{"title":"Suicide among women: a critical review.","authors":"Linda H Chaudron, Eric D Caine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite increasing attention to suicide as a preventable outcome associated with mood disorders, little attention has been given to the risk factors for suicide among women. In this paper, we: 1) review the current literature regarding risk factors for suicide among women; 2) address the theories regarding risk and protective factors for women; 3) integrate the findings into a practical assessment of women's risk of suicide in clinical settings; and 4) consider avenues for future research.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 2","pages":"125-34"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24511136","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":"Networking lessons for women professionals--connecting the dots, building matrices.","authors":"Rosalyn C Richman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 1","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24201930","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":"Disability income.","authors":"Margaret V Little","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 3","pages":"160-1"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24672752","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":"Women and bipolar disorder across the life span.","authors":"Dorothy Sit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bipolar I disorder occurs in approximately 1% of the adult population, and it affects women and men equally. Women develop bipolar II disorder, bipolar depression, mixed mania, and a rapid-cycling course of illness more commonly than men and are at greater risk of such comorbid conditions as alcohol use problems, thyroid disease, medication-induced obesity, and migraine headaches. The treatment of bipolar disorder remains challenging. Although lithium reduces symptoms and prevents recurrence with good efficacy, a significant number of patients stop taking it. Furthermore, several anticonvulsants and antidepressants are prescribed off label for acute episodes and prophylaxis despite the lack of adequate research support. Psychotherapy may alleviate mania or depression and improve treatment compliance, yet its ability to prevent relapse remains uncertain. Changes throughout the reproductive cycle also have an impact on the onset and presentation of bipolar symptoms and the choice of treatment. This article provides an overview of common presentations and comorbidities, along with approaches to evaluation and treatment of women with bipolar disorder.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 2","pages":"91-100"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3107596/pdf/nihms294416.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24511134","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":"Reporting elder abuse: a medical, legal, and ethical overview.","authors":"Gina S Wei, Jerome E Herbers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Elder abuse is a growing public health problem in the United States, with research suggesting that women may be at higher risk of abuse than men are. Laws on elder abuse have emerged over the recent decades, with nearly all states requiring mandatory reporting of suspected elder abuse cases. Physicians play key roles in helping their elder patients; they are often the only accessible individuals outside a frail elderly patient's family circle and are therefore in an ideal position to detect, manage, and prevent elder abuse. Unfortunately, they are not living up to their potential for reporting elder abuse. Physicians must confront and overcome barriers to detecting and reporting in order to provide appropriate care to elderly patients. This article defines elder abuse, outlines barriers to detecting and reporting elder abuse, provides an overview of the existing elder abuse laws, discusses the dilemmas surrounding mandatory reporting, and offers suggestions on how to manage cases of suspected abuse.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 4","pages":"248-54"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26148660","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":"Physician recruiting under the microscope.","authors":"Robin Fretwell Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although recruiting physicians into existing practices is a time-honored way for hospitals to bolster their staffs, hospitals and physicians may need to rethink this practice in light of increased scrutiny from federal regulators. In June 2003, federal prosecutors filed charges against Alvarado Hospital Medical Center and its former chief executive, Barry Weinbaum, alleging that they had \"bribed\" doctors with relocation agreements in exchange for the doctors' referral of patients. The charges against Alvarado may not be an isolated event.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 4","pages":"238-40"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26148658","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}
Christine M Darling, Carolina Pimentel Nelson, Rose S Fife
{"title":"Improving breast health education for Hispanic women.","authors":"Christine M Darling, Carolina Pimentel Nelson, Rose S Fife","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hispanic women are less likely to receive screening mammograms than are white or African American women, even though breast cancer is the leading cause of cancer-related deaths in the population. Between 1990 and 2000, the Hispanic population of Indianapolis, Indiana (Marion County) grew by approximately 300%: from 8450 to 33 290. The present project was undertaken to provide educational outreach in Spanish to the new Hispanic residents of Indianapolis. A bilingual outreach coordinator visited community centers, churches, and health clinics and presented information to Hispanic women and men about a variety of cancers for which Hispanic women are at particularly high risk, including breast and cervical cancer. The number of Hispanic women obtaining mammograms rose by more than 200% during the first 6 months of the program. The authors conclude that culturally appropriate educational outreach presented by a Spanish-speaking woman using a Spanish-language videotape about mammography can improve breast cancer screening in Latinas.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 3","pages":"171, 228-9"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24672756","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":"From swords to shields: the essential partnership of physicians and attorneys.","authors":"Robin Fretwell Wilson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 1","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24201931","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}
Kathryn A Phillips, Naomi E Stotland, Su-Ying Liang, Joanne Spetz, Jennifer S Haas, Eyal Oren
{"title":"Out-of-pocket expenditures for oral contraceptives and number of packs per purchase.","authors":"Kathryn A Phillips, Naomi E Stotland, Su-Ying Liang, Joanne Spetz, Jennifer S Haas, Eyal Oren","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Two potential barriers to use of oral contraceptives (OCPs) are out-of-pocket expenditures and the inconvenience of monthly pharmacy visits. This study used nationally representative data to examine the out-of-pocket costs of OCPs and whether women obtain more than 1 pack per purchase.</p><p><strong>Methods: </strong>We used data from the 1996 Medical Expenditure Panel Survey. Dependent variables were out-of-pocket expenditures per pack and the number of packs obtained per purchase. Chi2 tests were used to examine the bivariate relationships between the dependent variables and covariates. Regression analyses were used to examine the predictors of OCP expenditures and the number of packs obtained per purchase.</p><p><strong>Results: </strong>Women paid an average of 14 dollars per pack of OCPs, and 73% obtained only 1 pack per purchase. On average, privately insured women paid 60% of the total expenditures for OCPs. Women who had no prescription drug coverage, who were uninsured, or who were privately insured but not in managed care plans had higher out-of-pocket expenditures. Women who were without prescription drug coverage or who were in managed care plans were more likely to obtain only 1 pack per purchase.</p><p><strong>Conclusion: </strong>Out-of-pocket costs and dispensing restrictions may be barriers to consistent use of OCPs. Women's health care providers should consider options to overcome these barriers, such as the use of mail order prescription services.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 1","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24201937","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":"Care practices and quality of life of rural older women with osteoporosis.","authors":"Karen A Roberto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to describe the care practices rural older women use to manage their osteoporosis and maintain their quality of life. One hundred and one rural older women, ranging in age from 68 to 92, were interviewed about their medical treatments, personal care practices, and the challenges they face in managing osteoporosis in their daily lives. The majority of women were diagnosed with osteoporosis between 1 and 5 years ago; one-third had experienced an osteoporotic fracture. Sixty-two percent of the women reported having pain associated with their osteoporosis,which often interfered with their ability to carry out daily activities and participate in social activities. The women used multiple health-, home-, and education-related strategies to manage their osteoporosis. One-third of the women reported having to rely on others to do things for them because of their osteoporosis, and one-half of these women indicated that their osteoporosis interfered with their family relationships at least some of the time. Compared with their other health problems, 41% said their osteoporosis had less influence on their quality of life, 47% indicated that it had about the same influence, and 13% reported that it influenced their quality of life more than their other health problems. The findings indicate that osteoporosis encompasses all aspects of the women's lives and suggest the importance of future research to further examine the relationship among disease processes and consequences, care practices, and quality of life of rural older women.</p>","PeriodicalId":76028,"journal":{"name":"Journal of the American Medical Women's Association (1972)","volume":"59 4","pages":"295-301"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26149118","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}