Elizabeth Daubert, Mardge H Cohen, Tsion Yohannes, Darlene Johnson, Calvine Thompson, Andrea C Rogando, Ralph Morack, Audrey L French, Kathleen M Weber
{"title":"High and Rapid Uptake of COVID-19 Vaccine Among Chicago Women with and Without HIV.","authors":"Elizabeth Daubert, Mardge H Cohen, Tsion Yohannes, Darlene Johnson, Calvine Thompson, Andrea C Rogando, Ralph Morack, Audrey L French, Kathleen M Weber","doi":"10.1089/whr.2024.0197","DOIUrl":"https://doi.org/10.1089/whr.2024.0197","url":null,"abstract":"<p><strong>Background: </strong>Chicago sustained substantial COVID-19 morbidity and mortality with greatest burdens among low-income communities of color. We sought to determine the prevalence and predictors of vaccine uptake and refusal over 3 years among a long-term cohort of Chicago women with/without HIV (WWH/WWoH).</p><p><strong>Methods: </strong>Research staff provided outreach and collected data on COVID-19 knowledge, vaccine intent, uptake, and refusal quarterly during 2020 and then semiannually through 2023. 146 women (102 WWH and 44 WWoH) participated.</p><p><strong>Results: </strong>Among 146 women, mean age was 54.4 years, 70% were WWH; predominantly Black (63%), unemployed (73%), 58% had ≤$18,000 annual household income, 63% had a high school education or less, and 65% had one or more comorbidities. Initially, 46% of women reported no intent to be vaccinated and were more likely to be employed, report medical mistrust and not living with HIV. By September 2023, 88% of women received at least one vaccination and 86% received the full series of doses. Vaccine uptake was lowest among those who were younger, less educated, heavier drinkers and marijuana users, and had fewer comorbidities including lower BMI and diabetes.</p><p><strong>Conclusions: </strong>While initial vaccination non-intent was high, we observed higher-than-expected and more rapid COVID-19 vaccine uptake among vulnerable women of color engaged in a long-term research initiative relative to Chicago residents overall. Lower education, higher alcohol and marijuana use, and lower COVID morbidity and mortality risks were predictors of not receiving COVID vaccination. Understanding and addressing factors associated with vaccine refusal should be a key component of future pandemic preparedness initiatives.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"442-452"},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999350","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}
Deepali K Ernest, Asha Collier, Aparajita Chandrasekhar, Luyu Xie, Shaghayegh Darraji, Jenil Patel, Jaime P Almandoz, Sarah E Messiah
{"title":"Association of Polycystic Ovarian Syndrome Features and Metabolic Syndrome Among Reproductive-Aged Women in the United States.","authors":"Deepali K Ernest, Asha Collier, Aparajita Chandrasekhar, Luyu Xie, Shaghayegh Darraji, Jenil Patel, Jaime P Almandoz, Sarah E Messiah","doi":"10.1089/whr.2024.0143","DOIUrl":"https://doi.org/10.1089/whr.2024.0143","url":null,"abstract":"<p><strong>Background: </strong>Polycystic ovarian syndrome (PCOS) is associated with the metabolic health of racially and ethnically diverse women globally, but limited research exists on the association of PCOS and metabolic syndrome (MetS) among women in the United States.</p><p><strong>Objective: </strong>To examine the association of PCOS features and MetS in a racially/ethnically diverse population of reproductive-aged women in the United States.</p><p><strong>Methods: </strong>Cross-sectional data from 2,172 women (12-49 years) from the 2011-2016 National Health and Nutrition Examination Survey were analyzed. Univariate logistic regression models determined unadjusted associations of MetS and its components (elevated central obesity, glucose, blood pressure and triglyceride, and low high-density lipoprotein cholesterol) with PCOS features (log-transformed total testosterone (LTT), sex-hormone binding globulin (LSHBG), amenorrhea, and oral contraceptive pills (OCP) use). Multivariable logistic models examined age-adjusted associations stratified by race and ethnicity.</p><p><strong>Results: </strong>The analytical sample (mean age = 30.3 years, 59% non-Hispanic White, 12.4% non-Hispanic Black, 18.7% Hispanic/Latina, 6.2% non-Hispanic Asian, 3.7% Other/multi-race) had a MetS prevalence of 14.5%. Overall, MetS was associated with age, body mass index, race/ethnicity, LTT and LSHBG concentrations, amenorrhea, and OCP use (<i>p</i> < 0.01 for all), and many of the PCOS features were protective against individual MetS components. Most race/ethnicities showed significantly lower odds of MetS with an increase in LSHBG, with varying impacts on individual MetS features.</p><p><strong>Conclusions: </strong>Findings suggest significant associations between PCOS features and MetS among a racially and ethnically diverse population of reproductive-aged women in the United States. More robust and longitudinal studies are needed to further understand the underlying mechanism linking PCOS and MetS.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"431-441"},"PeriodicalIF":1.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038182","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}
Kathy L MacLaughlin, Kristin C Cole, Julie A Maxson, Jainnee McCann, Xuan Zhu, Robert M Jacobson, Matthew R Meunier, Margaret E Long
{"title":"Acceptability of Vaginal Human Papillomavirus Self-Collection Among Colposcopy Clinic Attendees.","authors":"Kathy L MacLaughlin, Kristin C Cole, Julie A Maxson, Jainnee McCann, Xuan Zhu, Robert M Jacobson, Matthew R Meunier, Margaret E Long","doi":"10.1089/whr.2025.0006","DOIUrl":"https://doi.org/10.1089/whr.2025.0006","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer screening with a self-collected vaginal specimen for human papillomavirus (HPV) testing was approved by the U.S. Food and Drug Administration in May 2024, offering a potential solution to declining screening rates.</p><p><strong>Objective: </strong>We aimed to assess acceptability of clinic-based vaginal specimen self-collection for HPV testing and to evaluate associations between participants' sociodemographics and their likelihood of choosing self-collection for future screening and the overall acceptability of using the Evalyn® brush device. We also evaluated associations between specific acceptability constructs and reported likelihood to use the device in the future and overall acceptability.</p><p><strong>Methods: </strong>Following self-collection of a vaginal specimen, participants completed an electronic survey that measured constructs from the Theoretical Framework of Acceptability. Associations were assessed using logistic regressions. The study was conducted at a colposcopy clinic in the Gynecology department of a midwestern academic medical center in the United States from November 2022 through July 2023.</p><p><strong>Results: </strong>Participants (<i>n</i> = 81) reported high likelihood (98% likely or very likely) of choosing in-home self-collection for future screening and unanimity on overall acceptability (100% acceptable or completely acceptable) of using the device. More affirmative responses to measures on instruction understandability, ease of device use, understanding the device is used for cervical cancer screening, and perceiving self-collection improves screening rates were associated with a higher likelihood to choose self-collection for future screenings and overall acceptability of the device (all <i>p</i> values <0.05).</p><p><strong>Conclusion: </strong>Vaginal specimen self-collection for HPV testing was well-received in the studied population, with high acceptability and likelihood of uptake. Implementation efforts should provide user-friendly instructions and emphasize the benefits of self-collection for cervical cancer screening, particularly among people less likely to engage with clinician-collected speculum-based screening.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"421-430"},"PeriodicalIF":1.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044529","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":"Analyses of Menopause and Its Related Symptoms on Sleep Quality Using a Novel Wearable Sheet-Type Frontal Electroencephalography Sensor, Haru-1.","authors":"Kenjiro Sawada, Taro Yagi, Yizhi Liu, Shusuke Yoshimoto, Masaki Kobayashi, Kotaro Shimura, Misa Yamamoto, Gaku Yamamoto, Michiko Kodama, Hirohisa Kurachi, Tsuyoshi Sekitani, Tadashi Kimura","doi":"10.1089/whr.2025.0007","DOIUrl":"https://doi.org/10.1089/whr.2025.0007","url":null,"abstract":"<p><strong>Objectives: </strong>Menopause affects sleep quality and contributes to depressive symptoms, but its precise impact on sleep remains unclear. To address this gap, we conducted detailed measurements of brain activity during sleep in pre- and postmenopausal women using a novel wearable sheet-type frontal electroencephalography (EEG) patch, Haru-1 (PGV Inc., Tokyo, Japan).</p><p><strong>Methods: </strong>Hospitalized patients aged 30-50 years who had undergone bilateral salpingo-oophorectomy, as well as volunteer participants aged 40-60 years who underwent EEG monitoring at home, were enrolled in the study. EEG recordings were obtained during sleep. Participants were assessed for menopausal symptoms using the Simple Menopausal Index (SMI) and for depressive symptoms using the Quick Inventory of Depressive Symptomatology Japanese version (QIDS-J). Sleep parameters were calculated to investigate the relationships between menopause, menopausal symptoms, depressive symptoms, and sleep characteristics.</p><p><strong>Results: </strong>A total of 174 participants were recruited, and data from 126 participants were included in the final analysis. Among 126 analyzed participants (mean age: 46.3 ± 7.3 years; 36 premenopausal, 90 postmenopausal), postmenopausal women had lower sleep efficiency (78% vs. 88%; <i>p</i> = 0.0065) and longer sleep onset latency (20 minutes vs. 8 minutes; <i>p</i> = 0.0203). The presence of menopausal symptoms (SMI ≥51) correlated with shorter deep sleep (9 minutes vs. 26 minutes; <i>p</i> = 0.0367), and depressive symptoms (QIDS-J ≥6) were associated with prolonged wake after sleep onset (56 minutes vs. 36 minutes; <i>p</i> = 0.0242).</p><p><strong>Conclusions: </strong>Menopause was associated with reduced sleep efficiency and increased sleep onset latency. Detailed EEG analyses may contribute to a better understanding of the pathogenesis of menopausal symptoms and their impact on sleep.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"393-402"},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037115","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 Associated Factors of Premenstrual Syndrome Among Female University Students of the Reproductive Age Group in Kabul, Afghanistan: A Cross-Sectional Study.","authors":"Zainab Ezadi, Mirwais Ramozi, Hosain Barati, Maryam Hosseini, Shafiqa Hakimi, Nooria Mohammady, Akihiko Ozaki, Yasuhiro Kotera, Yudai Kaneda, Parastoo Ramozi, Basira Bek","doi":"10.1089/whr.2024.0106","DOIUrl":"https://doi.org/10.1089/whr.2024.0106","url":null,"abstract":"<p><strong>Background: </strong>Premenstrual syndrome (PMS) is a common menstrual disorder that can significantly impact the physical, emotional, and social well-being of affected women. However, PMS remains a neglected problem in Afghanistan, with limited data on its prevalence and impact. This study aimed to determine the prevalence of PMS and the more severe premenstrual dysphoric disorder (PMDD) among female university students in Kabul, Afghanistan.</p><p><strong>Methods: </strong>Researchers conducted a cross-sectional study from April to October 2021 at four universities in Kabul. They included a total of 310 female students aged 15-35 years. After data cleaning, 44 participants were removed and 266 participants remained. Data were collected using a validated screening tool for PMS and PMDD, along with information on participants' sociodemographic and lifestyle factors. Statistical analysis was performed to assess the findings.</p><p><strong>Results: </strong>The study found that 88.8% of participants screened positive for either moderate to severe PMS (27.1%) or PMDD (61.7%). There was a significant association between lower educational attainment and higher rates of PMS/PMDD.</p><p><strong>Conclusion: </strong>This study uncovered a high prevalence of PMS and PMDD among female university students in Kabul. These conditions significantly impact young Afghan women's health and well-being, but remain a neglected issue. Urgent action is needed to improve awareness, screening, and treatment access for premenstrual issues in Afghanistan.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"403-411"},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059009","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 Impact of Childhood Abuse and Neglect on the Development of Features of Polycystic Ovary Syndrome: A Pilot Study.","authors":"Akanksha Misra, Olivia Wolfe, Ricardo Azziz","doi":"10.1089/whr.2024.0130","DOIUrl":"https://doi.org/10.1089/whr.2024.0130","url":null,"abstract":"<p><strong>Objective: </strong>To determine associations of childhood emotional and physical abuse and neglect with the incidence of menstrual irregularity, male pattern hair growth, and possible PCOS.</p><p><strong>Design: </strong>Cross-sectional Study at University.</p><p><strong>Subjects: </strong>410 individuals, 18-45 years old.</p><p><strong>Intervention: </strong>Survey.</p><p><strong>Main outcome measures: </strong>A questionnaire was administered to students, faculty, and staff at a regional State University of New York (SUNY) campus. Data on sociodemographic factors, menstrual dysfunction (irregularity, male pattern hair growth, and PCOS), and experiences of childhood abuse and neglect were collected.</p><p><strong>Results: </strong>Participants were sub-grouped into those with menstrual irregularity (MI: defined as >35 days between one period's beginning and the next, or ≤8 cycles/year, or absent periods altogether), or male pattern hair growth (MHG: defined as excess hair on the upper lip, chin, chest, abdomen, buttocks, or back), both (MI+MHG), or those who did have neither (Unaffected). Family income status yielded some association with the presence of MI, MHG, or MI+MHG. There were significant correlations between individuals reporting MI, MHG, and MI+MHG and reported experiences of feeling loved by their caregiver (<i>p</i> value = 0.0029988), experiencing verbal abuse (<i>p</i> value = 0.0000004293), experiencing physical neglect (<i>p</i> value = 0.030228), feeling emotionally disconnected from their caregiver (<i>p</i> value = 0.0006138), and not having a peaceful home (<i>p</i> value = 0.00005760630462), vis-à-vis Unaffected individuals. Almost all respondents with a prior diagnosis of PCOS (97.6%) reported MI and/or MHG.</p><p><strong>Conclusions: </strong>All childhood experiences of abuse and neglect, except the loss of a parent, were significantly associated with features suggestive of PCOS. Larger, unbiased population studies across different demographics, are needed.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"412-420"},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047089","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":"Examining Mental Health Outcomes of Intimate Partner Violence Among Female Survivors in Taiwan: A Population-Based Study.","authors":"Ming-Yi Li, Hong-Xun Wang, Shin-Ting Yeh","doi":"10.1089/whr.2024.0203","DOIUrl":"https://doi.org/10.1089/whr.2024.0203","url":null,"abstract":"<p><strong>Objective: </strong>Intimate partner violence (IPV) significantly affects women's health, but the lack of control groups in past studies hinders identifying high-risk populations and establishing evidence-based interventions. This study examines the link between IPV and women's mental health outcomes.</p><p><strong>Methods: </strong>A nationwide database was used in this case-control study. The study targeted adult women aged 18-64 in 2019 and employed a case-control study design with a total sample size of 71,512 participants. Data were sourced from the Ministry of Health enrollment files, cause of death statistics, and outpatient and inpatient claims data. Chi-square tests were used to analyze the association between IPV with mental health outcomes and personal characteristics. Additionally, conditional logistic regression models were applied to investigate the impact of IPV on women's mental health outcomes.</p><p><strong>Results: </strong>Compared with nonvictims, women who experienced IPV had significantly lower socioeconomic status and were at higher risk for various mental health outcomes. These included bipolar disorder (adjusted odds ratio [OR] = 5.91, 95% confidence interval [CI]: 4.16-8.38), alcohol and substance abuse (adjusted OR = 4.84, 95% CI: 2.88-8.14), depression (adjusted OR = 4.67, 95% CI: 3.91-5.58), schizophrenia (adjusted OR = 2.37, 95% CI: 1.80-3.12), and anxiety (adjusted OR = 2.36, 95% CI: 1.98-2.81).</p><p><strong>Conclusions: </strong>This study identified several mental disorders highly associated with IPV among adult women, with particular emphasis on bipolar disorder, alcohol and substance abuse, and depression. Insights into high-risk mental health disorders will help clinical staff be alert to IPV and provide a reference for policy planning of IPV counseling and intervention.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"384-392"},"PeriodicalIF":1.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000005","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}
Thomas P Bouchard, Patricia K Doyle-Baker, Paul J Yong, Richard Fehring, Mary Schneider
{"title":"Validating At-Home Urinary Hormone Measurements in Postpartum and Perimenopause Fertility Transitions.","authors":"Thomas P Bouchard, Patricia K Doyle-Baker, Paul J Yong, Richard Fehring, Mary Schneider","doi":"10.1089/whr.2024.0157","DOIUrl":"https://doi.org/10.1089/whr.2024.0157","url":null,"abstract":"<p><strong>Background: </strong>Measuring quantitative menstrual cycle hormones at home may help women better understand their postpartum and perimenopause fertility transitions, but these quantitative fertility monitors require validation.</p><p><strong>Materials and methods: </strong>This study included 16 North American women, aged 28-51, during either the postpartum (<i>n</i> = 8, cycles = 18) or perimenopause (<i>n</i> = 8, cycles = 35) fertility transitions testing daily first-morning urine testing with both the Mira Monitor and ClearBlue Fertility Monitor (CBFM) along with menstrual cycle parameter tracking. The main outcome measures were a rise in estrone-3-glucuronide (E<sub>1</sub>3G) and luteinizing hormone (LH) urine hormone values from the Mira monitor correlated to low, high, or peak values on the CBFM.</p><p><strong>Results: </strong>Both in the postpartum and perimenopause transitions, the identification of the day of ovulation based on the LH surge on the Mira and CBFM monitors was highly correlated (R = 0.94 and 0.83, <i>p</i> < 0.001). The E<sub>1</sub>3G levels on the Mira monitor were significantly higher for a CBFM reading of \"High\" compared with \"Low\" for both the postpartum and perimenopausal cycles (all <i>p</i> < 0.001). Similarly, the LH levels on the Mira monitor were significantly higher for a CBFM reading of \"Peak\" (LH surge) compared with \"High\" for both the postpartum and perimenopausal cycles (all <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The LH surge and levels of E<sub>1</sub>3G in urine identified on the quantitative Mira fertility monitor strongly correlate to the LH surge and the shift from low to high on the CBFM during the postpartum and perimenopause transitions.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"369-376"},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059900","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}
Rebecca Morgis, Ashley Wong, Lisa M Witmer, Anne Kantner, Megan Mendez-Miller, Sarah I Ramirez, Mack T Ruffin, Jennifer L Moss
{"title":"Motivations and Preferences for Self-Sampled Human Papillomavirus Testing Among Average-and High-Risk Patients: An Exploratory Analysis.","authors":"Rebecca Morgis, Ashley Wong, Lisa M Witmer, Anne Kantner, Megan Mendez-Miller, Sarah I Ramirez, Mack T Ruffin, Jennifer L Moss","doi":"10.1089/whr.2024.0180","DOIUrl":"https://doi.org/10.1089/whr.2024.0180","url":null,"abstract":"<p><strong>Objectives: </strong>Cervical cancer screening rates fall below national goals. At-home self-sampled tests for human papillomavirus (HPV) may improve screening rates. This study assesses the acceptability of self-sampled HPV testing with respect to motivating factors and preference among average-risk patients (undergoing routine screening) and high-risk patients (receiving follow-up care after abnormal screening results).</p><p><strong>Materials and methods: </strong>This cross-sectional study sample consisted of 46 participants (female, ages 30-65), including average-risk (n = 35) and high-risk (n = 11) patients, who had already received clinician-collected cervical cancer screening. Participants completed a self-sampled HPV test and a survey. Motivators included cervical cancer screening facilitators, sexual history, health care factors, and feelings during self-sampled test. We analyzed the relationships between these constructs and test modality preference for their next cervical cancer screening (i.e., self-sampled HPV testing at home vs. other preference).</p><p><strong>Results: </strong>Few participants experienced negative feelings during self-sampled HPV testing (uncomfortable: 20%; anxious: 22%; and unpleasant: 15%). Overall, 57% of participants would prefer to complete a self-sampled HPV test at home for their next cervical cancer screening compared with other test options. Test modality preference for their next cervical cancer screening did not differ for average- versus high-risk patients, and it did not vary by any of the motivating factors we assessed (all <i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Acceptability of self-sampled HPV testing at home is high, with little difference in attitudes observed across patient characteristics. These findings demonstrate that self-sampled HPV testing may be an effective tool for increasing cervical cancer screening, even among high-risk patients who have previously had abnormal screening results.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"377-383"},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014068","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":"Addressing Oral Health Disparities in Pregnancy: Oral Health Risk Factors and Clinical Findings at a Safety-Net Hospital in the Bronx.","authors":"Megan Cloidt, Parth Shah, Erica Robles, Molly Findley, Nadia Laniado","doi":"10.1089/whr.2024.0187","DOIUrl":"https://doi.org/10.1089/whr.2024.0187","url":null,"abstract":"<p><strong>Background: </strong>Pregnant women have been identified as a special adult population that is particularly vulnerable to oral diseases. The aims of this study were (1) to determine the prevalence of oral disease risk factors and (2) to examine the association between having a dental visit in the last 12 months and obvious tooth decay among a sample of pregnant women with low income.</p><p><strong>Methods: </strong>This cross-sectional study analyzed the outcomes of oral health risk assessments for 554 pregnant women in a municipal hospital in the Bronx, New York. Descriptive statistical analyses were performed to examine the characteristics of the study population. Simple and multivariable logistic regression analyses were conducted to examine the association between having a dental visit in the last 12 months and obvious tooth decay.</p><p><strong>Results: </strong>Overall, 28.2% of participants had a dental visit in the last 12 months and 87.7% had dental insurance. Over half of individuals reported frequent consumption of sugary beverages (52.2%). Nearly 30% of the participants showed signs of obvious tooth decay. There was no statistically significant association between last dental visit and obvious tooth decay (odds ratio = 1.02, 95% confidence interval [0.67-1.56]).</p><p><strong>Conclusions: </strong>The high prevalence of unmet oral health needs despite widespread dental insurance coverage in this study sample suggests other barriers to oral health care beyond insurance coverage. The findings from this study underscore the complexity of oral disease and the potential role that targeted, interprofessional efforts can have on the promotion of oral health in vulnerable pregnant women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"360-368"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009100","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}