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

{"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}

{"title":"Obesity among Obstetrical Patients Seeking Care in a Safety Net Hospital: The Impact of Adverse Childhood Events.","authors":"Michelle Goforth, Sarah R Brady, Linda R Chambliss","doi":"10.1177/26884844261445331","DOIUrl":"10.1177/26884844261445331","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of obesity among a cohort of pregnant patients with high compared with low adverse childhood events scores.</p><p><strong>Study design descriptive study methods: </strong>The study was part of a large study of adverse childhood events among pregnant women seeking care in a safety net hospital from June 2022 to June 2023. The patients were seen in a variety of settings (a routine prenatal clinic, a high-risk clinic, an antepartum testing unit, an obstetrical ultrasound unit, and a labor and delivery suite). They were randomly approached and asked to complete a previously validated questionnaire for their Adverse Childhood Experience score (ACE score). Their body mass index (BMI) on their first visit was recorded. BMI was categorized as overweight (BMI > 25), class I obesity (BMI > 30), class II obesity (BMI > 35), and class III obesity (BMI > 40). This study was approved by the Valleywise Institutional Review Board.</p><p><strong>Results: </strong>Three hundred and forty-nine patients were approached and 320 agreed to complete the questionnaire. Eighty percent of patients had an initial prenatal visit BMI >25 and 62% had an initial BMI that was categorized as obese. Patients with a high ACEs score were more likely to have a BMI in the obese category compared with those in the low-risk group with an odds ratio of 1.34 (95% CI [0.7907-2.2798], <i>p</i> = 0.275).</p><p><strong>Conclusion: </strong>Maternal obesity is a well-known risk factor for numerous adverse obstetrical and neonatal outcomes. While the CDC reported a national prepregnancy obesity rate of 29.0% in 2019, our patients were 2.14 times more likely to be obese. Obesity was more prevalent in women with high ACEs scores. Safety net hospitals should be cognizant of marked increase in obesity in their obstetrical patients, especially those with high ACEs scores, and develop interventions that incorporate trauma-informed care.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261445331"},"PeriodicalIF":1.8,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13421971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649603","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":"Women and Herpes Zoster in the United States: Risk and Prevention Management-A Narrative Review.","authors":"Rita Campos, Freddy Caldera, Justin Carrico, Caroline Cochrane, Noha Eltoukhy, Charity Huang, Sian Kneller, Cedric Rutland, Julia Slovis","doi":"10.1177/26884844261445552","DOIUrl":"10.1177/26884844261445552","url":null,"abstract":"<p><strong>Background and objective: </strong>Herpes zoster (HZ), also known as shingles, is caused by reactivation of the latent varicella-zoster virus. HZ commonly manifests as a painful rash but may lead to more severe complications. An estimated 1 million cases of HZ occur annually in the United States, with adults aged ≥50 years, women, and individuals living with certain underlying conditions at increased risk compared with the general population. This narrative review aims to support the provision of comprehensive HZ-preventive care to female patients through consolidating evidence on risk factors for HZ and current prevention practices.</p><p><strong>Risk factors for hz: </strong>Evidence shows that women are at an increased risk of developing HZ and related complications. A variety of risk factors may contribute to this increased risk among women. Some are specific to women, including certain cancers. Other risk factors include chronic conditions and immune diseases with increased prevalence among women, such as rheumatoid arthritis and systemic lupus erythematosus.</p><p><strong>Hz prevention practices: </strong>Gaps in HZ prevention persist, including in recombinant zoster vaccine uptake and disparities in vaccination uptake by race and ethnicity. Various methods have been proposed that aim to address gaps in prevention, including approaching vaccination outside of the traditional primary care setting and considering the educational and resource needs of women's health providers.Guidelines and resources from the Centers for Disease Control and Prevention and medical societies are among the tools available to primary care providers and specialists in the women's health space, such as obstetricians/gynecologists and oncologists, to support the incorporation of HZ-preventive care into clinicians' practices.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261445552"},"PeriodicalIF":1.8,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655260","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":"Comparing the Accessibility of Information Regarding Integrated Abortion Training for Family Medicine and Obstetrics/Gynecology Residency Applicants.","authors":"Anita Michelle Albanese, Caitlin Henry, Leila Noghrehchi, Michael Topmiller, Karen Schliep, Andrew David Curtin, Alison Huffstetler","doi":"10.1177/26884844261440904","DOIUrl":"10.1177/26884844261440904","url":null,"abstract":"<p><strong>Introduction: </strong>After the Dobbs v Jackson Women's Health Organization decision, the U.S. health care workforce faces challenges responding to the critical reduction to access of abortion services. A recent study identified only 3,550 clinicians providing abortions; a majority identified their specialty as obstetrics and gynecology (OBGYN, 72%), family medicine (9%), and advanced practice registered nurses (8%). Integrated abortion training during residency is a strong predictor of future abortion provisions. We evaluated publicly accessible information about residency programs with integrated abortion training that applicants could access.</p><p><strong>Methods: </strong>A cross-sectional analysis of integrated abortion training family medicine residencies (RHEDI) and OBGYN residencies (Ryan) was performed to identify which online platforms and terminology were used to indicate a program offers integrated abortion training.</p><p><strong>Result: </strong>There are 34 RHEDI and 104 Ryan programs. Of those, 91.3% of programs had information on their website regarding integrated abortion training. Terms most used by RHEDI residency websites included reproductive (70.6%), abortion (67.6%), and RHEDI (50.0%). Terms used by Ryan residency websites included family planning (88.5%), Ryan (47.1%), and abortion (44.2%). The majority of RHEDI programs are in abortion-protective states, whereas Ryan programs are more evenly distributed (79.4% and 51.9%, <i>p</i> = 0.005). Integrated abortion training programs were commonly listed on other platforms including the RHEDI or Ryan website (100%) and Reddit (94.9%).</p><p><strong>Conclusion: </strong>Most integrated abortion training residencies included public-facing information. Students seeking residencies that provide integrated abortion training will likely find the information on the residency webpage; however, are most successful when identifying training through websites such as RHEDI, Ryan, or Reddit. As federal legislation moves to restrict abortion care, accessible training information is essential.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261440904"},"PeriodicalIF":1.8,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13421929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650059","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":"Gender Differences in Food Insecurity, Anxiety, and Nutrition in Israel: A Cross-Sectional Study.","authors":"Daniela Abigail Navarro, Naama Dgania Yaroslaviz, Maya Maor, Vered Kaufman-Shriqui","doi":"10.1177/26884844261436547","DOIUrl":"10.1177/26884844261436547","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity and psychological distress, especially anxiety, are often interconnected, with notable gender-based differences. Understanding these relationships is crucial for informing targeted interventions during crises such as war.</p><p><strong>Objectives: </strong>To estimate food insecurity prevalence by gender and examine its association with anxiety and diet quality among Israeli adults in 2023-2024.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among a representative random sample of Israeli adults (≥18 years). Food insecurity was assessed using the two-item Hunger Vital Sign, anxiety symptoms <i>via</i> the General Anxiety Disorder (GAD)-7, and diet quality with the Israel Mediterranean Diet Scale (I-MEDAS). The survey was fielded November 7-18, 2023, 4-6 weeks after the 7 October war broke, a period marked by nationwide school closures or partial remote learning, reserve-duty mobilization of ∼360,000 individuals, frequent air-raid sirens in multiple regions, temporary business disruptions, and government relocation/hoteling of some communities, even outside the immediate Gaza border area.</p><p><strong>Results: </strong>Among 530 participants, food insecurity prevalence was 8.2%. Males reported higher smoking rates (31% vs. 22.2%, <i>p</i> = 0.022) and physical activity levels both before (120 vs. 60 minutes, <i>p</i> = 0.001) and during the war (70 vs. 15 minutes, <i>p</i> < 0.001), while females exhibited more dietary structure changes (25.8% vs. 16.8%, <i>p</i> = 0.023) and supplement use (30.5% vs. 20.8%, <i>p</i> = 0.011). No gender differences were found in weight change or Mediterranean Diet adherence. Females had significantly higher anxiety scores (median GAD-7: 10 vs. 5, <i>p</i> < 0.001). Female gender, food insecurity (OR 2.436, <i>p</i> = 0.011), current smoking, and worsening living conditions were associated with elevated anxiety; older age was protective.</p><p><strong>Discussion: </strong>These findings highlight critical gender-based disparities in mental health and lifestyle behaviors. Higher anxiety and distinct coping strategies among women align with feminist theories of emotional labor and \"crisis patriarchy,\" suggesting disproportionate burdens during systemic disruptions. Public health and primary care strategies should incorporate screening and tailored interventions. Future research should apply an intersectional lens to explore how ethnicity, religion, and socioeconomic status intersect with gender to influence vulnerability.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261436547"},"PeriodicalIF":1.8,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674900","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":"Assessing Crisis Pregnancy Centers' Capacity for Supporting Perinatal Clients with Social Complexity in Rural Maternal Health Care Shortage Areas.","authors":"Jennifer Whittaker, Diya Nag, Rebecka Rosenquist, Meredith Matone","doi":"10.1177/26884844261435553","DOIUrl":"10.1177/26884844261435553","url":null,"abstract":"<p><strong>Background: </strong>Pregnant people in rural communities experience constrained social services and economic supports, increased social complexities, and limited access to maternal health care. Within this environment, crisis pregnancy centers (CPCs) have proliferated to serve rural perinatal populations in the United States. CPCs provide wraparound services to pregnant and postpartum people and their families, but little is known about the services provided for pregnant people with social complexities that increase maternal morbidity risk. We examine CPC leaders' perceived function in providing care to perinatal clients living in low-resource rural communities experiencing intimate partner violence (IPV), substance use, and mental health conditions.</p><p><strong>Methods: </strong>We interviewed 17 leaders of CPCs serving communities with health professional shortage areas in a state with a large rural population. We ask about their perceived role, assessment, and care for clients who may be experiencing substance use, mental health concerns or conditions, or IPV.</p><p><strong>Results: </strong>We find that CPC leaders in this sample did not describe the capacity to appropriately address some of the primary drivers of maternal morbidity. CPC leaders' descriptions of delivery of medical, mental, and social care screenings, and that their policies and procedures are inconsistent with evidence-based medical care delivery, despite some CPC's use of medical technology. CPC leaders describe a lack of standardized, validated health and social risk screening, reliance on relationship-based risk identification, non-systematic referral processes, unclear anticipatory guidance for medical conditions, and sometimes employ stigmatizing language.</p><p><strong>Conclusions: </strong>In this study, CPC efforts were found to be inconsistent and unsupported by current clinical care guidelines endorsed by medical professional societies.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261435553"},"PeriodicalIF":1.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674893","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":"Longitudinal Changes in Fear Learning across Pregnancy: Moderation by Sexual Trauma.","authors":"Mariana Rocha, Sriya Karra, Meghna Ravi, Sean T Minton, Natalie Merrill, Rebecca Hinrichs, Nicole R Nugent, Emma C Lathan, Shimarith Wallace, Suchitra Chandrasekaran, Alicia K Smith, Abigail Powers, Vasiliki Michopoulos","doi":"10.1177/26884844261446169","DOIUrl":"10.1177/26884844261446169","url":null,"abstract":"<p><strong>Background: </strong>Black pregnant individuals are at increased risk for posttraumatic stress disorder (PTSD), symptoms that may be exacerbated by histories of sexual trauma. Disruptions in fear learning are central to the development and maintenance of PTSD. The present study examined longitudinal changes in fear acquisition and extinction over pregnancy, and the moderating role of sexual trauma in fear learning trajectories, in a sample of under-resourced Black pregnant persons.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 116) completed an enrollment interview in which the Trauma Exposure Inventory was used to assess lifetime sexual trauma. Fear-potentiated startle was administered in up to three physiological assessments over pregnancy.</p><p><strong>Results: </strong>Linear mixed models showed that percent potentiation to the danger cue during acquisition increased over pregnancy in the general sample (<i>B</i> = 1.85, SE = 0.94, <i>p</i> = 0.049). Conditional models showed that this increase was observed among participants with no (<i>B</i> = 4.49, SE = 1.39, <i>p</i> = 0.001) and mean (<i>B</i> = 2.07, SE = 0.95, <i>p</i> = 0.029) levels of sexual trauma exposure, but not in individuals with high (mean + 1 SD) sexual trauma exposure (<i>B</i> = -0.34, SE = 1.35, <i>p</i> = 0.80). Percent potentiation to the safety cue during acquisition did not change over gestation (<i>B</i> = 0.55, SE = 0.94, <i>p</i> = 0.56), and there were no significant changes in percent potentiation to either the danger (<i>B</i> = 0.23, SE = 0.63, <i>p</i> = 0.716) or safety cue (<i>B</i> = -0.011, SE = 0.63, <i>p</i> = 0.966) during extinction.</p><p><strong>Conclusions: </strong>These findings suggest that pregnancy progression is adaptive by enhancing startle responses to danger cues during fear acquisition, and that high levels of sexual trauma exposure may attenuate typical changes in threat sensitivity that occur during pregnancy.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261446169"},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674377","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":"Unpacking the Protective Power of Social Support in Mitigating Prenatal Anxiety Among Low-Resourced Populations: A Mixed-Methods Study.","authors":"Julia M L Pangalangan, Charlotte V Farewell","doi":"10.1177/26884844261436556","DOIUrl":"10.1177/26884844261436556","url":null,"abstract":"<p><strong>Background: </strong>Anxiety during pregnancy is a prevalent but underemphasized mental health concern with downstream impacts on the entire family unit. Quality social support is strongly related to mental well-being and provides a promising strategy to prevent and manage prenatal anxiety.</p><p><strong>Methods: </strong>This convergent mixed-methods study used a cross-sectional survey and interviews to: (1) Quantitatively investigate what adverse social determinants of health and multi-level sources of social support are most predictive of prenatal anxiety and (2) Qualitatively examine different types of social support that may buffer prenatal anxiety among a sample of pregnant women experiencing socioeconomic disadvantage.</p><p><strong>Results: </strong>Hierarchical linear regressions revealed that race and food insecurity were predictive of prenatal anxiety and that social support from friends/peers was most protective against prenatal anxiety. Integration of quantitative survey data and qualitative interview data suggested that emotional support was most protective among this sample of pregnant women.</p><p><strong>Discussion: </strong>The results of this study highlight opportunities for adaptations of prenatal peer support programs to include a focus on mitigating food insecurity and promoting emotional support from peers in order to most effectively buffer prenatal anxiety among underresourced pregnant women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261436556"},"PeriodicalIF":1.8,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674736","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 Between <i>Helicobacter pylori</i> Infection and Metabolic Disturbances in U.S. Women: A National Cross-Sectional Study.","authors":"Qiaodi Gui, Yanyan Gong, Jiahao Guan, Xiaojuan Xie","doi":"10.1177/26884844261444249","DOIUrl":"10.1177/26884844261444249","url":null,"abstract":"<p><strong>Background: </strong>The association between Helicobacter pylori (<i>H. pylori</i>) infection and metabolic disturbances remains inconsistent across existing studies. Given potential sex-specific differences in metabolic regulation, this study specifically examined the relationship between <i>H. pylori</i> infection and hypertension, glucose metabolism, and lipid profiles in women.</p><p><strong>Methods: </strong>We analyzed data from the 1999 to 2000 National Health and Nutrition Examination Survey. Participants were excluded if they were male, pregnant, had missing data, or had indeterminate <i>H. pylori</i> IgG results. Women were categorized as seronegative and seropositive based on antibody levels. Group characteristics were compared, and multivariable logistic regression was used to identify determinants of seropositivity.</p><p><strong>Results: </strong>Among 539 women, <i>H. pylori</i> seroprevalence was 41.37%. Independent predictors of seropositivity included elevated hemoglobin (HbA1c) (odds ratio [OR] = 1.75, 95% confidence interval [CI]: 1.11-2.76), older age (OR = 1.02 per year, 95% CI: 1.01-1.04), and lower educational attainment (OR = 0.60, 95% CI: 0.51-0.71). A significant dose-response relationship was observed between HbA1c and <i>H. pylori</i> infection risk (<i>p</i> for trend = 0.005). Women in the highest HbA1c quartile (Q4) had 2.14-fold higher odds of infection (95% CI: 1.25-3.67) compared to those in the lowest quartile (Q1). Restricted cubic spline analysis revealed a nonlinear association between HbA1c and <i>H. pylori</i> infection risk (<i>p</i> for nonlinearity <0.001).</p><p><strong>Conclusion: </strong>Elevated HbA1c levels, rather than other metabolic indicators or blood pressure, are significantly and dose-dependently associated with <i>H. pylori</i> infection risk in U.S. women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261444249"},"PeriodicalIF":1.8,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13186283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977508","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 Recipe for an Impactful Women's Heart Program: The Time Is Now.","authors":"Nishtha Sareen, Shukri David, Douglas Apple, Brian Wilcox, Evelio Rodriguez, Jennifer Frink, Nanette K Wenger","doi":"10.1177/26884844261437786","DOIUrl":"10.1177/26884844261437786","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple publications provide guidance on the conceptualization, development, and maintenance of women's heart centers. Despite religious implementation of those guidelines, the practical experience is fraught with roadblocks.</p><p><strong>Objective: </strong>Our focus in this communication is to share those practical lessons learned from our experience in establishing seven women's heart centers in Michigan and three in Tennessee.</p><p><strong>Conclusion: </strong>To better understand - What does it take to make the centers sustainable, successful, reproducible, and viable? What is the blueprint for the future generations of leaders to develop women's heart centers that are accessible and effective?</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261438925"},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649801","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}