Women's health (London, England)最新文献

{"title":"HIV self-testing in cis women in Canada: The GetaKit study.","authors":"Lauren Orser, Alexandra Musten, Hannah Newman, Molly Bannerman, Marlene Haines, Jennifer Lindsay, Patrick O'Byrne","doi":"10.1177/17455057251322810","DOIUrl":"10.1177/17455057251322810","url":null,"abstract":"<p><strong>Background: </strong>In light of ongoing HIV diagnoses among cis women, despite decreases in other populations, such as men who have sex with men, various testing approaches, including HIV self-tests are being targeted at cis women as a means of identifying undiagnosed HIV infections and of linking those with positive test results to care. Little, however, is known about risk characteristics of cis women who access HIV self-tests in Canada.</p><p><strong>Objectives: </strong>Our objectives were to examine demographic characteristics, risk factors, and test results of cis women who obtained HIV self-tests through the HIV self-testing platform, GetaKit.ca.</p><p><strong>Design: </strong>GetaKit.ca was an observational cohort study that provided free HIV self-tests to Canadians with reported risk factors for HIV acquisition.</p><p><strong>Methods: </strong>We completed an analysis of cis women who ordered HIV self-tests from GetaKit.ca between April 1, 2021 and May 31, 2023. Data analysis involved tabulating frequencies and means, plus chi-square calculations to determine significant differences between cis women and cis men who obtained HIV self-tests.</p><p><strong>Results: </strong>During the study period, 7420 orders for HIV self-tests were made through GetaKit.ca; 22% of these orders were made by cis women. Compared to cis men, cis women had significantly higher reported rates of injection drug use and significantly lower reported rates of prior sexually transmitted infection testing, HIV testing (with more cis women indicating their last HIV test was more than 12 months ago), and reporting HIV self-test results. Despite this, we found no differences in the number of cis women with a positive HIV self-test compared to cis men (positivity rate of 0.2% versus 0.3%, respectively).</p><p><strong>Conclusion: </strong>Our findings showed less overall uptake of HIV testing in cis women, despite matched risks and positive test results. Future interventions to engage cis women in HIV testing should include increased access points for HIV self-tests and enhanced linkage to care pathways to HIV pre-exposure prophylaxis or HIV treatment.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251322810"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756341","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":"Determinants of weight gain in pregnant women with hyperemesis gravidarum in Dire Dawa administration, Eastern Ethiopia: An unmatched case-control study.","authors":"Tariku Derese Asfaw, Yibekal Manaye, Mahder Girma","doi":"10.1177/17455057251318193","DOIUrl":"10.1177/17455057251318193","url":null,"abstract":"<p><strong>Background: </strong>Adequate gestational weight gain affects birth outcomes and increases the risk of non-communicable diseases later in life. Weight gain in pregnant Ethiopian women with hyperemesis gravidarum has not been investigated comprehensively.</p><p><strong>Objective: </strong>To assess the determinants of weight gain in pregnant women with hyperemesis gravida in Dire Dawa Administration, Eastern Ethiopia.</p><p><strong>Design: </strong>Unmatched case-control studyMethods:Pregnant women who visited health facilities for ante-natal care were recruited into this study using random sampling techniques. The World Health Organization Global Physical Activity Questionnaire, FANTA Version III Women's Dietary Diversity Score Questionnaire, and anthropometric measurements were used for the assessment of physical activities, dietary diversity, and gestational weight gain, respectively. Bivariate and multivariate logistic regression analyses with a 95% confidence interval (CI) and a Hosmer-Lemeshow goodness model were used to identify the determinants of gestational weight gain in the study population. A <i>P</i> value of <0.05 was considered significant.</p><p><strong>Results: </strong>A total of 657 pregnant women (219 patients and 438 controls) were included in this study. Among them, 44.3% and 47% of those in the patient and control groups, respectively, gained adequate weight during pregnancy (Std. 0.499: 95% CI: 42-49.8). Gravidity (adjusted odds ratio (aOR): 0.43, 95%CI: 0.22-0.81), planned pregnancy (aOR: 0.28, 95%CI: 0.11-0.69), and pre-pregnancy weight (aOR: 0.16, 95%CI: 0.72-0.74) were determinants of weight gain in the patient group, whereas the secondary level of education (aOR: 0.59, 95%CI: 0.36-0.97) and pre-pregnancy weight (aOR: 0.20, 95%CI: 0.08, 0.50) were determinants of gestational weight gain in the control group.</p><p><strong>Conclusion: </strong>The main determinants of gestational weight gain in women with hyperemesis gravidarum are gravidity, planned pregnancy, and pre-pregnancy weight. However, educational status and pre-pregnancy weight are the main determinants of gestational weight gain in women without hyperemesis gravidarum. Strengthening the nutritional life-cycle approach during pregnancy is important for ensuring that mothers maintain a healthy gestational weight.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251318193"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607498","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":"Robotics-assisted surgery in gynecology: A single-center experience with the Hugo™ RAS system in India.","authors":"Manjula Anagani, Ravula Sindura Ganga, Snehalatha Paritala","doi":"10.1177/17455057241302581","DOIUrl":"10.1177/17455057241302581","url":null,"abstract":"<p><strong>Background: </strong>Robotics-assisted surgery (RAS) offers several advantages over traditional laparoscopic surgery, such as enhanced precision, dexterity, and ergonomics, and allows stable movements with tremor filtering and motion scaling. The new multi-modular Hugo™ RAS system is commercially available in certain countries and is used in urological, gynecological, and general surgical procedures.</p><p><strong>Objectives: </strong>To document the experience with the use of the Hugo™ RAS system in 20 patients who underwent surgery for various gynecological conditions at a hospital in Hyderabad, India.</p><p><strong>Design: </strong>Real-world single-center study.</p><p><strong>Methods: </strong>Twenty patients (45.3 ± 6.5 years) who were admitted to a tertiary care center (September 2022-2023) underwent hysterectomy (<i>n</i> = 18), accessory and cavitated uterine mass excision (<i>n</i> = 1), and myomectomy (<i>n</i> = 1) using the Hugo™ RAS system. The evaluated outcome parameters included docking time, console time, blood loss (intraoperative and postoperative), length of hospital stay, postoperative complications, and postoperative pain perception measured as per visual analog scale (VAS) scores at multiple time points.</p><p><strong>Results: </strong>The mean docking time was 6.3 ± 2.0 min, and the mean console time was 86.9 ± 20.3 min. Blood loss (intraoperative and postoperative drain) was 103.5 ± 62.4 mL, not requiring blood transfusion for any patient. Per hospital norms, each patient had a hospital stay lasting for 2 days. None of the patients experienced immediate postoperative complications. Minor late complications were observed in two patients. Postoperative pain perception decreased with time. VAS scores were 3.2 ± 0.4 (1 h), 2.2 ± 0.4 (6 h), and 1.0 ± 0.0 (12 h), and no pain was perceived 1 week after surgery.</p><p><strong>Conclusion: </strong>Based on initial experience, the Hugo™ RAS system provides favorable results for gynecological patients, with benefits including efficient docking time, short surgery duration, minimal blood loss, short hospital stay, few postoperative complications, and low pain perception. Future studies comparing the Hugo™ RAS system with other robotic surgical platforms in gynecological procedures are essential.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241302581"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544817","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":"Associations between maternal birth complications and postpartum depressive symptoms: A systematic narrative review and meta-analysis.","authors":"Emilia F Cárdenas, Eileen Yu, Maya Jackson, Kathryn L Humphreys, Autumn Kujawa","doi":"10.1177/17455057251320801","DOIUrl":"10.1177/17455057251320801","url":null,"abstract":"<p><strong>Background: </strong>Nearly half of people report birth-related complications, which is thought to be a risk factor for postpartum depression (PPD).</p><p><strong>Objectives: </strong>The goal of this systematic narrative review and meta-analysis was to provide an updated examination of the literature linking specific maternal birth complications and PPD.</p><p><strong>Design: </strong>A systematic review was conducted focused on studies examining associations between specific maternal birth complications and PPD symptoms/and or diagnoses, along with meta-analyses to quantify the magnitude of associations for specific experiences. The review protocol was not pre-registered.</p><p><strong>Methods: </strong>Searches were completed using PsycINFO and PubMed databases. We used four eligibility criteria: (a) article available in English, (b) study included a measure of dimensional or diagnostic depression, (c) include discrete experience of birth-related complication, and (d) included a statistical test of the bivariate association between depression in the postpartum period and a measure of birth-related complication. We excluded studies of newborn intensive care or infant health conditions, rather than maternal birth complications directly impacting the pregnant person's health. All analyses were conducted using Comprehensive Meta-Analysis Software. We considered patterns in sampling, measurement, and analytic designs. To address publication bias, we examined funnel plots and calculated Egger's test.</p><p><strong>Results: </strong>The review (61 studies; 1,853,282 total participants) revealed four categories of maternal birth complications (i.e., cesarean, preterm birth, pain, laceration). Both the narrative review and meta-analysis support positive associations between maternal birth complications overall and PPD symptoms and diagnoses (odds ratio, OR = 1.47, <i>p</i> < 0.001), with specific associations observed for cesarean deliveries (non-emergency: 1,792,725 participants; OR = 1.30, <i>p</i> < 0.001; emergency: 14,199 participants; OR = 1.48, <i>p</i> = 0.001), preterm birth (39,291 participants; OR = 1.97, <i>p</i> < 0.001), and pain (3,708 participants; OR = 1.75, <i>p</i> = 0.009). ORs were small-to-medium in magnitude. Laceration alone was not significantly associated with PPD (3,356 participants; OR = 1.18, <i>p</i> = 0.692).</p><p><strong>Conclusions: </strong>This study expands upon previous research and provides nuanced perspective on the relationship between different types of maternal birth complications and PPD. This review was supported by a Ford Foundation Predoctoral Fellowship and 1F31MH135650-01.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251320801"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525409","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":"Meanings of food and experiences of food insecurity among survivors accessing violence against women services during the COVID-19 pandemic.","authors":"Julia Bonsu, Bridget Steele, Priya Shastri, Alexa R Yakubovich","doi":"10.1177/17455057251325986","DOIUrl":"10.1177/17455057251325986","url":null,"abstract":"<p><strong>Background: </strong>Violence against women (VAW) poses a serious threat to the psychological and physical health of women. Food insecurity is both a cause and outcome of VAW, with further consequences for women's health. The COVID-19 pandemic exacerbated economic insecurity and, as a result, the cycle of VAW and food insecurity, demonstrating that VAW survivors have multifaceted needs when healing from situations of violence.</p><p><strong>Objectives: </strong>To explore meanings of food and experiences of food insecurity among VAW survivors accessing supportive services during the COVID-19 pandemic, with the goal of informing holistic and trauma-informed service delivery.</p><p><strong>Design: </strong>This analysis is based on qualitative data collected as part of the mixed-methods community-based Marginalization and COVID-19 (MARCO)-VAW study.</p><p><strong>Methods: </strong>We applied reflexive thematic analysis to qualitative interview data from 10 survivor participants who accessed VAW services in the Greater Toronto Area, Canada during the COVID-19 pandemic and supplemented it with interview data from 18 staff participants working on those services.</p><p><strong>Results: </strong>We generated three themes relevant to meanings of food and experiences of food insecurity among VAW survivors: (1) power dynamics as barriers to food and achieving independence for survivors of VAW, (2) intersection between food insecurity and motherhood, and (3) reclaiming food independence and power after abusive situations.</p><p><strong>Conclusions: </strong>Food security and autonomy promoted healing and provided a sense of independence for VAW survivors living in or transitioning out of both violent situations and shelters during the COVID-19 pandemic. To better support VAW survivors, organizations that support survivors need to be appropriately resourced to provide food-related programming, supports, and diverse food options, including during public health emergencies, when economic precarity and social isolation increase. Gender-transformative policy is necessary to prevent gender-based and intersectional inequities in violence and food insecurity.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325986"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756343","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":"Vitamin C supplementation in nicotine use during pregnancy: A narrative review.","authors":"Carolin von Edlinger, Udo R Markert","doi":"10.1177/17455057241305265","DOIUrl":"10.1177/17455057241305265","url":null,"abstract":"<p><p>Nicotine use during pregnancy remains a widespread problem in obstetrics, leading to complications such as intrauterine growth restriction, preterm birth, stillbirth, and sudden infant death syndrome. Consistent education by medical personnel is essential, as no medication or supplement has been found to prevent the dangers of nicotine use during pregnancy. If a pregnant woman is unable to quit nicotine despite intensive efforts, vitamin C, with its antioxidant properties, may help mitigate these risks, as suggested by some studies. This review summarizes current knowledge based on publications related to vitamin C, nicotine, and pregnancy. Research was conducted on the medical literature platforms PubMed and Cochrane Library, using all relevant studies to provide a comprehensive overview of the topic. The identified studies primarily examined the impact of maternal smoking and nicotine on placental function, as well as the respiratory, cardiac, neuronal, and bone systems of the offspring. They suggest that vitamin C has a generally positive preventive or protective effect, though no study has shown complete compensation for the damage caused by nicotine. Nicotine abstinence remains the most crucial preventive measure. If this is not achievable despite intensive efforts by medical personnel, vitamin C supplementation during pregnancy may be considered. With a very low side effect profile, a daily dose of up to 500 mg can be recommended. However, further studies are necessary to provide reliable data on the effectiveness and appropriate dosage, given an ethically justifiable study approach.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241305265"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477303","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":"Burden of intimate partner violence, mental health issues, and help-seeking behaviors among women in Nepal.","authors":"Monna Kurvinen, Anna Mia Ekström, Keshab Deuba","doi":"10.1177/17455057251326416","DOIUrl":"10.1177/17455057251326416","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) is the most common form of violence, presenting a significant public health concern, especially for women and girls. Help-seeking can reduce future IPV and mitigate adverse health outcomes, including mental health issues.</p><p><strong>Objectives: </strong>This study is the first national assessment on IPV, mental health consequences, and associated help-seeking behaviors in Nepal.</p><p><strong>Design: </strong>A cross-sectional descriptive study.</p><p><strong>Methods: </strong>Using secondary data from the 2022 Nepal Demographic and Health Survey, this study includes 5178 women aged 15-49 and employs multivariate regression analysis to explore the association between IPV and mental health problems, as well as factors influencing help-seeking behavior for both issues.</p><p><strong>Results: </strong>Among participants, 31.4% reported ever experiencing IPV, and most (29.4% of all women) in the past 12 months. Of those ever experiencing IPV, 72.0% had not sought help for IPV, and 92.2% of those who did, opted for informal support. A total of 27.6% (<i>n</i> = 1427) of female interviewees reported anxiety symptoms, 21.5% (<i>n</i> = 1110) depressive symptoms, and 7.1% (<i>n</i> = 368) suicidal ideation within the past 2 weeks. These rates were higher among women who had experienced IPV in the past 12 months, with 41.1% reporting anxiety, 33.2% depression symptoms, and 14.1% suicidal ideation. Of the 4194 respondents with symptoms of anxiety, depression, or suicidal ideation who were asked about help-seeking for mental health issues, 19.4% (<i>n</i> = 812) had sought help, primarily from informal sources (93.4%, <i>n</i> = 759). Emotional IPV in the past 12 months increased the odds of anxiety (adjusted odds ratio (aOR) 3.00, 95% confidence interval (CI) 2.08-4.31), depression (aOR 3.09, 95% CI 2.19-4.37), and suicidal ideation (aOR 1.91, 95% CI 1.20-3.04). Sexual IPV increased the odds of anxiety (aOR 2.88, 95% CI 1.67-4.95) and depression (aOR 2.12, 95% CI 1.32-3.41), while controlling behavior heightened the odds of depression (aOR 2.42, 95% CI 2.02-2.89) and suicidal ideation (aOR 2.24, 95% CI 1.25-4.02).</p><p><strong>Conclusion: </strong>This nationwide study reveals a high prevalence of IPV and related mental health problems among women in Nepal and a low rate of help-seeking behavior, in particular to formal support structures. Stronger health system responses and empowering informal support are essential to improve referrals and raise awareness for violence survivors.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251326416"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659994","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":"Leveraging artificial intelligence for inclusive maternity care: Enhancing access for mothers with disabilities in Africa.","authors":"Obasanjo Bolarinwa, Aliu Mohammed, Victor Igharo, Sinegugu Shongwe","doi":"10.1177/17455057251326675","DOIUrl":"10.1177/17455057251326675","url":null,"abstract":"<p><p>Women with disabilities face significant barriers in accessing maternal healthcare, which increases their risk of adverse pregnancy outcomes, particularly in Africa, where resources are limited. Artificial intelligence (AI) presents a unique opportunity to improve inclusivity and accessibility to antenatal care, skilled birth attendance and postnatal care for these women. This paper explores the potential of AI to address the socio-economic, physical, and institutional barriers that limit the utilisation of maternal healthcare services by women with disabilities. AI-driven technologies, such as virtual assistants, predictive analytics, and wearable devices, can enhance maternal health outcomes by improving monitoring during pregnancy, providing real-time health data, and facilitating access to skilled care. However, the successful implementation of AI in maternal healthcare in Africa faces challenges, including technological infrastructure, data quality, and ethical concerns. Collaborative efforts between governments, healthcare providers, and AI developers are necessary to overcome these challenges and ensure AI tools are inclusive, culturally sensitive, and accessible. Integrating AI into maternal healthcare services could lead to improved maternal outcomes, reduce mortality rates, and promote equity for women with disabilities in Africa.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251326675"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634918","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":"Multi-level barriers to equitable postpartum permanent contraception.","authors":"Suzanna Larkin, Brooke W Bullington, Kristen A Berg, Kari White, Margaret Boozer, Tania Serna, Emily S Miller, Jennifer L Bailit, Kavita Shah Arora","doi":"10.1177/17455057251325977","DOIUrl":"10.1177/17455057251325977","url":null,"abstract":"<p><strong>Background: </strong>There are several barriers to fulfillment of desired postpartum permanent contraception (PC). Prior research has primarily focused on the federal Medicaid sterilization policy as a barrier to PC; however, other barriers need to be examined.</p><p><strong>Objectives: </strong>To explore the levels and intersections of barriers to postpartum PC that exist external to the Medicaid policy.</p><p><strong>Design: </strong>We interviewed postpartum people with a documented desire for PC and their delivering obstetrician-gynecologist (OB-GYN) at four hospitals in the United States in 2022-2023.</p><p><strong>Methods: </strong>We used rapid qualitative analysis to create initial key themes and sub-themes, which we further refined using thematic analysis to explore barriers to postpartum PC.</p><p><strong>Results: </strong>We interviewed 81 postpartum people and 67 OB-GYNs. Barriers were identified across four levels: clinical, physician, hospital, and sociocultural. At the clinical level, participants commented on how they believed individual patient characteristics and medical history can prevent PC fulfillment prior to discharge. At the physician level, participants discussed young age, low parity, and marital status as reasons clinicians decline to provide desired PC. At the hospital level, OB-GYNs described difficulties with scheduling and staffing, and patients described a lack of PC prioritization. At the sociocultural level, participants mentioned numerous barriers to fulfillment of interval PC including finding childcare, getting appointments scheduled quickly, and transportation.</p><p><strong>Conclusion: </strong>Improving access to postpartum PC should be focused within and across all levels of health disparity determinants. In the cases where immediate PC is not accessible, interventions should be formulated across levels to allow timely access to interval PC. As policy reform alone will not eliminate all barriers to postpartum PC, a multi-level approach to alleviating barriers is required.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325977"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607549","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 mental health in the doctoral context: Protective function of the psychological capital and academic motivation.","authors":"Angel Deroncele-Acosta, Roger Pedro Norabuena-Figueroa, Emerson Damian Norabuena-Figueroa","doi":"10.1177/17455057251315318","DOIUrl":"10.1177/17455057251315318","url":null,"abstract":"<p><strong>Background: </strong>Science recognizes the anxieties, depression, stress, and \"turbulences\" that women face in doctoral studies, but women's mental health in this context is still little addressed, even though it is a critical aspect for the well-being, persistence, and success of women doctoral candidates, who continue to be underrepresented in many professional fields.</p><p><strong>Objectives: </strong>The study aims to evaluate the relationship between academic motivation, psychological capital, and university academic performance (UAP) and to identify factors of female mental health success.</p><p><strong>Design: </strong>A cross-sectional, mixed-methods study was conducted with a sample of 108 female doctoral students from a university in Lima, during the first quarter of 2024.</p><p><strong>Methods: </strong>In the quantitative phase, three standardized scales were administered to assess academic motivation, psychological capital, and university academic performance (UAP). In the qualitative phase, interviews were conducted to gather relevant information on mental health.</p><p><strong>Results: </strong>The findings emphasize five important points: (1) levels and the relationship between psychological capital, academic motivation, and performance, (2) motivational behavior according to study cycles, (3) risk and protection profiles, (4) protective functions, and (5) mental health success factors. The results indicate that 36% of the women have a low level of psychological capital, 34% have a medium level of academic motivation, and 37% have a high level of UAP, likewise \"Intrinsic Motivation toward Accomplishment\" is the positive core where most of these women converge. Significant differences were found between the study cycles with academic motivation and \"University Academic Performance,\" and a significant gap between these variables. The risk profile (which limits performance) and the protective profile which allows high performance are determined; this positive profile is identified by women who present a high level of \"Self-efficacy.\" The study demonstrates that \"Psychological Capital\" and \"Academic Motivation\" along with the dimensions of \"Self-efficacy\" and \"Intrinsic Motivation to Experience Stimulation\" serve protective functions. Fourteen success factors for women's mental health were identified and organized into four main approaches: Optimism, Hope, Resilience, and Self-efficacy.</p><p><strong>Conclusion: </strong>Limitations and future projections are discussed. The practical implications include implementing psychological support programs, fostering intrinsic motivation, integrating psychological assessments, establishing support networks, and making tailored curricular adjustments.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251315318"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069830","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}