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

{"title":"Impact of Maternal Hyperglycemic and Hypertensive Disorders on Perinatal Outcomes Across the COVID-19 Pandemic.","authors":"Lixia Zhang, Yun Shen, Ronald Horswell, Jessica Lin, San Chu, S Amanda Dumas, Gang Hu","doi":"10.1089/whr.2025.0019","DOIUrl":"10.1089/whr.2025.0019","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the joint associations of maternal hyperglycemic and hypertensive disorders with adverse pregnancy outcomes across the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Methods: </strong>This retrospective study included 110,447 Louisiana Medicaid pregnant women with first-time delivery from January 1, 2016, to December 31, 2021. Associations between hyperglycemic as well as hypertensive disorders and adverse pregnancy outcomes in pregnancy during prepandemic, early pandemic, and late pandemic were assessed by binary logistic regression.</p><p><strong>Results: </strong>The odds ratios of above adverse pregnancy outcomes were significantly higher during the early and late COVID-19 pandemic than those before the pandemic. Maternal gestational diabetes mellitus and diabetes before pregnancy were associated with higher risks of preterm birth, primary cesarean section, large for gestational age (LGA), macrosomia, neonatal hypoglycemia, neonatal jaundice, and neonatal respiratory distress syndrome (NRDS; all <i>p</i> < 0.05), respectively, compared with women with normal glucose during pregnancy. Maternal gestational hypertension, preeclampsia or eclampsia, and pre-existing hypertension were associated with higher risks of preterm birth, primary cesarean section, low birth weight (exception for gestational hypertension), small for gestational age, LGA (exception for preeclampsia or eclampsia), macrosomia (exception for preeclampsia or eclampsia), neonatal hypoglycemia, neonatal jaundice, and NRDS (all <i>p</i> < 0.05), respectively, compared with women with normal blood pressure during pregnancy. Most of these associations during the early and late pandemic were consistent with those before the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>Maternal hyperglycemic and hypertensive disorders during pregnancy, compared with maternal normal glucose or blood pressure during pregnancy, were associated with higher risks of adverse maternal and neonatal outcomes. Interventions should be taken to help individuals achieve glycemic and blood pressure control to decrease the risk of adverse perinatal outcomes regardless of the COVID-19 pandemic.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"504-514"},"PeriodicalIF":1.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334611","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":"Female Pediatrics Residency Program Directors: Position Length, Program Size, and Career Impact.","authors":"Liam M Courtney, Ankith G Rao, Veronica Vuong, Avani Vaghela, Amanda Brooks, Gregg C Lund","doi":"10.1089/whr.2024.0165","DOIUrl":"10.1089/whr.2024.0165","url":null,"abstract":"<p><strong>Background: </strong>Currently, the majority of pediatricians are female. However, it is unknown if that general representation is seen along the academic continuum. This study aimed to describe the sex distribution, position duration, and program size of pediatric residency program directors (PDs) and compare female PD representation to other roles along the academic continuum.</p><p><strong>Methods: </strong>Data from all 213 U.S. pediatric residency programs were obtained from publicly available sources. Female representation along the professional academic continuum is obtained from publicly available sources. PD position duration was divided into three groups: short (<5 years), medium (5-10 years), and long (>10 years). Program size was based on the total resident count: small (<31 residents), medium (31-60 residents), and large (<60 residents).</p><p><strong>Results: </strong>The majority of PDs, 153 (72%), were classified as female. Within each duration grouping, there were significantly more females than males. There was no significant difference in the within-sex distribution of duration grouping in the current PD position between female and male PDs. There were significantly more females than males in each program size group. The within-sex distribution of the program size grouping was not statistically different between female and male PDs. Females are less represented in academic positions with greater authority, such as pediatrics department chairs (33.3%) or medical school permanent deans (27%), compared to 72% of PDs.</p><p><strong>Conclusion: </strong>Females are well-represented as pediatric PDs, but underrepresented in medical school positions with greater authority. Understanding the reasons for this is needed to ensure diverse and representative medical school leadership.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"476-481"},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334610","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 Association of Polycystic Ovary Syndrome-Like Clinical Features and Socioeconomic Status on Health-Related Quality of Life.","authors":"Stephanie Mohammed, Venkatesan Sundaram, Brian N Cockburn, Shastri Motilal, Sasha Ottey, Ricardo Azziz","doi":"10.1089/whr.2025.0008","DOIUrl":"10.1089/whr.2025.0008","url":null,"abstract":"<p><strong>Background: </strong>Polycystic Ovary Syndrome (PCOS) affects 8%-13% of reproductive-age women globally, with comorbidities including obesity, insulin resistance, type 2 diabetes, and psychological disorders. Socioeconomic status (SES) significantly impacts health outcomes.</p><p><strong>Methods: </strong>A community-based, pilot study was conducted in Trinidad among females aged 18-45 years, representing diverse ethnicities and SES. Participants underwent a standardized history and physical exam. Clinical hyperandrogenism (HIR) was assessed using the modified Ferriman-Gallwey scale (HIR ≥6), menstrual dysfunction (MD) as <9 cycles/year, depression <i>via</i> Beck's Inventory, overall health using SF-12 v1, and daytime somnolence with the Epworth Sleepiness Scale. Data analysis included descriptive statistics, analysis of variance, and multinomial logistic regression adjusting for confounders.</p><p><strong>Results: </strong>Among 250 participants (mean age 31.6 ± 7.9 years), we classified 200 with clinical presentations, which included: no MD or HIR (56.7%), MD only (14.4%), HIR only (21.9%), and MD+HIR (7%). Age, income, and education were significantly correlated with clinical presentation. Older age reduced the risk of HIR (mean difference = 4.507, <i>p</i> = 0.004) and MD+HIR (mean difference = 9.063, <i>p</i> < 0.001). Income (OR = 0.37, 95% CI: 0.16-0.87, <i>p</i> = 0.022) reduced MD odds. Self-reported infertility was associated with MD (odds ratio [OR] = 0.27, 95% confidence interval [CI]: 0.11-0.65, <i>p</i> = 0.006). MD+HIR correlated with severe depression (OR = 5.96, 95% CI: 1.62-21.90, <i>p</i> = 0.007). Mental health scores (SF-12 MCS) were lower in women with MD+HIR (mean difference = -11.477, <i>p</i> = 0.005).</p><p><strong>Conclusion: </strong>Seven percent of women in this sample showed probable PCOS based on clinical manifestations, with SES impacting quality of life, mental health, and sleep. Higher income reduced MD and MD+HIR risk, while infertility increased MD risk and severe depression was linked to MD+HIR.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"493-503"},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334617","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 of Unmet Food and Housing Needs with Mental Health and Overall Perceived Health Among Women with HIV: Is There a Moderating Effect of Social Support?","authors":"Ekpereka Sandra Nawfal, Aaliyah Gray, Diana M Sheehan, Sofia B Fernandez, Tan Li, Robert Ladner, Mary Jo Trepka","doi":"10.1089/whr.2024.0120","DOIUrl":"10.1089/whr.2024.0120","url":null,"abstract":"<p><strong>Background: </strong>Food and housing insecurity have been identified as modifiable risks for poor mental health and perceived self-rated health among people with HIV. This study examined the associations of food and housing insecurity with perceived overall health, depression and anxiety symptoms, and the potential moderating effect of social support.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of 561 low-income women with HIV (WHIV) in the Miami-Dade County Ryan White Part A Program. Data were collected from June 2021 to March 2022. Food and housing insecurity were categorized into three groups: no food/housing insecurity, any food/housing insecurity, and concurrent food/housing insecurity. Multivariable logistic regression analyses were performed for each outcome variable.</p><p><strong>Results: </strong>Compared to no food/housing insecurity, significant depressive symptoms were associated with any food/housing insecurity (aOR: 2.99, 95% confidence interval [CI]: 1.81-4.91) and concurrent food/housing insecurity (aOR: 17.11, 95% CI: 7.83-37.38). Significant anxiety symptoms were associated with any food/housing insecurity (aOR: 3.50, 95% CI: 1.68-7.30) and concurrent food/housing insecurity (aOR: 15.97, 95% CI: 6.92-36.87). Although social support was significantly related to depressive and anxiety symptoms, it did not moderate the relationship between these unmet needs and any of the health outcomes.</p><p><strong>Conclusion: </strong>Our findings revealed significant associations between unmet food and housing needs, poor social support, and significant depressive and anxiety symptoms among WHIV. Continuous, multifaceted support is essential to mitigate the negative impact of unmet food and housing needs and ensure the physical and mental well-being of WHIV.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"453-463"},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303918","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":"Opportunities and Challenges to Improve Postpartum Care: Payors' and Purchasers' Perspectives in California.","authors":"Lindsay Parham, Renee Clarke, MariaDelSol De Ornelas, Sabrina Li, Sylvia Guendelman","doi":"10.1089/whr.2024.0198","DOIUrl":"10.1089/whr.2024.0198","url":null,"abstract":"<p><strong>Introduction: </strong>U.S. maternal mortality rates are two to three times higher than other high-income countries, with most deaths occurring postpartum. Fragmented care, exacerbated by health insurance gaps and workforce shortages, underscores systemic deficiencies. Although patients' and clinicians' perspectives are well-documented, little is known about payors' and purchasers' perspectives. Given their influence in coverage decisions, payment rates, and service reimbursement, the objective was to explore their perspectives and identify challenges and opportunities in improving postpartum care in California, currently engaged in reshaping maternal health pathways.</p><p><strong>Methods: </strong>We conducted a qualitative study using semi-structured interviews with high-level administrators from major California health insurance providers and purchasers between June and October 2023. Participants, recruited through professional connections, were selected through purposive sampling based on their involvement in maternal and child health coverage decisions. A hybrid inductive-deductive approach was employed to identify major themes.</p><p><strong>Results: </strong>Participants (<i>n</i> = 11) identified barriers including limited insurance coverage, lack of clinical provider incentives, reimbursement concerns, and misaligned measures and metrics. Opportunities to improve postpartum care focused on visit timing and frequency, alternative payment models, and improving continuity of care between birth and the transition to primary care.</p><p><strong>Conclusions: </strong>Insurance payors and purchasers identified postpartum care barriers and suggested solutions well-supported by the literature. These solutions-including reimagining global bundle payment models, updating Healthcare Effectiveness Data and Information Set measures, and promoting dyadic models-could address barriers, improve outcomes, and inform California's ongoing maternal health transformation and those happening around the United States.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"464-475"},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12177326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334615","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":"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}

{"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}

{"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}