Women's reproductive health (Philadelphia, Pa.)最新文献

{"title":"Associations Between Luteal Phase, Unwanted Sexual Activity History, and Inflammation on Women's Arousal, Anxiety, and Disgust Responses to Sexual Stimuli: Results from a Pre-Registered Study.","authors":"Harper R Jones, Anneliis Sartin-Tarm, Tierney K Lorenz","doi":"10.1080/23293691.2025.2601867","DOIUrl":"10.1080/23293691.2025.2601867","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a preregistered analysis of the interactions between unwanted sex history, inflammation, and luteal phase in 76 healthy women.</p><p><strong>Methods: </strong>Participants provided saliva samples analyzed for progesterone and inflammation markers and completed subjective ratings of their sexual and physical arousal, disgust, and anxiety pre/post watching a sexual film.</p><p><strong>Results: </strong>Observed effect sizes were very small, and inferential results were generally non-significant.</p><p><strong>Conclusion: </strong>Findings suggest that if there are significant interactions of unwanted sex history and inflammation on ovarian cycle-related changes in women's emotional responses to sexual stimuli, these effects are modest and require large samples to reliably detect.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12889838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168455","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 Spectrum of Hesitancy in COVID-19 Vaccine Uptake Among Pregnant Latinas on the United States-Mexico Border.","authors":"Carina Heckert, Kimberly Anaya, Alondra Arias, Sireesha Reddy","doi":"10.1080/23293691.2025.2500352","DOIUrl":"https://doi.org/10.1080/23293691.2025.2500352","url":null,"abstract":"<p><p>As the COVID-19 vaccine became available, pregnant people from marginalized communities disproportionately delayed vaccination. Although the urgency of vaccination has subsided, COVID-19 infection during pregnancy continues to pose maternal and fetal risks. Interviews with 45 Latinas residing on the US-Mexico border who were pregnant during the first two years of the pandemic revealed varying degrees of hesitancy related to vaccination during pregnancy. Utilizing a <i>spectrum of hesitancy</i> to frame the analysis revealed patterns of delayed vaccination and how varying degrees of trust in medical authority contributed to these patterns. Understanding patterns driving vaccine uptake and delays can inform clinical practice.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144982052","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":"Weight Stigma and Implicit Bias in Healthcare: Investigating the Impact of Women's Body Size on Continuity of Care and Communication About Sexual and Reproductive Health.","authors":"Makenzie Schroeder, Rikki A Roscoe, Virginia Ramseyer Winter","doi":"10.1080/23293691.2025.2524377","DOIUrl":"10.1080/23293691.2025.2524377","url":null,"abstract":"<p><p>Weight stigma is a widespread issue in the U.S., including in healthcare, where even well-intentioned providers may harbor fatphobic biases that negatively impact patient outcomes. Despite growing research on the healthcare needs of fat individuals, sexual and reproductive healthcare remains underexplored. This study investigates how weight stigma disrupts long-term care relationships and affects discussions on sexual health and family planning for fat women. Our findings show that fat women are more likely to engage in doctor shopping and have less communication with providers about sexual and reproductive health, including family planning, likely due to weight stigma and implicit bias.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"12 3","pages":"873-889"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12571227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410986","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 Experiences of Community-Based Doulas That Serve Immigrant, Migrant, and Refugee Clients in Arkansas.","authors":"Britni L Ayers, Philmar Mendoza Kabua, Sarah Moore, Leslie Stone, Jennifer A Andersen, Krista Langston, Pearl A McElfish","doi":"10.1080/23293691.2024.2377963","DOIUrl":"10.1080/23293691.2024.2377963","url":null,"abstract":"<p><p>Immigrant women in the United States often have poorer maternal and infant outcomes and suboptimal experiences of maternity care compared to non-immigrant women in the same setting. The purpose of this study was to explore community-based doulas' experiences of working with immigrant clients and maternal health care providers in Arkansas. A descriptive qualitative design was used. Themes emerged within three categories: 1) experiences with immigrant clients; 2) experiences with maternal health care providers; and 3) suggestions to improve support for immigrant clients. Within the first theme, three subthemes emerged: 1) language barriers; 2) transportation; and 3) access to food and housing. Within the second theme, two subthemes emerged: 1) dismissive; and 2) takes time to build rapport. Within the third theme, two subthemes emerged: 1) listen to the client and improve communication; and 2) more community-based doulas. Community-based doula programs may help address poorer health outcomes faced by immigrant women.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"12 1","pages":"16-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12002423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060481","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 Association Between Body Mass Index and Dysmenorrhea in Adolescent Girls in Uganda.","authors":"Flavia Namuwonge, Vicent Ssentumbwe, Samuel Kizito, Phionah Namatovu, Florence Namuli, Nhial T Tutlam, Proscovia Nabunya, Mary M McKay, Fred M Ssewamala","doi":"10.1080/23293691.2025.2530617","DOIUrl":"10.1080/23293691.2025.2530617","url":null,"abstract":"<p><p>Menstrual pain or dysmenorrhea is a common and disruptive experience for adolescent girls, especially in low-resource settings with limited access to care. This study explored the association between body mass index (BMI) and dysmenorrhea among 1,260 girls aged 14-17 in Uganda. A mixed-effects regression analysis showed significant associations between BMI and dysmenorrhea. Specifically, overweight and obese girls reported less pain than those with normal BMI, but pain increased with age among overweight and obese participants. Additionally, depression was associated with heightened pain while higher family assets and social support reduced it. These findings can inform strategies to enhance adolescent well-being.</p>","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"12 4","pages":"1037-1051"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446138","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":"Adaptation and Reflection in the Transition to Parenthood for Women With Risk Factors for Early Parenting Difficulties Who Participated in the STAR Mums Program","authors":"Clare Bellhouse, Meredith Temple-Smith, Jade Bilardi, Louise Newman","doi":"10.1080/23293691.2023.2274351","DOIUrl":"https://doi.org/10.1080/23293691.2023.2274351","url":null,"abstract":"AbstractThe Supporting Transitions and Relationships (STAR Mums) program was developed in response to the clinical need for psychological intervention in pregnancy where mothers have risk factors for difficulties in the transition to parenthood. The program focuses on the developing relationship between the mother and the unborn child and aims to facilitate the normal psychological processes that are known to occur in pregnancy to prepare for the relationship with the infant and to reduce risk factors that may negatively impact this relationship. This article reports on interview data from the final follow-up of 12 high-risk participants at 12 to 14 weeks postpartum regarding their transition to parenthood and aspects of parental reflective function. These women presented with issues in developing their maternal identity and representation in the context of difficulties processing their own difficult childhood experiences. They also demonstrated some issues with limited reflective capacity in their understanding of their infant’s emotional world and experiences. Though there are ongoing issues for these women, they provided feedback that the STAR Mums program included valued discussion around the changes in both self and relationships involved in parenting that helped them to prepare for their experiences of early parenthood by supporting their wondering about the baby and the changes that this new relationship may bring for them as a parent.Keywords: Perinataltransitioninfantparentintervention Compliance and Ethics StandardsThis research includes human subjects and informed consent was obtained from all participants. This study was approved by the Ethics Committee.Disclosure StatementNo potential conflict of interest was reported by the authors.Data AvailabilityThe data sets generated during the current study and/or analyzed during the current study are not publicly available due to the sensitive nature of the topics discussed and the potential for confidentiality to be breached but are available from the corresponding author on reasonable request.Additional informationFundingThis work was supported by Australian Research Council and the National Health and Medical Research Council.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135341734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bother or a Benefit? How Contraceptive Users Balance the Trade-Offs Between Preferred Menstrual Bleeding Patterns and Preferred Contraceptive Methods in India, South Africa, and the United States","authors":"Amanda A. Shea, Meghana Kulkarni, Jonathan Thornburg, Cécile Ventola, Erin Walker, Virginia J. Vitzthum","doi":"10.1080/23293691.2023.2267533","DOIUrl":"https://doi.org/10.1080/23293691.2023.2267533","url":null,"abstract":"The contraceptive needs of women for whom the benefits of menstrual bleeding may outweigh its disadvantages have largely been overlooked, especially outside high-income countries. Some providers and researchers have assumed that users of nonhormonal birth control (non-HBC) are misinformed about the positive and negative effects of HBC and/or the need for menstrual bleeding. This study takes the position that many of those rejecting HBC in favor of methods that do not alter bleeding are, in fact, making informed decisions. Using questionnaire data from 4,255 contraceptive users in three countries, we compared current HBC users explicitly open to hormone use (“H-receptive”) and non-HBC users explicitly rejecting hormones (“H-averse”). To the extent that menstrual bleeding attitudes affect contraceptive choice, these two groups should have the greatest contrasts in those attitudes. This novel study design mitigates ambiguities arising from posing hypothetical scenarios to those ambivalent about using hormones or who are not currently using contraception. In all three countries, of those agreeing with the prompt, “I don’t want to change my natural menstrual cycle,” the fractions of H-averse and H-receptive users are disproportionally high and low, respectively (p ≤ .0026). Responses to other prompts varied across populations, revealing complex juxtapositions of multiple criteria, including bleeding preferences, that likely influence contraceptive choices. These patterns, reflecting personal and culturally salient values, highlight the necessity of not assuming that menstrual bleeding is undesirable or relying on a single criterion to ascertain clients’ contraceptive needs and preferences. Rather, acknowledging a client’s personal hierarchy of preferences regarding contraceptive attributes best serves their goals.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"134 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135342372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy Body, Healthy Mind: Exploring the Mental Health Implications of Comprehensive Sex Education","authors":"Tristin Agtarap, Lora Adair","doi":"10.1080/23293691.2023.2274356","DOIUrl":"https://doi.org/10.1080/23293691.2023.2274356","url":null,"abstract":"AbstractWithin this article, we present the results of a thematic analysis of responses (N = 267) regarding perceived and anticipated mental health implications of accurate and comprehensive sex education. The superordinate theme of psychological functioning and well-being reflects participants’ belief that sex education normalizes and destigmatizes diverse sexual experiences and can reduce fear, anxiety, and worry about sex. The superordinate theme of knowledge captures patterns in responses wherein participants reflected on the benefits of knowledge, including that it facilitates safety, confidence, improved decision-making skills, and provides awareness. Implications and applications for these themes are thoroughly discussed and outlined.Keywords: Sexualitysex and relationship educationmental healthwell-being Disclosure StatementThe authors report that there are no competing interests to declare.Ethics Committee Approval StatementThe Health, Medicine, and Life Sciences Ethics Committee approved the study at Brunel University London. Approval codes: 30075-MHR-Apr/2021-32372-2 and 32039-MHR-Oct/2021-34631-3.Data AvailabilityThe data supporting this study’s findings are available from the first author, TA, upon reasonable request.Additional informationFundingThis research was funded via the corresponding author’s research funds allocated by their institution.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"28 41","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Waging War on the Women: A Review of <i>The Trials of Nina McCall: Sex, Surveillance, and the Decades-Long Government Plan to Imprison \"Promiscuous\" Women</i> Stern, S. W. (2019). The Trials of Nina McCall: Sex, Surveillance, and the Decades-Long Government Plan to Imprison “Promiscuous” Women. Beacon Press. ISBN: 9780807021859, Paperback: $19.00","authors":"Katarina Sousa","doi":"10.1080/23293691.2023.2273166","DOIUrl":"https://doi.org/10.1080/23293691.2023.2273166","url":null,"abstract":"","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"50 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnancy Preparation Among Women and Their Partners in the UK: How Common Is It and What Do People Do?","authors":"Catherine Stewart, Jennifer Hall","doi":"10.1080/23293691.2023.2271919","DOIUrl":"https://doi.org/10.1080/23293691.2023.2271919","url":null,"abstract":"Pregnancy preparation, to optimize health before pregnancy, has been shown to reduce adverse maternal and neonatal outcomes. This study investigated the changes that women, and their partners, made in preparation for pregnancy. Analyses showed that less than half of women (n = 134, 49%) and only 24% of partners (n = 22) reported making any changes in preparation for pregnancy. Desire to Avoid Pregnancy (DAP) score was the only significant factor associated with pregnancy preparation; every 1-point increase in DAP reduced the odds of a woman reporting preparing for pregnancy by 78% (OR = 0.22, 95% CI = 0.15 to 0.34). This study highlights the need for interventions addressing pregnancy preparation.","PeriodicalId":75331,"journal":{"name":"Women's reproductive health (Philadelphia, Pa.)","volume":"45 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}