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

{"title":"Adverse Childhood Experiences and Increased Prevalence of Hysterectomy in a Nationally Representative U.S. Sample.","authors":"Ray M Merrill, Kenyon C Chipman","doi":"10.1177/26884844261465224","DOIUrl":"10.1177/26884844261465224","url":null,"abstract":"<p><strong>Background: </strong>This study examined the associations between specific adverse childhood experiences (ACEs) and hysterectomy among adult women and assesses the dose-response relationship with cumulative ACE exposure. It extends prior work by evaluating individual ACE categories while adjusting for gynecological cancers, diabetes, obesity, and selected health-risk behaviors.</p><p><strong>Methods: </strong>Data were drawn from the 2020, 2021, 2022, and 2024 Behavioral Risk Factor Surveillance System (BRFSS), including 119,165 women across 26 U.S. areas with available data on ACEs and hysterectomy. Multivariable logistic regression estimated associations between ACEs and hysterectomy, adjusting for covariates.</p><p><strong>Results: </strong>Approximately 24.2% of participants reported a history of hysterectomy, and 65.8% reported at least one ACE. All but one of the 11 ACE items were independently associated with higher odds of hysterectomy after adjustment for age, race/ethnicity, marital status, education, annual income, survey year, area, gynecological cancers, diabetes, obesity, physical activity, smoking, and alcohol consumption. The strongest associations were observed for childhood sexual abuse, including unwanted sexual touching and forced sexual intercourse. The ACE distribution was 34.2% for 0 ACEs, 33.5% for 1-2 ACEs, 15.5% for 3-4 ACEs, and 16.9% for ≥5 ACEs. The odds of hysterectomy increased in a dose-response manner with higher ACE exposure, becoming statistically significant at ≥3 ACEs after adjustment. The association between ACE count and hysterectomy did not differ significantly by age (<i>p</i> = 0.2464).</p><p><strong>Conclusions: </strong>ACEs, particularly childhood sexual abuse, were associated with higher odds of hysterectomy. These associations persisted after adjustment for demographic, clinical, and behavioral factors, suggesting long-term gynecological consequences of early-life adversity.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261465224"},"PeriodicalIF":1.8,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650080","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":"Differences in Health-Related Lifestyle Behaviors and Psychological Health Between Two Cohorts in Their 20s: The Korea Nurses' Health Study.","authors":"Aram Cho, Su-Young Kim, Minjoo Kim, Chiyoung Cha","doi":"10.1177/26884844261465547","DOIUrl":"10.1177/26884844261465547","url":null,"abstract":"<p><strong>Purpose: </strong>To compare health-related lifestyle behaviors and psychological health between two cohorts of individuals in their 20 s and to examine factors associated with these outcomes using data from the Korea Nurses' Health Study.</p><p><strong>Methods: </strong>A secondary analysis of nationwide cohort data from registered nurses in their 20s during the 1st (2013-2014; <i>n</i> = 12,055) and 13th (2024; <i>n</i> = 4,007) surveys. Logistic and linear regression analyses examined between-cohort differences in health-related lifestyle behaviors and psychological health.</p><p><strong>Results: </strong>In comparison with the 1st-survey group, the 13th-survey group demonstrated higher human papillomavirus (HPV) vaccination rates (odds ratio [OR] = 1.10, 95% confidence interval [CI] = 1.01-1.20), later age at first alcohol consumption (regression coefficient [B] = 0.86, 95% CI = 0.76-0.95), and lower alcohol consumption frequency (<i>B</i> = -0.08, 95% <i>CI</i> = -0.08-0.00). In contrast, smoking-related behaviors worsened in the 13th-survey group. Regular acetaminophen use was lower in the 13th-survey group (OR = 0.55, 95% CI = 0.48-0.63). The 13th-survey group showed higher rates of depression diagnoses (OR = 2.75, 95% CI = 2.08-3.63) and perceived stress (OR = 1.22, 95% CI = 1.11-1.34), but lower odds of moderate-to-severe depressive symptoms (OR = 0.36, 95% CI = 0.32-0.40) and sleep disturbances (OR = 0.42, 95% CI = 0.38-0.48).</p><p><strong>Conclusions: </strong>Over the past decade, HPV vaccination and alcohol abuse have improved in registered nurses in their 20s, but smoking and perceived stress have worsened, highlighting the need for sustained surveillance and targeted prevention policies.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261465547"},"PeriodicalIF":1.8,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650063","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":"Characteristics of Insurance-Covered Women Newly Diagnosed with Menopause Symptoms and Their Providers in the United States.","authors":"Aidan P Sullivan, Jihaeng Heo, Ryan N Hansen, Julia Cameron, Eliza Dow, Kristina Rosa Bolling, Jennifer Cameron, Anneliese LaRose, Ryan Farej","doi":"10.1177/26884844261465157","DOIUrl":"10.1177/26884844261465157","url":null,"abstract":"<p><strong>Background: </strong>Over one million Americans develop menopausal symptoms annually. There is limited information regarding the population-level management of women who develop these symptoms. We described provider characteristics and clinical and demographic characteristics of females newly diagnosed with perimenopausal or menopause symptoms in the United States.</p><p><strong>Methods: </strong>We performed a retrospective cohort study using Optum Clinformatics data between January 1, 2012, and December 31, 2024. Eligible female patients between the ages of 40 and 65 years of age were identified by their first claim with a diagnosis code indicating menopause or perimenopausal or menopausal symptoms between 2013 and 2024. We categorized the diagnosing health care providers and tabulated the demographic and clinical characteristics of these patients, along with treatments that were prescribed and dispensed. We stratified the population into three age groups to observe potential differences based on age of onset of menopause symptoms.</p><p><strong>Results: </strong>There were 297,928 eligible female patients initially diagnosed with symptoms during the study period, diagnosed by 95,178 unique health care providers. Providers in the areas of family practice, internal medicine, and obstetrics and gynecology were the most common to diagnose these initial symptoms. Most of the women (69%) did not receive medications for treatment.</p><p><strong>Conclusion: </strong>Symptomatic perimenopause and menopause are natural reproductive phases for all women, and some treatments have been proven to cause harm. Women experiencing problematic vasomotor symptoms and sleep problems in perimenopause and menopause likely need treatment. We found that prescription pharmacologic treatment for symptoms was initiated in 31% of women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261465157"},"PeriodicalIF":1.8,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650122","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":"Utilizing Telehealth Counseling Sessions to Improve the Process and Delivery of Secondary Preventive Care for Women with Atherosclerotic Cardiovascular Disease.","authors":"Krista Zachariah, Diala Steitieh, Danielle Newbury, Liam Sasser, Nupoor Narula, Nivee Amin","doi":"10.1177/26884844261465278","DOIUrl":"10.1177/26884844261465278","url":null,"abstract":"<p><strong>Background: </strong>Although atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death in men and women, there are sex differences in its prevalence and burden. There is limited time to address preventive counseling during in-person office visits. We propose an innovative health care delivery strategy with telehealth group counseling to improve care for women with ASCVD.</p><p><strong>Methods: </strong>After institutional review board approval, physicians screened our cardiology practice, and eligible patients were contacted. Women of ≥18 years of age were included, and 13 consented. Group counseling was performed <i>via</i> Zoom in one to five sessions over 12 weeks. Each 60-minute session discussed a secondary prevention topic. Surveys were administered before and after each session. Effectiveness was assessed using unpaired <i>t</i>-tests and qualitative feedback.</p><p><strong>Results: </strong>The average participant age was 64.5 years. 69.2% of patients were White, while 30.8% were non-White. Hypertension and hyperlipidemia were present in 53.8% and 100% of participants, respectively. 53.8% had Medicare, 7.7% had Medicaid, and 38.5% had commercial insurance. Sessions averaged 7 participants per session, with an average attendance of 2.7 sessions per person. Pre- and postintervention comparisons showed improvement in ease of receiving answers to questions, feeling rushed, and understanding of cardiac problems, though results did not reach statistical significance. Feedback noted satisfaction with format, quality of information, and accessible communication of topics.</p><p><strong>Conclusion: </strong>Telemedicine group health counseling enhanced patient understanding of cardiac problems. However, significance was limited by size. Telemedicine provides an opportunity to optimize preventive care, highlighting the need for larger studies and correlation with clinical outcomes.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261465278"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13421926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649784","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":"Predictors of High Fertility in Nigerian Women Aged 40-49: Insights from Machine Learning and Explainable Artificial Intelligence Using the 2024 Nigeria Demographic Health Survey.","authors":"Augustus Osborne, Kobloobase Usani, Fouziatu Mohammed, Betty Oloo, Kelfala Mbady Bangura, Umaru Sesay, David B Olawade","doi":"10.1177/26884844261465179","DOIUrl":"10.1177/26884844261465179","url":null,"abstract":"<p><strong>Background: </strong>This study aim to identify key determinants of high fertility and enhance model interpretability for both population-level and individual-level predictions.</p><p><strong>Methods: </strong>This cross-sectional analytic study utilized data from the 2024 Nigeria Demographic and Health Survey, focusing on 7370 women aged 40-49 years across Nigeria's six geopolitical zones, of whom 4089 (55.5%) were classified as high fertility (parity ≥5) and 3281 (44.5%) as low fertility (parity 0-4). Multiple machine learning algorithms, including logistic regression, stochastic gradient descent (SGD), random forest, gradient boosting, and XGBoost, were evaluated for predictive performance using metrics such as accuracy, precision, recall, F1-score, and area under the receiver operating characteristic curve (ROC-AUC). A decision threshold of 0.45 was applied to optimize sensitivity for high fertility classification. An explainable artificial intelligence framework incorporating SHapley Additive explanations (SHAP) and Local Interpretable Model-agnostic Explanations (LIME) was used to elucidate feature contributions and ensure transparency.</p><p><strong>Results: </strong>Gradient boosting achieved the highest accuracy (76.9%) and recall for high fertility (0.845) under the optimized threshold, while SGD excelled in sensitivity (recall: 0.857). All models demonstrated strong discriminatory ability (ROC-AUC: 0.827-0.840). SHAP and LIME analyses identified ideal family size, ethnicity, education, contraceptive use, and region as principal predictors of high fertility. Women with no formal education (adjusted odds ratio [AOR]: 2.31; 95% confidence interval [CI]: 1.79-2.98) and those in the Northwest (AOR: 2.20; 95% CI: 1.67-2.91) faced significantly higher odds of high parity, while urban residence (AOR: 0.83; 95% CI: 0.72-0.95) and internet use (AOR: 0.69; 95% CI: 0.58-0.82) were protective.</p><p><strong>Conclusions: </strong>These findings underscore the critical role of sociocultural and economic factors in driving high fertility in Nigeria, offering evidence for targeted reproductive health interventions. Policymakers can prioritize education and digital access initiatives, particularly in high-risk regions like the Northwest and Northeast, to reduce fertility-related health risks.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261465179"},"PeriodicalIF":1.8,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649730","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":"PREPARE: Pregnancy Research on European Women's Preterm Birth Awareness, Risk, and Education.","authors":"Gian Carlo Di Renzo, Silke Mader, Eleonora Brillo, Dilly O C Anumba","doi":"10.1177/26884844261431680","DOIUrl":"10.1177/26884844261431680","url":null,"abstract":"<p><strong>Background: </strong>Preterm birth (PTB) is the leading cause of neonatal death and a major contributor to under-five mortality. Women's awareness, knowledge, and ability to recall PTB-related themes are essential for prevention and care but remain understudied in Europe.</p><p><strong>Objectives: </strong>To describe self-appraised awareness of PTB, PTB themes recalled from discussions with health care professionals (HCPs), perception of personal PTB risk, and recognition-based knowledge score.</p><p><strong>Materials and methods: </strong>We conducted a cross-sectional, web-based survey of pregnant women at 12-32 weeks' gestation in five European countries. Analyses were stratified by country and by PTB risk.</p><p><strong>Results: </strong>The analytic sample comprised 247 women, of whom 111 (44.9%; 95% confidence interval [CI], 38.9-51.2) were classified as at higher PTB risk. Among these, 35.1% (95% CI, 26.9-44.4) did not recognize their higher PTB risk in the current pregnancy despite a previous PTB. Differences in awareness were observed between countries, with no differences across PTB risk strata. Recall of PTB themes discussed with HCPs and the recognition-based knowledge score were low and did not differ across PTB risk strata. Topic-specific shortfalls in recall and recognition were identified.</p><p><strong>Conclusions: </strong>A disconnect emerged between feeling informed and retaining actionable knowledge. HCPs should reserve time with women to deliver education using evidence-based techniques (<i>e.g.,</i> teach-back) to build, maintain, and reinforce recall of PTB knowledge so that women are not only aware but also active participants in prevention, monitoring, and care.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261431680"},"PeriodicalIF":1.8,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649766","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":"Role of Chatbots on Supporting Women in Perinatal Period: A Scoping Review.","authors":"Ran Huo, Yuting Jiang, Jing Lei, Jinyang Zhou, Miaoling Miu, Wanqin Hu, Janet Yuen-Ha Wong","doi":"10.1177/26884844261453447","DOIUrl":"10.1177/26884844261453447","url":null,"abstract":"<p><strong>Introduction: </strong>Perinatal women need continuous, individualized, accessible care, which traditional models often fail to provide. Chatbots can offer education, symptom tracking, and psychological support, but evidence is fragmented and requires systematic synthesis to assess effectiveness.</p><p><strong>Aim: </strong>To understand the current studies on the application of chatbots in the perinatal period and to explore their contributions, limitations, and future directions in this field.</p><p><strong>Methods: </strong>Relevant studies were systematically identified through a comprehensive search of major databases, including PubMed, Scopus, Web of Science, Embase, CINAHL, Joanna Briggs Institute, Cochrane Library, CNKI, SinoMed, VIP, and WanFang, covering all records up to June 2025. Two independent researchers screened and evaluated the retrieved citations, and data were extracted in a structured format to maintain methodological rigor and inter-reviewer consistency.</p><p><strong>Results: </strong>A total of 17 studies were included in this review, which indicated that chatbots offer a range of functionalities: optimizing follow-up and revisit processes, monitoring health status, providing psychological and counseling support, offering educational resources, and serving as interactive tools. Most of the included studies demonstrated that chatbots offer beneficial effects, including disease monitoring, enhanced parenting self-efficacy, mental health support, facilitation of role adaptation, improved health literacy and health behaviors, and increased user engagement and satisfaction.</p><p><strong>Conclusion: </strong>Most of the included studies indicate that chatbots have a positive impact on pregnancy and postpartum care outcomes. However, the majority of these studies remain in the preliminary stages, and further validation of chatbot effectiveness in this context is still needed through large-scale, multicenter, randomized controlled trials.</p><p><strong>Impact: </strong>Deepening knowledge of perinatal chatbots' uses and limits enables targeted digital health strategies to improve care quality and maternal, neonatal, and family experiences.</p><p><strong>Patient and public contribution: </strong>Chatbot could be a potentially valuable tool in perinatal care to enhance health education, psychological support, and communication between care providers and women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261453447"},"PeriodicalIF":1.8,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674662","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":"Centering Patient Voices: Implementing Screening, Brief Intervention, and Referral to Treatment to Address Risky Substance Use in Family Planning Clinics.","authors":"Aseel M Houmsse, Veronica Joseph, Elizabeth Janiak, Jennifer Fortin, Jessica LaHote, Siara I Sitar, Emma Mitnick, Marcela A Valle, Lillian W Acton, Heather J Gotham, Kelli Stidham Hall, Justine W Welsh","doi":"10.1177/26884844261460365","DOIUrl":"10.1177/26884844261460365","url":null,"abstract":"<p><strong>Background: </strong>To describe the contextual factors that affect patients' acceptability and feasibility of alcohol and substance use-related service implementation in family planning (FP) clinics in Massachusetts.</p><p><strong>Materials and methods: </strong>We conducted a qualitative study of patients at an FP clinic in Massachusetts. Through semistructured interviews (<i>N</i> = 11), we asked participants about their perspectives regarding receiving substance use screening, patient preferences for care and referral, barriers and facilitators to receiving care, and their acceptability of receiving screening, brief intervention, and referral to treatment (SBIRT) implementation within the FP clinic context. Interview data was analyzed through content thematic analysis utilizing Dedoose software.</p><p><strong>Results: </strong>Patients shared insightful knowledge about the barriers and facilitators to their acceptance of SBIRT implementation within FP clinics in Massachusetts. Patients emphasized the need for SBIRT implementation efforts to be contextually rooted within FP care while also considering how best to alleviate barriers to accessing care. Facilitators to SBIRT implementation included provider trust, psychological safety, provider congruence, varied care modalities, and selectivity by appointment type. Barriers to SBIRT implementation included stigma, transportation, funding, scheduling, and staffing scarcity.</p><p><strong>Conclusions: </strong>Despite persistent structural and systemic barriers, participants expressed broad support for integrating SBIRT into FP settings when delivered in ways that felt affirming, trauma-informed, and individualized to patient needs. Findings revealed critical opportunities for integrating alcohol and/or substance use-related care into FP settings.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261460365"},"PeriodicalIF":1.8,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655303","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":"Exploring the Interplay of Physical Activity, Depression, and Socioeconomic Status Among Women in the United States.","authors":"Yuqi Yang, Jiewen Xiao, Liqiang Fang, Xiangyang Yan, Hong Liang, Jiaoling Huang","doi":"10.1177/26884844261450798","DOIUrl":"10.1177/26884844261450798","url":null,"abstract":"<p><strong>Background: </strong>Depression is highly prevalent among women, posing a significant public health concern. While the beneficial effects of physical activity on depression reduction have been acknowledged, the influence of socioeconomic status (SES) on this relationship remains unclear.</p><p><strong>Methods: </strong>This study utilized cross-sectional data from 14,691 women from the 2007-2020 U.S. National Health and Nutrition Examination Surveys, who were categorized into three SES groups using latent class analysis. Logistic regression analysis was employed to examine the relationship between physical activity and depression.</p><p><strong>Results: </strong>The analysis revealed that 11.5% of the participants experienced depression, with only 53.4% engaging in sufficient physical activity. Upon data weighting, the depression prevalence among physically inactive individuals was 12.64% (95% confidence interval [95% CI]: 11.58-13.70). Univariate logistic regression showed a negative correlation between adequate physical activity and depression in women (odds ratio [OR] = 0.64, 95% CI: 0.56-0.73, <i>p</i> < 0.001). Adjusting for SES or other confounders, sufficient physical activity remained associated with lower prevalence of depression (OR = 0.82, 95% CI: 0.69-0.97, <i>p</i> = 0.016). Stratification by SES indicated that adequate physical activity was associated with depression only among women with high SES (OR = 0.65, 95% CI: 0.50-0.86, <i>p</i> = 0.002) but not in middle or low SES.</p><p><strong>Conclusions: </strong>This study identified a negative association between physical activity and depression in women. Notably, only high SES women may derive benefits from physical activity, emphasizing the importance of addressing SES disparities to mitigate potential health inequalities.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261450798"},"PeriodicalIF":1.8,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13421977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650131","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":"Cardiovascular Risk Factors and Health Behaviors of Women Veterans.","authors":"Caroline Dancu, Linda G Park, Jenny K Cohen, Oi Saeng Hong","doi":"10.1177/26884844261444547","DOIUrl":"10.1177/26884844261444547","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular disease (CVD) is the leading cause of death in the United States, and women Veterans (WVs) face elevated risk due to traditional factors (hypertension (HTN), hyperlipidemia (HLD), obesity, diabetes, and smoking) and nontraditional factors (depression and post-traumatic stress disorder [PTSD]). Racial and ethnic disparities further affect their cardiovascular health. This study describes CVD prevalence, risk factors, and health behaviors among WVs to inform interventions.</p><p><strong>Methods: </strong>A cross-sectional survey was sent to 1,909 WVs receiving care at a VA Medical Center in California. Participants self-reported health behaviors, CVD diagnoses, and risk factors. The study was approved by the university and VA IRBs (IRB #24-42014).</p><p><strong>Results: </strong>Among 380 respondents (20% response rate; mean age 53), 58% were non-Hispanic White, 20% non-Hispanic Black, and 14% Hispanic. Common CVD risk factors were HLD (38%), obesity (36%), HTN (33%), smoking (13%), and diabetes (10%). Physical activity was low (vigorous activity 1.9 days/week) and diet suboptimal (score 6.1). Hazardous alcohol use was reported by 45.5%. Mean Patient Health Questionnaire 8-Item Scale and PC-PTSD-5 scores indicated moderate depression (8.7) and mild PTSD (2.9). Risk factors and mental health conditions were higher among WVs aged 18-44; nearly 70% reported ≥1 CVD risk factor. CVD prevalence peaked among those aged 65+.</p><p><strong>Conclusions: </strong>WVs in this sample demonstrated concerning CVD risk profiles, alongside a high prevalence of mental health conditions and hazardous alcohol use. Future research should examine social and environmental determinants and link survey data with clinical records to clarify behavior-disease relationships. Addressing both mental health and lifestyle factors is essential to reduce CVD risk and improve long-term health outcomes in WVs.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261444547"},"PeriodicalIF":1.8,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13421818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650088","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}