The open women's health journal最新文献_第2页

Piloting a Savings-Led Microfinance Intervention with Women Engaging in Sex Work in Mongolia: Further Innovation for HIV Risk Reduction. 在蒙古为从事性工作的妇女开展储蓄主导型小额信贷干预试点:进一步创新以降低艾滋病毒风险。

The open women's health journal Pub Date : 2011-12-30 DOI: 10.2174/1874291201105010026

Laura Cordisco Tsai, Susan S Witte, Toivgoo Aira, Batsukh Altantsetseg, Marion Riedel

{"title":"Piloting a Savings-Led Microfinance Intervention with Women Engaging in Sex Work in Mongolia: Further Innovation for HIV Risk Reduction.","authors":"Laura Cordisco Tsai, Susan S Witte, Toivgoo Aira, Batsukh Altantsetseg, Marion Riedel","doi":"10.2174/1874291201105010026","DOIUrl":"https://doi.org/10.2174/1874291201105010026","url":null,"abstract":"This paper describes a pilot study testing the feasibility of an innovative savings-led microfinance intervention in increasing the economic empowerment and reducing the sexual risk behavior of women engaging in sex work in Mongolia. Women's economic vulnerability may increase their risk for HIV by compromising their ability to negotiate safer sex with partners and heightening the likelihood they will exchange sex for survival. Microfinance has been considered a potentially powerful structural HIV prevention strategy with women conducting sex work, as diversification of income sources may increase women's capacity to negotiate safer transactional sex. With 50% of all reported female HIV cases in Mongolia detected among women engaging in sex work, direct prevention intervention with women conducting sex work represents an opportunity to prevent a potentially rapid increase in HIV infection in urban Mongolia. The piloted intervention consisted of a matched savings program in which matched savings could be used for business development or vocational education, combined with financial literacy and business development training for women engaging in sex work. Results of the pilot demonstrate participants' increased confidence in their ability to manage finances, greater hope for pursuing vocational goals, moderate knowledge gains regarding financial literacy, and an initial transition from sex work to alternative income generation for five out of nine participants. The pilot findings highlight the potential for such an intervention and the need for a clinical trial testing the efficacy of savings-led microfinance programs in reducing HIV risk for women engaging in sex work in Mongolia.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":"5 ","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2011-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/ff/nihms581004.PMC4041298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32401137","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}

引用次数: 27

Neighborhood Socioeconomic Characteristics, Birth Outcomes and Infant Mortality among First Nations and Non-First Nations in Manitoba, Canada. 加拿大马尼托巴省第一民族和非第一民族的社区社会经济特征、出生结果和婴儿死亡率。

The open women's health journal Pub Date : 2010-01-01 DOI: 10.2174/1874291201004020055

Zhong-Cheng Luo, Russell Wilkins, Maureen Heaman, Patricia Martens, Janet Smylie, Lyna Hart, Spogmai Wassimi, Fabienne Simonet, Yuquan Wu, William D Fraser

{"title":"Neighborhood Socioeconomic Characteristics, Birth Outcomes and Infant Mortality among First Nations and Non-First Nations in Manitoba, Canada.","authors":"Zhong-Cheng Luo, Russell Wilkins, Maureen Heaman, Patricia Martens, Janet Smylie, Lyna Hart, Spogmai Wassimi, Fabienne Simonet, Yuquan Wu, William D Fraser","doi":"10.2174/1874291201004020055","DOIUrl":"10.2174/1874291201004020055","url":null,"abstract":"OBJECTIVE: Little is known about the possible impacts of neighborhood socioeconomic status on birth outcomes and infant mortality among Aboriginal populations. We assessed birth outcomes and infant mortality by neighborhood socioeconomic status among First Nations and non-First Nations in Manitoba. STUDY DESIGN: We conducted a retrospective birth cohort study of all live births (26,176 First Nations, 129,623 non-First Nations) to Manitoba residents, 1991-2000. Maternal residential postal codes were used to assign four measures of neighborhood socioeconomic status (concerning income, education, unemployment, and lone parenthood) obtained from 1996 census data. RESULTS: First Nations women were much more likely to live in neighborhoods of low socioeconomic status. First Nations infants were much more likely to die during their first year of life [risk ratio (RR) =1.9] especially during the postneonatal period (RR=3.6). For both First Nations and non-First Nations, living in neighborhoods of low socioeconomic status was associated with an increased risk of infant death, especially postneonatal death. For non-First Nations, higher rates of pre-term and small-for-gestational-age birth were consistently observed in low socioeconomic status neighborhoods, but for First Nations the associations were less consistent across the four measures of socioeconomic status. Adjusting for neighborhood socioeconomic status, the disparities in infant and postneonatal mortality between First Nations and non-First Nations were attenuated. CONCLUSION: Low neighborhood socioeconomic status was associated with an elevated risk of infant death even among First Nations, and may partly account for their higher rates of infant mortality compared to non-First Nations in Manitoba.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":"4 ","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/c7/nihms1725.PMC3266303.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30421677","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}

引用次数: 0

Individual- and Community-Level Disparities in Birth Outcomes and Infant Mortality among First Nations, Inuit and Other Populations in Quebec. 魁北克第一民族、因纽特人和其他人口中出生结果和婴儿死亡率的个人和社区水平差异。

The open women's health journal Pub Date : 2010-01-01 DOI: 10.2174/1874291201004020018

Fabienne Simonet, Spogmai Wassimi, Maureen Heaman, Janet Smylie, Patricia Martens, Nancy G L McHugh, Elena Labranche, Russell Wilkins, William D Fraser, Zhong-Cheng Luo

{"title":"Individual- and Community-Level Disparities in Birth Outcomes and Infant Mortality among First Nations, Inuit and Other Populations in Quebec.","authors":"Fabienne Simonet, Spogmai Wassimi, Maureen Heaman, Janet Smylie, Patricia Martens, Nancy G L McHugh, Elena Labranche, Russell Wilkins, William D Fraser, Zhong-Cheng Luo","doi":"10.2174/1874291201004020018","DOIUrl":"10.2174/1874291201004020018","url":null,"abstract":"OBJECTIVE: We assessed individual- and community-level disparities and trends in birth outcomes and infant mortality among First Nations (North American Indians) and Inuit versus other populations in Quebec, Canada. METHODS: A retrospective birth cohort study of all births to Quebec residents, 1991-2000. At the individual level, we examined outcomes comparing births to First Nations and Inuit versus other mother tongue women. At the community level, we compared outcomes among First Nations and Inuit communities versus other communities. RESULTS: First Nations and Inuit births were much less likely to be small-for-gestational-age but much more likely to be large-for-gestational-age compared to other births at the individual or community level, especially for First Nations. At both levels, Inuit births were 1.5 times as likely to be preterm. At the individual level, total fetal and infant mortality rates were 2 times as high for First Nations, and 3 times as high for Inuit. Infant mortality rates were 2 times as high for First Nations, and 4 times as high for Inuit. There were no reductions in these disparities between 1991-1995 and 1996-2000. Modestly smaller disparities in total fetal and infant mortality were observed for First Nations at the community level (risk ratio=1.6), but for Inuit there were similar disparities at both levels. These disparities remained substantial after adjusting for maternal characteristics. CONCLUSION: There were large and persistent disparities in fetal and infant mortality among First Nations and Inuit versus other populations in Quebec based on individual- or community-level assessments, indicating a need to improve socioeconomic conditions as well as perinatal and infant care for Aboriginal peoples.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":"4 ","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/f6/nihms1728.PMC3265542.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30418449","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}

引用次数: 0

Indigenous Birth Outcomes in Australia, Canada, New Zealand and the United States - an Overview. 澳大利亚、加拿大、新西兰和美国的本土出生结果综述。

The open women's health journal Pub Date : 2010-01-01 DOI: 10.2174/1874291201004010007

Janet Smylie, Sue Crengle, Jane Freemantle, Maile Taualii

{"title":"Indigenous Birth Outcomes in Australia, Canada, New Zealand and the United States - an Overview.","authors":"Janet Smylie, Sue Crengle, Jane Freemantle, Maile Taualii","doi":"10.2174/1874291201004010007","DOIUrl":"10.2174/1874291201004010007","url":null,"abstract":"OBJECTIVE: To review Indigenous infant mortality, stillbirth, birth weight, and preterm birth outcomes in Australia, Canada, New Zealand and the United States. METHODS: Systematic searches of published literature and a review and assessment of existing perinatal surveillance systems were undertaken. Where possible, within country comparisons of Indigenous to non-Indigenous birth outcomes are included. RESULTS: Indigenous/non-Indigenous infant mortality rate ratios range from 1.6 to 4.0. Stillbirth rates, where data are available, are also uniformly higher for Indigenous people. In all four countries, the disparities in Indigenous/non-Indigenous infant mortality rate ratios are most marked in the post-neonatal period. With few exceptions, the rates of leading causes of infant mortality are higher among Indigenous infants than non-Indigenous infants within all four countries. In most cases, rates of small for gestational age and preterm birth were also elevated for Indigenous compared to non-Indigenous infants. CONCLUSIONS: There are significant disparities in Indigenous/non-Indigenous birth outcomes in Australia, Canada, New Zealand and the United States. These Indigenous/non-Indigenous birth outcome disparities fit the criteria for health inequities, as they are not only unnecessary and avoidable, but also unfair and unjust.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":" 4","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/2a/nihms2716.PMC3563669.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31221156","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}

引用次数: 0

Urban Living is Not Associated with Better Birth and Infant Outcomes among Inuit and First Nations in Quebec. 魁北克因纽特人和第一民族的城市生活与更好的出生和婴儿结局无关。

The open women's health journal Pub Date : 2010-01-01 DOI: 10.2174/1874291201004020025

Fabienne Simonet, Russell Wilkins, Maureen Heaman, Janet Smylie, Patricia Martens, Nancy G L McHugh, Elena Labranche, Spogmai Wassimi, William D Fraser, Zhong-Cheng Luo

{"title":"Urban Living is Not Associated with Better Birth and Infant Outcomes among Inuit and First Nations in Quebec.","authors":"Fabienne Simonet, Russell Wilkins, Maureen Heaman, Janet Smylie, Patricia Martens, Nancy G L McHugh, Elena Labranche, Spogmai Wassimi, William D Fraser, Zhong-Cheng Luo","doi":"10.2174/1874291201004020025","DOIUrl":"10.2174/1874291201004020025","url":null,"abstract":"OBJECTIVE: There is limited and inconsistent evidence concerning rural versus urban differences in birth and infant outcomes for Indigenous peoples. We assessed birth and infant outcomes among Inuit, First Nations and French mother tongue groups by rural versus urban residence in Quebec, Canada. STUDY DEIGN: A retrospective birth cohort study of 5,184 First Nations, 2,527 Inuit and 652,940 French mother tongue (the majority reference) births in Quebec, 1991-2000. RESULTS: In general, rural living was associated with slightly less favorable birth outcomes for French mother tongue women, but somewhat better outcomes for Indigenous women. For both Inuit and First Nations, rural births were half as likely to be small-for-gestational-age compared to urban births. Among First Nations, the difference in infant mortality rates comparing urban to rural areas was not statistically significant. Compared to infants of French mother tongue women, Inuit and First Nations infants were much less likely to be small-for-gestational-age in rural areas, while such an \"advantage\" diminished for First Nations and reversed for Inuit in urban areas. The disparities in infant mortality among First Nations versus French mother tongue births were greater in urban than in rural areas. These patterns of results remained after adjusting for maternal characteristics. CONCLUSION: Living in urban areas was not associated with better birth and infant outcomes for Inuit and First Nations in Quebec despite universal health insurance coverage, strongly indicating a need for improved socioeconomic conditions, perinatal and infant care for Indigenous people living in urban areas.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":"4 ","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/e1/nihms1726.PMC3266304.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30421676","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}

引用次数: 0

Community Remoteness, Perinatal Outcomes and Infant Mortality among First Nations in Quebec. 社区偏远、围产期结局和魁北克第一民族婴儿死亡率。

The open women's health journal Pub Date : 2010-01-01 DOI: 10.2174/1874291201004020032

Spogmai Wassimi, Nancy G L McHugh, Russell Wilkins, Maureen Heaman, Patricia Martens, Janet Smylie, Fabienne Simonet, William D Fraser, Zhong-Cheng Luo

{"title":"Community Remoteness, Perinatal Outcomes and Infant Mortality among First Nations in Quebec.","authors":"Spogmai Wassimi, Nancy G L McHugh, Russell Wilkins, Maureen Heaman, Patricia Martens, Janet Smylie, Fabienne Simonet, William D Fraser, Zhong-Cheng Luo","doi":"10.2174/1874291201004020032","DOIUrl":"10.2174/1874291201004020032","url":null,"abstract":"OBJECTIVE: Little is known about community remoteness in relation to birth outcomes among Indigenous populations. We assessed whether community remoteness matters for perinatal outcomes and infant mortality in Quebec First Nations communities. STUDY DESIGN: A retrospective cohort study of all births (n=11,033) to residents of First Nations communities in Quebec 1991-2000, using linked vital statistics data. First Nations communities were grouped by community remoteness into four zones from the least to most remote. RESULTS: Preterm birth rates declined progressively from the least remote (8.0%) to the most remote (5.7%) zones (p=0.002). In contrast, total fetal and infant mortality rose progressively from the least remote (10.4 per 1000) to the most remote (22.7 per 1000) zones (p<0.001). The excess infant mortality in the more remote zones was mainly due to higher rates of postneonatal mortality. Similar patterns were observed after adjusting for maternal age, education, parity and marital status. Substantially elevated risks in most remote communities remained for perinatal death (adjusted OR=2.1), postneonatal death (adjusted OR=2.7), and total fetal and infant death (adjusted OR=2.3). CONCLUSION: Living in more remote First Nations communities was associated with a substantially higher risk of fetal and infant death, especially postneonatal death, despite a lower risk of preterm delivery. There is a need for more effective perinatal and infant care programs in more remote First Nations communities to reduce perinatal and infant mortality.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":"4 1","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/89/6d/nihms1727.PMC3265536.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30418450","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}

引用次数: 0

North-South Gradients in Adverse Birth Outcomes for First Nations and Others in Manitoba, Canada. 加拿大马尼托巴省第一民族和其他民族不良生育结果的南北梯度。

The open women's health journal Pub Date : 2010-01-01 DOI: 10.2174/1874291201004020046

Patricia J Martens, Maureen Heaman, Lyna Hart, Russell Wilkins, Janet Smylie, Spogmai Wassimi, Fabienne Simonet, Yuquan Wu, William D Fraser, Zhong-Cheng Luo

{"title":"North-South Gradients in Adverse Birth Outcomes for First Nations and Others in Manitoba, Canada.","authors":"Patricia J Martens, Maureen Heaman, Lyna Hart, Russell Wilkins, Janet Smylie, Spogmai Wassimi, Fabienne Simonet, Yuquan Wu, William D Fraser, Zhong-Cheng Luo","doi":"10.2174/1874291201004020046","DOIUrl":"10.2174/1874291201004020046","url":null,"abstract":"OBJECTIVE: to determine the relationship of north-south place of residence to adverse birth outcomes among First Nations and non-First Nations in Manitoba, Canada, a setting with universal health insurance. STUDY DESIGN: Live birth records (n=151,472) for the province of Manitoba, Canada 1991-2000 were analyzed, including 25,743 First Nations and 125,729 non-First Nations infants. North-south and rural-urban residence was determined for each birth through geocoding. RESULTS: Comparing First Nations to non-First Nations, crude rates in North (and South) were: 7.0% versus 8.4% (9.3% versus 7.5%) for preterm birth; 6.1% versus 8.4% (8.7% versus 10.0%) for small-for-gestational-age birth, 4.2% versus 6.5% (6.2% versus 5.7%) for low birth weight, and 20.6% versus 13.7% (17.0% versus 11.0%) for large-for-gestational-age birth; and mortality per 1000 - neonatal 3.2 versus 6.2 (3.8 versus 3.3), post-neonatal 6.4 versus 6.4 (5.8 versus 1.5), and infant 9.5 versus 12.6 (9.6 versus 4.8). Adjusting for observed maternal and infant characteristics and rural versus urban residence, the North was high risk for large-for-gestational-age birth for both First Nations and non-First Nations. First Nations' risk of preterm, small-for-gestational-age and low birth weight was lowest in the North, but for non-First Nations, the North was lower only for small-for-gestational-age. First Nations mortality indicators were similar North to South, but for non-First Nations, the North was high risk. CONCLUSION: North-South place of residence does matter for adverse birth outcomes, but the effects may differ by ethnicity and could require different intervention strategies.","PeriodicalId":89638,"journal":{"name":"The open women's health journal","volume":" ","pages":"46-54"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/df/nihms2159.PMC3329440.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40173061","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}

引用次数: 0