BMC Women's Health最新文献

{"title":"Prevalence of depression and anxiety among working women in Saudi Arabia: psychosocial and perinatal correlates.","authors":"Deemah AlAteeq, Shouq Mohammed AlNujaim, Abdullah H AlGharbi","doi":"10.1186/s12905-025-03776-2","DOIUrl":"10.1186/s12905-025-03776-2","url":null,"abstract":"<p><strong>Background: </strong>Women comprise a sizeable portion of the workforce in various industries. They might face many challenges that affect their mental well-being. Hence, a study that addresses working women's psychosocial and perinatal aspects mandates the necessity to fill the void and deficiencies related to clinical research.</p><p><strong>Objectives: </strong>To explore the prevalence of depression and anxiety among working women in Saudi Arabia and its psychosocial and perinatal correlations.</p><p><strong>Methods: </strong>This cross-sectional study involved 580 working women from Riyadh, Saudi Arabia, who participated via convenience sampling. An online-based questionnaire was used to collect data, including sociodemographic, occupational, medical, and perinatal data. The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder 7 (GAD-7) were used to assess depression and anxiety.</p><p><strong>Results: </strong>More than half (56.4%) had a pregnancy history, half of them took maternity leave (49%), and most needed additional leave (65.2%). Half of the participants had mild to moderate levels of depression and anxiety, 50.2% and 49%, respectively. A positive correlation was found between depression and anxiety (p-value = < 0.001). Participants who drank alcohol or had a lower mean score of total pregnancies had a significantly higher prevalence of moderately severe to severe depression (p = < 0.05). And smokers had a significantly higher rate of severe anxiety (p = < 0.01). Participants previously diagnosed with a psychiatric disorder displayed a higher risk of severe depression and anxiety (p < 0.001).</p><p><strong>Conclusion: </strong>The findings of this study highlight the significant prevalence of mild to moderate level of depression and anxiety among working women in Saudi Arabia and their strong association with various psychosocial and perinatal factors. These results underline the urgent need for comprehensive mental health support and interventions tailored to the unique challenges faced by working women in the region.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"228"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geospatial inequalities in women's malnutrition in Pakistan.","authors":"Lubna Naz, Amjad Ali, Sabina Yasmin, Kassahun Trueha","doi":"10.1186/s12905-025-03752-w","DOIUrl":"https://doi.org/10.1186/s12905-025-03752-w","url":null,"abstract":"<p><strong>Background: </strong>In developing countries, regional disparities in maternal malnutrition are a major deterrent to development. Inadequate nutrition and poor health among women not only affect their quality of life but also the well-being of their children, risking the future generation of the country. This study examines the spatial distribution of malnutrition at the extreme quantiles of Body Mass Index-severe thinness and underweight at the lower quantile and over-weight and obese at the upper quantile- and associated risk factors among women in Pakistan using Bayesian additive quantile regression.</p><p><strong>Methods: </strong>A sample of 5,252 of the currently non-pregnant and non-lactating married women aged 15-49 was taken from Pakistan Demographic and Health Survey 2017-18. The response variable was the women's nutritional status measured in body mass index (weight in kilograms/height in meters squared) of women. Following WHO guidelines, we used four indicators of BMI, as follows: severe thinness (BMI < 16 kg/m2); underweight (BMI < 18.5 kg/m2); Overweight (BMI > 24 kg/m2); and obese (BMI >  = 30 kg/m2). A set of explanatory variables comprising women's characteristics and household related variables were used to assess their association with the likelihood of various forms of malnutrition. The structured Bayesian Geo-additive Quantile regression approach was employed to examine the association of the explanatory variables with the entire conditional distribution of the response variable.</p><p><strong>Results: </strong>The sizable regional variation was found in malnutrition among reproductive age women. Women living in urban areas are more likely to become overweight (mean: 0.3; 95% CI: 0.06, 0.58) than their rural counterparts. Working women are less prone to obesity (mean: -0.51; 95% CI: -0.79, -0.23). Women with unimproved toilet are more likely to become overweight (mean: 0.7; 95%CI: 0.34., 1.04) and obese (mean: 0.90; 95%CI: 0.48, 1.33).</p><p><strong>Conclusions: </strong>Findings underscore the need for targeted interventions to address the complex and varied challenges posed by women's malnutrition.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"225"},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burden of ischemic heart disease among women of childbearing age in China from 1990 to 2021, and projections for the next 15 years.","authors":"Chuankun Zhang, Penghui Yang, Qijian Yi","doi":"10.1186/s12905-025-03773-5","DOIUrl":"10.1186/s12905-025-03773-5","url":null,"abstract":"<p><strong>Background: </strong>There are no studies on the burden of ischemic heart disease (IHD) among women of childbearing age (WCBA) in China. This study aims to describe the IHD burden among WCBA in China from 1990 to 2021, predict the trends over the next 15 years, and identify the contributing factors associated with IHD-related deaths.</p><p><strong>Methods: </strong>The data was extracted from the Global Burden of Disease Database 2021. The Direct age-standardized method was used to estimate the age-standardized (AS) prevalence rate (ASPR), mortality rate (ASMR), incidence rate (ASIR), and disability-adjusted life years rate (ASDR) of IHD among WCBA. Joinpoint regression analysis was used to analyze the Annual Percent Change and Average Annual Percent Change from 1990 to 2021. The Autoregressive Integrated Moving Average model was used to predict the trend over the next 15 years.</p><p><strong>Results: </strong>From 1990 to 2021, the ASPR and ASIR increased by 17.44% and 25.83%, culminating in 616.50 (95% UI, 498.42-762.38) and 79.93 (95% UI, 49.43-113.88) cases per 100,000 individuals. Conversely, the ASMR and ASDR declined to 5.17 (95% UI, 4.14-6.33) and 261.24 (95% UI, 212.03-318.03) cases per 100,000 individuals. Over the next 15 years, the ASPR is projected to increase by 25.74%, culminating in 775.20 (95% UI, 637.98-912.42) cases per 100,000 individuals. The main contributor to increased IHD-related deaths among WCBA in China was high low-density lipoprotein.</p><p><strong>Conclusions: </strong>Despite the significant decline in the ASMR and ASDR of IHD among WCBA in China over the last 30 years, the ASPR and ASIR continue to increase. Additionally, the ASPR is projected to rise over the next 15 years. These findings emphasize that effective measures and timely interventions are needed to reduce the disease burden.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"220"},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes following conization and factors on HPV regression among young females in Wuxi.","authors":"Meng Sun, Bingjie Xu, Jinjin Yu, Yibo Wu","doi":"10.1186/s12905-025-03769-1","DOIUrl":"10.1186/s12905-025-03769-1","url":null,"abstract":"<p><strong>Purpose: </strong>It is crucial to prioritize the detection of precancerous lesions in clinical practice, especially in young women who have not yet made decisions about family planning. Herein, we conducted a retrospective study to track HPV regression among young females who underwent conization in the past five years and identify predictors of persistent HPV infection.</p><p><strong>Methods: </strong>We involved 400 women under the age of 35, who underwent colposcopy-guided biopsy after primary infection with high-risk HPV at the affiliated Hospital of Jiangnan University and were histologically confirmed with LSIL/HSIL between June 2018 and December 2022. Follow-up data was collected at 3 months, 6 months, 12 months and 24 months postoperatively. Clinical characteristics, including age, BMI, marital status, gravidity, contraception method, sexual history, HPV infection duration, HPV vaccination status, preoperative HPV, and cytology status, were analyzed by SPSS 20.0 software.</p><p><strong>Results: </strong>A total of 400 patients aged 18 to 35 were included, with 354 (88.5%) undergoing cervical biopsy and 92 (23%) undergoing cervical conization. There were no significant differences in age, BMI, marital status, pregnancy history, and HPV vaccination between patients with persistent HPV infection and those with HPV regression after conization. However, the timing of first sexual activity and the use of condom contraception had a statistically significant impact on HPV status.</p><p><strong>Conclusions: </strong>Duration of sexual life may play a significant role in the development of cervical precancerous, showing a positive correlation. Condoms for contraception can promote HPV regression by creating a physical barrier that blocks the transmission of HPV. Regular follow-up intervals following cervical conization are of greater significance than HPV vaccination.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"223"},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of gender norms on women's sexual and reproductive health outcomes: a systematic review.","authors":"Hajar Ouahid, Majda Sebbani, Mohamed Cherkaoui, Mohamed Amine, Latifa Adarmouch","doi":"10.1186/s12905-025-03768-2","DOIUrl":"10.1186/s12905-025-03768-2","url":null,"abstract":"<p><strong>Background: </strong>Despite progress toward gender equity, enduring societal norms continue to shape women's roles, particularly impacting their sexual and reproductive health, including fertility, maternal health, and family planning, all of which are influenced by traditional gender expectations.</p><p><strong>Aim: </strong>This review investigates how gender norms affect women's sexual and reproductive health outcomes.</p><p><strong>Methods: </strong>A systematic review was conducted on publications from 2013 to 2023, sourced from databases such as PubMed, Scopus, Web of Science, and Google Scholar, using keywords, MeSH terms, and Boolean operators. Of 1,500 articles identified, 38 peer-reviewed articles in English or French met the inclusion criteria. Data were extracted using a standardized form and evaluated with the mixed-methods appraisal tool. Findings from the selected studies were analyzed through a narrative synthesis approach.</p><p><strong>Findings: </strong>The review identified key themes from the 38 included studies results underscoring the lack of comprehensive sexual education and the challenges posed by cultural norms and social stigma. It highlighted how cultural and gender dynamics restrict women's autonomy in family planning and maternal healthcare, with impacts varying by context. Finding also highlight the importance of culturally competent healthcare that respects diverse cultural beliefs and tackles educational and economic barriers to enhance women's sexual and reproductive health outcomes.</p><p><strong>Conclusion: </strong>This review identifies gender norms as one of major obstacles to accessing sexual and reproductive health (SRH) education and services among women. It emphasizes the need for comprehensive SRH education, women's autonomy, and culturally competent healthcare services to address barriers and promote gender equity globally.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"224"},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing family planning decisions in Saudi Arabia.","authors":"Elhadi Miskeen, Sultana Korkoman, Norah Khaled Alhassoun, Rafeef Fahad Aljuhani, Rawan Ali Hamad Alqahtani, Salsabeel Salman Alwabari, Mohannad S Alamri, Abdullah M Alshahrani, Abdullah Hassan Alhalafi, Shehab Almalki, Jabir Al Fifi, Suaad Elnour, Farah Fahad ALmuqrin, Yaqin Ali Al Ali, Mohammed Jalwi Karkaman, Abdullah M Al-Shahrani","doi":"10.1186/s12905-025-03737-9","DOIUrl":"10.1186/s12905-025-03737-9","url":null,"abstract":"<p><strong>Background: </strong>Family planning (FP) is an essential intervention to improve the health and well-being of women and their children. Understanding the determinants of FP decisions among Saudi women is critical to the success of FP efforts. This study aims to assess socio-cultural factors related to women's family planning decisions in Saudi Arabia (SA).</p><p><strong>Method: </strong>A cross-sectional survey-based study examined a convenient sample of 1489 ever-married women living in SA. A structured online questionnaire was developed to assess the personal and socio-demographic characteristics of the sample as well as their fertility and FP preferences, practices, and experiences. Participants were approached through different social media platforms.</p><p><strong>Results: </strong>Women's reported ever use of contraceptive method was 64.1%. Challenges women face in trying to use contraceptive methods were side-effects of the method (40%) and partner opposition (19%). Women's ever use of contraception was significantly different according to their age group, residence, occupation, income level, duration of marriage, number of children, reaching their desired number of children, having challenges in using contraception (p < 0.001), their career goals (p = 0.005) and access to FP (p = 0.030). Logistic regression results for the factors influencing the decision toward family planning showed the significant factors: marital status (odd 1.28, p-value = 0.042, 95% CI 1.02-1.61), having a supportive husband (odds 1.35, p-value = 0.018, 95% CI 1.08-1.69), and family and societal expectations (odds 1.32, p-value = 0.034 and 95% CI 1.04-1.68).</p><p><strong>Conclusion: </strong>This study contributes essential insights into the socio-cultural factors influencing FP decisions among Saudi women. The identified determinants, including economic considerations, spousal support, and societal expectations, provide a foundation for tailored interventions to promote informed and autonomous FP choices. These findings ultimately contributed to women's and their children's health and well-being in SA.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"222"},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, anxiety, and stress among mothers of children with thalassemia in Bangladesh: a cross-sectional study.","authors":"Farhin Islam, Senjuti Seemanta, Sonia Rezina, Afsana Mehrab, Enayetur Raheem, Mohammad Sorowar Hossain","doi":"10.1186/s12905-025-03762-8","DOIUrl":"10.1186/s12905-025-03762-8","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite Bangladesh being one of the major hotspots of thalassemia in the world, this preventable inherited blood disorder is neglected in research and policy level. Mothers are the primary caregivers of children in South Asian countries with limited resources. Caring for a child with thalassemia can be an emotionally challenging experience for mothers in low and middle-income countries including Bangladesh. This study aimed to explore the levels of depression, anxiety, and stress of the mothers of thalassemic patients in Bangladesh and to correlate with sociodemographic and thalassemia-related factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This cross-sectional study, conducted with 156 mothers of children with thalassemia, was a continuation of a previous investigation conducted at Bangladesh Thalassaemia Samity Hospital (BTSH) regarding the parental perspective of thalassemia in Bangladesh. A validated Bengali version of the DASS-21 questionnaire was employed to assess the depression, anxiety, and stress levels of mothers with thalassemic children. Descriptive statistics were used to examine sociodemographic characteristics, thalassemia concerns in the family, effects on social and professional life, and DASS-21 scores. The depression, anxiety, and stress levels were predicted using a multiple-regression model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We found that most mothers of thalassemia children experienced stress (~ 62%), anxiety (~ 58%), or depression (~ 63%) to some extent. Mental health concerns were significantly associated with education level (p &lt; 0.01 for depression and stress and p &lt; 0.05 for anxiety), spouse's education level (p &lt; 0.01 for depression, anxiety and stress), monthly family income (p &lt; 0.01 for depression and stress and p &lt; 0.05 for anxiety), mortality from thalassemia in the extended family (p &lt; 0.01 for depression and p &lt; 0.05 for anxiety and stress), years of suffering (p &lt; 0.10 for depression and anxiety), frequency of transfusions (p &lt; 0.10 for depression and p &lt; 0.05 for anxiety), social life (p &lt; 0.01 for depression, anxiety and stress), and worry about the child's future (p &lt; 0.05 for depression and p &lt; 0.01 for stress). Depression and anxiety were significantly influenced by the frequency of transfusions as well as monthly cost of treatment. Multiple linear regression analysis showed that the likelihood of lower level of depression among mothers was associated with higher family income (95% CI [-0.48, -4.67]) and children who had more than a 30-day gap between two transfusions. On the other hand, the likelihood of a higher level of depression was associated with a higher monthly treatment cost (95% CI [-0.48, -4.67], p = 0.037).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Mothers of thalassemic patients in Bangladesh experience complex mental health challenges, including stress, anxiety, and depression. The chronic nature of the condition, combined with associated financial, social, and physical bur","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"221"},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of family planning education given to married illiterate women of reproductive age via visual material support on family planning related attitudes and contraceptive preferences: the example of Viranşehir, Türkiye.","authors":"Esra Güney, Sözdar Karakaş, Yurdagül Doğan","doi":"10.1186/s12905-025-03756-6","DOIUrl":"10.1186/s12905-025-03756-6","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine the effects of family planning education given to married illiterate women of reproductive age via visual material support on their family planning attitudes and contraceptive preferences.</p><p><strong>Method: </strong>The randomized controlled study was carried out between 31 January and 31 July 2023. The sample of the study consisted of 148 women, including 74 in the experimental group and 74 in the control group. Using a Family Planning Education Booklet prepared for illiterate women, an education program lasting a week in total was held in three sessions. No intervention was made in the control group. Data were collected using a Personal Information Form, a Family Planning Assessment Form, and the Family Planning Attitude Scale.</p><p><strong>Results: </strong>After the intervention, the Family Planning Attitude Scale total and subscale scores of the participants were significantly higher in the experimental group compared to both their pretest scores and the posttest scores of the control group (p < 0.001). There was an increase in the rates of participants who preferred modern and effective family planning methods in the experimental group after the education program. All participants in the experimental group stated that they were satisfied with the education given within the scope of the study.</p><p><strong>Conclusion: </strong>The family planning education program provided to women using educational content prepared for illiterate women was effective in increasing the knowledge and positive attitudes of the women regarding family planning.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"219"},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of training based on the transtheoretical model on increasing physical activity in overweight and obese housewives.","authors":"Tayebeh Rakhshani, Zahra Jalalpour, Mohsen Jafari, Samira Taravatmanesh, Amirhossein Kamyab, Ali Khani Jeihooni","doi":"10.1186/s12905-025-03767-3","DOIUrl":"10.1186/s12905-025-03767-3","url":null,"abstract":"<p><strong>Background: </strong>Due to the nature of their activities, housewives are often at higher risk of weight gain. Considering the importance of interventions and the role of housewives in the family, the present study was designed and conducted to examine the impact of training based on the Transtheoretical Model on increasing physical activity in overweight and obese housewives.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on 120 overweight and obese housewives attending comprehensive health centers in Yazd, Iran. The sampling method was multi stage, and participants were randomly assigned to two groups: intervention (60 participants) and control (60 participants). The educational intervention consisted of six 90-minute sessions held over one and a half months (one session per week) in person. The educational content provided to the intervention group was based on the Transtheoretical Model. Data collection tools included standardized physical activity and behavior change questionnaires based on the Transtheoretical Model, Data were analyzed using SPSS version 27 with paired t-tests, independent t-tests, and chi-square tests.</p><p><strong>Results: </strong>Independent t-test results showed after the intervention, the differences between two group were statistically significant (P = 0.001). Additionally, independent t-test results showed no significant difference in physical activity levels between the intervention and control groups before the educational intervention (P = 0.312), whereas the difference became statistically significant after the intervention (P = 0.001).</p><p><strong>Conclusion: </strong>The findings of this intervention demonstrated that interventions based on the Transtheoretical Model effectively improve behavior, identify barriers and benefits of physical activity, and enhance self-efficacy in overweight and obese housewives. This study revealed that the Transtheoretical Model, through identifying perceived barriers and benefits (via the training provided) and, most importantly, improving self-efficacy and behavior, led to an increase in physical activity among housewives.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"218"},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a web-based decision aid on breast cancer patients considering a breast reconstruction: a randomized controlled trial.","authors":"Yan Wang, Qingyue Zhang, Chang Cheng, Xiaoyuan Wang, Jian Yin, Wanmin Qiang","doi":"10.1186/s12905-025-03754-8","DOIUrl":"https://doi.org/10.1186/s12905-025-03754-8","url":null,"abstract":"<p><strong>Purpose: </strong>Due to the variety of surgical methods, breast cancer patients may face dilemmas regarding decision-making. Web-based decision aids (WDAs) are interactive tools that help patients make informed decisions by meeting their needs both inside and outside the hospital, providing real-time decision assistance, and being more practical and convenient. Although the incidence of breast cancer ranks first among female cancers in China, studies focusing specifically on the use of WDAs in breast cancer patients have not been conducted in the country. The objective of this study was to determine the effects of WDAs on breast cancer patients considering a breast reconstruction.</p><p><strong>Methods: </strong>A total of 70 patients with breast cancer were randomized, with 63 completing the whole trial. The control group used paper-based decision aids, which they could use freely in the ward to obtain health information support. The intervention group used web-based decision aids, including decision assessment, decision support, and decision evaluation, which they could use anytime and anywhere on their mobile phones. The study measured decision conflict, preferred decision-making roles, unmet needs, and decision satisfaction at baseline and before and after the intervention.</p><p><strong>Results: </strong>No differences were found in the demographic and clinical features between the two groups. Compared with the control group, the intervention group had lower scores for the dimensions of decision support and decision effectiveness, decision uncertainty, total score of decision conflict and information needs, work and financial needs, access and continuity of care, coping, sharing and emotional needs, and total score of unmet information needs (P all < 0.05). Patients in the intervention group had a higher proportion of active and collaborative roles, higher scores in the information, deliberation, decision, and global satisfaction and confidence dimensions, and a higher total score for decision satisfaction (P all < 0.05).</p><p><strong>Conclusion: </strong>WDAs are a convenient tool for promoting collaborative decision making, satisfying information needs, reducing decision conflict, and improving decision satisfaction. In addition, the development of WDAs avoids the limitations of region and time, and provides sufficient knowledge for patients to improve their medical experience.</p><p><strong>Trial registration: </strong>Registration Number: ChiCTR2400092924 Dated: 26.11.2024.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"25 1","pages":"217"},"PeriodicalIF":2.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}