Women's health (London, England)最新文献

{"title":"A mixed methods analysis of a culturally responsive body image pilot intervention for black adolescent girls: Black girl joy.","authors":"Kellie Walters, Amber Johnson, Alexis Pope","doi":"10.1177/17455057261476900","DOIUrl":"10.1177/17455057261476900","url":null,"abstract":"<p><p>BackgroundBlack adolescent girls develop body image within intersecting sociocultural contexts shaped by race, gender, and physical activity, yet few interventions are culturally and gender-responsive to their lived experiences.ObjectiveThis study examined the preliminary impact of <i>Black Girl Joy</i>, a culturally responsive body image and wellness pilot intervention, on psychosocial outcomes among Black adolescent girls.Study designExploratory mixed-methods pilot study using a single-group pre-post design.MethodsThe 7-week intervention was delivered to Black middle school girls participating in a district-based enrichment program in Southern California. Participants who completed both pre- and post-assessments (N = 14) were included in the analyses. Outcomes included body image, self-esteem, physical activity enjoyment, self-compassion, and anxiety/depressive symptoms. Prior to analysis, normality of difference scores was evaluated using the Shapiro-Wilk test. Given observed violations of normality and the small sample size, Wilcoxon signed-rank tests were conducted for all pre-post comparisons. Baseline bivariate correlations were also examined. Qualitative data were collected through three semi-structured focus groups and analyzed using inductive thematic analysis.ResultsBaseline correlations revealed a positive association between body image and self-esteem, and a negative association between self-compassion and anxiety/depressive symptoms. Wilcoxon signed-rank tests indicated no statistically significant pre-to-post changes across outcome variables; however, several outcomes showed small-to-medium effect sizes in the expected direction, including body esteem weight (r = .320), PHQ anxiety (r = .348), and self-compassion self-kindness (r = .359). Qualitative findings identified four themes: body image discussions, perceptions of physical activity, connection, and program recommendations. Participants described increased self-love, confidence, and self-kindness; enjoyment of both strength-based and expressive movement; meaningful peer and coach relationships; and a desire for greater autonomy in programming.ConclusionFindings demonstrate the feasibility and acceptability of a culturally responsive pilot intervention for Black adolescent girls. Larger, controlled studies are needed to evaluate efficacy and inform scalable implementation.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261476900"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690582","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":"Knowledge, attitudes, and practices regarding cervical cancer screening among women in Damascus, Syria: A cross-sectional study.","authors":"Jamal Ataya, Batoul Alotaki, Kais Alhammadi, Toka Al Homsi, Waed Abboud, Hamsa Sahlieh, Sahar Alzhouri, Ahmad Al-Bitar, Maram Alshikh Hamo, Dimah Kakat, Bayan Alhaj, Lutfallah Raffoul, Saeed Kadri","doi":"10.1177/17455057261443140","DOIUrl":"10.1177/17455057261443140","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer remains one of the most preventable yet deadly diseases affecting women in low-resource and conflict-affected regions such as Syria. Persistent challenges including limited access to health care, disrupted health infrastructure, sociocultural taboos, and inadequate health education have severely restricted the implementation and uptake of screening programs. Understanding the multifaceted determinants of women's awareness, perceptions, and health-seeking behavior is essential for designing sustainable, context-sensitive prevention strategies.</p><p><strong>Objectives: </strong>This study aimed to evaluate Syrian women's knowledge, attitudes, and screening practices toward cervical cancer and to identify demographic, educational, and psychosocial predictors influencing these domains. It also sought to explore the paradoxical role of education in shaping self-efficacy, awareness, and screening-related attitudes within this population.</p><p><strong>Design: </strong>A descriptive cross-sectional design was employed.</p><p><strong>Methods: </strong>Data were collected between November 2024 and May 2025 in Damascus, Syria, using a validated self-administered electronic questionnaire. A total of 606 women aged 15 years and above participated voluntarily. The questionnaire assessed knowledge, attitudes, and self-efficacy related to cervical cancer and screening behaviors. Descriptive statistics and linear regression analyses were performed to examine associations between sociodemographic factors and outcome measures.</p><p><strong>Results: </strong>Although 49% of respondents demonstrated moderate knowledge, only 10% had ever undergone a Pap smear. Major barriers included embarrassment (59%), fear of discomfort (51%), and financial limitations (21%). Higher education significantly predicted better knowledge (<i>p</i> < 0.05) but was paradoxically linked to less favorable attitudes and lower self-efficacy. Greater knowledge correlated positively with self-efficacy, while older age showed a negative association.</p><p><strong>Conclusion: </strong>A profound disconnect persists between awareness and screening behavior among Syrian women. Interventions must extend beyond information delivery to address cultural, emotional, and economic barriers through comprehensive, community-based, and empowerment-oriented public health initiatives.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261443140"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13145018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791891","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":"From pain gaslighting to gender biases in women's accounts of hysteroscopy: A qualitative reflexive thematic analysis.","authors":"Susanne K Cromme, Richard Harrison, Katherine A Finlay","doi":"10.1177/17455057261440884","DOIUrl":"10.1177/17455057261440884","url":null,"abstract":"<p><strong>Background: </strong>Despite being regarded as the gold standard, outpatient hysteroscopy (OPH) is associated with inconsistent outcomes and pain, while the clinical, organisational, and personal determinants shaping patient-centred experience remain poorly characterised.</p><p><strong>Objectives: </strong>This study aimed to harness the authenticity and richness of naturally occurring online qualitative data to explore the clinical, organisational, and personal factors that shape women's hysteroscopy experiences, offering vital insights for service improvement.</p><p><strong>Design: </strong>An in-depth qualitative investigation of hysteroscopy experiences, as shared by individuals on a publicly accessible online discussion forum.</p><p><strong>Methods: </strong>Four thousand seven hundred sixty-nine posts across 277 discussion threads published between 2018 and 2024 were collected from Mumsnet.com, representing 1971 forum users discussing their personal hysteroscopy experiences. Posts were analysed using reflexive thematic analysis, informed by a constructivist epistemology and a latent, inductive analytic orientation, to capture both the depth and diversity of online contributions.</p><p><strong>Results: </strong>Five themes captured women's specific hysteroscopy experiences: (1) Contingent Consent, (2) Unacknowledged Vulnerability, (3) Analgesia Roulette, (4) Gynaecological Pain Gaslighting, and (5) Gendered Pain Gap. These themes delineate a hysteroscopy pathway where consent is shaped by limited choices and misinformation, vulnerability is heightened by procedural exposure, pain relief is inconsistently applied, women's suffering is routinely dismissed, and gender biases reinforce unequal standards of care.</p><p><strong>Conclusion: </strong>This study identifies clinical blind-spots that contribute to perceptions of systemic neglect in women's gynaecological health care, evidenced by inconsistent pain management, inadequate consent, and gendered biases in OPH. These findings present an opportunity to inform structural reforms that advance equitable, patient-centred gynaecological care and improve clinical accountability.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261440884"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731008","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":"Whose rhythms? Rhythmic agency, rhythmic justice, and circadian health in the menopausal transition.","authors":"Mary Ntochuwku Ndu, Ehinomen C Oko-Oboh, Ailin Jalili, Charity Oga-Omenka","doi":"10.1177/17455057261491528","DOIUrl":"https://doi.org/10.1177/17455057261491528","url":null,"abstract":"<p><p>Sleep disturbance and circadian disruption affect 40-60% of women during the menopausal transition, yet public health guidance continues to frame circadian health primarily as a matter of individual behaviour. This commentary argues that such guidance assumes a degree of control over time, light, and rest that many women do not have. Drawing on chronobiology and feminist scholarship on time, we introduce rhythmic agency, the capacity to shape the environmental and temporal conditions that regulate circadian rhythms, as a framework for understanding why women frequently cannot act on behavioural framed advice in everyday life. We extend this with rhythmic justice, which examines how that capacity is unevenly distributed across caregiving roles, occupational demands, and built environments. Together, these concepts reposition circadian disruption during the menopausal transition as a problem of social organisation rather than individual regulation. We close by outlining research directions and policy levers, including work scheduling, nighttime communication norms, urban lighting, and caregiving support, that follow from treating circadian health as a socially distributed capacity.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261491528"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity postpartum: A systematic review and quality appraisal of clinical guidelines.","authors":"Qianwen Lan, Allan Chak Lun Fu, Marnee J McKay, Milena Simic, Josielli Comachio, Ye Tian, Paulo Ferreira","doi":"10.1177/17455057261421734","DOIUrl":"10.1177/17455057261421734","url":null,"abstract":"<p><strong>Background: </strong>Postpartum physical activity (PA) is crucial in supporting maternal health, contributing to mental health and well-being, weight management, and overall physical fitness. Although multiple health organizations have issued PA recommendations for postpartum women, the content and quality of these guidelines have not yet been systematically evaluated.</p><p><strong>Objectives: </strong>To evaluate the quality of published guidelines on PA for postpartum women and to summarize their recommendations to provide clearer guidance for healthcare providers and postpartum women.</p><p><strong>Design: </strong>Systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.</p><p><strong>Data sources and methods: </strong>Six electronic databases were searched for guidelines related to PA for postpartum women. Gray literature was also reviewed. Guidelines were included if they were developed by recognized health organizations, provided PA (including structured supervised exercises) recommendations for postpartum women, and were published or updated within the last 10 years. Data extraction and quality appraisal were independently conducted by pairs of reviewers using the Appraisal of Guidelines Research and Evaluation Tool (AGREE II).</p><p><strong>Results: </strong>Eighteen guidelines were included, with AGREE II scores ranging from 50% to 92%. Seven guidelines (39%) met the criteria for satisfactory methodological quality. Most guidelines recommended that postpartum women engage in at least 150 min of moderate-intensity aerobic PA per week, while the 2025 Canadian guideline supports a minimum of 120 min based on meta-analytic evidence. Common recommendations included pelvic floor muscle training, strengthening exercises, and other exercises, with advice to seek healthcare guidance for women with special conditions.</p><p><strong>Conclusion: </strong>There is a universal agreement across guidelines that postpartum women should aim for at least 120-150 min of moderate-intensity PA weekly. Future research should strengthen the evidence for specific types of PA, delivery mode considerations, and implementation strategies.</p><p><strong>Registration: </strong>International Prospective Register of Systematic Reviews: PROSPERO (CRD42023447331).</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261421734"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313084","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":"Prevalence and predictors of spousal emotional abuse among married women in Jordan: A descriptive correlational study.","authors":"Hanan A Abusbaitan, Sawsan Abuhammad, Kaboni W Gondwe, Jeana M Holt, Lucy Mkandawire-Valhmu, Anwar Eyadat, Reem Telfah, Peninnah M Kako, Jomana Odeh, Tuleen Abu Zahra, Alexa A Lopez","doi":"10.1177/17455057261471828","DOIUrl":"10.1177/17455057261471828","url":null,"abstract":"<p><p>BackgroundEmotional abuse is one form of intimate partner violence (IPV). While IPV has been extensively examined, there is limited information in the literature on emotional abuse in the Eastern Mediterranean Region (EMR), particularly in Jordan.ObjectivesGrounded by the social-ecological model (SEM), this study examined how individual, relational, and community factors, including sociodemographic variables, marital satisfaction and conflict, and social support, influence married women's experiences of spousal emotional abuse in Jordan.DesignThis study used a descriptive correlational design.MethodsA cluster sampling technique was used to select comprehensive healthcare centers in Amman and Irbid, and then women were recruited using convenience sampling within those selected healthcare centers. We recruited 200 married women. We analyzed the data using descriptive, bivariate, and logistic regression.ResultsAbout half of the participants (53.5%) reported experiencing spousal emotional abuse, with isolation being the most common form of emotional abuse. Findings showed that exposure to emotional abuse and its forms was significantly associated with sociodemographic variables, including couples who had high school or less, unemployed women, women aged between 19 and 25 years, and low household monthly income; marital dynamics, including marital satisfaction and conflict, and limited social support.ConclusionThis study adds to the global knowledge of IPV by showing how emotional abuse is influenced by social-ecological contexts. The findings underscore the importance of addressing IPV at multiple levels. Future interventions and policies that acknowledge emotional abuse as no less serious than other forms of IPV and recognize its impact on women's health and well-being are needed.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261471828"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655234","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":"Post-stroke cognitive decline among women in midlife.","authors":"Molly Jacobs, Elizabeth Evans, Charles Ellis","doi":"10.1177/17455057261444148","DOIUrl":"10.1177/17455057261444148","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a significant risk factor for cognitive impairment. Women face a heightened risk due to their longer life expectancy and the greater prevalence of stroke-related disability.</p><p><strong>Objective: </strong>To compare the trajectory of cognitive decline in women with and without a stroke diagnosis and assessed demographic differences.</p><p><strong>Design: </strong>The study employed a longitudinal, observational cohort design.</p><p><strong>Methods: </strong>The Study of Women's Health Across the Nation interviewed women in their 40s and 50s from seven U.S. cities approximately yearly to collect information on their physical, biological, psychological, and social health. Cognitive assessments were conducted between 2000 (Wave 4) and 2008 (Wave 10) that were designed to examine information processing speed, working memory, immediate memory, and delayed memory. Adjusting for baseline age, race/ethnicity, income, education, marital status, comorbidities, and insurance, generalized linear mixed models were used to compare cognitive decline between women who had experienced a stroke and those who had not.</p><p><strong>Results: </strong>Among the 3302 women in the sample, age was 49.52 (SD = 2.64) years old at baseline and 53.74 (SD = 3.94) in the final wave. In Wave 4, only 0.67% (<i>N</i> = 22) reported having been diagnosed with a stroke, but 8.39% (<i>N</i> = 277) had been diagnosed by Wave 10. Compared to stroke-free women, the multivariable-adjusted changes in cognitive performance were -0.18 information processing, -0.09 working memory, -0.15 immediate memory, and -0.17 delayed memory. Compared to White women, Black women who suffered a stroke saw multivariable-adjusted annual changes in information processing, working memory, immediate memory, and delayed memory of -0.08, -0.03, -0.08, and -0.09, respectively.</p><p><strong>Conclusion: </strong>These findings underscore the persistent impact of stroke on multiple cognitive domains in midlife women, with a more significant decline observed among Black women. Targeted prevention and rehabilitation efforts are needed to address both the cognitive consequences of stroke and the demographic differences in post-stroke outcomes.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261444148"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824567","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":"Prevalence of smartphone addiction and its association with anxiety and depression among pregnant women in Pakistan: A cross-sectional study.","authors":"Laiba Akram, Muhammad Saad Khan, Erum Siddiqui, Nighat Shah, Marium Osama, Harshika Khaim Chandani, Umm E Abeeha Naqvi, Aminath Waafira","doi":"10.1177/17455057261491538","DOIUrl":"https://doi.org/10.1177/17455057261491538","url":null,"abstract":"<p><p>BackgroundExcessive smartphone use has emerged as a growing public health concern and has been associated with anxiety, depression, and adverse behavioral outcomes. Although smartphone addiction (SA) has been widely studied in adolescents and young adults, limited evidence exists regarding its prevalence and psychological correlates among pregnant women, particularly in Pakistan, where perinatal anxiety and depression are highly prevalent.ObjectivesTo determine the prevalence of smartphone addiction risk among pregnant women and examine its association with anxiety, depression, and selected socio-demographic and gestational factors.DesignObservational analytical cross-sectional study.MethodsThis study was conducted at the Department of Gynecology and Obstetrics, Jinnah Postgraduate Medical Centre, Karachi, from May to July 2025. A total of 350 pregnant smartphone users aged ≥18 years were recruited using consecutive sampling. Data were collected using a structured questionnaire, the Smartphone Addiction Scale-Short Version (SAS-SV), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). Descriptive statistics, chi-square tests, Pearson's correlation, and multiple linear regression analyses were performed using SPSS version 25, with p < 0.05 considered significant.ResultsHigh-risk smartphone addiction was identified in 3.5% (n = 12) of participants, while 96.5% were categorized as low risk. Anxiety and depression were significantly correlated with smartphone addiction. Multiple linear regression analysis showed that the overall model was statistically significant (R² = 0.088, F (7,342) = 4.691, p < 0.001). Anxiety (β = 0.237, p < 0.001) and level of education (β = 0.141, p = 0.010) were significant independent predictors of smartphone addiction.ConclusionAlthough high-risk smartphone addiction was uncommon, higher smartphone addiction scores were associated with anxiety and depression. Anxiety emerged as the strongest independent predictor of smartphone addiction after adjustment for socio-demographic and obstetric factors. Integrating digital behavior screening with mental health assessment during antenatal care may help identify vulnerable women and support preventive interventions.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261491538"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the theoretical domains framework to identify determinants of alcohol consumption during pregnancy: A cross-sectional study among women of childbearing age in Southwest Germany.","authors":"Manuela Bombana, Alina Gäbele, Monika Heinzel-Gutenbrunner, Michel Wensing","doi":"10.1177/17455057261487125","DOIUrl":"10.1177/17455057261487125","url":null,"abstract":"<p><p>BackgroundPrenatal alcohol exposure (PAE) is a major teratogen associated with fetal alcohol spectrum disorders, yet alcohol use during pregnancy remains common in Germany. Previous interventions focusing primarily on education have shown limited effectiveness. The Theoretical Domains Framework (TDF) offers a comprehensive approach to identify psychosocial determinants of behavior, but its application to alcohol use in pregnancy has been limited.ObjectivesTo identify cognitive, emotional, social, and contextual determinants of alcohol consumption during pregnancy using a TDF-based framework, in order to inform theory-driven interventions within maternal health services.DesignCross-sectional observational multi-center study.MethodsWe conducted a self-administered questionnaire survey among consecutively recruited women (age 18-49) in 22 gynecological and obstetric institutions between October 2019 and January 2020 across Baden-Württemberg, Germany. We included a total of 201 women of childbearing age, pregnant, and breastfeeding women because alcohol consumption before pregnancy recognition contributes substantially to prenatal alcohol exposure. Participants completed a 94-item questionnaire, including 28 TDF-based items covering eight domains relevant to alcohol abstinence. Data were analyzed using exploratory factor analysis, internal consistency testing, correlation, and hierarchical regression to identify predictors of alcohol consumption.ResultsMean alcohol consumption was 75.1 glasses/year. Reliability across TDF domains varied (Cronbach's α = 0.365-0.875). Factor analysis revealed two components: (1) Motivational-Interpersonal (social influence, optimism, beliefs about capabilities) and (2) Cognitive-Role-Based (knowledge, intention, social role). Regression analyses showed that Factor 2 was a significant negative predictor of alcohol consumption (β = -0.210, p = 0.041), while Factor 1 was not. Older age predicted lower consumption (β = -0.258, p = 0.045), while urban residence predicted higher consumption (β = 0.187, p = 0.056). Neither moderation nor mediation effects of TDF factors were observed.ConclusionsCognitive-role-based determinants, particularly maternal identity and intention to abstain, are strongly associated with reduced alcohol use in pregnancy. Interventions should therefore go beyond knowledge dissemination and emphasize maternal role identity, goal setting, and intention formation. Embedding TDF-informed strategies into routine prenatal care may enhance the effectiveness and scalability of interventions to reduce PAE.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261487125"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development of juntas contra el virus del papiloma humano: An HPV self-sampling intervention for underscreened Latinas.","authors":"Omar Martínez, Marisol Cora-Cruz, Sophia Perez, Ashley French, Amanda Cruz Gerena, Carolyn Fang","doi":"10.1177/17455057261493721","DOIUrl":"https://doi.org/10.1177/17455057261493721","url":null,"abstract":"<p><p>BackgroundCervical cancer incidence remains higher among Latina women in the continental United States (US) and among women in Puerto Rico compared with non-Hispanic White women (NHW). Latinas remain more likely to die from cervical cancer than NHW women. Despite having one of the highest cervical cancer incidence rates, Latina women in the US are significantly less likely to undergo screening than NHW women. Multiple factors contribute to non-screening among Latinas including low access to healthcare services, racism/discrimination, and lack of culturally and linguistically adequate information. Emerging technologies supporting self-sampling for high-risk human papillomavirus (HPV) testing may offer a valuable evidence-based strategy for empowering Latinas to engage in cervical cancer screening.ObjectiveThis study aimed to develop a culturally tailored, theoretically grounded intervention to promote HPV self-sampling among underscreened Latinas.DesignThis was a community-engaged qualitative intervention development study informed by focus groups and Community Advisory Board (CAB) meetings with underscreened Latinas and community stakeholders.MethodsWe conducted three focus groups, two in English with 20 participants and one in Spanish with 10 participants. Further, we convened two CAB meetings with a community-advisory board of 10 community members, including clinicians and behavioral health providers. Triangulation of data from the focus groups and CAB meetings informed the development of <i>Juntas Contra el Virus del Papiloma Humano</i>, a three-session online bilingual English and Spanish intervention to promote self-sampling for HPV testing.ResultsWe discuss the development of a culturally tailored, theoretically grounded HPV self-testing intervention for underscreened Latinas and share the findings from our intervention development process. We describe the content of each session, our protocols, and best practices for engaging Latinas and CAB members.ConclusionIf Juntas Contral El Virus del Papiloma Humano is found to be effective, the intervention will reach a vulnerable population to encourage screening and reduce cervical cancer.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"22 ","pages":"17455057261493721"},"PeriodicalIF":2.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}