Elinita Pollard, Minjee Lee, Alice W Lee, Mary A Gerend, Meng-Han Tsai
{"title":"Race/Ethnicity, Human Papillomavirus Vaccination Status, and Papanicolaou Test Uptake Among 27-45-Year-Old Women: A Cross-Sectional Analysis of 2019-2022 Behavioral Risk Factor Surveillance System Data.","authors":"Elinita Pollard, Minjee Lee, Alice W Lee, Mary A Gerend, Meng-Han Tsai","doi":"10.1089/whr.2024.0170","DOIUrl":"10.1089/whr.2024.0170","url":null,"abstract":"<p><strong>Purpose: </strong>The human papillomavirus (HPV) vaccine was recently approved for 27-45-year-olds. We examined the association between HPV vaccination status and having an up-to-date Papanicolaou (Pap) test for 27-45-year-old women across racial/ethnic groups.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis using 2019-2022 Behavioral Risk Factor Surveillance System data. We performed weighted multivariable logistic regressions to examine the association between being unvaccinated, initiating, and completing the HPV vaccine series and Pap test uptake.</p><p><strong>Results: </strong>Among 7,052 women, non-Hispanic White (NHW) women had the highest rate of HPV vaccine series completion (14.0%). Non-Hispanic Black (NHB) had the lowest rate of HPV vaccine series completion (9.2%) and the highest rate of up-to-date Pap tests (71.2%). Non-Hispanic Other (NHO) women had the lowest rate of up-to-date Pap tests (52.1%). Completing the HPV vaccine series was associated with increased odds of having an up-to-date Pap test (odds ratio [OR]: 1.66 95% confidence interval [CI]: 1.23-2.24). Among Hispanic and NHW women, HPV vaccine series completion was associated with increased odds of up-to-date Pap testing (Hispanic: OR: 2.16, 95% CI: 1.02-4.58; NHW: OR: 1.49, 95% CI: 1.01-2.21). HPV vaccine series initiation was associated with up-to-date Pap tests for NHB (OR: 2.75, 95% CI: 1.19-6.34) and NHO women (OR: 3.15, 95% CI: 1.56-6.37).</p><p><strong>Conclusions: </strong>Unvaccinated women had decreased odds of up-to-date Pap testing. Shared clinical decision-making should be utilized to help 27-45-year-old women decide if they want to receive the HPV vaccine; culturally tailored efforts should be made to improve utilization of Pap testing across racial/ethnic groups.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"178-189"},"PeriodicalIF":1.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702406","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}
Samantha Girasulo, Caro Maltz, Maggie Weichert, Joy S Kaufman, Amanda Mele, Karen Hunkele, Kimberly A Yonkers, Nancy Byatt, Ariadna Forray
{"title":"Perspectives of the Obstetric Care Environment for Pregnant Individuals Who Have an Opioid Use Disorder.","authors":"Samantha Girasulo, Caro Maltz, Maggie Weichert, Joy S Kaufman, Amanda Mele, Karen Hunkele, Kimberly A Yonkers, Nancy Byatt, Ariadna Forray","doi":"10.1089/whr.2024.0142","DOIUrl":"10.1089/whr.2024.0142","url":null,"abstract":"<p><strong>Objective: </strong>To assess the specific barriers and facilitators for pregnant individuals who have an opioid use disorder (OUD) receiving perinatal care.</p><p><strong>Methods: </strong>We conducted key informant interviews with patients who received care from obstetric clinicians who had been trained to provide medication for opioid use disorder (<i>n</i> = 16). We asked patients about the care they received for their OUD, the quality of communication with their perinatal care team, and any recommendations for improving OUD care. Two staff independently coded transcripts, and we used content analysis to identify themes.</p><p><strong>Results: </strong>Our analysis resulted in three main facilitators that support participants receiving care from their obstetric clinician: (1) positive relationship with supportive and nonjudgmental clinician; (2) access to medication for opioid use disorder (MOUD); and (3) access to therapeutic and peer supports. Patients noted that nonjudgmental clinicians provided a care environment where they felt safe, did not experience stigma, and felt they could be active participants in their care. Patients also expressed that access to MOUD and clinical and supportive services were beneficial components of perinatal care. The main barriers identified included lack of access to transportation, long wait times for treatment programs, and difficulty accessing MOUD.</p><p><strong>Conclusions: </strong>The results of this study suggest that increased obstetric provider education about OUDs and providing trauma-informed care for pregnant individuals who have an OUD may help reduce barriers to accessing care and increase satisfaction with care for this population. Furthermore, the present study suggests obstetricians provide in-house access to MOUD, if possible, or assist patients with referrals to care, as these may reduce the structural barriers patients face.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"155-160"},"PeriodicalIF":1.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702401","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}
Krista Zachariah, Dustin Wessells, Prianca Tawde, Mahniz Reza, Caitlin Chiu, Pablo Villar Calle, Alexander Volodarskiy, Evelyn M Horn, Parag Goyal, Jonathan Weinsaft, Jiwon Kim
{"title":"Gender Disparities in COVID-19 Survivors with Impaired Quality of Life, Effort Intolerance, and Cardiopulmonary Symptoms: A Prospective Cohort Study.","authors":"Krista Zachariah, Dustin Wessells, Prianca Tawde, Mahniz Reza, Caitlin Chiu, Pablo Villar Calle, Alexander Volodarskiy, Evelyn M Horn, Parag Goyal, Jonathan Weinsaft, Jiwon Kim","doi":"10.1089/whr.2024.0131","DOIUrl":"10.1089/whr.2024.0131","url":null,"abstract":"<p><strong>Background: </strong>Prior studies have suggested gender differences in COVID-related outcomes that have the potential to impact cardiovascular risk. We aimed to investigate gender differences on short- and long-term effects of COVID-19 infection.</p><p><strong>Methods: </strong>Patients hospitalized with COVID-19 infection were enrolled in an ongoing prospective registry across NY-Presbyterian networks, which encompassed same-day echocardiogram, cardiac magnetic resonance (CMR), 6-minute walk test, and quality of life assessment 1 year following acute COVID hospitalization.</p><p><strong>Results: </strong>In this prospective cohort of 213 hospitalized patients with COVID-19 infection, males were more likely to require intensive care unit (ICU) stay (13.6 vs. 3.6%; <i>p</i> = 0.009) and oxygen supplementation (40.8 vs. 26.4%; <i>p</i> = 0.026), paralleling higher rates of elevated troponin, C-reactive protein, ferritin, and D-dimer (<i>p</i> < 0.05 for all). In contrast, 1 year following COVID hospitalization, females reported worse physical function and fatigue on Patient-Reported Outcomes Measurement Information System (PROMIS) scale (<i>p</i> < 0.05 for all). Additionally, 6-minute walk distance was less in females than males (383.0 ± 98.0 vs. 428.6 ± 78.6 m; <i>p</i> = 0.006), and Borg dyspnea score was nearly twofold higher in females vs. males (2.0 ± 2.3 vs. 1.0 ± 1.5; <i>p</i> < 0.001). With respect to imaging parameters, females had higher left ventricle and right ventricle ejection fraction (<i>p</i> < 0.05 for all) with smaller infarct size (<i>p</i> = 0.042) on CMR.</p><p><strong>Conclusion: </strong>Whereas males have greater morbidity during acute COVID hospitalization, females are disproportionately impacted by post-COVID impaired functional status despite higher biventricular ejection fraction and smaller infarct size.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"129-135"},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506678","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}
Amber M Healy, Mallory Faherty, Jordan Ackerman, Blake Leeds, Mandy Morell, Rachel Kim, Andrew Ackerman, Jody M Gerome
{"title":"Prevalence of Gestational Diabetes Mellitus, Postpartum Depression, and Hypertension Affecting Pregnancies in Rural Ohio.","authors":"Amber M Healy, Mallory Faherty, Jordan Ackerman, Blake Leeds, Mandy Morell, Rachel Kim, Andrew Ackerman, Jody M Gerome","doi":"10.1089/whr.2024.0137","DOIUrl":"10.1089/whr.2024.0137","url":null,"abstract":"<p><strong>Objective: </strong>Determine if diagnosis of gestational diabetes mellitus (GDM) increases the incidence of postpartum depression (PPD) in rural Appalachian Ohio.</p><p><strong>Methods: </strong>A retrospective chart review was conducted to review pregnancies between February 2020 and March 2023 to look for diagnoses of gestational diabetes and PPD.</p><p><strong>Results: </strong>The population studied showed that 5.41% of pregnancies were affected by gestational diabetes, 7.76% of pregnancies had associated PPD, and 1.26% had both. Hypertension incidence that was a secondary data point in this study showed that 20.4% of pregnancies were affected by a form of hypertension.</p><p><strong>Conclusions: </strong>Incidence of gestational diabetes and PPD were similar in this population to the rest of the United States and occurred together at low rates. Hypertension was a more common condition that affected pregnancies in this population.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"122-128"},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485001","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}
Mónica L Caudillo, Fatima Zahra, Michael S Rendall
{"title":"How and What Do Women Learn About Contraception? A Latent Class Analysis of Adolescents and Adult Women in Delaware.","authors":"Mónica L Caudillo, Fatima Zahra, Michael S Rendall","doi":"10.1089/whr.2024.0064","DOIUrl":"10.1089/whr.2024.0064","url":null,"abstract":"<p><strong>Background: </strong>Across the reproductive life course, women receive information about contraception that may influence their contraceptive behaviors. This study examines the information sources that adolescents and older women combine to acquire information about contraception.</p><p><strong>Methods: </strong>A state-representative survey of women aged 18-44 residing in Delaware, US, in 2017 asked from what sources respondents recently learned about contraception and the type of information obtained. The 2017 Delaware Youth Risk Behavior Survey, representative of public high school students aged 14-18, included analogous questions. Latent class analysis was applied to classify respondents in both samples of adolescents (<i>n</i> = 1253) and adult women (<i>n</i> = 1008) according to the information sources they combined. We estimated multinomial logistic regressions to assess the demographic and reproductive history predictors of using each of the information source repertoires and binomial logistic regressions to analyze their relationship to the information acquired.</p><p><strong>Results: </strong>Adolescents are more likely than adults to report having recently acquired any information about contraception (76% vs. 64%), but they are more likely to rely primarily on a single source. In contrast, adult women are more likely to combine multiple sources. Age, education, and sexual activity emerged as important predictors of information source repertoires. Adults who combine information sources and adolescents who learn mainly from health care providers or school personnel report the greatest breadth in the contraception-related information acquired.</p><p><strong>Conclusion: </strong>Interventions to provide or improve contraceptive knowledge may be more effective if they account for how women use and combine information sources, particularly at different stages of their reproductive lives.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"136-146"},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485000","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}
Parisa Rezaiefar, Douglas Archibald, Monisha Kabir, Susan Humphrey-Murto
{"title":"Challenges in Providing Gynecological Procedures in Primary Care: A Survey of Canadian Academic Family Physicians.","authors":"Parisa Rezaiefar, Douglas Archibald, Monisha Kabir, Susan Humphrey-Murto","doi":"10.1089/whr.2024.0098","DOIUrl":"10.1089/whr.2024.0098","url":null,"abstract":"<p><strong>Purpose: </strong>Globally, there is a lack of access to health care providers who offer gynecological procedures. Understanding the practice patterns of academic family physicians (AFPs) and whether additional training impacts the provision of care is critical. This study surveys the practice patterns of AFPs regarding gynecological procedures offered, identifies barriers, and explores the impact of additional training.</p><p><strong>Methods: </strong>We circulated an anonymous, cross-sectional survey to all 17 family medicine programs across Canada, receiving responses from 71 AFPs. We computed descriptive statistics and bivariate associations.</p><p><strong>Results: </strong>A total of 71 respondents from five universities participated. Most participants (97.2%) performed Papanicolaou (Pap) smears; 67.6% provided intrauterine device (IUD) insertion, and only 54.9% offered endometrial biopsy. Numbers decreased significantly for routine pessary care (29.5%), punch biopsy of the vulva (15.5%), and pessary fitting (5.6%). Eighteen participants (26.9%) had received enhanced skills training with a certificate of added competence (CAC), of which 55.6% were in women's health. CAC holders in women's health provided IUD insertions (100% vs. 67.3%; <i>p</i> = 0.049, V = 0.28) and endometrial biopsies (90.0% vs. 53.1%; <i>p</i> = 0.036, V = 0.28) at higher rates than general AFPs. Frequently cited barriers to offering gynecological procedures included lack of knowledge, procedural skills, and insufficient patient volumes to maintain competence. During the COVID-19 pandemic, 44% of respondents reported reducing or ceasing to provide Pap smears.</p><p><strong>Conclusions: </strong>Many AFPs in Canada do not provide essential gynecological procedures. This impacts patient access and the training of the next generation of family physicians and thus requires innovative strategies to address the persistent procedural skills educational gap for trainees.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"102-112"},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484999","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}
Mira L Katz, Abigail Shoben, Amie M Ashcraft, Emma Mitchell, Mark Dignan, Sarah Cooper, Mark Cromo, Jean Walunis, Deborah Flinner, Dannell Boatman, Lindsay Hauser, Mack T Ruffin, Paul L Reiter
{"title":"Results of a Human Papillomavirus Self-Collection Educational Intervention for Health Care Providers in Appalachia.","authors":"Mira L Katz, Abigail Shoben, Amie M Ashcraft, Emma Mitchell, Mark Dignan, Sarah Cooper, Mark Cromo, Jean Walunis, Deborah Flinner, Dannell Boatman, Lindsay Hauser, Mack T Ruffin, Paul L Reiter","doi":"10.1089/whr.2024.0121","DOIUrl":"10.1089/whr.2024.0121","url":null,"abstract":"<p><strong>Objective: </strong>There is an increasing interest in human papillomavirus (HPV) self-collection as a strategy for women not up-to-date with cervical cancer screening. We report the findings of an HPV self-collection educational intervention for health care providers and staff.</p><p><strong>Materials and methods: </strong>As part of the Health Outcomes through Motivation and Education (<i>HOME</i>) <i>Initiative</i>, health care providers from 10 health care systems in Appalachian regions of four states attended online sessions during 2021-2023. Participants (<i>n</i> = 167) completed pre- and postintervention surveys focused on knowledge and attitudes about HPV self-collection and cervical cancer screening. The postintervention survey also addressed satisfaction with the educational intervention.</p><p><strong>Results: </strong>Participants correctly answered an average of 4.6 out of 7 knowledge items on preintervention surveys and an average of 6.0 items on postintervention surveys (<i>p</i> < 0.001). Attitudes were more positive on postintervention surveys and included that participants reported that they were better informed about HPV self-collection and more confident they could talk to patients about HPV self-collection (both <i>p</i> < 0.05). Nearly all (>97%) participants reported being satisfied with the educational intervention and being pleased their health center was included in the <i>HOME Initiative</i>.</p><p><strong>Conclusions: </strong>An online educational intervention for health care providers and staff about HPV self-collection as a cervical cancer screening strategy was efficacious in improving knowledge and attitudes and was well-received by participants. Given its online delivery and that it can be completed individually or in a group setting, this educational intervention with minor adaptations has potential for wide dissemination to educate health care providers and staff about HPV self-collection.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"113-121"},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485002","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":"Predicting Survival Outcomes for Patients with Ovarian Cancer Using National Cancer Registry Data from Taiwan: A Retrospective Cohort Study.","authors":"Amrita Chattopadhyay, Ya-Ting Wu, Han-Ching Chan, Yi-Ting Kang, Ying-Cheng Chiang, Chun-Ju Chiang, Wen-Chung Lee, Tzu-Pin Lu","doi":"10.1089/whr.2024.0166","DOIUrl":"10.1089/whr.2024.0166","url":null,"abstract":"<p><strong>Background: </strong>Ovarian cancer is one of the top seven causes of cancer deaths. Incidence of ovarian cancer varies by ethnicity, where Asian women demonstrate lower incidence rates than non-Hispanic Blacks and Whites. Survival prediction models for ovarian cancer have been developed for Caucasians and Black populations using national databases; however, whether these models work for Asians is unclear. Therefore, a retrospective cohort study was conducted to develop survival prediction models for patients with epithelial ovarian cancer from a Taiwan Cancer Registry (TCR) who underwent de-bulking and chemotherapy, with the aim to identify variables that can predict prognosis accurately. Patients diagnosed with OC from TCR were included.</p><p><strong>Method: </strong>Two prognostic models (M1 and M2) were developed: M1 utilized clinical variables only, M2 additionally included cancer-specific variables with the aim to improve the accuracy. All methods were repeated independently for patients with only serous ovarian cancer. All findings for model M1 were validated among Black, White, and Asian populations from Surveillance, Epidemiology, and End Results (SEER) database and 10-fold internal cross-validations. Due to absence of cancer-specific site variables in SEER, model M2 was only internally validated. Cox-proportional hazards regression analysis was performed and a stepwise strategy with Akaike-information criterion was used to select appropriate variables as predictors to develop both M1 and M2.</p><p><strong>Results: </strong>The c-index values of both models were >0.7 in both TCR and SEER populations for epithelial ovarian cancer. Calibration analysis demonstrated good prediction performance with the proportional difference between predicted and observed survival to be <5%. The performance was similar for the subset of patients with serous epithelial ovarian cancer. Notably, no significant racial differences were observed.</p><p><strong>Conclusion: </strong>The prognostic models proposed in this study can potentially be used for identifying patients, especially from Taiwan, at higher risk of ovarian cancer mortality early on, leading to improved prognosis, through shared decision-making between physicians and patients.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"90-101"},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070105","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":"Associations Between Blood Hemoglobin Concentrations and Cardiometabolic Risk in Middle-Aged Women.","authors":"Tazuko Tokugawa, Akihiro Sawada, Satoshi Higasa, Ichiro Wakabayashi","doi":"10.1089/whr.2024.0140","DOIUrl":"10.1089/whr.2024.0140","url":null,"abstract":"<p><strong>Objective: </strong>Patients with polycythemia have a high risk of thrombo-atherosclerotic diseases. However, it remains to be clarified whether a high blood hemoglobin level is related to cardiometabolic risk in women.</p><p><strong>Methods: </strong>The overall subjects were 18,410 middle-aged women who had received health checkup examinations at their workplaces. The subjects were divided into four groups of quartiles for hemoglobin levels. Cardiometabolic risk factors were compared in the four quartile groups. Individuals showing abnormally low hemoglobin levels (less than 11.0 g/dL) and/or having a history of therapy for anemia (<i>n</i> = 3,690) were excluded from the study.</p><p><strong>Results: </strong>The prevalence of polycythemia (hemoglobin: higher than 16.0 g/dL) was 0.14%. Body mass index, waist-to-height ratio, blood pressure, triglycerides, LDL cholesterol, and hemoglobin A<sub>1c</sub> were significantly higher in the highest quartile group of hemoglobin than in the lowest quartile group and tended to be higher with an increase of the quartile. Odds ratios of the highest versus lowest quartile groups of hemoglobin were 2.64 (2.25-3.10) for high LDL cholesterol/HDL cholesterol ratio, 3.05 (2.69-3.46) for high lipid accumulation product, 2.26 (2.05-2.50) for high cardiometabolic index, and 3.71 (3.07-4.47) for metabolic syndrome.</p><p><strong>Conclusions: </strong>Although the prevalence of polycythemia was very low, cardiometabolic risk was higher in those showing relatively high hemoglobin levels than in those with lower levels. Therefore, normal high blood hemoglobin is suggestive of increased cardiovascular risk in middle-aged women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"80-89"},"PeriodicalIF":1.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069951","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":"Acknowledgment of Reviewers 2024.","authors":"","doi":"10.1089/whr.2024.32587.revack","DOIUrl":"https://doi.org/10.1089/whr.2024.32587.revack","url":null,"abstract":"","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"78-79"},"PeriodicalIF":1.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069946","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}