Women's health reports (New Rochelle, N.Y.)最新文献

{"title":"Association Between Emphysema and Breast Cancer: Data from National Health and Nutrition Examination Survey (1998-2016).","authors":"Li Jianglong, Xiao Jiabiao, Liu Zhentian, Wang Yaqi, Yan Wei, Chen Tanxiu","doi":"10.1177/26884844251359511","DOIUrl":"10.1177/26884844251359511","url":null,"abstract":"<p><strong>Background: </strong>Emphysema has been linked to an elevated risk of lung cancer, yet the association between emphysema and breast cancer (BC) has not been established. Hence, our study aimed to investigate the potential correlation between emphysema as an exposure factor and BC as the outcome, while accounting for various covariates associated with BC.</p><p><strong>Methods: </strong>Participants from the National Health and Nutrition Examination Survey database from 1998 to 2016 were selected for analysis. Initially, ineligible individuals were excluded from this analysis. Subsequently, chi-square test and <i>t</i>-test were independently executed to assess variances in covariates and exposure factors between patients with BC and controls, leading to the development of a baseline table. Subsequently, weighted multivariate logistic regression analysis was conducted to explore the potential association between emphysema and BC, resulting in the development of three logistic regression models. Additionally, risk stratification analysis using weighted stratified logistic regression was performed to analyze the impact of emphysema on BC across different populations.</p><p><strong>Results: </strong>After excluding ineligible individuals, 4,937 participants remained, comprising 152 patients with BC and 4,785 controls. The baseline table revealed significant differences between BC and control samples in terms of emphysema (<i>p</i> = 1 × 10^-2), age (<i>p</i> = 5 × 10^-4), race (<i>p</i> = 1 × 10^-3), marital status (<i>p</i> = 5 × 10^-4), hypertension (<i>p</i> = 5 × 10^-4), and number of pregnancies (<i>p</i> = 2.1 × 10^-2). Furthermore, all <i>p</i> values for emphysema across the three model types were less than 0.05, indicating that the association between emphysema and BC was not significantly affected by other covariates. Meanwhile, the risk stratification analysis demonstrated that emphysema may be a risk factor for BC (odds ratio = 2.6, 95% confidence interval 1.25-5.41, <i>p</i> = 1.09 × 10^-2).</p><p><strong>Conclusion: </strong>The study's findings indicating a correlation between emphysema and BC, with emphysema may be a risk factor for BC. This provides a potential theoretical basis for the development of BC treatment strategies.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"681-690"},"PeriodicalIF":1.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208561","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":"Maternal and Neonatal Outcomes for Egyptian Primigravida Women after Antenatal Dental Health Education Program.","authors":"Azza Ibrahim Abd El-Kader, Sabah Abduo Aly Hagrass, Mai Atef Hassan","doi":"10.1089/whr.2024.0133","DOIUrl":"10.1089/whr.2024.0133","url":null,"abstract":"<p><strong>Background: </strong>Educational programs for pregnant women delivered by dentists and midwives would prevent oral disorders in mothers and also impact the dental health of offspring.</p><p><strong>Aim of the study: </strong>The main aim of this study is to evaluate the effect of an antenatal dental health education program on maternal and neonatal outcomes among Egyptian primigravida women.</p><p><strong>Subjects and methods research design: </strong>A quasi-experimental research design was carried out. Subjects: 108 pregnant women who met the inclusion criteria. The sample size was two equal groups and divided into two groups (case and control).</p><p><strong>Setting: </strong>The study was conducted at the prenatal clinic at Zagazig University Hospital.</p><p><strong>Tools of data collection: </strong>The following four tools were used to achieve the study's purpose: a structured interview questionnaire; a scale for assessing knowledge, practice, and attitude; and an outcome checklist for tracking mother and baby outcomes throughout labor. In addition, prenatal education classes were held to enhance the pregnancy outcomes.</p><p><strong>Results: </strong>According to the study's findings, women who participated in the dental education program had statistically significant positive knowledge, practices, and attitudes compared with those in the control group. In the case group, pregnancy outcomes were good and improved after attending the dental health program more than in the control group.</p><p><strong>Conclusion: </strong>Designing and implementing an educational program on antenatal oral health had a significant effect on improving pregnancy outcomes.</p><p><strong>Recommendation: </strong>An awareness educational program about dental care associated with pregnancy was necessary to be recommended.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"671-680"},"PeriodicalIF":1.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692742","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":"Burnout Syndrome and Sexual Disorders Among Vietnamese Female Nurses and Midwives at Tu Du Hospital: A Frontline Hospital-Based Cross-Sectional Study.","authors":"Thanh Hai Pham, Minh Tuan Vo, Phuc Nhon Nguyen","doi":"10.1089/whr.2024.0193","DOIUrl":"10.1089/whr.2024.0193","url":null,"abstract":"<p><strong>Background: </strong>Burnout syndrome has become a great concern worldwide in recent decades. It can also lead to a negative effect on quality of work, life, and sexual dysfunction. This study assesses the prevalence of burnout syndrome and its association with sexual dysfunction among female nurses and midwives at a frontline hospital.</p><p><strong>Material and methods: </strong>This cross-sectional study was conducted at Tu Du Hospital in Vietnam between February 1, 2023 and March 31, 2023. The study enrolled 485 female nurses and midwives. Among them, 426 women were eligible for the assessment of sexual disorders. This study used the Maslach Burnout Inventory-Human Services Survey toolkit to investigate burnout syndrome and the Female Sexual Function Index (FSFI) to determine sexual dysfunction.</p><p><strong>Results: </strong>Of the 485 respondents, the burnout rate was 27.0%, of which emotional exhaustion (EE), depersonalization, and diminished personal achievement (PA) were found at 13.2%, 6.0%, and 18.4%, respectively. Factors relating to burnout included young age, work duration of less than 10 years, sleep disorders, high workload, insufficient salary, and job dissatisfaction. Among 426 respondents completing the FSFI tool, 12.0% of female health care workers experienced sexual dysfunction, of which decreased sexual desire appeared in 42.0% of participants. EE at work was associated with sexual health issues and almost all sexual dysfunction factors with a weak negative correlation coefficient. Reduced PA was related to general sexual status, anorgasmia, and dyspareunia with a weak positive correlation coefficient.</p><p><strong>Conclusion: </strong>Overall, the prevalence of burnout and sexual disorders were 27.0% and 12.0%, respectively. Importantly, work-related factors were the main factors associated with burnout syndrome. EE and reduced PA were related to sexual disorders. These results underscore the need to assess support for the professional well-being of nurses and midwives. Further national-database studies are required to strengthen these findings.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"660-670"},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610498","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":"<i>Acmella oleracea</i> and <i>Boswellia serrata</i> for Symptom Relief and Reduced Analgesic Use in Women with Dysmenorrhea.","authors":"Maria Teresa Schettino, Maria Giovanna Vastarella, Gaetano Riemma, Ernesta Dores, Fabio Turco, Pasquale De Franciscis","doi":"10.1089/whr.2025.0056","DOIUrl":"10.1089/whr.2025.0056","url":null,"abstract":"<p><strong>Background and aim: </strong>Dysmenorrhea causes intense menstrual pain and symptoms such as cramps, headaches, and nausea. Nonsteroidal anti-inflammatory drugs (NSAIDs) offer relief but have limited efficacy and side effects, prompting interest in alternative therapies. This study evaluated a food supplement with <i>Acmella oleracea</i> and <i>Boswellia serrata</i> for dysmenorrhea symptom management in women with inadequate NSAIDs response.</p><p><strong>Methods: </strong>This single-center retrospective study included 33 women aged 20-35 with dysmenorrhea-related symptoms who had experienced insufficient relief from NSAIDs alone. Participants received the food supplement in addition to NSAIDs over three menstrual cycles. The primary outcome was the reduction in pain intensity. Secondary outcomes included changes in NSAIDs use and symptom prevalence (<i>e.g.,</i> cramps, lower back pain, and dyspareunia). Data were collected at baseline and after 3 months of treatment.</p><p><strong>Results: </strong>After 3 months, general pain and migraine decreased significantly, with mean Numeric Rating Scale scores decreasing from 8.2 (±1.02) to 6.8 (±1.08; <i>p</i> < 0.0001) and from 8.3 (±0.90) to 4.8 (±0.87; <i>p</i> < 0.0001), respectively. NSAIDs use decreased by 40%, with 46.2% of patients no longer requiring NSAIDs. Symptom-specific reductions included cramps, lower back pain, muscle tension, lower abdominal cramps, and nausea. Dyspareunia showed a 25% reduction. The supplement was well-tolerated, with no adverse events reported.</p><p><strong>Conclusions: </strong>These preliminary findings suggest that this food supplement may effectively reduce dysmenorrhea symptoms and reliance on NSAIDs in patients with insufficient response to conventional therapies. Further validation through randomized controlled trials is needed to confirm these results and establish the supplement's role in dysmenorrhea management.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"652-659"},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610497","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":"Prenatal Self-Evaluation Questionnaire in Peruvian Women: Analysis Through the Psychometric Network.","authors":"Antonio Serpa-Barrientos, Juan Jose Gabriel Artica Martinez, Enrique Giovanni Pérez-Flores, Jacksaint Saintila","doi":"10.1089/whr.2025.0003","DOIUrl":"10.1089/whr.2025.0003","url":null,"abstract":"<p><strong>Background: </strong>Lederman designed the prenatal self-evaluation questionnaire, which is a widely used tool for evaluating the psychological well-being and health perception of women during pregnancy. However, its structure and reliability may vary according to the population and cultural context in which it is applied. In Peru, no exhaustive studies have been conducted to validate the psychometric properties of this questionnaire.</p><p><strong>Objective: </strong>Assess the psychometric properties of Lederman-designed prenatal self-evaluation questionnaire in a sample of Peruvian women using the network approach (BootEGA).</p><p><strong>Methods: </strong>An instrumental investigation was conducted involving 790 women whose ages ranged from 18 to 45 years (<i>M</i> = 23.87, SD = 6.76). The network approach was used to analyze the data and evaluate the structure of the questionnaire.</p><p><strong>Results: </strong>The results obtained revealed the presence of a network structure consisting of five dimensions. These dimensions showed stability levels (0.70) and optimal average loads (0.15), supporting the idea that Lederman designed the prenatal self-evaluation questionnaire be composed of five different dimensions. Furthermore, structural consistency showed that the questionnaire is accurate and stable, with estimates <0.99.</p><p><strong>Conclusion: </strong>Using the network method, the psychometric robustness of the Lederman-designed prenatal self-evaluation questionnaire was satisfactorily validated in the sample of Peruvian women. These findings reinforce the questionnaire's relevance as a reliable tool for assessing psychological well-being during pregnancy, providing valuable insights for maternal health professionals.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"644-651"},"PeriodicalIF":1.6,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610499","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":"\"I Live in a Doula Desert\": A Community-Engaged Study of Doula Care in Rural Georgia.","authors":"Sydney Comstock, Alyssa Lindsey, Subasri Narasimhan, Ileana López-Martinez, Fowzio Jama, Whitney Williams, Elizabeth A Mosley","doi":"10.1089/whr.2025.0050","DOIUrl":"10.1089/whr.2025.0050","url":null,"abstract":"<p><strong>Background: </strong>Maternal morbidity and mortality in the United States-and disparities therein-are significant and growing public health crises. Doulas (nonclinical perinatal support professionals) could be part of the solution, but there are significant barriers to health care in rural areas.</p><p><strong>Methods: </strong>This study examines the facilitators and barriers rural communities face in accessing doulas and ideas for expanding doula work in rural communities. As part of a larger-mixed methods, community-engaged project on full-spectrum doula care in Georgia, this study surveyed and interviewed doulas in Georgia from June 2022 to January 2023. We conducted descriptive statistics and thematically analyzed the transcripts using memoing, coding, and group discussion.</p><p><strong>Results: </strong>We surveyed and interviewed 22 doulas, 17 of whom serve rural clients including 7 who reported over 20% of their clientele are rural. Our main findings included (1) significant perinatal and social service gaps in rural areas, (2) rural poverty that impedes perinatal options, including doula access, (3) long distances between doulas, rural clients, and health care, and (4) childbirth education disparities, resulting in knowledge gaps that doulas could fill.</p><p><strong>Discussion: </strong>These results are relevant to national maternal health equity efforts in rural communities and can inform policies, programs, and future research including Medicaid reimbursement, doula training, and community-engaged research with doulas.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"624-631"},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334600","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":"Marginal Sinus and Bleeding in Women with a Low-Positioned Placenta: A Narrative Synthesis Systematic Review.","authors":"Elisabetta Colciago, Anna Locatelli, Simona Fumagalli, Valeria Poletti De Chaurand, Federica Fernicola, Antonella Nespoli, Sara Ornaghi","doi":"10.1089/whr.2025.0002","DOIUrl":"10.1089/whr.2025.0002","url":null,"abstract":"<p><strong>Objective: </strong>To ascertain the impact of marginal sinus on the risk of antepartum, intrapartum, and postpartum hemorrhage in women with a low-positioned placenta.</p><p><strong>Data sources: </strong>PubMed, Scopus, EMBASE, and the Cochrane Library databases (1980-2024).</p><p><strong>Study selection: </strong>Systematic reviews and quantitative primary research studies reporting a diagnosis of low-positioned placenta with the presence or absence of marginal sinus. Outcome measures: antepartum, intrapartum, and postpartum hemorrhage.</p><p><strong>Data extraction and synthesis: </strong>Of the 8140 articles screened for eligibility, 171 were sought for full-text review, and 6 were included for analysis. The systematic review comprises six cohort studies, two prospective and four retrospective, for a total of 621 women with a low-positioned placenta. Five studies assessed the impact of marginal sinus on antenatal hemorrhage, two examined its influence on intrapartum hemorrhage, and one study also evaluated postpartum hemorrhage.</p><p><strong>Conclusions: </strong>The studies displayed adequate representativeness of exposed individuals. Limitations included retrospective design with a small sample size, different gestational ages at diagnosis of low-positioned placenta, and substantial heterogeneity in outcomes.</p><p><strong>Abstract: </strong>Among the five studies examining the relationship between marginal sinus and antepartum bleeding, a significant association was reported in four, while one found no such link. The only two studies examining the relationship between marginal sinus and intrapartum hemorrhage reported no association. Additionally, one of these studies identified lower rates of postpartum bleeding in women with normally located placental tissue and a marginal sinus reaching the internal os, compared with women with low-positioned placental tissue. The risk of bleeding in women with a low-positioned placenta and marginal sinus is still poorly evaluated. The evidence from the included studies lacked consistency and conclusive findings, highlighting the need for further research to elucidate this association and inform clinical management effectively. Additionally, studies failed to address the significance of marginal sinus in diagnosing and managing low-positioned placenta.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"632-643"},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334613","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":"Childhood Trauma in Spanish Women with Fibromyalgia and Depression.","authors":"Anita Ribeiro, Mari Aguilera, Clara Paz, Marta Salla, Guillem Feixas","doi":"10.1089/whr.2024.0118","DOIUrl":"10.1089/whr.2024.0118","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood trauma (CT) is associated with chronic widespread pain and high rates of pain sensitization, which are typical of fibromyalgia (FM), and with FM itself. The present investigation was twofold: it analyzed the prevalence of single types and cumulative types of CT in a Spanish sample of women diagnosed with FM with depressive symptoms.</p><p><strong>Methods: </strong>A reanalysis of data gathered at baseline for a randomized clinical trial of treatment methods for depression in 104 women with FM and depressive symptoms was conducted using the reanalysis data of the self-reported Childhood Trauma Questionnaire Short Form before treatment.</p><p><strong>Results: </strong>This study included higher and lower thresholds for identifying CT. Prevalence varied according to the threshold used; lower thresholds highlighted emotional neglect (52%) as higher than all other single subscales, followed by emotional abuse (42%), sexual abuse (42%), physical neglect (30%), and physical abuse (27%). At higher thresholds, emotional abuse was the highest (37%), followed by sexual abuse (31%), physical neglect (30%), physical abuse (27%), and emotional neglect (26%).</p><p><strong>Conclusions: </strong>This study's results show that CT assessment is a necessary component of intake protocols for patients with FM.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"615-623"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334606","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":"Determinants of Antenatal Care Utilization Among Reproductive Age Women in Somaliland Using Somaliland Health Demographic Survey 2020 Data.","authors":"Hodo Abdikarim, Abdisalam Hassan Muse, Mukhtar Abdi Hassan, Saralees Nadarajah, Yahye Hassan Muse","doi":"10.1089/whr.2024.0155","DOIUrl":"10.1089/whr.2024.0155","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to identify the determinants of antenatal care (ANC) utilization among reproductive-aged women in Somaliland. Understanding these factors is crucial for improving maternal health. This study utilized data from the 2020 Somaliland Demographic Health Survey (SLDHS), which encompasses urban, rural, and nomadic residencies across six geographic zones in Somaliland.</p><p><strong>Methods: </strong>This cross-sectional study included 2741 women aged 15-49 based on data from the SLDHS 2020. The primary outcome variable was ANC utilization, which was measured as a binary variable (utilization vs. nonutilization). Descriptive statistics and binary logistic regression analyses were conducted to identify the factors associated with ANC utilization.</p><p><strong>Results: </strong>The study found that higher maternal education levels (adjusted odds ratios [OR] = 2.15, 95% confidence interval [CI]: 1.47-3.14), urban residence (adjusted OR = 1.36, 95% CI: 1.09-1.70), higher household wealth quintiles (adjusted OR = 3.45, 95% CI: 2.50-4.76), husband's education level (adjusted OR = 1.87, 95% CI: 1.36-2.56), and exposure to mass media (adjusted OR = 1.75, 95% CI: 1.32-2.31) were significantly associated with increased ANC utilization.</p><p><strong>Conclusion: </strong>Education, economic status, and accessibility are the key determinants of ANC service uptake in Somaliland. These findings provide valuable insights for health planners and policymakers aiming to improve ANC utilization and maternal health outcomes in Somaliland.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"605-614"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334607","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":"Behavioral Drivers Influencing Women's Decision to Use Self-Injectable Contraception Provided by Community Health Surveillance Assistants in Rural Malawi.","authors":"Martha Kamanga, Dilys Walker, Address Malata, Mandaachepa Nyando, Jessie Salamba, Alaizi Nkhoma, Innocencia Mtalimanja, Tamanda Jumbe, Emas Potolani, Alfred Maluwa, Chifundo Zimba, Josophine Changole, Rabecca Bika, Emily Himes, Lauren Suchman, Janelli Vallin, Beth Phillips, Jenny Liu, Kelsey Holt","doi":"10.1089/whr.2025.0022","DOIUrl":"10.1089/whr.2025.0022","url":null,"abstract":"<p><strong>Introduction: </strong>Self-injection (SI) for contraceptive use is recommended for its proven ability to empower women and overcome barriers to contraceptive access. The World Health Organization endorsed SI as a self-care approach in 2019. Despite the increase in Malawi's modern contraceptive prevalence rate from 38.1% in 2012 to 48.9% in 2020, it remains below the government's 60% target. Injectable contraceptives, including depot medroxyprogesterone acetate subcutaneous (DMPA-SC), introduced in 2018, are the most popular contraceptive method in Malawi, particularly among adolescents, representing 49.8% of the contraceptive method mix. However, utilization of SI remains limited, especially in rural areas where access challenges persist. This study explores the behavioral drivers influencing women's decision to use self-injectable contraception provided by community health surveillance assistants (CHSA) in rural Malawi.</p><p><strong>Methods: </strong>Using the capability, opportunity, motivation-behavior model, the study analyzed drivers of DMPA-SC SI adoption among 60 women aged 15-45 years in two rural districts, Mulanje and Ntchisi. Data were collected through in-depth interviews on women's experiences with contraceptives, including SI.</p><p><strong>Results: </strong>Women's capability was strengthened as CHSAs addressed initial hesitation through practical demonstrations. Opportunity improved through enhanced access, trust, and privacy. Motivation increased with counseling, reduced travel costs, and CHSAs' support, encouraging women to adopt self-injection confidently and consistently.</p><p><strong>Discussion: </strong>Women's decisions to adopt SI were shaped by capability, motivation, and opportunity, with CHSAs playing a pivotal role. Future family planning programs should prioritize CHSAs' training and deployment to improve SI uptake, fostering autonomy and accessibility for rural women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"576-585"},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334604","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}