Women's health (London, England)最新文献

{"title":"Prevalence of premenstrual syndrome and its associations with dietary and other lifestyle factors among university female students in Dubai: A cross-sectional study.","authors":"Haleama Al Sabbah, Noof Al Mutawa, Enas A Assaf","doi":"10.1177/17455057241260026","DOIUrl":"10.1177/17455057241260026","url":null,"abstract":"<p><strong>Background: </strong>Premenstrual syndrome is a relatively prevalent condition that affects a significant number of menstruating women worldwide. It can range from mild to severe and may interfere with daily activities.</p><p><strong>Objective: </strong>This study aims to investigate the prevalence of premenstrual syndrome and its associated factors among female university students in Dubai.</p><p><strong>Design: </strong>This study was designed as a cross-sectional study.</p><p><strong>Methods: </strong>The analysis for this study involved 217 female university students (aged ⩾18 years old) who completed a self-reported online questionnaire. Participants were recruited through simple random sampling, and the study received ethical approval from the Zayed University Ethical Committee.</p><p><strong>Results: </strong>All participants reported that they experienced at least one premenstrual syndrome symptom with different levels of severity. The prevalence rate of psychological, physical, and behavioral symptoms was 83.0%, 79.4%, and 76.6%, respectively. The most frequently reported premenstrual psychological symptoms were loss of control (69.6%). Most reported physical premenstrual symptoms included lethargy/fatigue/decreased energy (56.7%); premenstrual syndrome symptoms interfered with participants' daily routines (45.2%). Normal body mass index, no smoking, milk consumption, cruciferous vegetables, fruits, animal foods, fish oil supplements, and no fast-food consumption were all significant factors associated with decreasing premenstrual syndrome.</p><p><strong>Conclusions: </strong>Premenstrual syndrome is a common menstrual disorder among university students that interferes with their daily routines. Dietary habits and other lifestyle factors were highly related to premenstrual syndrome. Therefore, health promotion programs are highly recommended to encourage healthy diets and lifestyles for females as early as adolescence at the school level.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241260026"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181414","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":"When fatigue postpartum is also prodromal.","authors":"Alexandra Balshi, Riley Bove","doi":"10.1177/17455057241309495","DOIUrl":"10.1177/17455057241309495","url":null,"abstract":"<p><p>Postpartum fatigue (PPF) is a common issue affecting mothers, characterized by reduced capacity for physical and mental activity in the weeks to months following delivery. While often attributed to the demands of infant care, severe or atypical PPF can signal an underlying medical condition, such as multiple sclerosis (MS). In this narrative review, guidance is provided to clinicians on recognizing signs of severe or atypical PPF, differentiating it from MS-associated fatigue. Patients' qualitative descriptions of fatigue, its intensity, and specific triggers can be particularly informative, as MS fatigue is severe, recurrent, often refractory to rest, and/or exacerbated by high temperatures. By identifying such cases early, healthcare providers can support timely diagnosis and intervention, ultimately improving outcomes for women who may be at risk for MS.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241309495"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901054","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":"Repeat adolescent pregnancies in Southwestern Uganda: A cross-sectional study.","authors":"Rupa Ramachandran, Shakillah Namatovu, Daniel Atwine, Jackline Tumuhairwe, Viola Nilah Nyakato, Elizabeth Kemigisha, Olena Ivanova","doi":"10.1177/17455057241302449","DOIUrl":"10.1177/17455057241302449","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy in adolescents continues to remain a significant public health challenge, with repeat pregnancies in this age group often receiving insufficient attention. In Uganda, repeat adolescent pregnancy varies between 26.1% and 55.6%. Evidence shows that repeat pregnancy in adolescence is more common in settings of high poverty, low educational attainment and low use of long-acting reversible contraceptives among others.</p><p><strong>Objectives: </strong>The main aim of this study is to determine the underlying risk and protective factors of repeat adolescent pregnancy in Uganda.</p><p><strong>Design: </strong>This was a cross-sectional study among adolescent girls and young women aged between 13 and 22 years with single and repeat pregnancies in four districts in Southwestern Uganda.</p><p><strong>Methods: </strong>The questionnaire was administered on a portable PC to collect information on socio-demographic characteristics, sexual behaviours, sexual and reproductive health (SRH) knowledge, pregnancy outcome, experience of violence and mental health. Descriptive statistics and logistic regression were performed.</p><p><strong>Results: </strong>A total of 115 girls with single and 93 with repeat pregnancies participated in the survey. Of these, 42 (20.2%) were 18 years and younger. The majority (92%) had dropped out of school, having achieved primary-level education (67%). The mean age of sexual debut (15.6 versus 16.4 years) and the mean age at first pregnancy (16.4 versus 17.3 years) were lower among those in repeat-pregnancy group compared to those in single-pregnancy group. The odds of having repeat pregnancy were higher among participants who engaged in risky behaviour (AOR 3; 95% CI (1.28-7.37)) and experienced any form of violence (AOR 4.67; 95% CI (1.5-16.56)). Being single, having the first pregnancy in older age (16 and above) and having a positive first pregnancy outcome (live birth) served as protective factors for repeat pregnancy.</p><p><strong>Conclusions: </strong>Adolescents with repeat pregnancies have significantly more SRH risks compared to those with single pregnancies. These findings underscore the importance of multi-faceted and timely interventions for adolescent girls in this setting, with an emphasis on the mitigation of violence, and enhancing access to comprehensive sexuality education, and SRH services.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241302449"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical inactivity among American single-female caregivers: An analysis of the 2020 behavioral risk factor surveillance system.","authors":"Johanna M Hoch, Deirdre Dlugonski, Stacey Slone, Rachel Hogg-Graham, Maureen Jones","doi":"10.1177/17455057241265082","DOIUrl":"10.1177/17455057241265082","url":null,"abstract":"<p><strong>Background: </strong>Many adults in the United States do not reach the recommended levels of activity needed for health benefits. Single-female caregivers present a unique and vulnerable population that is often less active than their partnered peers or single-male caregivers.</p><p><strong>Objective: </strong>The primary objective of this cross-sectional investigation was to identify the prevalence of physical inactivity in single-family, female-led households and determine differences in personal factors and social characteristics between physically active and not physically active single-female caregivers. A secondary objective was to examine associations among the social characteristic variables and physical inactivity in single-female caregiver households. Finally, we examined the odds single-female caregivers who are physically inactive reported chronic health conditions.</p><p><strong>Design: </strong>Cross-sectional survey design.</p><p><strong>Methods: </strong>We used the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data. Participants were selected based on pre-determined criteria for inclusion.</p><p><strong>Results: </strong>There was a 39.3% prevalence of physical inactivity among single-female caregivers in the sample. Single-female caregivers who were physically inactive had greater odds of having a history of multiple chronic health conditions.</p><p><strong>Conclusion: </strong>Healthcare providers and other community stakeholders should explore existing physical activity promotion strategies to increase physical activity in single-female caregivers. Future research should employ more rigorous, prospective research designs to determine if these chronic conditions and various social characteristics are caused by physical inactivity.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241265082"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11292714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857296","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":"Fighting for menstrual equity through period product pantries.","authors":"Edward J Glayzer, Claire T Jennings, Judith M Schlaeger, Brynn Watkins, Annabelle Rieseler, Melissa Ray, Adrienne Lee, Jennifer E Glayzer","doi":"10.1177/17455057241281459","DOIUrl":"10.1177/17455057241281459","url":null,"abstract":"<p><strong>Background: </strong>Menstruators facing period poverty often struggle with menstrual hygiene and waste management, which can result in harmful short- and long-term health outcomes such as urinary tract infections, yeast infections, and vulvar contact dermatitis. Research indicates that 42% of menstruators in the United States have difficulty affording period products. Traditional methods of distributing period products through social services may unintentionally undermine menstruators' agency, leading to disempowerment and inefficient resource allocation. Period product pantries are a novel approach aimed at addressing period poverty, inequity, and inadequate menstrual health education in the United States.</p><p><strong>Objectives: </strong>This paper aims to examine the development, organization, and implementation of two distinct period product pantry networks in Ohio and New York. It seeks to compare the advantages and challenges of grassroots versus nonprofit-led models and to provide practical insights for future pantry operators.</p><p><strong>Design: </strong>The study examines two models of period product pantries: a grassroots effort led by three local residents in Ohio and an initiative spearheaded by a nonprofit organization in New York. The design includes a comparative analysis of both models' organization, funding methods, and operational structures.</p><p><strong>Methods: </strong>The authors gathered data on the construction, operation, and usage of two pantry networks, focusing on factors such as accessibility, community engagement, and sustainability. The study employed a combination of qualitative methods, including interviews with organizers, and a review of organizational documents to analyze the effectiveness and scalability of each model.</p><p><strong>Results: </strong>Both pantry networks increased accessibility to period products in low socioeconomic neighborhoods, which are disproportionately affected by period poverty. The grassroots model, while resource-limited, fostered strong community ties and local engagement. The nonprofit-led model benefited from dedicated staff and a more stable funding structure but faced bureaucratic challenges. Despite their differences, both models demonstrated the potential to empower menstruators by preserving their dignity and autonomy.</p><p><strong>Conclusions: </strong>Period product pantries represent an innovative and equitable approach to addressing period poverty and inequity. The analysis of the two models offers valuable insights for organizations and individuals interested in establishing similar initiatives. While each model has its unique benefits and challenges, both are effective in empowering menstruators and providing accessible menstrual hygiene products to those in need.</p><p><strong>Registration: </strong>Not applicable.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241281459"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303040","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":"Homocysteine, vitamin B12, and folate circulating levels in women with and without polycystic ovary syndrome: A systematic review and meta-analysis.","authors":"Juan R Ulloque-Badaracco, Ali Al-Kassab-Córdova, Enrique A Hernández-Bustamante, Esteban A Alarcón-Braga, Juan C Cabrera-Guzmán, Andres A Horruitiner-Mendoza, Pamela Robles-Valcárcel, Vicente A Benites-Zapata, Faustino R Pérez-López","doi":"10.1177/17455057241279039","DOIUrl":"10.1177/17455057241279039","url":null,"abstract":"<p><strong>Background: </strong>Some studies have reported that homocysteine, vitamin B12, and folic acid levels are associated with polycystic ovary syndrome (PCOS), whereas other studies yielded controversial results.</p><p><strong>Objectives: </strong>This study aimed to systematize the available evidence of homocysteine, vitamin B12, and folate levels in women with and without PCOS.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources and methods: </strong>A systematic search without language restrictions was performed on PubMed, Ovid/Medline, Scopus, Embase, and Web of Science. In addition, the reference lists of the selected studies were reviewed. The Newcastle-Ottawa Scale was employed to evaluate the quality of studies. The means and standard deviations of the outcomes were pooled as standardized mean differences (SMDs) with 95% confidence intervals (CI). Furthermore, the DerSimonian and Laird method was employed for the quantitative synthesis.</p><p><strong>Results: </strong>A total of 75 studies met the eligibility criteria for at least one outcome. Patients with PCOS had higher circulating homocysteine levels than those without (SMD: 0.82; 95% CI: 0.62-1.02, <i>n</i> = 70 studies, <i>p</i> < 0.001). This trend remained in the sensitivity and subgroup analyses by world regions of studies, assay methods, and insulin resistance. No significant differences were observed in circulating vitamin B12 (SMD: -0.11; 95% CI: -0.25 to 0.03; <i>n</i> = 17 studies, <i>p</i> = 0.13) and folate levels (SMD: -0.2; 95% CI: -0.68 to 0.27; <i>n</i> = 17 studies, <i>p</i> = 0.41) between patients with and without PCOS.</p><p><strong>Conclusions: </strong>(i) Patients with PCOS exhibited significantly higher homocysteine levels than those without, and (ii) no significant differences were observed in both vitamin B12 and folate levels in women with and without PCOS.</p><p><strong>Registration: </strong>PROSPERO ID (CRD42023432883).</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241279039"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11437568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334102","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":"Navigating antenatal care: The lived experiences of adolescent girls and young women and caregiver perspectives in Zambia.","authors":"Alinda M Young, Natasha Okpara, Nachela Chelwa, Mary Mwape, Jessy Kayawa, Nchimunya Nkwengele, Cecilia Mabai, Laura Nyblade, Michael Mbizvo, Sujha Subramanian","doi":"10.1177/17455057241281482","DOIUrl":"10.1177/17455057241281482","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescent pregnancy remains a global concern, especially in low- and middle-income countries. Sub-Saharan African nations, including Zambia, bear a disproportionate burden of adolescent pregnancies, contributing to high rates of maternal and child mortality. Despite efforts to improve antenatal care (ANC) services, utilization rates remain suboptimal, especially among adolescent girls and young women (AGYW).</p><p><strong>Objective: </strong>To explore the barriers and facilitators to ANC services among AGYW and how these factors might differ by age and HIV status.</p><p><strong>Design: </strong>This qualitative study employs a combination of in-depth interviews (IDIs) and focus group discussions (FGDs) to gather comprehensive insights into the experiences of AGYW regarding ANC services. The study design follows a socio-ecological framework (SEF) to identify multiple levels of influence on ANC utilization.</p><p><strong>Methods: </strong>We conducted 40 IDIs with AGYW aged 15-24; and 2 FGDs with caregivers of AGYW (<i>n</i> = 16). IDIs explored AGYWs barriers and facilitators to accessing and utilizing healthcare services during pregnancy, as well as social support and HIV treatment and prevention. FGD topics included social support, barriers and facilitators to ANC, and HIV services. We developed a codebook based on the SEF and coded transcripts using Dedoose software.</p><p><strong>Results: </strong>Results showed that early pregnancy knowledge did not always translate to AGYW seeking ANC services right away or within the first trimester. More than half of the AGYW did not initiate ANC until well into the second trimester. Factors including lack of motivation, denial of pregnancy, desires to terminate pregnancies, social norms, policies, clinic environment, and financial constraints contributed to delays in ANC initiation. Social support from family, partners, peers, and the community were crucial motivators for early ANC. Lastly, challenges to ANC continuation included lack of transportation, long clinic waiting times, perceived provider indifference, and stigma at both community and clinic levels.</p><p><strong>Conclusion: </strong>In conclusion, gaining insights from qualitative data is essential for comprehensively understanding the barriers and challenges to accessing ANC among this specific age group. By identifying and addressing these barriers while enhancing facilitators, effective programs can be developed and implemented to improve the health and well-being of young mothers and their children.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241281482"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334104","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":"Rural service coordination programming for women using substances and their families.","authors":"Lesley Cottrell, Charlotte Workman, Melina Danko, Ellis Walker, Anthony Dmytrijuk, Susan Harrison, Mikisha Lee, Ashleigh McKinsey, Mark C Smith","doi":"10.1177/17455057241278858","DOIUrl":"10.1177/17455057241278858","url":null,"abstract":"<p><strong>Background: </strong>Women experiencing substance use during their pregnancies or after the birth of a child report being fearful of losing their children based on care, stigmatized when seeking assistance, and barriers to care such as having to provide the same information to different providers, and having to repeat their lived experiences with substance use in detail. Particularly these service barriers can be confusing, complicated, and difficult to follow, which could lead to non-compliance or not seeking services.</p><p><strong>Objectives: </strong>We evaluated components of a service coordination program for women experiencing substance use, their children, and larger families who help with caregiving. We examined stakeholder interest in the program, feasibility providing services over time, and initial program effectiveness.</p><p><strong>Design: </strong>Participant enrollment and outcomes as well as service coordination activities provided over a 4-year period was gathered across three demonstration site locations (a birthing hospital, reunification program, and home visiting program).</p><p><strong>Methods: </strong>Program information was gathered from needs assessment data, health survey data from enrolled caregivers and infants, training evaluations, and budget recordings of direct aid. In this mixed method design, we examined potential differences between baseline and the last assessment for women and children enrolled in the program. We also utilized univariate analyses of variance to examine the main effects of maternal and infant characteristics on final maternal and infant outcomes.</p><p><strong>Results: </strong>Three sites enrolled 182 women and families for program services. Patient navigators provided direct aid, training, goal setting, and service coordination and planning. Families remained in the program, on average, 655 days and were satisfied with the services received. Respondents thought the program elements were easy to implement within the rural setting. The program effectively addressed basic needs, violence (<i>p</i> < 0.001; η² = 0.34 (0.05-0.53)), infant development (<i>p</i> < 0.02; η² = 0.51 (0.13-0.61)), and maternal depression (<i>p</i> < 0.05; η² = 0.9 (0.00-0.22)). Select outcomes did differ by site.</p><p><strong>Conclusion: </strong>A service coordination model utilizing a patient navigator role to coordinate client services coupled with an approach that serves the infant and caregiver needs was feasible and desirable by all stakeholders within a rural setting. Service coordination effectively impacted select caregiver and infant outcomes.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241278858"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395882","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 undernutrition and its associated factors among pregnant women in north Shewa, Ethiopia: A multi-center cross-sectional study.","authors":"Meron Demisew, Habtamu Fekadu Gemede, Kassahun Ayele","doi":"10.1177/17455057241290883","DOIUrl":"10.1177/17455057241290883","url":null,"abstract":"<p><strong>Background: </strong>Maternal undernutrition remains a public health issue, particularly in low-income countries such as Ethiopia, which increases the possibility of a cycle of malnutrition in future generations.</p><p><strong>Objectives: </strong>This study assessed the prevalence of undernutrition and its associated factors among pregnant women in Minjar Shenkora district north Shewa, Ethiopia.</p><p><strong>Design: </strong>The study used a multicenter cross-sectional study design.</p><p><strong>Methods: </strong>The study was conducted from June to August 2021 with 334 pregnant women selected using systematic random sampling techniques. A semi-structured questionnaire was used to collect the sociodemographic, obstetric, and dietary data. The nutritional status of the pregnant women was assessed using mid-upper arm circumference measurements. Multivariate logistic regression was used to identify independent variables associated with maternal undernutrition, with an adjusted odds ratio (AOR) of <i>p</i> < 0.05 indicating statistical significance.</p><p><strong>Results: </strong>The prevalence of undernutrition was 22.2%. Low monthly household average income (AOR = 3.69, 95% CI: 1.62-8.40), women's education limitation (AOR = 1.24, 95% CI: 0.28-5.46), poor nutritional attitude (AOR = 2.54, 95% CI: 1.21-5.32), and inadequate dietary diversity score (AOR = 4.42, 95% CI: 1.53-12.8) were significantly associated with undernutrition.</p><p><strong>Conclusion: </strong>Maternal undernutrition prevalence was very high based on the WHO standards, and low monthly household average income, women's education level, poor nutritional attitude, and inadequate dietary diversity scores were associated with undernutrition. Therefore, policies and programs aimed at reducing maternal undernutrition are needed. Socioeconomic strengthening and nutritional counseling during pregnancy are also recommended for improved nutritional status.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241290883"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482739","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":"Epigenetic changes produced in women victims of intimate partner violence: A systematic review.","authors":"Coral González-Martínez, Christian Haarkötter, Elena Carnero-Montoro, Jose A Lorente, Miguel Lorente","doi":"10.1177/17455057241290335","DOIUrl":"10.1177/17455057241290335","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) is a prevalent form of violence against women that encompasses physical, sexual, and emotional abuse, as well as controlling behaviors by intimate partners, and predisposes the victims to multiple diseases.</p><p><strong>Objective: </strong>This systematic review aims to identify epigenetic marks associated with IPV and the resultant stress experienced by victims.</p><p><strong>Design: </strong>This study is a systematic review conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 guidelines. The review includes a comprehensive search and analysis of relevant literature to identify epigenetic changes associated with IPV.</p><p><strong>Data sources and methods: </strong>A systematic search was conducted across four databases: PubMed, Scopus, Web of Science, and ProQuest, using keywords related to IPV and epigenetics. The inclusion criteria were studies published in scientific journals with an experimental approach, focused on female survivors of gender-based violence, and providing information on epigenetic changes. The review included studies published up to June 15, 2024, with no time limits imposed, focusing on female victims of IPV. The inclusion criteria were studies published in scientific journals with an experimental approach, focused on female survivors of gender-based violence, and providing information on epigenetic changes.</p><p><strong>Results: </strong>The results revealed that epigenetic changes associated with IPV predominantly affect genes related to the glucocorticoid receptor, insulin-like growth factors, BDNF, and CPLX genes. These observations suggest that IPV is linked to significant epigenetic modifications in both victims and their offspring.</p><p><strong>Conclusion: </strong>It is concluded that IPV is associated with epigenetic changes both in the woman and in her offspring. These findings underscore the importance of understanding the biological embedding of IPV through epigenetic research to better address the long-term health consequences for women. However, more studies are necessary to validate these results.</p>","PeriodicalId":75327,"journal":{"name":"Women's health (London, England)","volume":"20 ","pages":"17455057241290335"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683376","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}