Women's health (London, England)最新文献

{"title":"Cervical cancer prevention behaviors in young Black women.","authors":"Angela J Johnson, Monica J Johnson, Juinell B Williams, Emma Muscari, Laura Palmo, Michelle Ruiz, Brianna Bush, Lisa C Campbell","doi":"10.1177/17455057251326008","DOIUrl":"10.1177/17455057251326008","url":null,"abstract":"<p><strong>Background: </strong>In the United States, Black women have the second highest incidence of cervical cancer (CC) due to high incidence of human papillomavirus (HPV), slow HPV clearance rates, and low receipt of preventive pap smears and vaccines.</p><p><strong>Objective: </strong>A Black Feminist Thought framework was used to examine how the media portrayal of Black women, racial identity, and familial factors impact CC prevention behaviors among young Black women.</p><p><strong>Design: </strong>Black women enrolled at a large southeastern university consented and participated in an online mixed-methods survey examining facilitators and barriers to CC prevention behaviors. Quantitative items were analyzed via descriptive statistics, and qualitative items were thematically evaluated using an interpretative phenomenological analysis.</p><p><strong>Method: </strong>Black undergraduate women completed an online survey that collected quantitative data on demographic information, CC knowledge, perceived eHealth literacy, and CC prevention behaviors. Participants also responded to seven qualitative items that explored how the media portrayal of Black women, racial identity, and familial factors impact their CC prevention behaviors.</p><p><strong>Results: </strong>Participants (<i>N</i> = 146) were Black college women aged 18-26 who primarily identified as cisgender, non-Hispanic/Latine/x, and heterosexual. Most participants self-reported as having high e-Health literacy (78.1%, <i>n</i> = 114) but demonstrated inadequate CC knowledge (90.3%, <i>n</i> = 131). All age-eligible participants received pap smears within their lifetime (<i>n</i> = 6), and most received at least one dose of the HPV vaccine (77.5%, <i>n</i> = 86), with the majority reporting series completion. Qualitative findings highlighted participants experiences of oppression co-existed with self-advocacy, primarily in medical settings.</p><p><strong>Conclusion: </strong>Results provide insight for culturally tailored interventions in care settings serving young Black women that may encourage preventive care to reduce the prevalence of CC in later adulthood.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251326008"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733537","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 influencing women's satisfaction with well-woman services at the Manhyia Government Hospital, Ghana.","authors":"Agnes Ampofo Agyei, Seth Amponsah-Tabi, Edward Tieru Dassah, Eric Sarpong Ansong, Maxwell Kankam, Amponsah Peprah, Charles Senaya, John Jude Kweku Annan, Roderick Larsen Reindorff, Henry S Opare-Addo","doi":"10.1177/17455057251320425","DOIUrl":"10.1177/17455057251320425","url":null,"abstract":"<p><strong>Introduction: </strong>The provision of well-woman services to women is a very good intervention for promoting good health and well-being among women. Despite data needed to inform increasing accessibility to well-woman services, there is limited information about client's satisfaction with well-woman services.</p><p><strong>Objective: </strong>This study was conducted to determine factors influencing women's satisfaction with well-woman services at Manhyia Government Hospital.</p><p><strong>Design: </strong>An analytical cross-sectional study was conducted among women attending the well-woman clinic at the Manhyia Government Hospital, Kumasi from 10 May 2023 to 15 November 2023.</p><p><strong>Methods: </strong>A systematic sampling method was employed. A pretested structured questionnaire was used to collect data on participants' socio-demographic and clinical characteristics, health-facility-related factors, barriers to utilization and client satisfaction. A face-to-face interview was conducted for every woman included in the study. Data were analyzed using multivariable logistic regression analysis. <i>p</i>-Value for statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of the 344 women who were recruited for the study, majority (65.7%) of them were satisfied with care at the well-woman clinic. About 59.3% of the women were willing to continue care at the clinic. The age range was 18-60 with mean of 34.6 ± 12.0 years. Some of the challenges the women reported in accessing well-woman services at the clinic included long waiting times (17.7%) and inadequately skilled staff (8.1%). After adjusting for significant variables in the multivariable logistic regression analysis (adjusted odds ratio (AOR)), comfortability of the waiting area (AOR: 7.71, 95% CI: 1.54-38.60), <6 months duration of accessing care (AOR: 8.82, 95% CI: 3.25-23.98) and friendly attitude of health workers (AOR: 27.03, 95% CI: 4.28-170.83) were significantly associated with the client's satisfaction with well-woman services.</p><p><strong>Conclusion: </strong>There was high satisfaction with well-woman services at the clinic, and this was associated with factors such as duration of service, comfortability of the waiting area and the attitude of health workers. Training more skilled staff and expanding the clinic will help improve well-woman services.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251320425"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525411","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":"Effect of nursing intervention based on Ratu's model for preventing postpartum blues and depression among primiparous women: A treatment-control design.","authors":"Amal Hashem Mohamed, Randa Mohamed Abobaker, Mohammed Ibrahim Touni Ibrahim, Mohammad Mousa AlHseinat, Howayda Mohammed Ali, Radwa Ahmed Abdel Razek, Abdulrhman Albougami, Daniel Joseph E Berdida, Samah Ramdah Ibrahim Elrefaey","doi":"10.1177/17455057251323155","DOIUrl":"10.1177/17455057251323155","url":null,"abstract":"<p><strong>Background: </strong>Postpartum is a period of physiological and psychological adaptations among women. This period may negatively impact the mother's life quality, mother-to-baby relationship, and family dynamics because of some psychological issues (e.g., postpartum blues (PPB) or postpartum depression (PPD)) they are experiencing.</p><p><strong>Objectives: </strong>To investigate the effect of nursing interventions based on Ratu's model for preventing PPB and PPD among primiparous women.</p><p><strong>Design: </strong>A treatment-control design included 120 primiparous women attending a university hospital's Obstetrics and Gynecology Outpatient Department.</p><p><strong>Methods: </strong>We used five validated self-report scales (Maternal Attitudes Questionnaire, Coping Orientation for Problem Experiences, Multidimensional Scale of Perceived Social Support, Edinburgh Postnatal Depression Scale, and Kennerley's Blues Questionnaire) to collect data from December 2022 to October 2023. The control group received routine postpartum care (e.g., dietary guidance, maternal, and newborn care). The study group received routine postpartum care and educational intervention based on Ratu's model. The intervention was conducted for three sessions (every 9 days for 50-60 min) within 27 days. Both groups answered all questionnaires using the same tools before and after the study. Fisher's exact test, paired <i>t</i>-test, and logistic regression were used for data analyses.</p><p><strong>Results: </strong>The nursing intervention based on Ratu's model demonstrated significant differences between the two groups relative to the stimulus of pregnant women (<i>p</i> = 0.001), coping mechanism (<i>p</i> = 0.001), behavioral response (<i>p</i> = 0.001), and social support (<i>p</i> = 0.002). Results showed that 91.7% (study) and 56.6% (control) reported without PPD after the intervention, depicting a significant difference between the two groups (<i>p</i> = 0.005). Finally, participants' age (<i>p</i> = -0.002), educational level (<i>p</i> = 0.0031), social support (<i>p</i> = 0.001), and pregnancy outcome (<i>p</i> = 0.01) were associated with lower PPB and PPD incidence.</p><p><strong>Conclusion: </strong>Nurses, midwives, and other healthcare professionals working with pregnant and postpartum women may utilize the nursing intervention program based on Ratu's model to prevent or minimize PPB and PPD.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251323155"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659995","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":"Perceived factors contributing to teenage pregnancy and their perceived effects on teenage females health in eastern province of Rwanda.","authors":"Claudine Nshutiyukuri, Fauste Uwingabire, Marie Grace Sandra Musabwasoni, Jean Bosco Rutayisire, Reverien Rutayisire, Immaculée Benimana, Gerard Kaberuka, Laetitia Bazakare Ishimwe, Kyamusoke Borauzima Kyame, Leon Mutabazi, Madeleine Mukeshimana","doi":"10.1177/17455057251325044","DOIUrl":"10.1177/17455057251325044","url":null,"abstract":"<p><strong>Background: </strong>Teenage girls in Rwanda, like in many other countries, continue to experience unintended pregnancies. Many adolescents exhibit inadequate knowledge regarding sexual and reproductive health, highlighting significant gaps in its use specifically in developing regions including Rwanda. Despite the implementation of numerous prevention strategies in Rwanda, the prevalence of teenage pregnancy remains alarmingly high. The factors contributing to teenage pregnancy are diverse, and its consequences are far-reaching.</p><p><strong>Objective: </strong>This study's primary objective is to examine participants' personal experiences with their own pregnancies, including the factors they perceive to have contributed to their pregnancies. Additionally, the study aims to investigate participants' views on the broader societal factors that they believe contribute to teenage pregnancy within their community or province.</p><p><strong>Design: </strong>A cross-sectional study design was used.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the Eastern Province of Rwanda, between January and December 2023. The sample included females aged 13-25 years who described their own pregnancies when they were between 13 and 19 years, as well as their perceptions about other pregnancies in their community. Data were collected using a structured questionnaire and analyzed through descriptive statistical methods.</p><p><strong>Results: </strong>Teenage girls reported poverty and lack of knowledge as the leading causes of adolescent pregnancy, with a high percentage of them reporting that their pregnancies resulted from rape. The effects of teenage pregnancy on teenage female health include emotional and societal repercussions with a high prevalence of depression, suicidal thoughts, family rejection, and school dropouts. The scope of this study was limited to teenage mothers in Eastern province and all data came from their self-reporting.</p><p><strong>Conclusion: </strong>Poverty, lack of knowledge, and sexual violence/rape were the most frequently perceived causes of adolescent pregnancy reported by participants, with important consequences for the health and well-being of teenage girls and their children. Comprehensive teenage pregnancy preventive interventions involving men would address the root causes of teenage pregnancy and improve health literacy as regard to sexual and reproductive health. There is a need for an urgent governmental and private joint plan to reduce the burden of teenage pregnancy in Rwanda.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325044"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659996","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":"Evaluation of mental disorder related to colposcopy procedure during the COVID period: A cross-sectional study.","authors":"Ilaria Bochicchio, Martina Catalano, Giovanni Deiana, Giandomenico Roviello, Pasquale Marino, Fabrizia Calenda, Alessandro R Lettini, Francesca Sanseverino","doi":"10.1177/17455057241308342","DOIUrl":"10.1177/17455057241308342","url":null,"abstract":"<p><strong>Background: </strong>The Coronavirus Disease (COVID-19) has had a significant impact on healthcare organizations, leading to a reduction in screening. The pandemic period has caused important psychological repercussions in the most fragile patients.</p><p><strong>Objectives: </strong>This study aimed to assess the levels of depression, anxiety, peri-traumatic stress, and physical symptoms in patients undergoing colposcopy during the COVID-19 pandemic and to compare these data with the post-pandemic period.</p><p><strong>Design: </strong>This longitudinal study included 96 individuals undergoing colposcopy, aged between 22 and 64, who were examined between March 2020 and December 2023.</p><p><strong>Methods: </strong>Participants were assessed at four distinct time points, referred to as T0, T1, T2, and T3. T0 encompassed the pandemic period, ranging from March 2020 to August 2020, while T1 occurred 1 year later, T2 and T3 correspond to data collected in 2022 and 2023. Statistical analysis was conducted to assess the impact of the COVID-19 pandemic on various psychological variables. Descriptive statistics, including means, standard deviations, and frequency distributions, were calculated for each psychological variable within each time period.</p><p><strong>Results: </strong>Our findings revealed a significant reduction in peri-traumatic stress and pain levels in the post-pandemic (from 2021 to 2023) period compared to the pandemic period. Conversely, anxiety and depression levels exhibited a statistically significant increase in the post-pandemic period and then gradually decrease in the subsequent follow-up.</p><p><strong>Conclusion: </strong>This study provides valuable insights into the profound impact of the COVID-19 pandemic on psychological distress experienced during the pandemic period itself, as well as its enduring effects on anxiety and depression in the subsequent period.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241308342"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017957","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":"Patient perspective: Is intensive screening of women at high risk of breast cancer evidence-based medicine or <i>déjà vu</i>?","authors":"Kathleen A Fairman","doi":"10.1177/17455057241307089","DOIUrl":"10.1177/17455057241307089","url":null,"abstract":"<p><p>In 2023, a breast cancer risk assessment and a subsequent positive test for the BRCA-2 genetic mutation brought me to the uncomfortable intersection of a longstanding career as an advocate for high-quality medical evidence to support shared patient-provider decision making and a new role as a high-risk patient. My search for studies of available risk-management options revealed that the most commonly recommended approach for women with a ⩾20% lifetime breast cancer risk, intensive screening including annual mammography and/or magnetic resonance imaging beginning at age 25-40 years, was supported only by cancer-detection statistics, with almost no evidence on patient-centered outcomes-mortality, physical and psychological morbidity, or quality of life-compared with standard screening or a surgical alternative, bilateral risk-reducing mastectomy. In this commentary, I explore parallels between the use of the intensive screening protocol and another longstanding women's health recommendation based on limited evidence, the use of hormone therapy (HT) for postmenopausal chronic disease prevention, which was sharply curtailed after the publication of the groundbreaking Women's Health Initiative trial in 2002. These declines in HT utilization were followed by marked decreases in breast cancer incidence, providing a compelling lesson on the critical importance of a solid evidentiary basis for women's health decisions. Known harms accompanying the benefits of breast screening-overdiagnosis, psychological effects, and mammography-associated radiation-exposure risks-make empirical measurement of patient-centered outcomes essential. Yet, published research on intensive screening of women at high breast cancer risk has largely ignored these outcomes, leaving patients, providers, and guideline developers lacking the evidence needed for best practice. Outcomes research is both feasible and urgently needed to inform care decisions and health policy for this patient population.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241307089"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018008","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":"Seeking help for menstrual pain during adolescence: A mixed-methods retrospective survey of treatment experiences and preferences.","authors":"Kayla M Wall, Marta C Erlandson, Michelle M Gagnon","doi":"10.1177/17455057251315972","DOIUrl":"10.1177/17455057251315972","url":null,"abstract":"<p><strong>Background: </strong>Menstrual pain can significantly impact adolescents' well-being and functioning. Despite the prevalence of adolescent menstrual pain, information about adolescents' experiences seeking treatment is limited.</p><p><strong>Objectives: </strong>We examined retrospective reports of help-seeking in adolescence among menstruators to better understand perceptions and experiences of interacting with the healthcare system due to menstrual pain.</p><p><strong>Design: </strong>This study used an embedded mixed-methods design in which the qualitative and quantitative data were collected concurrently.</p><p><strong>Methods: </strong>Young adults aged 18-25 who experienced menstrual pain in adolescence completed an online, mixed-methods survey of help-seeking experiences. Responses were analyzed using descriptive statistics and reflexive thematic analysis.</p><p><strong>Results: </strong>Across participants (<i>N</i> = 590, <i>M</i>_age = 21.78 years), 41% sought treatment for menstrual pain in adolescence and of these 43% found the treatments they were offered ineffective. Three themes were generated related to why treatment was perceived as unsuitable: \"Side effects and risks of pharmacological treatment,\" \"treatment not tailored to the individual,\" and \"treatment seen as a band-aid solution.\" Participants perceived the treatment options as limited and likely not addressing the underlying cause of their pain. Four themes were generated related to perceived improvements to treatment seeking. Participants recommended that healthcare providers: \"Go beyond contraceptives,\" \"share and demonstrate expertise,\" \"investigate menstrual pain,\" and \"listen and do not dismiss.\" Participants reported that having more information, feeling validated, and understanding treatment recommendations would improve their experience.</p><p><strong>Conclusion: </strong>Participants perceived that their menstrual pain-related treatment needs were unmet in adolescence, despite being offered treatments that align with treatment guidelines for adolescent menstrual pain. Findings suggest that improving explanations about treatment provided to youth, along with improving communication and menstrual education, may lead to more optimal help-seeking experiences among adolescents.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251315972"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11826853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416385","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":"Iron and folic acid supplementation compliance during pregnancy and its effect on post-pregnancy anaemia among reproductive-age women in East Africa.","authors":"Melaku Tadege Engidaw, Patricia Lee, Faruk Ahmed","doi":"10.1177/17455057251317547","DOIUrl":"10.1177/17455057251317547","url":null,"abstract":"<p><strong>Background: </strong>Despite the government's effort to reduce the prevalence of anaemia among reproductive-age women globally, it continues as a significant public health issue, especially in low- and middle-income countries. Iron-folic acid (IFA) supplementation is a widely used intervention to prevent anaemia, but compliance remains a major challenge. There is a lack of literature examining IFA supplementation compliance during pregnancy and its impact on preventing and controlling anaemia during post-pregnancy in the East Africa region.</p><p><strong>Objective: </strong>This study aims to investigate compliance with IFA supplementation during pregnancy and its impact on post-pregnancy anaemia among reproductive-age women in East Africa.</p><p><strong>Design: </strong>This study was designed as a cross-sectional survey.</p><p><strong>Methods: </strong>This study used data from 43,200 reproductive-age women from 2015 to 2022 demographic and health survey datasets. We used multilevel mixed-effect logistic regression analysis to identify associated factors with IFA supplementation compliance during pregnancy. Furthermore, a propensity score matching (PSM) analysis was used to determine the effect of IFA supplementation compliance on anaemia after pregnancy among women.</p><p><strong>Results: </strong>The level of compliance with IFA supplementation during pregnancy was 31.33% (95% confidence interval (CI): 30.89, 31.77), whereas the prevalence of anaemia among reproductive-age women was 32.08% (95% CI: 31.64, 32.52). Maternal education, the timing of antenatal care (ANC) visits, wanted index pregnancy (last pregnancy), wealth status, healthcare access, mass media exposure and ANC services from skilled healthcare providers were significantly associated with compliance with IFA supplementation among pregnant women. The PSM analysis indicated a significant positive association between IFA supplementation compliance during pregnancy and prevention of post-pregnancy anaemia among reproductive-age women, with an average treatment effect on the treated (ATT) of 25.55% (ATT = -0.2555, 95% CI: -0.3440, -0.1669, <i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>Despite universal IFA supplementation, anaemia remains prevalent in East African countries due to low level of compliance with IFA supplementation. Targeting individual and socio-economic factors during IFA supplementation promotion helps to prevent anaemia after pregnancy. Further research is recommended to gain deeper insights.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251317547"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384189","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":"Identifying the key barriers, facilitators and factors associated with cervical cancer screening attendance in young women: A systematic review.","authors":"Sonia Shpendi, Paul Norman, Jilly Gibson-Miller, Rebecca Webster","doi":"10.1177/17455057251324309","DOIUrl":"10.1177/17455057251324309","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer (CC) results in around 604,00 new cancer cases yearly and is caused by the human papillomavirus (HPV). Uptake rates for both the HPV vaccination and screening have been decreasing over recent years, particularly in young women, whilst CC remains a concern for both low- and high-income countries.</p><p><strong>Objectives: </strong>To highlight the key barriers and facilitators of CC screening attendance in young women and to identify the factors associated with their CC screening behaviour, to inform interventions to increase screening rates.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Data sources and methods: </strong>A systematic review was conducted using Scopus, Web of Science, MEDLINE, PsycINFO/PyscARTICLES and CINAHL. The review included primary qualitative, quantitative and mixed-method studies that reported barriers, facilitators and factors associated with current CC screening behaviours in women aged 30 or below. Outcomes were summarised narratively. Risk of bias was conducted for individual studies using the Mixed-Method Appraisal Tool.</p><p><strong>Results: </strong>Among the 106 studies included in the review, the most frequently reported barriers were financial constraints (<i>n</i> = 36), embarrassment (<i>n</i> = 35) and low accessibility to obtaining screening (<i>n</i> = 34). The most frequently reported facilitators were knowledge of CC (<i>n</i> = 12), healthcare provider recommendations (<i>n</i> = 11) and communication with friends (<i>n</i> = 11). Age (older), marital status (in a relationship) and sexual activity (active) were key factors associated with attendance at screening. Studies also highlighted that those vaccinated were more likely to have screened than those not vaccinated against HPV.</p><p><strong>Conclusion: </strong>These unique factors represent potential targets for interventions to increase CC screening attendance in young women. Future research could benefit from employing strong theoretical frameworks, such as the COM-B model of behavioural change, to categorise and gain further insight into the contributing factors affecting CC screening attendance.</p><p><strong>Registration: </strong>PROSPERO CRD42022324948.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251324309"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627070","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 undernutrition among pregnant women in Chiro district, eastern Ethiopia.","authors":"Eyasu Bamlaku Golla, Habtamu Geremew, Abinet Tesfaye Diro, Samuel Abdisa, Alegntaw Abate, Meron Admasu, Mohammed Ahmed Ali, Getachew Gashaw","doi":"10.1177/17455057251325117","DOIUrl":"10.1177/17455057251325117","url":null,"abstract":"<p><strong>Background: </strong>Undernutrition denotes inadequate intake of energy and nutrients to meet one's optimal needs. Pregnant women are at an increased risk of undernutrition due to the added nutritional demand for fetal growth and development. Updated evidence is important for monitoring progress and informing healthcare decisions. However, there is a paucity of evidence about the nutritional status of pregnant women in the rural communities of eastern Ethiopia, particularly in Chiro district. Therefore, this study aimed to assess the prevalence of undernutrition and its associated factors among pregnant women in Chiro district, eastern Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was employed in Chiro district, from November 1 to 30, 2022, among 423 randomly selected pregnant women. The data were collected using face-to-face interviews and anthropometric measurements by trained research assistants. Bi-variable and multivariable logistic regressions were fitted to identify predictors of undernutrition by using STATA-14 statistical software.</p><p><strong>Results: </strong>The overall prevalence of undernutrition was 40.9% (95% confidence interval (CI): 36.2%, 45.8%). Antenatal care (ANC) follow-up (adjusted odds ratio (AOR): 5.61, 95% CI: 3.01, 10.45), history of illness in the past 2 weeks (AOR: 4.25, 95% CI: 2.23, 8.12), khat chewing (AOR: 4.01, 95% CI: 2.12, 7.56), household food security (AOR: 5.84, 95% CI: 3.36, 10.14), and dietary diversity practice (AOR: 2.74, 95% CI: 1.47, 5.09) were factors associated with undernutrition.</p><p><strong>Conclusion: </strong>Four out of every 10 pregnant women in the study area were undernourished. ANC follow-up, illness in the past 2 weeks, khat chewing, household food security, and dietary diversity practice were significantly associated with undernutrition. Therefore, improving access to ANC services, strengthening nutritional counseling, and addressing food insecurity might reduce undernutrition among pregnant women.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251325117"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634917","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}