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

{"title":"Bridging the Information Gap: A Spatial and Multilevel Analysis of Exposure to Family Planning Messages Among Women in Somaliland (SLHDS 2020).","authors":"Mohamed Mohamoud Abdilleh, Khadar Jama Osman, Yahye Dayib Aw-Ali, Abdirahman Ahmed Muhumed, Idiris Faisal Mohamed, Abdisalam Hassan Muse","doi":"10.1177/26884844261438925","DOIUrl":"10.1177/26884844261438925","url":null,"abstract":"<p><strong>Background: </strong>Access to family planning (FP) information is vital for reproductive autonomy and the Sustainable Development Goals. In Somaliland, modern contraceptive uptake remains critically low. While sociodemographic barriers are known, geospatial dimensions of information accessibility remain unexplored. This study investigates individual, community, and spatial determinants of women's exposure to FP messages.</p><p><strong>Methods: </strong>We analyzed data from the 2020 Somaliland Health and Demographic Survey among women aged 15-49. We employed multilevel mixed-effects logistic regression to assess predictors of media exposure. Additionally, spatial analysis techniques including Global Moran's I and Getis-Ord Gi* statistics were utilized to identify geographic clusters (\"hotspots\" and \"cold spots\") of exposure.</p><p><strong>Results: </strong>Only 25.28% of women reported exposure to FP messages, primarily <i>via</i> TV and radio; mobile dissemination was underutilized (11%). Multilevel analysis indicated that higher education (adjusted odds ratios [AOR] = 6.48), wealth, and internet usage significantly increased exposure odds. Conversely, nomadic populations (AOR = 0.38) and rural residents faced severe exclusion. Spatial analysis revealed a sharp East-West divide: significant \"hotspots\" clustered in western regions (Awdal, Marodijeh), while significant \"cold spots\" were identified in the eastern region of Sool.</p><p><strong>Conclusions: </strong>A profound \"digital and developmental divide\" characterizes reproductive health communication in Somaliland. Current strategies benefit urban, educated women in the west, leaving nomadic populations in an information vacuum. Policy must shift to spatially targeted interventions, utilizing community outreach in identified \"cold spots\" and voice-based mobile technology to reach uneducated and nomadic women.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261438925"},"PeriodicalIF":1.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674820","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 Determinants of Knowledge and Attitudes Toward Cervical Cancer Prevention, Pap Smear Uptake, and Human Papilloma Virus Vaccination Among Lebanese Women.","authors":"Alissa Chebat, Jana Pharoun, Majd Rachid, Mirna Bazzi, Mounir Fakhoury, Jana Moubarak, Anna Farra, Mary E Deeb","doi":"10.1177/26884844261437618","DOIUrl":"10.1177/26884844261437618","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical cancer is expected to become the second leading cause of female cancer mortality in low- and middle-income countries, with the majority of critical cases projected to occur in these regions by 2050. This study aimed to identify the prevalence and determinants of knowledge and attitudes toward cervical cancer prevention, including Pap smear uptake and human papillomavirus (HPV) vaccination, while highlighting actionable gaps for intervention.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using an online structured questionnaire, administered to Lebanese women aged 18-50 years. A knowledge score (KS) was calculated from true-or-false questions on risk factors, symptoms, and prevention. An attitude score (AS) assessed the proportion of women with a positive attitude toward cervical cancer prevention.</p><p><strong>Results: </strong>Participants had a mean age of 28.5 years. The prevalence of women who had ever had a Pap smear was 18.6%, and HPV vaccination coverage was 17.9%. Bivariate analysis showed that HPV vaccination was significantly associated with younger age, being single, having a graduate degree, being a health care student/professional, perceiving income as sufficient, and never smoking. Binary logistic regression analysis indicated that only a KS above the mean and an AS above the mean remained significant predictors after adjustment. Physicians were the most influential incentive for vaccination, while lack of knowledge was the primary barrier.</p><p><strong>Conclusion: </strong>To improve HPV vaccination rates and reduce cervical cancer incidence in developing countries, strategies should focus on enhancing health care access and physician-patient communication. Targeted awareness campaigns addressing misconceptions and negative attitudes toward HPV vaccination are warranted to improve preventive practices and reduce disease burden.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261437618"},"PeriodicalIF":1.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674709","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":"Lifestyle Interventions to Reduce Cardiovascular Disease Risk in Mothers with Young Children: A Scoping Review.","authors":"Olivia C Liu, Barnaby Nicolas, Jiachen Zhu, Tanya M Spruill, Milla Arabadjian","doi":"10.1177/26884844261431991","DOIUrl":"10.1177/26884844261431991","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle interventions are effective in reducing cardiovascular disease (CVD) risk, but few target mothers of toddlers and preschool-aged children. Cardiovascular risk factors may emerge or worsen during this life stage due to high child-rearing demands, with the potential to persist long-term. We scoped the literature to synthesize findings and highlight future research opportunities regarding CVD prevention interventions among mothers of young children.</p><p><strong>Methods: </strong>We searched PubMed, Scopus, Web of Science, CINAHL, Embase, and APA PsycINFO for 2010-2024 peer-reviewed, English-language articles about CVD risk reduction lifestyle interventions for mothers with young children aged 1-5 years. Due to limited initial results, we broadened this demographic criterion to include mothers with children either <1-5 years (infants to young children) or 1-12 years (young to school-age children).</p><p><strong>Results: </strong>Six of 424 studies were eligible for review. Only one study exclusively enrolled mothers with children aged 1-5 years. Three enrolled mothers with children between <1 and 5 years; two enrolled mothers with children between 1 and 12 years. Four interventions were conducted in-person and two via digital formats. All interventions targeted ≥1 cardiovascular health component as defined by Life's Essential 8, including weight (<i>n</i> = 4), diet (<i>n</i> = 4), physical activity (<i>n</i> = 3), blood pressure (<i>n</i> = 3), blood glucose (<i>n</i> = 2), and blood lipids (<i>n</i> = 2). None addressed nicotine exposure nor sleep. Five studies reported statistically significant results for at least one of their outcomes.</p><p><strong>Conclusion: </strong>Very few studies discuss lifestyle interventions for CVD prevention among mothers of young children, highlighting a salient gap and opportunities for additional research in this population.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261431991"},"PeriodicalIF":1.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674824","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":"Potential Drug Targets and Causal Plasma Proteins Related to Preeclampsia Identified by Mendelian Randomization.","authors":"Wei Zhou, Ting Huang, Lei Li, Yanli Shen, Zhe Ji, Meng Yan","doi":"10.1177/26884844261427349","DOIUrl":"10.1177/26884844261427349","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia (PE) is a complication of pregnancy characterized by hypertension, with limited therapeutic options and variable treatment response. Identifying novel drug targets is urgently needed.</p><p><strong>Method: </strong>We performed Mendelian randomization (MR) to explore potential drug targets for PE using data from the UK Biobank (nCase = 184, nControl = 361,010) and the FinnGen database (nCase = 7,377, nControl = 211,957). Genetic instruments for pQTLs were obtained from five proteomic studies. Bayesian colocalization analysis and summary-data-based MR (SMR) analysis were performed to assess the causal relationship between two related signals (protein levels and PE risk). We further conducted single-cell type expression analysis and phenome-wide MR. In addition, a protein-protein interaction network of key genes was constructed <i>via</i> the GeneMANIA website.</p><p><strong>Results: </strong>At a significance level of <i>p</i> < 5 × 10^-8, MR analysis revealed seven protein-PE pairs. Gene prediction indicated that KDEL (Lys-Asp-Glu-Leu) Containing 2 and Keratin 18 (KRT18) were positively correlated with the risk of PE, whereas the other five proteins (Complement Factor B [CFB], FYN Proto-Oncogene [FYN], RAN Binding Protein 1 [RANBP1], Amphoterin-Induced Gene and ORF 1 [AMIGO1], and Arginase 2 [ARG2]) were negatively correlated. None of the five proteins had reverse causality. Bayesian colocalization analysis verified the positive correlation of CFB (coloc.coloc.susie PPH4 = 1) and KRT18 (coloc.coloc.abf PPH4 = 0.74) with PE. The genes encoding the proteins <i>KRT18</i>, <i>FYN</i>, <i>ARG2</i>, and <i>RANBP1</i> were distributed in specific cell types within PE tissues from patients with PE. Moreover, the examination of single-cell localization provided insights into the extensive distribution of the <i>KRT18</i> gene, which is highly expressed in the villous cytotrophoblast (VCT) and extravillous trophoblast (EVT) populations.</p><p><strong>Conclusion: </strong>Our MR analysis suggested that the plasma proteins KRT18, FYN, RANBP1, AMIGO1, and ARG2 had causal effects on PE risk. These findings indicated that these five proteins might be promising druggable targets for PE and warrant further clinical therapy, especially KRT18.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261427349"},"PeriodicalIF":1.8,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674546","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 and Socioeconomic Bias in the Management and Mortality of Patients with Atrial Fibrillation.","authors":"Zaid Alodetalah, Tala Enizat Mahdawi, Farah Haddadin, Christopher Elmouhayyar, Mousa Fram, Nour Hammad, Ahmad Jabri, Fadi Alodetalah, Faris Haddadin","doi":"10.1177/26884844261430617","DOIUrl":"https://doi.org/10.1177/26884844261430617","url":null,"abstract":"<p><strong>Introduction: </strong>Atrial fibrillation (AF) is one of the most common arrhythmias in the general population and similar to other cardiovascular diseases, studies have shown that outcomes and treatment choices are often affected by gender and socioeconomic disparities.</p><p><strong>Objectives: </strong>This study aimed to investigate the differences in AF management and all-cause mortality based on gender and socioeconomic status.</p><p><strong>Methods: </strong>This cross-sectional analysis used a large, de-identified electronic health record (EHR)-based database, Explorys. covering over 60 million patient records between January 1, 2010 and October 31, 2019. We identified 1.7 million patients with AF using International Classification of Disease, Tenth Revision, Clinical Modification (ICD-10-CM) codes. Patients were stratified based on age, gender, insurance provider and type of AF therapy (medical vs. catheter ablation). The main outcomes were all-cause mortality and the type of treatment patient received.</p><p><strong>Results: </strong>Of the 1.7 million patients with AF we identified, 712,700 underwent catheter ablation. Females were significantly less likely to undergo catheter ablation compared with males for both paroxysmal AF (3.28% vs. 4.65%) and permanent AF (15.63% vs. 47.75%). Patients with Medicaid insurance were the least likely to receive catheter ablation (3.3%) compared with those with Medicare (46.5%) and private insurance (50.2%). Female patients had higher all-cause mortality as compared with male patients (10.64% vs. 7.82% for males; <i>p</i> < 0.0001) with the highest rate for female patients on Medicaid (Adjusted OR = 1.5; 95% CI: 1.4-1.6). In multivariable logistic regression adjusting for age group, AF subtype, and insurance category, female sex and Medicaid insurance remained independently associated with lower odds of receiving catheter ablation.</p><p><strong>Conclusion: </strong>In this large EHR-based analysis of patients with AF, female gender and Medicaid insurance were associated with lower use of catheter ablation and higher all-cause mortality. These findings highlight the need to better understand and address gender- and socioeconomic-based inequities in AF care and outcomes.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261430617"},"PeriodicalIF":1.8,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13470619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759813","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":"Sex and Gender Differences Between Experiences of Discrimination and Physical Health: A Systematic Review.","authors":"Saam Honarvar, Maryam Ajose, Bronwyn Sutherland, Alejandra Fernandez, Shakia T Hardy, Miguel Ángel Cano, Samaah Sullivan","doi":"10.1177/26884844261428407","DOIUrl":"10.1177/26884844261428407","url":null,"abstract":"<p><strong>Background: </strong>Despite a plethora of previous research on experiences of discrimination and physical health outcomes, there has been less attention to sex/gender differences, although some research suggests a greater stress-related biological and behavioral impact on women.</p><p><strong>Methods: </strong>Five databases were reviewed up to May 2023 using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. We included studies that examined self-reported experiences of discrimination and physical health outcomes among adults (aged 18+) in the United States if results were either stratified by sex/gender or tested a sex/gender-by-discrimination interaction term.</p><p><strong>Results: </strong>A total of 3,397 articles were extracted, and 50 met the inclusion criteria, including 3 articles found through an external search. Ten studies reported that the measure of association between discrimination and physical health outcomes was greater among women, 7 reported a greater association among men, 21 reported homogenous associations, and 12 studies reported that the associations varied by sex/gender across multiple outcome measures or in more complex modeling analyses (<i>e.g.,</i> additional moderators, mediation analysis).</p><p><strong>Conclusion: </strong>Discrimination and physical health outcomes vary by sex/gender, irrespective of race/ethnicity. There are some limitations and methodological issues that were found in the literature. These considerations should be reconciled in future research for more streamlined and consistent analyses and reporting. We further provide recommendations on analyzing and interpreting sex/gender differences in future research. Future studies should also examine sex/gender differences between experiences of discrimination and mental health outcomes.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261428407"},"PeriodicalIF":1.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148655314","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":"An Evaluation of Community-Based Educational Programming for Prevention of Infant Mortality Among African Americans.","authors":"Sheila Y Abebe, Jean Marie S Place, Kalyn M Renbarger","doi":"10.1177/26884844261421089","DOIUrl":"10.1177/26884844261421089","url":null,"abstract":"<p><strong>Introduction: </strong>Infant mortality (IM) remains a critical issue in the United States with disproportionately high rates among African American (AA) infants. IM is the death of an infant before his or her first birthday. Infant mortality rate (IMR) is regarded as an indicator of overall population health. AA infants are more likely to be born with low birth weight or preterm. AA women are less likely to receive prenatal care during the first trimester and less likely to breast feed.</p><p><strong>Methods: </strong>In this study, conducted in Indiana county with a high (IMR), we implanted a community-based educational program centered on the life course perspective model. The program provided educational information aimed at addressing health-promoting behaviors in the community. Four education modules covering breastfeeding, nutrition, safe sleep, and smoking cessation were delivered to AA community members over a 32-week period in 2021-2022.</p><p><strong>Results: </strong>Pre- and post-test evaluations revealed a significant increase in knowledge on breastfeeding, nutrition, safe sleep, and smoking cessation among participants, affirming the program's effectiveness.</p><p><strong>Discussion: </strong>Future programming efforts should expand the program's reach, address care barriers, and explore long-term behavior changes. Community-based education is crucial for reducing racial disparities in IM and improving AA infant health outcomes.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261421089"},"PeriodicalIF":1.8,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674888","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":"Patient Perspectives on Accessing Medication Abortion at a Family Medicine-Led Community Health Center: An Opportunity for Person-Centered Care.","authors":"Catherine Hennessey, Lorna Sanchez, Gabriela Betancourt, Julie Chor, Debra Stulberg","doi":"10.1177/26884844261418112","DOIUrl":"10.1177/26884844261418112","url":null,"abstract":"<p><strong>Objective: </strong>To explore how patients who received care for early pregnancy loss (EPL) at a family medicine-led federally qualified health center (FQHC) felt about hypothetical access to medication abortion at the clinic.</p><p><strong>Study design: </strong>We elicited patient perspectives on hypothetical access to medication abortion from their primary care provider <i>via</i> semistructured phone interviews with patients treated for EPL at one FQHC in Illinois that was using mifepristone for EPL but not abortion. The transcripts were coded using Atlas.ti and analyzed inductively. Participant demographics, including age, race, ethnicity, religion, obstetrical history, and EPL management route (expectant, medical, procedural) were collected.</p><p><strong>Results: </strong>We interviewed 16 patients from June to December 2022. Participants felt that offering medication abortion in the primary care setting is an opportunity for person-centered care, specifically that the primary care clinic was well equipped to provide safe, accessible care from trusted providers who respect patient autonomy. They expressed a range of feelings about abortion and, regardless of personal abortion attitude, believed that medication abortion should be offered in the primary care setting.</p><p><strong>Conclusions: </strong>Patients receiving care for EPL at a family medicine-led FQHC expressed a range of personal views about abortion but commonly supported offering medication abortion at their clinic.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844261418112"},"PeriodicalIF":1.8,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674475","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":"Analysis of Microbial Colonization, Including Multidrug-Resistant Gram-Negative Bacteria, in High-Risk Pregnant Women.","authors":"Anh Le, Maria Emilia Solano, Maurice Kappelmeyer, Anton Ivanov, Angela Koeninger, Edith Reuschel","doi":"10.1177/26884844251398715","DOIUrl":"10.1177/26884844251398715","url":null,"abstract":"<p><strong>Introduction: </strong>Preterm birth (PTB) remains a global challenge in obstetrics and is a leading cause of neonatal morbidity. It is estimated that at least 40% of all PTB are due to intrauterine infections. Given the concerning trend of multidrug resistance and limited resources, especially in gram-negative bacteria, early detection of colonization and risk factors is essential to prevent adverse outcomes. In this study, we analyzed the associations between maternal microbial colonization in pregnancy, particularly considering the prevalence of multidrug-resistant gram-negative (MRGN) and its impact on prenatal pregnancy-related complications.</p><p><strong>Methods: </strong>This retrospective, single-center cohort study consisted of 596 high-risk pregnant women, who were admitted to the hospital between February 2016 and April 2018. Based on their pregnancy complications, which led to admission, three subgroups were considered: non-infection-related (Non-Infected), infection-related (Infected), and Cervical-Insufficient. A total of 1319 swab samples collected from skin, perianal area, and vagina were screened on culture media and were categorized as nonpathogenic, MRGN, pathogenic gram-negative, pathogenic gram-positive bacteria, and unicellular organisms, for example, yeast. Statistical analyses included chi-square test. <i>p</i>-Values <0.05 were considered significant.</p><p><strong>Results: </strong>The main findings of this study indicate a low prevalence of MRGN with 2% in each subgroup and an increased occurrence of pathogenic gram-negative bacteria in the perianal area (<i>p</i> < 0.05). However, no statistically significant association was found between microbial colonization and prenatal pregnancy-related complications. A combined screening of vaginal and perianal enhances the detection of pathogenic microorganisms, but no significant differences in pregnancy-related complications at admission were found. Additional perianal screening does not provide more evidence regarding the women's health status.</p><p><strong>Conclusion: </strong>Therefore, general screening, including perianal swabs, cannot generally be recommended. Further research is needed to identify additional risk factors for the development of adverse pregnancy and neonatal complications.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"7 ","pages":"26884844251398715"},"PeriodicalIF":1.8,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686806","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":"Frequency and Risk Factors of Reproductive Coercion Among Pregnant Individuals: A Cross-Sectional Study.","authors":"Emily Newton-Hoe, Elizabeth Janiak, Sarah Johns, Isabel Fulcher, Katharine O White, Kathryn E Fay","doi":"10.1177/26884844251397931","DOIUrl":"10.1177/26884844251397931","url":null,"abstract":"<p><strong>Background: </strong>Reproductive coercion (RC) is a form of intimate partner violence involving behaviors aimed at undermining an individual's reproductive choices and autonomy. Despite pregnancy representing an important sequela of RC, a time of potential unique risks, and an opportunity for increased health care engagement, limited data exist on the frequency and risk factors of RC among currently pregnant individuals. Thus, we sought to explore the correlates, frequency, and predictors of past RC in a cohort of pregnant people.</p><p><strong>Methods: </strong>We fielded a cross-sectional survey between February 2022 and September 2023 to pregnant individuals ages 18-49 receiving prenatal care in two tertiary care academic medical centers in Boston, Massachusetts, United States (<i>N</i> = 1340).</p><p><strong>Results: </strong>A total of 76 respondents (7.3%) experienced RC within the past 3 years. The most common form of RC was a partner stopping an individual from using their desired contraceptive method (<i>N</i> = 33, 3.2%). Among other differences, people reporting past RC were more likely to have a disability (15.1% vs. 7.5%, <i>p</i> = 0.02), and to be in fair or poor health as opposed to good or excellent health (14.5% vs. 7.2%, <i>p</i> = 0.03), compared with those not reporting past RC. In a multivariable model adjusting for health status and disability, people reporting past RC had significantly higher odds of describing their current pregnancy as mistimed or unwanted (adjusted odds ratio, 4.30; 95% CI: 2.34, 8.57), compared with those not reporting past RC.</p><p><strong>Conclusions: </strong>Past RC is prevalent among pregnant individuals in our sample. Disparities across demographic, medical, and social factors highlight opportunities for interventions to prevent recurrent RC post-pregnancy.</p>","PeriodicalId":75329,"journal":{"name":"Women's health reports (New Rochelle, N.Y.)","volume":"6 1","pages":"1252-1262"},"PeriodicalIF":1.8,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13185944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977586","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}