Frontiers in women's health最新文献

{"title":"Improving mammography access for women with disabilities: Outcomes of the CDC's right to know campaign.","authors":"Meg A Traci,&nbsp;Holly Horan,&nbsp;Helen Russette,&nbsp;Rebecca Goe,&nbsp;Desirae Ware,&nbsp;Kim Powell,&nbsp;Rosemary B Hughes,&nbsp;Emily Hicks","doi":"10.15761/fwh.1000188","DOIUrl":"https://doi.org/10.15761/fwh.1000188","url":null,"abstract":"<p><p>Women with disabilities share similar risks for breast cancer as other women yet experience a lack of access to cancer screening and are less likely to receive screening mammograms in accordance with recommended guidelines. The present study evaluated mammography centers across the state of Montana in response to the Centers for Disease Control and Prevention's Right to Know campaign, which focused on addressing barriers to breast cancer screening. Mammography centers were originally evaluated in 2009 and were reassessed in 2011 and 2015 after being given action plans to address accessibility barriers. The current study examined changes in accessibility across time in four priority areas: 1) van and standard parking, 2) exterior and interior routes, 3) mammography rooms, and 4) restrooms. Results indicate all mammography centers had a least one mammography machine that lowered for patients in a seated position and that accessibility of the four priority areas improved over time; however, improvements were still needed to encourage health equity for women with disabilities.</p>","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9232175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40400771","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":"Hope as a protective factor for cognitive difficulties during the COVID-19 pandemic","authors":"E. Hicks, Craig P. Mcfarland","doi":"10.15761/fwh.1000186","DOIUrl":"https://doi.org/10.15761/fwh.1000186","url":null,"abstract":"The COVID-19 pandemic has had many negative outcomes, including problems of cognition; however, the degree to which individuals have noticed cognitive difficulties has varied. Protective factors that buffer against cognitive difficulties in women should be explored as women have faced great changes in the pandemic, including unemployment, increases in unpaid care work, increases in gender-based violence, and health concerns. For this reason, the present study sought to determine if hope acts as a protective factor for perceived problems of cognition. Using an online survey measuring aspects of cognitive functioning and hopefulness, results indicate that women with low hope report greater negative impacts of the COVID-19 pandemic on school and work, greater difficulties working from home, and more problems with attention, memory, and concentration than women with higher levels of hope. The findings suggest that hope may represent a protective factor that lessens the impact of the COVID-19 pandemic on perceived cognition.","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45899894","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 pilot study for exploring blood spot anti-mullerian hormone for population-based adolescent reproductive health research.","authors":"Kelli S Hall,&nbsp;Shelby T Rentmeester,&nbsp;Yuan Zhao,&nbsp;Allison N Hankus,&nbsp;Yidan Pei,&nbsp;Halley Em Riley,&nbsp;Candace McCloud,&nbsp;Bradley D Pearce","doi":"10.15761/fwh.1000177","DOIUrl":"https://doi.org/10.15761/fwh.1000177","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Studies of Anti-Müllerian Hormone (AMH) rely upon serum measures and clinical samples of older reproductive-aged women intended/attempting pregnancy, with known fertility issues or medical morbidities. We explored the utility of minimally invasive AMH as a measure of fecundability in population-based reproductive health research.</p><p><strong>Methods: </strong>We analyzed baseline data from 191 participants in a pilot, longitudinal cohort study, the Young Women's Stress Study. Using an integrated biosocial design, we collected interviewer-administered surveys on demographic, psychosocial, health, and method feasibility/acceptability information and finger-stick capillary dried blood spots (DBS). We used descriptive and bivariate statistics (correlation, T-tests, ANOVA) to estimate method feasibility/acceptability and unadjusted AMH mean concentrations overall and across sociodemographic, reproductive, and health covariates.</p><p><strong>Results: </strong>AMH concentrations ranged from 1.02 to 22.23 ng/mL, with a mean of 5.66 ng/mL. AMH concentrations were associated with current hormonal contraceptive use, menstrual cycle frequency, and irregular menstrual patterns, but not with other known correlates. Most participants stated the DBS method was comfortable (81%) and would be likely to provide it again (88%).</p><p><strong>Conclusions: </strong>While these pilot data suggest AMH fell within normal range and our DBS methods were acceptable/feasible, the broader question of its usefulness for population reproductive health research remains unanswered. Larger, longitudinal studies are needed to validate AMH against time-to-pregnancy and gold standard measures in young healthy samples and across different sociodemographic groups. Public health and social scientists should consider the resource costs of AMH, ethical issues, and risks of (over)interpretation, with a reproductive justice and human rights frame in mind.</p>","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442769/pdf/nihms-1587594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39425913","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":"Lymphedema following breast cancer: The importance of surgical methods and obesity.","authors":"Rebecca J Tsai,&nbsp;Leslie K Dennis,&nbsp;Charles F Lynch,&nbsp;Linda G Snetselaar,&nbsp;Gideon K D Zamba,&nbsp;Carol Scott-Conner","doi":"10.15761/FWH.1000144","DOIUrl":"https://doi.org/10.15761/FWH.1000144","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer-related arm lymphedema is a serious complication that can adversely affect quality of life. Identifying risk factors that contribute to the development of lymphedema is vital for identifying avenues for prevention. The aim of this study was to examine the association between the development of arm lymphedema and both treatment and personal (e.g., obesity) risk factors.</p><p><strong>Methods: </strong>Women diagnosed with breast cancer in Iowa during 2004 and followed through 2010, who met eligibility criteria, were asked to complete a short computer assisted telephone interview about chronic conditions, arm activities, demographics, and lymphedema status. Lymphedema was characterized by a reported physician-diagnosis, a difference between arms in the circumference (> 2cm), or the presence of multiple self-reported arm symptoms (at least two of five major arm symptoms, and at least four total arm symptoms). Relative risks (RR) were estimated using logistic regression.</p><p><strong>Results: </strong>Arm lymphedema was identified in 102 of 522 participants (19.5%). Participants treated by both axillary dissection and radiation therapy were more likely to have arm lymphedema than treated by either alone. Women with advanced cancer stage, positive nodes, and larger tumors along with a body mass index > 40 were also more likely to develop lymphedema. Arm activity level was not associated with lymphedema.</p><p><strong>Conclusions: </strong>Surgical methods, cancer characteristics and obesity were found to contribute to the development of arm lymphedema. Vigorous arm activity post-surgery was not found to increase the risk of arm lymphedema.</p>","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15761/FWH.1000144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36788756","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":"Incorporating positive youth development into the therapeutic model for incarcerated young woman.","authors":"Diane L Elliot,&nbsp;Leslie D Leve,&nbsp;Kristi H Racer","doi":"10.15761/fwh.1000135","DOIUrl":"10.15761/fwh.1000135","url":null,"abstract":"<p><p>Young women in the juvenile justice system have high rates of prior physical and sexual abuse, substance use and psychiatric disorders. Understandably services usually are based on a therapeutic model to address those needs. Positive Youth Development (PYD) is a complementary alternative format that aims to provide resilience, life competencies, and self efficacy for pro-social actions. We provide a narrative review of PYD programs with a focus on how those relate to youth in closed custody. Sleep and physical activity are two behaviors where incarcerated young women still have personal agency, and we present the additional relevance of those program aspects. We describe methods and findings from a feasibility trial of an existing evidence-based, peer-led program for young women high school athletes used with incarcerated young women. Findings are placed in the context of established models of behavior change. The program was feasible and acceptable, and in this small trial, results demonstrate the format's potential efficacy. PYD may provide a trajectory of success and assets that could durably assist these young women following incarceration.</p>","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39221250","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":"Contraceptive vaginal ring experiences among women and men in Kisumu, Kenya: A qualitative study.","authors":"E McLellan-Lemal,&nbsp;K Ondeng'e,&nbsp;D A Gust,&nbsp;M Desai,&nbsp;F O Otieno,&nbsp;P A Madiega,&nbsp;B Nyagol,&nbsp;E M Makanga","doi":"10.15761/FWH.1000122","DOIUrl":"https://doi.org/10.15761/FWH.1000122","url":null,"abstract":"<p><strong>Background: </strong>Future HIV prevention options for women will likely include Antiretroviral (ARV)-based intravaginal rings. Valuable insights may be gained by examining user experiences with a similar licensed technology, a contraceptive ring, especially in settings where this technology may not be currently available.</p><p><strong>Methods: </strong>In-depth interviews with 24 females enrolled in a trial assessing acceptability and use of a contraceptive ring, and 20 male sexual partners were conducted September 2014-April 2015. Elements of ethnography and phenomenological anthropology were used to collect, analyze, interpret, and describe ring users' experiences. Thematic analysis was completed in MaxQDA-10.</p><p><strong>Results: </strong>Experiences with the contraceptive ring reflected a broader Family Planning (FP) paradigm that centered around three themes: latitudes and drawbacks of FP (being free); an FP method needs to be compatible with a woman's body (feeling normal); and dealing with fertility control uncertainties (how well does it really work). FP intentions and disclosure practices were influenced by partner support, socioeconomic factors, religion, cultural beliefs, and societal norms, including female sexuality. A user-friendly FP design was emphasized. Non-suppression of menstruation was favored by most. Unease with vaginal insertion as well as ring placement issues (slippage, expulsion) created initial challenges requiring clinician assistance and practice for some participants. While minor side-effects were described, concerns centered on ring efficacy, negative effect on a woman's sexual desire, and future fertility issues.</p><p><strong>Conclusions: </strong>Awareness of the multiple contexts in ring users' experience may inform the development, education, and promotion approaches for future ARV rings.</p>","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35302683","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 advertisement analysis of alcohol products in popular women's magazines.","authors":"M. Fullwood, J. Mongiovi, G. Hillyer, Corey H. Basch, D. Ethan, R. Hammond","doi":"10.15761/FWH.1000102","DOIUrl":"https://doi.org/10.15761/FWH.1000102","url":null,"abstract":"1Department of Health and Behavior Studies, Teachers College, Columbia University, New York, USA 2Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA 3Department of Public Health, William Paterson University, NJ, USA 4Department of Health Sciences, Lehman College, The City University of New York, New York, USA 5Department of Health and Nutrition Sciences, Montclair State University, 1 Normal Ave, Montclair, NJ, USA","PeriodicalId":91684,"journal":{"name":"Frontiers in women's health","volume":"1 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67463583","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}