African journal of reproductive health最新文献

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A review of self-care deficit theory to sexual reproductive health and rights on adolescents and young people living with HIV. 自我保健缺陷理论对感染艾滋病毒的青少年性健康、生殖健康和权利的影响。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.14
Bandile E Ndlazi, David D Mphuthi
{"title":"A review of self-care deficit theory to sexual reproductive health and rights on adolescents and young people living with HIV.","authors":"Bandile E Ndlazi, David D Mphuthi","doi":"10.29063/ajrh2025/v29i7.14","DOIUrl":"10.29063/ajrh2025/v29i7.14","url":null,"abstract":"<p><p>Adolescents and young people living with HIV (AYPLHIV) face unique challenges in managing their sexual and reproductive health and rights (SRHR), influenced by social, cultural and structural factors. This narrative review explores the application of Orem's Self-Care Deficit Theory in SRHR programs targeting AYPLHIV. Drawing on various regional and country contexts, the review synthesizes literature to examine how theory's core concepts: person, health, environment and nursing can be used to understand and address the self-care needs and SRHR outcomes of this vulnerable population. By using the fundamental principles of Orem's theory to guide analysis and discussion, this review highlights the importance of theory-informed interventions that foster autonomy and effectively address the healthcare needs of this vulnerable population and fostering self-care.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"148-157"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of anti-adhesion gel after hysteroscopy for the treatment of female infertility: A systematic review and meta-analysis. 宫腔镜后使用抗粘连凝胶治疗女性不孕症:系统回顾和荟萃分析。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.15
Yanfang Wu, Juan Lu, Liping Lin
{"title":"Use of anti-adhesion gel after hysteroscopy for the treatment of female infertility: A systematic review and meta-analysis.","authors":"Yanfang Wu, Juan Lu, Liping Lin","doi":"10.29063/ajrh2025/v29i7.15","DOIUrl":"10.29063/ajrh2025/v29i7.15","url":null,"abstract":"<p><p>This systematic review and meta-analysis assessed the effectiveness of anti-adhesion gels in preventing intrauterine adhesions (IUA) and improving reproductive outcomes following hysteroscopic procedures. Twelve randomized controlled trials involving a total of 1709 patients were included. The results indicated that anti-adhesion gels significantly reduced both the incidence and recurrence of IUA and were associated with a lower American Fertility Society (AFS) score. Furthermore, their use was linked to improved pregnancy and live birth rates. However, no significant effects were found on menstrual improvement or pregnancy loss rates. These findings suggest that anti-adhesion gels may be beneficial in enhancing postoperative reproductive outcomes and reducing adhesion-related complications after hysteroscopy. Further research is needed to clarify the role of anti-adhesion in menstrual recovery and miscarriage prevention.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"158-174"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phubbing and human reproduction: The silent saboteur of intimacy and evolution. 低头和人类繁殖:亲密和进化的无声破坏者。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.12
Namratha Ss, Arulchelvan Ss
{"title":"Phubbing and human reproduction: The silent saboteur of intimacy and evolution.","authors":"Namratha Ss, Arulchelvan Ss","doi":"10.29063/ajrh2025/v29i7.12","DOIUrl":"10.29063/ajrh2025/v29i7.12","url":null,"abstract":"<p><p>Phubbing-phone snubbing-disrupts human intimacy by reducing face-to-face attention, emotional closeness, sexual desire, and reproductive intent. This study examines how persistent phubbing weakens partner communication, bonding behaviors, and relationship satisfaction, potentially contributing to declining reproduction rates. Drawing on behavioral psychology and evolutionary theory, we surveyed 300 adults in committed relationships using standardized measures of relationship satisfaction, emotional closeness, sexual activity, and perceived partner phubbing. Although direct biochemical analysis was not possible, oxytocin-related effects were inferred from bonding indicators like affectionate gestures and eye contact. Qualitative interviews enriched these findings. Results reveal strong negative correlations between phubbing and emotional closeness (r = -0.61), sexual activity (r = -0.48), and relationship satisfaction (r = -0.65). Participants reporting high partner phubbing were three times more likely to express disinterest in having children. Interviews highlighted themes of emotional distance and relational fatigue, with phones described as \"invisible walls\" obstructing intimacy. These findings suggest that phubbing erodes the emotional foundation of relationships, indirectly reducing reproductive motivation. Understanding phubbing's impact is crucial as technology increasingly shapes human interaction and demographic trends.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"129-136"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Premenstrual and menstrual symptom relief-seeking behaviours among employed women. 职业女性经前及月经症状寻求缓解行为。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.6
Su-Ying Tsai
{"title":"Premenstrual and menstrual symptom relief-seeking behaviours among employed women.","authors":"Su-Ying Tsai","doi":"10.29063/ajrh2025/v29i7.6","DOIUrl":"10.29063/ajrh2025/v29i7.6","url":null,"abstract":"<p><p>Many women experience premenstrual symptoms and menstrual pain that can adversely affect their work performance and productivity. This study explores employed women's behavior in seeking relief for these symptoms in a large electronics manufacturing company in Taiwan. Questionnaires collected data on demographics, menstrual status, pain scores, and self-reported symptoms, with 7,193 participants. Among them, 49.3% had a gynecological examination in the past two years. Moderate or severe premenstrual symptoms were associated with seeking relief behavior. Women experiencing work-impacting menstrual pain and higher pain scores were more likely to use hot compress bags and analgesics. Those with menstrual disruption for three or more days were more likely to have undergone a recent gynecological examination and use hot compress bags and analgesics for relief. Participants included two major groups of workers: office staff and clean room workers. Significant differences in relief-seeking behaviors were observed between them. Clean room workers were less likely to have gynecological examinations but more likely to take analgesics to manage menstrual discomfort. This information can assist environmental health nurses in understanding seeking relief patterns and guiding effective interventions to enhance the quality of life for employed women with menstrual discomfort.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"59-69"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of bevacizumab maintenance therapy in advanced ovarian cancer. 贝伐单抗维持治疗在晚期卵巢癌中的疗效。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.10
Qing Han, Aiqin He, Haibo Xu, Can Zhang, Yunfen Qiu, Yong Li
{"title":"Efficacy of bevacizumab maintenance therapy in advanced ovarian cancer.","authors":"Qing Han, Aiqin He, Haibo Xu, Can Zhang, Yunfen Qiu, Yong Li","doi":"10.29063/ajrh2025/v29i7.10","DOIUrl":"10.29063/ajrh2025/v29i7.10","url":null,"abstract":"<p><p>This study aimed to evaluate the efficacy of bevacizumab maintenance therapy in advanced ovarian cancer and its impact on the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3)/vascular endothelial growth factor A (VEGFA) pathway. A total of 126 patients were enrolled, divided into two groups: control (n=62) and study (n=64). The control group received neoadjuvant chemotherapy, tumor debulking surgery, and postoperative adjuvant chemotherapy. The research group received postoperative bevacizumab maintenance therapy in addition to standard treatment. Results showed that the research group had significantly improved disease control rates (43.75% vs. 24.19%, P=0.0206), objective response rates (76.56% vs. 48.39%, P=0.0011), overall survival (30.45±7.69 months vs. 22.92±7.26 months, P<0.0001) and progression-free survival (16.08±2.46 months vs. 12.08±2.25 months) compared to controls. Bevacizumab also led to lower levels of Janus kinase 2 (JAK2), signal transducer and activator of transcription 3 (STAT3) and vascular endothelial growth factor A (VEGFA) expression. This therapy demonstrated safety and efficacy, significantly prolonging progression-free survival and overall survival.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"107-116"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the factors contributing to contraceptive stock-outs at primary health care clinics in North-Eastern Namibia: A qualitative descriptive study. 探讨导致纳米比亚东北部初级保健诊所避孕药具缺货的因素:一项定性描述性研究。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.4
Daniel O Ashipala, Alice Lifalaza
{"title":"Exploring the factors contributing to contraceptive stock-outs at primary health care clinics in North-Eastern Namibia: A qualitative descriptive study.","authors":"Daniel O Ashipala, Alice Lifalaza","doi":"10.29063/ajrh2025/v29i7.4","DOIUrl":"10.29063/ajrh2025/v29i7.4","url":null,"abstract":"<p><p>Millions of women face barriers to accessing contraception due to supply-side issues, including limited health facility access and contraceptive stockouts. Research on the causes of stock-outs remains scarce. This study explored contributing factors within primary health care clinics in north-eastern Namibia using a qualitative, explorative, descriptive, and contextual approach. Semi structured interviews were conducted with sixteen participants selected through convenience sampling. Data were audio-recorded, transcribed verbatim, and analysed thematically. The analysis revealed three main themes: contraceptive stock-outs, contraceptive supply and demand challenges, and strategies for ensuring consistent availability of contraceptives. The findings revealed that poor contraceptive stock management, theft, and supply-demand discrepancies are significant factors contributing to stock-outs. The critical issue identified was the limited pharmaceutical knowledge among staff which leads to sporadic contraceptive availability. Pharmaceutical knowledge of contraceptive procurement and supply management is needed to prevent stock out of contraceptive. The study highlights the urgent need for training healthcare personnel involved in contraceptive procurement and supply management. These insights gained from this study can assist the Ministry of Health and Social Services and stakeholders to develop targeted strategies to prevent stock-outs and improve contraceptive access in Namibia and similar settings.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"36-47"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexually transmitted diseases-related knowledge levels of midwifery students studying at two different universities: A comparative study. 两所不同大学助产专业学生性传播疾病相关知识水平的比较研究
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.5
Akgün Yeşiltepe, Mihriban Ulucan, Ayşenur Akan, Hafize Öztürk Can
{"title":"Sexually transmitted diseases-related knowledge levels of midwifery students studying at two different universities: A comparative study.","authors":"Akgün Yeşiltepe, Mihriban Ulucan, Ayşenur Akan, Hafize Öztürk Can","doi":"10.29063/ajrh2025/v29i7.5","DOIUrl":"10.29063/ajrh2025/v29i7.5","url":null,"abstract":"<p><p>This study aimed to compare the knowledge levels of midwifery students from two universities in eastern and western Turkey regarding sexually transmitted diseases (STDs). A descriptive, comparative study was conducted with midwifery students from both regions.The average score on the STD Knowledge Test was 14.49±3.83. Students from the western university scored 14.63±3.60, while those from the eastern university scored 13.98±4.58. Among western university students, knowledge scores were significantly associated with factors such as year of study, place of residence, and prior sexual health education. For eastern university students, significant factors included age, year of study, social security status, and university-based sexual health education (p<0.05). It is recommended that educational programs be strengthened to enhance students' knowledge and improve access to accurate, reliable information.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"48-58"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of postpartum visits on breastfeeding among traditional market traders in North Sumatera, Indonesia. 产后拜访对印尼北苏门答腊传统市场贸易商母乳喂养的影响。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.11
Peny Ariani, Nur Indrawaty Lipoeto, Eva Chundrayetti, Hema Malini, Adang Bachtiar, Delmi Sulastri, Mayetti Mayetti, Meri Neherta, Jekson Martiar Siahaan
{"title":"The effect of postpartum visits on breastfeeding among traditional market traders in North Sumatera, Indonesia.","authors":"Peny Ariani, Nur Indrawaty Lipoeto, Eva Chundrayetti, Hema Malini, Adang Bachtiar, Delmi Sulastri, Mayetti Mayetti, Meri Neherta, Jekson Martiar Siahaan","doi":"10.29063/ajrh2025/v29i7.11","DOIUrl":"10.29063/ajrh2025/v29i7.11","url":null,"abstract":"<p><p>Postpartum visits support breastfeeding success among informal sector workers, such as market vendors. While the government has implemented policies, facilities, education, and community support to enhance breastfeeding coverage, execution remains inadequate. Market vendors face significant challenges in breastfeeding their newborns and require comprehensive support from their families, communities, and healthcare providers. This study aims to investigate factors influencing exclusive breastfeeding among traditional market traders using an observational cross-sectional design. Conducted in three North Sumatran regencies-Deli Serdang, Serdang Bedagai, and Langkat-it involved 157 participants selected through multistage random sampling. Data were collected via a validated 20-question breastfeeding questionnaire, with reliability confirmed (Cronbach's Alpha = 0.6). Logistic regression analysis identified 10 significant determinants of exclusive breastfeeding: postpartum visits, maternal education, maternal employment, family support, healthcare access, breastfeeding knowledge, infant birth weight, mode of delivery, parity, and socio economic status. Among these, postpartum visits were the most influential (B = 4.137, Exp(B) = 62.608, p = 0.001). The results indicate the critical role of postpartum visits in supporting breastfeeding among market traders, emphasizing the need for targeted interventions to assist them in maintaining optimal breastfeeding practices despite workplace challenges.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"117-128"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender theory and female homicide victimization: A cross-national analysis 2000-2019. 性别理论与女性凶杀受害:2000-2019年的跨国分析。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.8
Jiming Wang
{"title":"Gender theory and female homicide victimization: A cross-national analysis 2000-2019.","authors":"Jiming Wang","doi":"10.29063/ajrh2025/v29i7.8","DOIUrl":"10.29063/ajrh2025/v29i7.8","url":null,"abstract":"<p><p>This study examines the association between gender inequality and female homicide victimization using cross-national panel datasets from the WHO Mortality Database. While the \"Ameliorative Hypothesis\" and \"Backlash Hypothesis\" exhibit strong explanatory power, their contradictory conclusions caution against unidimensional analytical frameworks, underscoring the need for typologizing gender inequality. Through multidimensional analysis of economic income, political status, labor participation, and educational attainment, results reveal that economic gender equality correlates with increased female homicide victimization rates, while political gender equality demonstrates mitigating effects. No significant associations were observed for labor participation and educational attainment dimensions. Social environment indicators also show differential impacts on victimization rates. These findings highlight the multifaceted nature of female homicide victimization determinants, necessitating context specific legal and policy interventions for women's rights protection.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"83-93"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Triage accuracy of a six-gene methylation detection for high-risk HPV-positive Chinese women. 高危hpv阳性中国女性六基因甲基化检测的分诊准确性
IF 1 4区 医学
African journal of reproductive health Pub Date : 2025-07-25 DOI: 10.29063/ajrh2025/v29i7.13
Yue Li, Hongyun Wang, Jun Yang, Huiyan Wang, Jiujun Peng, Ying Hong
{"title":"Triage accuracy of a six-gene methylation detection for high-risk HPV-positive Chinese women.","authors":"Yue Li, Hongyun Wang, Jun Yang, Huiyan Wang, Jiujun Peng, Ying Hong","doi":"10.29063/ajrh2025/v29i7.13","DOIUrl":"10.29063/ajrh2025/v29i7.13","url":null,"abstract":"<p><p>This study aimed to evaluate the triage accuracy of a six-gene methylation detection test in high-risk human papillomavirus-positive women in China. A total of 369 cervical exfoliated cell samples were collected from high-risk human papillomavirus-positive women undergoing cervical cancer screening at Nanjing Drum Tower Hospital from October 2018 to August 2019. The methylation status of six gene was assessed using real-time methylation-specific polymerase chain reaction. The triage accuracy for cervical intraepithelial neoplasia grade 2 and 3 was compared with that of a commercial methylation kit, cervical cytology, and human papillomavirus types 16/18 tests using receiver operating characteristic curves. Additionally, the effectiveness of the six-gene test for triaging cervical intraepithelial neoplasia grade 2+ and 3+ was validated in 215 samples collected between January and November 2020 and compared with p16/Ki-67 dual-staining cytology. The results demonstrated a significant increase in the positive methylation rate with the severity of cervical intraepithelial neoplasia (P<0.001). This six-gene methylation pattern holds promise for improving triage accuracy in cervical cancer screening for high-risk human papillomavirus-positive women.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 7","pages":"137-147"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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