Women's health (London, England)最新文献

{"title":"Maintaining a healthy lifestyle behaviors and quality of sleep based on the PRECEDE-PROCEED model among women with gestational diabetes in Jordan: A quasi-experimental study.","authors":"Fatima Kamal Ali, Amira Mohamed Abdelfatah Abdelfatah, Rabia Hani Haddad, Talal Bani Ahmad, Fathia Mahmoud AbdElmenim Sayed, Nashwa Saber Atia, Ashraf Jehad Abuejheisheh","doi":"10.1177/17455057261442707","DOIUrl":"10.1177/17455057261442707","url":null,"abstract":"<p><strong>Background: </strong>Continuous educational programs based on the PRECEDE-PROCEED model are recommended for women with gestational diabetes to improve their knowledge and awareness of the condition. These programs should address individual, organizational, and healthcare-related factors.</p><p><strong>Objectives: </strong>This research aimed to evaluate the effect of a nursing approach based on the PRECEDE-PROCEED model on health behaviors and sleep quality among women with gestational diabetes.</p><p><strong>Design: </strong>This study is a quasi-experimental research (pre-posttest design for control and study groups).</p><p><strong>Methods: </strong>This study includes a purposive sample of 90 pregnant women. This study was carried out in obstetrics and gynecology outpatient clinic at Al-Basheer hospital in Jordan. Data were collected through face-to-face interviews using a structured questionnaire, the questionnaire incorporated constructs from the PRECEDE-PROCEED model, along with the health-promoting lifestyle profile-II and Pittsburgh sleep quality index.</p><p><strong>Results: </strong>Following the intervention, participants in the study group achieved higher overall health-promoting lifestyle scores than those in the control group. The mean score in the intervention group was 97.02 ± 15.27, compared with 77.71 ± 11.55 in the control group, indicating a statistically significant difference. Significant improvements were also observed in key lifestyle domains, including nutrition (28.04 ± 5.52), physical activity (17.08 ± 3.34), and stress management (18.46 ± 2.69). In addition, sleep quality improved in the intervention group, as reflected by a reduction in the mean sleep disturbance score to 8.20 ± 2.65 compared with 11.24 ± 5.32 in the control group.</p><p><strong>Conclusion: </strong>The PRECEDE-PROCEED model was effective in improving knowledge, attitude, sleep quality, and health behaviors among pregnant women diagnosed with gestational diabetes.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261442707"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791871","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 narrative review of the effectiveness of pain management strategies during intrauterine device insertion and endometrial biopsies.","authors":"Nora Shero, Manon Denis-LeBlanc","doi":"10.1177/17455057261442100","DOIUrl":"10.1177/17455057261442100","url":null,"abstract":"<p><p>A variety of pain management techniques are currently used during gynecological procedures in outpatient settings to help improve patient comfort and satisfaction. The most common pharmacological methods include nonsteroidal anti-inflammatory drugs, lidocaine gel, lidocaine spray, and paracervical blocks. Moreover, noninvasive techniques such as transcutaneous electrical nerve stimulation and verbal analgesia have been shown to help reduce pain during intrauterine device (IUD) insertions and endometrial biopsies (EMB). More recently, Penthrox, an inhaled analgesic, is another promising new option for pain control in primary care practice. Despite the variety of available techniques, there are limited recent data evaluating the comparative efficacy of these pain management strategies during IUD insertions and EMB. Several factors play a significant role in pain perception. For example, parous women tend to have a higher tolerance for pain and report lower pain scores than nulliparous women who have not given birth and are more likely to experience cervical stenosis. This gap in evidence highlights the need for ongoing research and the development of accessible, evidence-based interventions in primary healthcare settings to enhance patient experiences and satisfaction with these common procedures. Patient education about the procedure, its benefits, and potential side effects, and providing additional counseling can help alleviate anxiety and contribute to better overall outcomes, and in turn, reduce pain.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261442100"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791876","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":"Persistent human papillomavirus after thermal ablation in Malawian women with and without HIV: Implications for risk-based cervical cancer prevention in low- and middle-income countries.","authors":"Jessica Gingles, Yating Zou, Lameck Chinula, Jennifer H Tang, Ivy Kaliati, Tawonga Mkochi, Lizzie Msowoya, Charity Nakanga, Friday Saidi, Jennifer S Smith, Chemtai Mungo","doi":"10.1177/17455057261428547","DOIUrl":"10.1177/17455057261428547","url":null,"abstract":"<p><strong>Background: </strong>Persistent high-risk human papillomavirus (hrHPV) infection can lead to cervical precancer, with women living with HIV (WLWH) at increased risk due to impaired immune clearance. Thermal ablation (TA) is a low-cost treatment for precancerous lesions, but data on hrHPV persistence after TA among WLWH are limited.</p><p><strong>Objectives: </strong>To evaluate overall and channel-specific hrHPV persistence 12 months after TA among women in Lilongwe, Malawi.</p><p><strong>Design: </strong>Cross-sectional analysis of Malawian women who received TA during and after the PEER trial (prevention of cervical cancer through two HPV-based screen-and-treat implementation models in Malawi).</p><p><strong>Methods: </strong>We analyzed 495 hrHPV-positive women (113 WLWH, 382 without HIV) treated with TA. Self-collected cervicovaginal samples were obtained before treatment and at 12 months post-treatment and tested with the GeneXpert HPV assay, which detects hrHPV across five high-risk genotype channels (P1-P5). Channels P3-P5 were grouped as non-16/18/45 hrHPV types (HPV 31, 33, 35, 39, 51, 52, 56, 58, 59, 66, 68). Persistence was defined as the detection of the same channel at both time points. Differences in persistence rates were assessed using Fisher's exact and Welch's <i>t</i>-tests.</p><p><strong>Results: </strong>At 12 months post-TA, 35.6% of women were persistently hrHPV-positive. Persistence was higher among WLWH (46.0%) than women without HIV (32.0%, <i>p</i> = 0.01). By genotype, persistence was most common for non-16/18/45 types (37.7%), followed by HPV16 (28.9%) and HPV18/45 (18.0%). WLWH had higher persistence of non-16/18/45 types (51.8% versus 33.7% in HIV-negatives, <i>p</i> = 0.003), while persistence of HPV16 (35.0% versus 27.1%, <i>p</i> = 0.58) and HPV18/45 (26.3% versus 14.9%, <i>p</i> = 0.14) did not differ significantly.</p><p><strong>Conclusions: </strong>Over one-third of women had persistent hrHPV 12 months after TA, with higher rates among WLWH, primarily for non-16/18/45 genotypes. Findings highlight the need for enhanced follow-up and adjunct therapies to improve post-treatment clearance and advance cervical cancer prevention in low-resource settings.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261428547"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791902","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":"Cesarean Sections and Racial Birth Trauma: A Qualitative Analysis for Obstetric Racism among Black Women in the United States.","authors":"Shameka Poetry Thomas, Praise Iyiewuare, Tiara Ranson, Leah Goldenberg, Kyrah K Brown","doi":"10.1177/17455057251409927","DOIUrl":"10.1177/17455057251409927","url":null,"abstract":"<p><strong>Background: </strong>The United States has one of the highest cesarean section (c-sections) rates among high-income countries. Birthing people who self-report as Black women in the United States are not only are three to four times more likely to die from preventable prenatal challenges, but also are the most prevalent racial group to receive either planned or unplanned c-sections.</p><p><strong>Objectives: </strong>Our initial aim focused on the lived experiences of prenatal care and the variety of birth types among Black women that was analyzed for a prior publication. In this secondary analysis, we noticed there was a large portion of study participants who discussed their perceptions of cesarean births.</p><p><strong>Design: </strong>In this specific analysis and due to c-section prevalence among Black women, we solely focused on the perceptions of c-sections, whether of planned or unplanned mode of delivery.</p><p><strong>Methods: </strong>We analyzed interviews from 25 women in the South Florida region of the United States who had at least one recent pregnancy and/or birth of a living child (<24 months) at the time of data collection. Data were thematically analyzed and coded using NVIVO 12 software by our research team.</p><p><strong>Results: </strong>Nineteen Black women had high-risk prenatal status, with <i>n</i> = 15 of the 25 Black women having c-sections. Regardless of whether c-sections were planned or unplanned, perceptions of c-sections were expressed as traumatizing and coercive. We also noticed how participants described their experiences with intergenerational trauma from the collective memory and triggers of their familial social groups who also had adverse experiences with c-sections. Participants who desired vaginal-births-after-cesarean sections or wanted to incorporate approaches with midwives or doulas further experienced constrained choices due to their high-risk prenatal diagnosis and limited insurance coverage. Based on our results, we designed a conceptual model to illustrate how our findings can be applied to better understand the overlap between medical racism and obstetric racism, which has implications for the perpetuation of unwarranted c-sections, high-risk pregnancies, negative mental health issues, and racial birth trauma.</p><p><strong>Conclusion: </strong>Social factors, including medical racism, contribute to obstetric racism and racial birth trauma throughout postpartum and impact mental health.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057251409927"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208287","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":"Protocol for a process and implementation evaluation of the SMARThealth pregnancy hybrid type 2 cluster randomised controlled trial.","authors":"Nicole Votruba, Sreya Majumdar, Sudhir Thout Raj, Vaaruni Nayak, Ankita Sharma, David Peiris, Hueiming Liu, Varun Arora, Minakshi Verma, Mohammad Abdul Ameer, Devarsetty Praveen, Jane E Hirst","doi":"10.1177/17455057261425789","DOIUrl":"10.1177/17455057261425789","url":null,"abstract":"<p><strong>Background: </strong>This protocol outlines the process and implementation evaluation of the SMARThealth Pregnancy (SHP) pragmatic, type 2 hybrid cluster randomised trial conducted in two states in India (Haryana/Telangana). The SHP trial aims to improve the community-level identification, diagnosis, referral and management of women with anaemia, diabetes, and hypertension during pregnancy and in the year after birth.</p><p><strong>Objectives: </strong>The process and implementation evaluation aims to understand how, why, and for whom the SHP intervention may be effective (or not). It aims to identify contextual factors, barriers, and facilitators relevant to the implementation of the intervention, and understand mechanisms and strategies employed during its implementation.</p><p><strong>Design: </strong>The study utilised a process evaluation design.</p><p><strong>Method: </strong>A mixed methods evaluation drawing from realist evaluation, normalisation process theory, the Medical Research Council framework, reach, effectiveness, adoption, implementation and maintenance framework, and Proctor's typology will be employed for understanding the implementation process. The evaluation will involve focus group discussions and semi-structured interviews with healthcare providers (Accredited Social Health Activist, primary care doctors, and auxiliary nurse midwife), women, and field staff. Quantitative process data describing reach, fidelity, dose, and adoption of intervention will be collected. Observations of trial setup and implementation will be conducted. Both qualitative and quantitative data will be analysed iteratively before the effectiveness outcomes of the SHP trial are available and will subsequently be triangulated with the trial primary outcome evaluation data.</p><p><strong>Discussion: </strong>The findings from this process evaluation will provide an understanding of how the intervention works in practice, its potential to detect and manage anaemia, diabetes and hypertension during pregnancy and in the year after birth, and its scalability as an integrated model for the management of non-communicable diseases in pregnancy/postnatal care.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261425789"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328371","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":"Healthcare professionals' and students' willingness to perform abortion: A systematic review and meta-analysis, 2014-2025.","authors":"Nityanand Jain, Anne-Fleur Fahner, Jessica Kumah, Swarali Yatin Chodnekar, Francis Abeku Ussher, Srinithi Mohan, Ikshwaki Kaushik, Amir Reza Akbari, Marinela Lica, Bismark Osei Owusu, Ernest Kissi Kontor","doi":"10.1177/17455057251410331","DOIUrl":"10.1177/17455057251410331","url":null,"abstract":"<p><strong>Background: </strong>Healthcare professionals' and students' willingness to provide abortion influences access to care and workforce readiness.</p><p><strong>Objective: </strong>We conducted a literature synthesis to identify patterns in willingness across various clinical scenarios.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources: </strong>We searched five databases (PubMed, Scopus, Web of Science, Medline, and CINAHL) and gray literature for studies (January 2014 to February 2025) without language restrictions. Eligible studies reported cross-sectional data on providers' willingness, while we excluded conditionally framed scenarios. Willingness was defined as the intent, readiness, or affirmative response to provide abortion.</p><p><strong>Methods: </strong>Summary-level data on theme-specific willingness were extracted and re-coded into binary or proportional format (yes/no or <i>n</i>/<i>N</i>). Estimates were pooled using random-effects models. Meta-regression and publication bias assessments were performed. Study quality was assessed using a novel in-house tool tailored for survey-based research.</p><p><strong>Results: </strong>We included 36 studies (<i>n</i> = 18,779), reporting 137 estimates across 24 themes. Willingness to provide was highest for lethal fetal anomalies (88.7%, 95% CI: 76.1%-95.1%) and maternal physical health risks (88.6%, 95% CI: 55.7%-98.0%) but substantially lower for on-request scenarios (33.1%, 95% CI: 14.9%-58.4%), surgical abortion (32.1%, 95% CI: 11.6%-63.0%), and social reasons (range 20.1%-32.0%). Multilevel modeling captured both converging and diverging response patterns across categories. Meta-regression indicated that students had consistently higher willingness than professionals. Dominant religion was also observed to be more strongly associated than legal status and other country-level indices. Evidence of small-study effects was limited apart from in a few themes. Risk of bias was high in 31% of studies, with our tool showing strong structural overlap with Checklist for Reporting Results of Internet E-Surveys (CHERRIES) and Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) frameworks.</p><p><strong>Conclusions: </strong>Providers often prioritized abortion in life-threatening contexts but hesitated in non-urgent scenarios. Values-based training and systemic reforms are needed for equitable access to and expansion of abortion care.</p><p><strong>Registration: </strong>PROSPERO: CRD42025634868.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057251410331"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12759130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890760","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":"Weaning as an emotional transition in maternal mental health: A call for greater sensitive and inclusive care.","authors":"Cecilia Peñacoba, Patricia Catalá","doi":"10.1177/17455057261425047","DOIUrl":"10.1177/17455057261425047","url":null,"abstract":"<p><p>Weaning is commonly understood as a practical transition, yet it carries significant emotional implications that remain largely absent from maternal mental health discussions. Drawing on existing literature and clinical observations, this editorial explores the psychological dimensions of weaning, including guilt, sadness, relief, confusion, and emotional disconnection. The lack of professional visibility of this transition may invalidate maternal emotional experiences, potentially impacting mental health. Recognizing weaning as a meaningful emotional and developmental moment can foster more empathetic, inclusive, and supportive maternal care.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261425047"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230035","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 of Indian adolescent girls in promoting menstrual health: A qualitative analysis.","authors":"Precilla Dsilva, Mitchelle Shilpa Lewis, Baby S Nayak, Sudhir Prabhu, Prajna Kumari, Shreedhara Avabratha Kadke","doi":"10.1177/17455057251407846","DOIUrl":"10.1177/17455057251407846","url":null,"abstract":"<p><strong>Background: </strong>Menstrual health is a vital indicator of adolescent girls' overall well-being and is shaped by diverse social, economic, cultural, and environmental factors. The menstrual period is often associated with physical and psychological discomfort, which can impact mental health. Early preparedness and a supportive environment are key to promote healthy coping and well-being.</p><p><strong>Objective: </strong>To explore the perceptions and experiences of Indian adolescent girls regarding menstruation.</p><p><strong>Study design: </strong>Qualitative descriptive study.</p><p><strong>Methods: </strong>This study explored menstrual health perception among 20 adolescent girls, aged 11-15 years, from three selected schools of Dakshina Kannada District, India. Data were collected through focus group discussion, transcribed and analysed using the OpenCode software (version 4.02). Thematic analysis was performed using deductive analysis.</p><p><strong>Results: </strong>The analysis revealed overarching themes such as preparation, puberty and menstruation, menstrual discomforts, menstrual hygiene and management, menstrual health empowerment, and perceptions about menstruation, reflecting the multifaceted and inter-connected aspects of the participants' experiences. The findings highlight the need for comprehensive education, policy interventions, and community involvement to enhance menstrual health outcomes for adolescent girls in India.</p><p><strong>Conclusion: </strong>This study highlights the multifaceted experiences of younger adolescents regarding menstruation, an area that remains significantly under-researched and emphasises the need for age-appropriate, culturally sensitive interventions to support their menstrual health and empowerment.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057251407846"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725024","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":"Counting every cycle: Validating a measure of period product insecurity in the United States.","authors":"Kelsey M Bowman","doi":"10.1177/17455057261426796","DOIUrl":"10.1177/17455057261426796","url":null,"abstract":"<p><strong>Background: </strong>Period product insecurity (PPI), a material hardship characterized by the repeated inability to afford menstrual products, is rarely integrated into mainstream poverty research in part because we lack measures to capture its incidence.</p><p><strong>Objectives: </strong>This article introduces and validates a new measurement instrument, the Van Ness Period Product Insecurity Scale (VNPPIS), which measures PPI.</p><p><strong>Design: </strong>The VNPPIS includes a 7-item gold standard scale for rigorous research applications and a 4-item short form tailored for time- or resource-constrained settings. The 7-item and 4-item scales capture four key domains of PPI: access and affordability, worry, coping, and consequences.</p><p><strong>Methods: </strong>Scale development included cognitive interviews (<i>N</i> = 18), 3 rounds of pilot testing (<i>N</i> = 100 each), and psychometric evaluation in a nationally fielded survey (<i>N</i> = 1503).</p><p><strong>Results: </strong>Results from the national survey showed that roughly 40% of the U.S. adult population is eligible to be screened for PPI. After fielding the VNPPIS in a national sample, results show that approximately 20% of those screened were found to experience PPI, meaning 8% of the U.S. adult population are likely to experience PPI. Results demonstrate both VNPPIS versions' strong internal consistency and evidence of face, construct, and predictive validity. PPI is moderately correlated with food insecurity and other known financial strains but emerges as a distinct material hardship. Notably, PPI is a predictor of elevated risk for anxiety and depression, outperforming food insecurity.</p><p><strong>Conclusion: </strong>These findings affirm the VNPPIS as a reliable and valid tool that can inform research, policy design, and interventions.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261426796"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523026","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":"Physical and social sleep environment of a women's prison: A qualitative exploration.","authors":"Amy B Smoyer, Johanna E Elumn","doi":"10.1177/17455057261425469","DOIUrl":"10.1177/17455057261425469","url":null,"abstract":"<p><strong>Background: </strong>The physical and social environments of correctional facilities impact the health of incarcerated women. Research indicates that sleep hygiene, which is critical to physical and mental health, deteriorates when people are incarcerated. However, this research is primarily quantitative and drawn from men's experiences.</p><p><strong>Objectives: </strong>The objective of this analysis is to use qualitative data to build knowledge about the physical and social sleep environment of a women's prison.</p><p><strong>Design and methods: </strong>Nine individual interviews and one focus group, with four participants, were conducted with formerly incarcerated women. All the women had been incarcerated in the same state carceral institution for women located in the southeast region of the United States. These semi-structured interviews asked women to describe their daily habits, behaviors, and practices while incarcerated. Their responses included detail about the sleep environment. All interviews were audio-recorded, transcribed, and coded in Dedoose. Topical and thematic analysis of the women's narratives was conducted.</p><p><strong>Results: </strong>Findings describe the prison's physical and social sleep environment. These narratives explore the role of peer and staff interactions, lighting, schedules, and norms on women's sleep behaviors.</p><p><strong>Conclusion: </strong>Findings build knowledge about prison's physical and social environments that can inform carceral policy and health interventions with incarcerated and formerly incarcerated women. The narratives invite dialogue about how changes in carceral practices and facilities could improve women's sleep habits and behaviors. Findings encourage more education about sleep hygiene for incarcerated women and correctional staff. Further research is needed to better understand the impact of prison on women's sleep behaviors and health outcomes.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261425469"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640789","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}