaria in the current pregnancy, and age category between 20-29 years were less likely to experience anemia in pregnancy. Evidence was limited to support association of women dietary diversity score (WDDS) and anemia in pregnancy, AOR (95%CI), 0.83 (0.49, 1.40).</p><p><strong>Conclusions and recommendations: </strong>Anemia prevalence was a moderate public health problem in the study area. Healthcare workers should encourage antenatal women to receive iron and sleep under insecticide-treated bed nets (ITN) for anemia protection during pregnancy.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1599842"},"PeriodicalIF":2.3,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638869","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":"U.S. young adults' family-building intentions in the event of infertility and knowledge of associated costs.","authors":"Jean Marie Place, John Horowitz, Minh Nguyen, Maya Guinn, Brennan Peterson","doi":"10.3389/fgwh.2025.1538455","DOIUrl":"10.3389/fgwh.2025.1538455","url":null,"abstract":"<p><strong>Introduction: </strong>Infertility affects approximately 8.5% of married women in the United States, yet there is limited understanding of how young adults anticipate and prepare for potential barriers to biological parenthood. As reproductive planning increasingly intersects with social, medical, and financial considerations, it is important to examine how emerging adults perceive and approach family-building options. This study aims to explore college students' intentions regarding childbearing, their openness to non-traditional family-building methods, and their awareness of the associated financial costs.</p><p><strong>Methods: </strong>A cross-sectional survey was administered to undergraduate students (mean age = 20) at a Midwestern public university. Most participants had not previously attempted to conceive. The survey assessed fertility awareness, preferences for family-building in the context of infertility, and cost estimations for various non-traditional options, including adoption, in vitro fertilization (IVF), and surrogacy.</p><p><strong>Results: </strong>The majority of participants (86%) expressed a desire for biological children, with an average intended family size of 2.3 children. Among non-traditional options, private domestic adoption was the most preferred (58.3%), followed by public adoption (53.0%) and IVF (42.2%). Surrogacy using donor gametes was the least preferred (9.7%). Cost awareness was generally low: only 16.7% of estimates for domestic adoption and 48% for international adoption fell within 75%-125% of actual cost ranges. Gender differences emerged, with women showing greater openness to alternative family-building methods and more accurate cost perceptions, while men reported higher confidence in their reproductive planning.</p><p><strong>Discussion: </strong>These findings suggest that while college students are generally interested in parenthood, they may lack adequate knowledge about the financial and logistical realities of non-traditional family-building options. The gender differences observed highlight the need for targeted educational interventions. Enhancing fertility literacy and financial preparedness among young adults could support more informed and realistic family planning decisions.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1538455"},"PeriodicalIF":2.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627896","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 impact of implementing the women's reproductive rights agenda on climate change.","authors":"Marleen Temmerman, Emilie Peeters, Celine Delacroix, Malachi Arunda, Sara Khalid, Claudia Hanson, Samuel Akombeng Ojong","doi":"10.3389/fgwh.2025.1594066","DOIUrl":"10.3389/fgwh.2025.1594066","url":null,"abstract":"<p><p>The 1994 International Conference on Population and Development (ICPD) established sexual and reproductive health and rights (SRHR) as foundational to sustainable development. Thirty years later, advancing women's reproductive rights (WRR), encompassing agency, decision-making autonomy, and universal access to family planning-remains critical not only for health and gender equity but also for mitigating environmental degradation. By reducing unintended pregnancies and empowering women to align childbearing with personal and ecological capacity, WRR alleviates ecological stressors such as deforestation while enhancing health resilience in climate-vulnerable communities. Yet, despite well-documented linkages between population dynamics and environmental change, contemporary climate policies and funding mechanisms persistently exclude WRR. This oversight undermines the potential of reproductive justice to enhance climate resilience. Additionally, claims that integrating WRR into climate agendas covertly promotes population control or represses women in low- and middle-income countries are fundamentally misleading. Crucially, research is needed to quantify the specific environmental impacts of WRR, underscoring the urgent need for robust global models to predict and validate these co-benefits. Strengthening this evidence base is imperative to inform policies that integrate WRR indicators into climate financing frameworks, ensuring gender-responsive programming. Bridging this gap requires interdisciplinary collaboration to develop metrics that capture WRR's role in reducing resource consumption and enhancing adaptive capacity. Embedding WRR within climate agendas would harmonize reproductive justice with environmental action, unlocking synergies between gender equity, health resilience, and sustainability. Fulfilling the ICPD's vision demands centering WRR in global climate strategies, thereby advancing a just and livable future for all.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1594066"},"PeriodicalIF":2.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610464","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":"When gender matters: inequalities in health services utilization and risk factors monitoring after acute myocardial infarction.","authors":"Irene López-Ferreruela, Antonio Gimeno-Miguel, Clara Laguna-Berna, Sara Malo, Sara Castel-Feced, María José Rabanaque, Isabel Aguilar-Palacio","doi":"10.3389/fgwh.2025.1605400","DOIUrl":"10.3389/fgwh.2025.1605400","url":null,"abstract":"<p><strong>Introduction: </strong>Secondary prevention after an acute myocardial infarction (AMI) has the objective of improving quality of life, minimizing recurrence, and reducing morbidity and mortality. Despite European guidelines highlighting the importance of cardiovascular risk factor (CVRF) management and optimal healthcare utilization, inequalities persist, particularly between genders. This study aims to identify and analyze gender inequalities in healthcare utilization and CVRF monitoring during the first year after AMI using real-world data (RWD).</p><p><strong>Methods: </strong>An analytical study was conducted within the CARhES (CArdiovascular Risk factors for Health Services research) cohort in Aragon, Spain. The study population included 3,464 subjects who survived a first AMI and were followed for one full year after the event. Sociodemographic, anthropometric, clinical data, healthcare utilization, CVRF monitoring and pharmacological prescriptions, were extracted from the Aragon Health Service. Statistical analyses included chi-squared tests, Student's <i>t</i>-tests, and logistic regression, with Blinder-Oaxaca decomposition applied to explore possible explanatory factors for gender differences.</p><p><strong>Results: </strong>Women represented 28.3% of the study population. Compared with men, they were older and had a higher morbidity burden. Primary care utilization was similar between genders; however, women had fewer cardiology visits (<i>p</i> < 0.001) and were less likely to achieve risk factor monitoring goals. Differences were also observed in pharmacological treatment, with women being less likely to receive beta-blockers, lipid modifying agents, and antiplatelet agents (<i>p</i> < 0.001). Several of these inequalities persisted after controlling for age. The Oaxaca decomposition showed that age and morbidity burden were the main contributors to gender disparities. In addition, socioeconomic status and place of residence played a role in health services utilization differences.</p><p><strong>Conclusions: </strong>Gender inequalities are still present in post-AMI care and CVRF management, with women being more likely to receive less adequate treatment and management. Addressing these inequalities is crucial to ensuring equitable care and improving health outcomes for women.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1605400"},"PeriodicalIF":2.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610466","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":"What do physiotherapists do in managing urinary incontinence in women in primary health care? a scoping review protocol.","authors":"Giovanna Campos Santos, Amanda Damasceno de Souza, Mara Lisiane de Moraes Dos Santos","doi":"10.3389/fgwh.2025.1561435","DOIUrl":"10.3389/fgwh.2025.1561435","url":null,"abstract":"<p><p>Urinary incontinence (UI), defined as the involuntary loss of urine, is highly prevalent among women and has a significant impact on physical, emotional, and social well-being. Although pelvic floor muscle training is widely recognized as a first-line intervention for mild to moderate UI, the role of physiotherapists in managing this condition within Primary Health Care (PHC) remains insufficiently explored. Considering the centrality of PHC in health systems and the predominance of generalist and multiprofessional teams in this setting, mapping conservative, low-complexity physiotherapeutic interventions is essential. This article presents a protocol for a scoping review aimed at identifying, examining, and synthesizing the scientific literature on physiotherapeutic practices for the management of UI in women within PHC. The review will follow the Joanna Briggs Institute (JBI) methodology and the PRISMA-P checklist. Eligible sources include full-text peer-reviewed articles, theses, dissertations, and clinical guidelines, with no publication date restrictions. Abstracts, opinion pieces, unrelated studies, and duplicates will be excluded. Additional strategies such as interlibrary loan services and author contact will be employed to access full texts. This review is expected to identify existing practices, knowledge gaps, and opportunities for strengthening physiotherapy care in PHC, contributing to improved health outcomes and future research directions.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1561435"},"PeriodicalIF":2.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610465","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":"Autism, menstruation and mental health- a scoping review and a call to action.","authors":"Joanna Skommer, Krish Gunesh","doi":"10.3389/fgwh.2025.1531934","DOIUrl":"10.3389/fgwh.2025.1531934","url":null,"abstract":"<p><strong>Introduction: </strong>There is increasing evidence regarding the mental health implications of cyclical hormonal fluctuations associated with menstruation, as well as of key reproductive transitions (menarche and menopause), in typically developing individuals. Autism spectrum disorder (ASD), a complex neurodevelopmental condition, may predispose individuals to maladaptive responses to life changes such as menstruation. Despite the importance of this topic, research relating to menstrual experiences across the lifespan of autistic adults remains scarce, largely due to the intersecting effects of multiple marginalizing characteristics experienced by this population. This research gap significantly limits our understanding of how menstruation impacts the mental health of autistic individuals.</p><p><strong>Objectives: </strong>The purpose of this scoping review was to examine existing evidence about menstrual experiences, including menarche and menopause, and their impact on mental health among autistic individuals, and propose a biopsychosocial framework for the complex interplay of individual, healthcare, and societal vulnerabilities that predispose autistic individuals to negative menstrual experiences.</p><p><strong>Methods: </strong>A scoping review of original articles, quantitative and qualitative, published in English from 1980 onwards, identified through search of online databases and reference lists, using PRISMA extension for scoping reviews.</p><p><strong>Results: </strong>A total of 45 studies were identified to meet the specified inclusion and exclusion criteria. The key emerging themes were the mental health impact of menstruation, the occurrence and experience of menstrual disorders among autistic individuals, as well as support strategies and healthcare utilization by that population.</p><p><strong>Conclusions: </strong>Although our current knowledge on menstrual health specific to autistic individuals is still scant, it nevertheless raises significant concerns regarding potential challenges. The findings of this study have been placed within the bio-psycho-socio-cultural framework to emphasize that menstrual experiences occur within the context of person-environment transactions, and that autistic individuals are vulnerable to negative menstrual experiences because of adverse or non-facilitative societal and healthcare environments. Further large-scale studies addressing identified gaps (e.g., influence of gender diversity, impact of medical comorbidities, trauma and stigma) is warranted.</p><p><strong>Systematic review registration: </strong>https://osf.io/gxurq.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1531934"},"PeriodicalIF":2.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12237902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602362","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":"A qualitative description of birth trauma experiences from Ireland's first psychological birth trauma clinic.","authors":"Anisha Bhagawan, Daria Prets, Ursula Nagle, Jillian Doyle, Richard M Duffy","doi":"10.3389/fgwh.2025.1584070","DOIUrl":"10.3389/fgwh.2025.1584070","url":null,"abstract":"<p><strong>Objective: </strong>Giving birth is a significant, life-transforming event that leaves lifelong memories. Although it is commonly seen as a beautiful and empowering experience, it can nevertheless also be traumatic and cause long-term psychological problems. Birth trauma, which arises from experiences during labour and birth, is gaining wider attention as a potential clinical issue. Our study aimed to categorize and describe qualitative data from women seeking assistance at a psychological birth trauma clinic.</p><p><strong>Methods: </strong>The study focused on analysing qualitative data from a psychological birth trauma clinic to understand women's perspectives and experiences. Thematic analysis was used for its flexibility and reliability. Out of 121 cases, 43 were excluded, resulting in 78 women included in the study.</p><p><strong>Results: </strong>This study identified three main themes: personal failure, failure of others, and threat to life; along with several sub-themes. These themes and sub-themes reflected the perspectives and experiences of the women in the study regarding their birth trauma experiences.</p><p><strong>Conclusion: </strong>This study emphasises the need for proactive measures to address childbirth trauma effectively, and advocates for Trauma Informed Care which promotes woman-centred practises to improve quality of care and health service delivery.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1584070"},"PeriodicalIF":2.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12234513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593040","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":"Midwifery care attachments: shaping childbirth agency through care techniques.","authors":"Annekatrin Skeide","doi":"10.3389/fgwh.2025.1605546","DOIUrl":"10.3389/fgwh.2025.1605546","url":null,"abstract":"<p><p>Midwifery care has been shown to effectively enhance birth outcomes and improve childbirth experiences. It has, however, not yet been sufficiently articulated how exactly. This study explores how trustful and empowering relationships are crafted through midwifery birthing care techniques. To do so, it builds on insights derived from feminist science and technology studies' engagements with caring in terms of empirical ethics, namely as situated practices of \"doing good\". Using reflexive thematic analysis, I examine semi-structured interviews with midwives alongside ethnographic fieldwork conducted across various midwifery care settings in Germany. Setting two birthing stories in dialogue, I illustrate how bodies-in-labor emerge through collective, active, persistent and adaptive engagements with these dynamic entities in midwifery practice to make physiological childbirth happen. Specifically, I argue that through the midwifery care techniques of \"spooning\" and \"labor and birth positioning\" midwifery birthing care attachments are fostered. I conceptualize these attachments as co-responsive, active-passive commitments aimed at sustaining endurable or even pleasurable relationships between embodied selves and bodies-in-labor. Investigating situated midwifery care techniques enables a detailed understanding of their specific qualities in particular childbirth situations, extending conventional notions of being-with and non-intervention. This approach allows to articulate, critically engage with, and strengthen midwifery-specific childbirth care practices.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1605546"},"PeriodicalIF":2.3,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585777","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":"Measuring the positive potential value of birth in economic evaluation of perinatal interventions.","authors":"Meghan Bruce Kumar, Mabel Berrueta, Ezequiel García-Elorrio, Mahesh C Puri, Lisa Hinton, Dorothy Oluoch, Cicely A Marston","doi":"10.3389/fgwh.2025.1492231","DOIUrl":"10.3389/fgwh.2025.1492231","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1492231"},"PeriodicalIF":2.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577130","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":"Perspectives on trauma-informed maternity care for those with a history of child sexual abuse.","authors":"Elsa Montgomery, Lucy Duckworth","doi":"10.3389/fgwh.2025.1597924","DOIUrl":"10.3389/fgwh.2025.1597924","url":null,"abstract":"<p><p>Failure to listen has been a recurrent issue for recent users of maternity services in the UK. The need to listen to women has been recognised in successive reports. Listening is particularly difficult when the population is unheard such as those who have experienced child sexual abuse. Despite its prevalence and lasting impact on physical and mental health, care of women who have experienced child sexual abuse is not usually part of healthcare professional or student education. This paper discusses the benefits of trauma-informed care to meet the needs of survivors of child sexual abuse. It also discusses the co-production of an e-resource on trauma-informed care for women and birthing people who have experienced child sexual abuse. The resource addresses the related educational gap for healthcare professionals and enables the powerful words of this silent, hidden population to be heard.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1597924"},"PeriodicalIF":2.3,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562242","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}