Women's health (London, England)最新文献

{"title":"Impact of a 3-year transformational change project in family violence clinical response: Qualitative evaluation of the depth and breadth of knowledge in hospital clinicians by training level.","authors":"Kirsty Troy, Catherine Rushan, Toni D Withiel, Kim L Felmingham, Caroline A Fisher","doi":"10.1177/17455057241305264","DOIUrl":"10.1177/17455057241305264","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the impact of different levels of training in family violence (no training, some training, clinical champions), on the clinician knowledge of key family violence response skills, using qualitative, survey obtained text-box responses.</p><p><strong>Design: </strong>A cross-sectional, online, survey of hospital clinicians in a major trauma hospital was conducted.</p><p><strong>Methods: </strong>The Assisting Patient/Clients Experiencing Family Violence: Royal Melbourne Hospital Clinician Survey tool was utilised and open for clinicians to complete, anonymously over a 6-week period. Free-text survey responses were analysed using an inductive thematic analysis approach.</p><p><strong>Results: </strong>Five hundred twenty-six clinical staff participated, 30% with no training, 52% with some training and 18% who were trained as clinical champions. A clear pattern was observed across training levels. Those with no training opted to demonstrate their family violence knowledge base less frequently. When they did, answers lacked specific information and details, showed limited knowledge of covert family violence indicators and provided a higher proportion of responses that did not align with best practice guidelines. Staff with some training showed a more sophisticated understanding in these areas. However, the quality of their responses did not match those of the clinical champions, who also provided an ongoing community of practice to further their skills.</p><p><strong>Conclusions: </strong>Providing some training in family violence yields a higher degree of family violence knowledge in clinicians, relative to no training. However, the extra resourcing required to train and maintain a clinical champions model in family violence provides demonstratable benefits, via a more sophisticated and nuanced understanding of indicators, enquiry and disclosure response skills, that align with best practice guidelines.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241305264"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525412","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 deficiency anemia in patients with heavy menstrual bleeding: The patients' perspective from diagnosis to treatment.","authors":"Imo J Akpan, Mohit Narang, Edio Zampaglione, Steve Marshall, Dawn Stefanik","doi":"10.1177/17455057251321221","DOIUrl":"10.1177/17455057251321221","url":null,"abstract":"<p><strong>Background: </strong>Heavy menstrual bleeding (HMB) associated with iron deficiency anemia (IDA) negatively affects quality of life (QoL). Management of IDA usually begins with oral iron supplementation or, if ineffective/poorly tolerated, then intravenous iron (IVI) is given; however, no guidance exists on transitioning from oral to IVI in patients with HMB. While various IVI products exist, safety profiles and distinct properties affecting treatment logistics make product choice important.</p><p><strong>Objectives: </strong>Assess the IVI treatment journey for patients with HMB and IDA.</p><p><strong>Design: </strong>A survey was designed to assess multiple aspects of IVI treatment to evaluate patient perspectives.</p><p><strong>Methods: </strong>Patients (⩾18 years) from the United States with IDA currently prescribed IVI completed a survey conducted by The Harris Poll in 2023. Questions covered symptoms, time to diagnosis/treatment, IVI appointment logistics, IVI infusion experience, impact on daily activities, and patient preferences.</p><p><strong>Results: </strong>Of 323 respondents, 71 (22.0%) were prescribed IVI for HMB and received ⩾2 IVI infusions monthly. The mean age for these patients was 33.5 years; they experienced a mean of 2.9 years from symptom onset until IDA diagnosis, and 1.4 years between diagnosis and IVI treatment. Most patients agreed that navigating IVI treatment logistics interfered with productivity and social commitments, and felt they must schedule their life around treatment. Patients who were also diagnosed with hypophosphatemia following IVI (12/71; 16.9%) reported a mean of 8.2 additional hospital visits. Furthermore, 36.6% of patients missed an IVI dose; of these, 80.8% preferred single-dose IVI.</p><p><strong>Conclusion: </strong>Patients with IDA and HMB experienced substantial delays from symptom onset to subsequent IVI treatment, demonstrating a gap in management. Therefore, oral iron may not be an appropriate first-line treatment for some of these patients. Multiple-dose IVI and associated appointment logistics can negatively impact patients' perspectives on treatment. Single-dose IVI preferences should be considered to improve patients' adherence and QoL.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251321221"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525417","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":"Social media to understand the endometriosis patient journey: Listening to influences driving treatment choices.","authors":"Vicky Britton, Alexis Sohn, Nicole T Ansani, Brett Hauber, Michele Cole, Martine C Maculaitis, Ruth Kim","doi":"10.1177/17455057241311765","DOIUrl":"10.1177/17455057241311765","url":null,"abstract":"<p><strong>Background: </strong>Previous research has identified treatment attributes and outcomes for endometriosis patients, highlighting the need for tailored interventions to improve patient care. These studies emphasize the need to understand patient experiences, focusing on pain symptoms and factors that impact quality of life.</p><p><strong>Objectives: </strong>This study aimed to provide an in-depth description of patient experiences with endometriosis related to treatment attributes and outcomes, including three key types of pain symptoms: Non-menstrual pelvic pain, dyspareunia, and dysmenorrhea, and non-pain factors such as out-of-pocket costs.</p><p><strong>Design: </strong>In this retrospective qualitative study, 47,745 public social media posts from the United States from December 2021 to December 2022 were analyzed.</p><p><strong>Methods: </strong>Boolean queries were created incorporating criteria to identify public posts referencing endometriosis and language indicative of patients expressed in the first-person point of view. Data were summarized via descriptive statistics.</p><p><strong>Results: </strong>Findings confirmed the relevance of non-menstrual pain, dyspareunia, and dysmenorrhea for treatment decision-making. Dysmenorrhea, described as excruciating and debilitating, was the most discussed symptom (10% of posts) followed by dyspareunia (3% of posts), with emotional and physical impacts detailed. Non-menstrual pain was specified in 1% of posts, including the follicular, ovulatory, and luteal phases of the menstrual cycle. Key themes that emerged organically included the impact of endometriosis on daily functioning, mental health, intimacy, fertility, and the role of online misinformation. Discussions detailed the struggle to balance symptom relief with long-term solutions, and frustration with diagnosis.</p><p><strong>Conclusion: </strong>The current study highlights the difficulties patients experience with dysmenorrhea, dyspareunia, and non-menstrual pain and the challenges to treatment decisions. The relevance of social media for patient expression of their disease experience, the importance of recognizing the individualized needs of patients necessitating their active involvement in treatment decision-making, and the need for education about treatment options beyond surgery also emerged in the findings.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241311765"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756419","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":"Stages and future of women's health: A call for a life-course approach.","authors":"Zohra S Lassi, Jeannette M Wade, Edward Kwabena Ameyaw","doi":"10.1177/17455057251331721","DOIUrl":"10.1177/17455057251331721","url":null,"abstract":"<p><p>Over the years, discourse on women's health has skewed towards reproductive health, particularly on matters relating to maternal and child health, contraception, and pregnancy-related care. In spite of the relevance of these aspects, such a narrow perspective overlooks the broader spectrum of health concerns that affect women across different life stages, hence the need to refocus women's health through the lens of the life-course perspective. The life-course perspective is a framework for understanding human development that centers on time and space. From adolescence to old age, women encounter a wide array of health challenges and experiences, including non-communicable diseases (NCDs), mental health disorders, musculoskeletal conditions, and the long-term consequences of early-life exposures. Addressing these issues requires a paradigm shift toward a more comprehensive and inclusive approach that recognizes the lifelong nature of women's health needs. Rather than treating health issues in isolation, the life-course perspective considers how early-life exposures, social determinants, and lifestyle factors influence health trajectories over the life spectrum. For women, this means recognizing that adolescent health behaviors affect midlife disease risk, menopause has implications for cardiovascular and bone health, and older age brings unique challenges such as frailty and cognitive decline. This model underscores the importance of preventive care, early interventions, and tailored health services at every stage of life. Consequently, this editorial takes a life-course approach to highlight the dominant health and health-related realities of women, segmented into three cardinal phases: emerging adulthood, adulthood, and late adulthood. It concludes by drawing governments and the global community's attention to the need to focus healthcare systems on universal, gender-sensitive healthcare policies that guarantee accessible, affordable, and high-quality services tailored to women's needs at every stage of life. Policies and programs that support women at every stage of life must take center stage in the quest to create a future where all women, regardless of age or background, can achieve optimal health and well-being.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251331721"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061531","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":"Benefits of breast self-examinations for medically underserved populations: A systematic review.","authors":"Caroline M Cassidy, Christopher I Choi, Benjamin Herdman, Taryn K Kilbane, Jessica F Lannen, James P McConnell, Michelle M Moufawad, Beth A Bailey","doi":"10.1177/17455057241311400","DOIUrl":"10.1177/17455057241311400","url":null,"abstract":"<p><strong>Background: </strong>Breast self-examination (BSE) was previously recommended to help early-stage breast cancer detection to improve prognosis. However, BSE is not recommended in the United States anymore due to the findings that it fails to significantly decrease mortality while increasing biopsy cases, causing unnecessary harm. Nonetheless, international researchers have continued to investigate the benefits of BSE in medically underserved regions. These studies raise the possibility that BSE could be beneficial in rural America, where people face higher mortality from chronic diseases compared to the general population.</p><p><strong>Objectives: </strong>Determine if BSE has benefits for medically underserved populations to inform a potential reevaluation of breast cancer screening recommendations.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Data sources and methods: </strong>A systematic review was conducted using a set of terms to identify articles on breast cancer survival and BSE in rural and/or underserved populations within the past 10 years. The search yielded over 200 articles across 3 databases (PubMed, CINAHL, and SCOPUS), and they were further screened to include studies that show rural populations performing BSE, effects of BSE in breast cancer diagnosis and/or mortality of breast cancer patients, factors contributing to the efficacy of BSE, factors that affect women's willingness to perform BSE, and effects of BSE on breast cancer awareness/behaviors to seek further screening.</p><p><strong>Results: </strong>The final synthesis from 12 articles suggests that BSE is associated with early breast cancer detection (4/12), increased accessibility to breast cancer screening (2/12), and positively influence women to seek further breast cancer screening in rural populations (3/12). It also identifies a potential need for improved education on breast cancer and screening, including BSE practices, to promote early breast cancer detection (3/12).</p><p><strong>Conclusion: </strong>The reevaluation of the current recommendations to determine if exceptions should be made to specific populations would be helpful in addressing late detection and poor prognosis in medically underserved populations.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057241311400"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560299","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 health-related quality of life and physical health of women raising infants and toddlers in Japan.","authors":"Haruna Ishibashi, Sumihisa Honda, Wakako Fujita","doi":"10.1177/17455057251347082","DOIUrl":"10.1177/17455057251347082","url":null,"abstract":"<p><strong>Background: </strong>Policies to support postpartum and child-rearing periods for women have been strengthened in Japan in recent years to combat the declining birth rate. However, the type of support required to improve the quality of life and health of these women remains unclear because of the insufficient research on new policies.</p><p><strong>Objectives: </strong>This study aimed to examine the self-reported health status of Japanese women raising infants and toddlers aged 3 months to 3 years and determine the factors associated with health-related quality of life and physical health.</p><p><strong>Designs: </strong>A cross-sectional observational study was conducted using self-administered questionnaires between March and November 2021.</p><p><strong>Methods: </strong>Two hundred and fifty-nine Japanese mothers (164 or 68.8% being first-time mothers) participated in a survey using self-administered questionnaires that included the Somatic Symptom Scale-8, 36-Item Short-Form Health Survey, and Health-Promoting Lifestyle Profile II.</p><p><strong>Results: </strong>The physical component summary scores of the participants were 49.2, 51.5, and 47.9 for those in their 20s, 30s, and 40s, respectively, all of which were below Japanese population norms in each age group. Employment (β = -1.57, p = 0.01), stress-coping skills (β = -0.50, p < 0.01), and optimistic thinking (β = -1.18, p < 0.01) were associated with fewer physical symptoms. Not being a first-time mother (β = 2.85, p = 0.01) and use of maternity-home services (β = 6.59, p = 0.02) were positively associated with the physical health. Moreover, the use of consultations or parenting classes provided by the local government (β = 3.36, p = 0.02), coping with stress (β = 0.81, p < 0.01), and optimistic thinking (β = 3.46, p < 0.01) were positively associated with the mental component summary score. Age of the youngest child (⩾1 year; β = 3.30, p = 0.03) and optimistic thinking (β = 1.60, p < 0.01) were positively associated with the role/social component summary.</p><p><strong>Conclusions: </strong>The physical quality of life of Japanese mothers raising children has declined to a level that cannot be improved through general self-care practices. Therefore, improving the content of health education is necessary, with a particular focus on the physical health of women raising children. The policy of child-rearing support, which is strengthening in Japan, such as childcare consultation, has a positive impact on the mental health of women during child-rearing.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251347082"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289718","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":"Pathways to care: Factors predicting women's access to clinic versus pharmacy-based medication abortion in Ghana.","authors":"Caesar Agula, Adriana Biney, Pearl Kyei, Ayaga A Bawah","doi":"10.1177/17455057251347032","DOIUrl":"10.1177/17455057251347032","url":null,"abstract":"<p><strong>Background: </strong>Women's decision to access medication abortion (MA) in clinics or pharmacies may be shaped by several factors, but is an area that has not been adequately researched. Little is also known about the primary predictors of choice of MA provider.</p><p><strong>Objectives: </strong>Our study examined the factors associated with choice of MA provider and identified the primary predictors.</p><p><strong>Design: </strong>A non-inferiority and prospective design.</p><p><strong>Methods: </strong>We utilized data from a non-inferiority and prospective study that recruited women who had MA from selected clinics and pharmacies in Ghana. Our sample comprises 1045 and 929 women from clinics and pharmacies, respectively. We used a multivariate binary logistic model to examine the factors associated with MA providers. Following this, a decision tree model was utilized to shed light on the main predictors.</p><p><strong>Results: </strong>Our results show that women were more likely to spend more on accessing MA in clinics than in pharmacies (adjusted odds ratio (AOR) = 1.0, <i>p</i> < 0.01). Notably, results from the decision tree model indicate that MA cost has the strongest effect on provider selection (χ² = 937, <i>p</i> < 0.01). Additionally, women over 24 years old (AOR = 0.7, <i>p</i> < 0.05), those with secondary education (AOR = 0.5, <i>p</i> < 0.01), those who learned about MA from friends or close relatives (AOR = 0.5, <i>p</i> < 0.01), and those who previously had MA before their recent MA (AOR = 0.6, <i>p</i> < 0.01) were less likely to access MA in clinics.</p><p><strong>Conclusion: </strong>We found that cost has the strongest effect on women's choice of MA provider in Ghana. In addition, sociodemographic and abortion-related factors play a role. These factors should be considered in developing strategies to enhance equal opportunity in accessing high-quality and safe MA. For instance, developing strategies to reduce MA costs in clinical settings could reduce the burden on vulnerable women, including those younger who may prefer clinic providers.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251347032"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318924","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":"Expanding a primary prevention program to address sexual and gender-based violence among health sciences students in Ghana: A pilot study.","authors":"Abdul-Aziz Seidu, Kwamena Sekyi Dickson, Sarah D Compton, Ruth Owusu-Antwi, Maria Jose Baeza Robba, Carrie Ann Valadez, Michelle L Munro-Kramer","doi":"10.1177/17455057251353328","DOIUrl":"10.1177/17455057251353328","url":null,"abstract":"<p><strong>Background: </strong>Sexual and gender-based violence (SGBV) is a human rights and social justice issue that impacts individuals worldwide, particularly university students. The literature demonstrates that culturally and contextually tailored programs to reduce and ultimately prevent SGBV for university students have received little priority in sub-Saharan African countries.</p><p><strong>Objectives: </strong>This pilot study assessed the feasibility, acceptability, and safety of the peer-delivered <i>Relationship Tidbits</i> intervention for use with health science students in Ghana.</p><p><strong>Design: </strong>We conducted a pilot feasibility test to determine if this approach and content were feasible for this setting and these students.</p><p><strong>Methods: </strong>Health science students enrolled at a central university in Ghana were recruited in July 2019 for participation in a peer-delivered primary prevention intervention, <i>Relationship Tidbits.</i> All participants completed pre- and post-test surveys focused on acceptability, safety, gender equality, and rape myth acceptance.</p><p><strong>Results: </strong>Health science student participants (<i>n</i> = 137) had a significant history of physical abuse, sexual abuse, and emotional abuse. Overall, this pilot study demonstrated that the <i>Relationship Tidbits</i> intervention is feasible, acceptable, and safe for use with health science students in Ghana during their university education. While this study was not powered to focus on outcomes, there were indications that this short, one-time intervention may result in at least short-term attitudinal changes related to gender equality and rape myth acceptance.</p><p><strong>Conclusions: </strong>The findings of this study highlight the importance of implementing comprehensive, culturally appropriate SGBV prevention efforts in Ghanaian university settings.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251353328"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602521","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":"Impact of reduced institutional delivery coverage on neonatal survival during the peak of coronavirus disease 2019 pandemic in Nepal: Estimates using Lives Saved Tool model.","authors":"Dinesh Dharel, Deepak Paudel, Nazeem Muhajarine","doi":"10.1177/17455057251347717","DOIUrl":"10.1177/17455057251347717","url":null,"abstract":"<p><strong>Background: </strong>An alarming observation from high-volume obstetric facilities in Nepal indicating a decreased institutional delivery rate and increased institutional neonatal mortality rate after the initial nationwide lockdown signaled the adverse population-level impact of the pandemic on the national trajectory of neonatal survival.</p><p><strong>Objectives: </strong>We aimed to estimate the impact of change in institutional delivery coverage on cause-specific neonatal mortality during the coronavirus disease 2019 pandemic in Nepal.</p><p><strong>Design: </strong>Modeling-based study.</p><p><strong>Methods: </strong>We used the open-access Lives Saved Tool, based on a linear deterministic mathematical model validated for estimating cause-specific neonatal mortality in low- and middle-income countries, to estimate the number of additional neonatal lives saved and neonatal mortality rates. Using coverage change in institutional delivery rates as a proxy for interventions during childbirth, we compared the estimates using 'reported' coverage change during the pandemic with the 'targets' per Nepal Every Newborn Action Plan.</p><p><strong>Results: </strong>The projected number of additional neonatal lives saved when the pandemic hit the hardest (Nepalese fiscal year 2020-2021) when national annual institutional delivery rate reportedly decreased was lower (104; 95% confidence interval: 69-148) compared to the target scenario (222; 95% confidence interval: 152-313). However, in the next year 2021-2022 when the institutional delivery rate increased, the number was higher (926; 95% confidence interval: 643-1295) compared to target scenario (329; 95% confidence interval: 226-466). The trajectory of the projected neonatal mortality rate per 1000 live births reversed (increased to 20.18) in 2020-2021 compared to 20.11 in 2019-2020 and then tracked down to 18.75 in 2021-2022. Most newborn lives would be saved from asphyxia, sepsis, and prematurity-related complications. Neonatal resuscitation, thermal protection, and cord care are the top three lifesaving interventions during childbirth.</p><p><strong>Conclusion: </strong>Neonatal survival in Nepal was adversely impacted during the peak of the coronavirus disease 2019 pandemic, with a favorable bounce back next year, based on the Lives Saved Tool projection per change in institutional delivery coverage.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251347717"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669062","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":"Exploring age-related physical and cognitive decline in a nationally representative sample of US women.","authors":"Elizabeth Evans, Molly Jacobs","doi":"10.1177/17455057251379618","DOIUrl":"10.1177/17455057251379618","url":null,"abstract":"<p><strong>Background: </strong>Functional limitations play a critical role in shaping overall health and quality of life. Among women, functional difficulties are influenced by a variety of factors, which may vary across difference life stages.</p><p><strong>Objectives: </strong>This study examined the association between self-reported walking/communication difficulty and individual-level characteristics among women at three different life stages.</p><p><strong>Design: </strong>Cross-sectional data from the National Health and Nutrition Examination Survey 2021-2023 wave included women aged 18 and above (<i>N</i> = 3475 unweighted).</p><p><strong>Methods: </strong>Binary dependent variable analysis evaluated the association between demographic characteristics, income, and health status and walking/communication difficulties. A sensitivity analysis estimated these relationships within three different age groups: 18-45, 46-64, and 65 years and older.</p><p><strong>Results: </strong>High income (communication β = -0.40, <i>p</i> = 0.03; walking β = -0.60, <i>p</i> = 0.00) and having at least a college education (communication β = -0.30, <i>p</i> = 0.01; walking β = -0.32, <i>p</i> = 0.00) were associated with lower marginal likelihood of communication and walking difficulty. However, being out of the labor force had higher likelihood of communication (β = 0.36, <i>p</i> = 0.00) and walking difficulty (β = 0.30, <i>p</i> = 0.00). Among young adults, Hispanics demonstrated lower marginal likelihood of walking difficulty relative to their non-Hispanic White counterparts (β = -0.31, <i>p</i> = 0.05). Among middle-aged adults, Blacks had higher marginal likelihood of walking difficulty (β = 0.23, <i>p</i> = 0.02) relative to Whites while Hispanics has lower marginal likelihoods of communication difficulty (β = -0.36, <i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>Individual characteristics were significantly associated with both types of functional difficulties in women, but these relationships differed between age groups. Understanding differences in functional difficulty will require understanding of how risk and protective factors vary throughout the lifespan.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"21 ","pages":"17455057251379618"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12508552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246041","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}