BMC Women's Health最新文献

{"title":"Physiotherapy and rehabilitation for survivors of female genital mutilation/cutting: a scoping review.","authors":"Juliet Lucy Ekowa, Adaeze Imelda Onyekwelu, Kadiree Ekundayo Fatai","doi":"10.1186/s12905-026-04708-4","DOIUrl":"10.1186/s12905-026-04708-4","url":null,"abstract":"<p><strong>Background: </strong>Female genital mutilation/cutting (FGM/C) affects more than 230 million girls and women worldwide and is associated with chronic pelvic pain, pelvic floor dysfunction, lower urinary tract symptoms, psychosexual dysfunction, and reduced quality of life. Although physiotherapy and rehabilitation may contribute to multidisciplinary care, the available evidence has not been comprehensively synthesised.</p><p><strong>Objective: </strong>To map the existing evidence on physiotherapy and rehabilitation for women living with FGM/C and identify evidence gaps relevant to clinical practice and future research.</p><p><strong>Methods: </strong>A scoping review was conducted following the Arksey and O'Malley framework, Levac et al.'s methodological enhancements, and PRISMA-ScR guidelines. Electronic databases and grey literature were searched from inception to January 2026. Eligible studies included adolescent (≥ 15 years) and adult women living with FGM/C, together with rehabilitation-relevant studies involving healthcare professionals. Data were charted and synthesised narratively.</p><p><strong>Results: </strong>Of 872 records identified, 21 studies met the inclusion criteria. Most evidence was observational or descriptive, with only one randomized controlled trial and one rehabilitation-focused case report directly evaluating rehabilitation interventions. Frequently reported rehabilitation-related impairments included psychosexual dysfunction, chronic pelvic pain, pelvic floor dysfunction, lower urinary tract symptoms, dyspareunia, and reduced quality of life. Reported rehabilitation approaches included pelvic floor rehabilitation, bladder retraining, biofeedback, psychosexual rehabilitation, and multidisciplinary care. Only one study included adolescents, and none specifically evaluated rehabilitation interventions for this population.</p><p><strong>Conclusion: </strong>Women living with FGM/C experience substantial rehabilitation needs affecting physical, psychosexual, urinary, and psychosocial health. Although physiotherapy and rehabilitation are increasingly recognised as important components of multidisciplinary care, direct evidence evaluating rehabilitation interventions remains limited. Future research should prioritise rehabilitation-focused intervention studies, implementation research, and standardised outcome measures to strengthen the evidence base and inform comprehensive, survivor-centred care.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497280","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":"Ethanol sclerotherapy versus cystectomy in the management of endometriomata: a systematic review and meta-analysis.","authors":"Sarah L M Bennet, Sangeetha Nagenthiran, Thomas Bainton, Jeffery Ahmed, Victoria Male, Mark Johnson","doi":"10.1186/s12905-026-04645-2","DOIUrl":"10.1186/s12905-026-04645-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The management of endometriomata remains a challenge, with current options associated with either high recurrence rates or significant reduction in ovarian reserve. Ethanol sclerotherapy has been suggested as a treatment that is effective while maintaining ovarian reserve.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;PubMed, EMBASE, MEDLINE, SCOPUS and CENTRAL were searched with no restriction on date or language. Keywords and MESH terms for 'endometrioma' AND 'ethanol sclerotherapy' AND 'cystectomy' were used. Studies were included if they made a direct comparison between ethanol sclerotherapy and cystectomy in the management of endometriomata in women of reproductive age. Randomised controlled trials (RCTs), cohort or case control studies were included. Searches were performed 11th February 2025 and repeated 21st August 2025. Risk of bias was assessed using ROB2 for RCTs and ROBINS-I for observational studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Searches identified 172 studies with 16 of these fitting the inclusion criteria. Unfortunately, a formal analysis of between group change in Anti-Mullerian hormone (AMH) was not possible due to insufficient reporting of change score variance data, as such an exploratory between group pre- and post- analysis was performed instead. This found no significant difference in AMH at baseline (mean difference (MD) 0.02, 95% CI -0.20 to 0.25, p = 0.830) while post procedure AMH was significantly higher in the sclerotherapy arm (MD 0.75, 95% CI 0.43 to 1.06, p &lt; 0.001). Overall risk of bias was high; however, similar results were seen following a sensitivity analysis excluding studies at highest risk of bias (high for ROB2 and critical for ROBINS-I) (MD -0.25, 95% CI -0.57 to 0.08, p = 0.136 and MD 0.60, 95% CI 0.22 to 0.97, p = 0.002, respectively). Studies reporting on Antral Follicle Count (AFC) gave conflicting results and all were assessed as at high or critical risk of bias. No significant difference was seen in recurrence (LogOR 0.28, 95% CI -0.57 to 1.12, p = 0.523). Rates of serious complications were low at 0.24% for sclerotherapy and 0.76% for cystectomy. It was not possible to pool data on symptomatology. Number of oocytes retrieved was higher in the sclerotherapy arm (MD 3.23, 95% CI 1.34 to 5.12, p &lt; 0.001). Number of mature oocytes retrieved was also higher in the sclerotherapy arm (MD 2.79, 95% CI 1.08 to 4.51, p = 0.001), however this became non-significant when studies at the highest risk of bias were excluded (MD 0.79, 95% CI -0.61-2.19, p = 0.27). Data on pregnancy rate could not be pooled due to the wide variation in definition of clinical pregnancy. No significant difference was seen in live birth rate between interventions (logOR 0.59, 95% CI -0.30 to 1.48, p = 0.192).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our results show ethanol sclerotherapy maintains ovarian reserve when compared to ovarian cystectomy in the treatment of endometrioma, as evidenced by the higher post-procedu","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497211","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":"Adherence and continuance intention of biofeedback-assisted pelvic floor muscle training: a theory-driven study among women with pelvic floor disorders.","authors":"Ying-Hsuan Chao, Chia-Jung Chiang, Chung-Hung Tsai, Ya-Min Cheng, Li-Chieh Kuo, Fong-Chin Su","doi":"10.1186/s12905-026-04711-9","DOIUrl":"10.1186/s12905-026-04711-9","url":null,"abstract":"<p><strong>Background: </strong>Adherence to pelvic floor muscle training (PFMT) remains a major challenge in the conservative management of pelvic floor disorders in women. Although biofeedback-assisted PFMT facilitates motor learning, sustained engagement may be influenced by a range of behavioral and experiential factors. This study investigated clinical and behavioral determinants of engagement with PFMT technologies and examined changes in manometry-derived pelvic floor muscle performance during a supervised biofeedback-assisted PFMT.</p><p><strong>Methods: </strong>This prospective observational study examined outpatient care for women with pelvic floor disorder. Participants completed six PFMT sessions with manometer-based biofeedback. Based on baseline Pelvic Floor Distress Inventory-20 (PFDI-20) scores, participants were stratified into low- and high-symptom groups. Changes in muscle performance were evaluated using repeated-measures analysis of variance. Adherence determinants were examined using partial least squares structural equation modeling (PLS-SEM).</p><p><strong>Results: </strong>Participants with lower baseline symptoms showed higher program adherence. Significant improvements in contraction and peak pressure occurred over time (p < .01), with comparable benefits across symptom groups. Perceived usefulness emerged as the strongest predictor of sustained engagement, followed by self-efficacy, confirmation, and early engagement. Satisfaction and perceived ease of use did not directly predict continuance. Privacy and comfort concerns negatively influenced satisfaction, indirectly reducing continuance intention. Higher baseline quality of life impairment correlated with lower adherence.</p><p><strong>Conclusions: </strong>Biofeedback-assisted PFMT enhances pelvic floor muscle performance across varying symptom severities; however, sustained engagement is primarily driven by perceived functional benefit rather than satisfaction alone. These findings highlight the need to integrate behavioral, experiential, and functional considerations in PFMT interventions.</p><p><strong>Trial registration: </strong>The Institutional Review Board of National Cheng Kung University Hospital, Tainan, Taiwan, thoroughly reviewed and approved the procedures and consent form (Reference Number AER112385 Registration number NCT07243028 at ClinicalTrials.gov).</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497238","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 interplay of risk and protective factors for psychosocial outcome in women after induced abortion - an interview study from Germany.","authors":"Jennifer Stünkel, Samuel Tomczyk","doi":"10.1186/s12905-026-04668-9","DOIUrl":"10.1186/s12905-026-04668-9","url":null,"abstract":"<p><strong>Background: </strong>Abortions are one of the most common gynecological treatments worldwide. Although many studies investigate risk factors (RF) for a negative abortion-related psychosocial outcome (APO), less is known about protective factors (PF) and the interplay of RFs and PFs.</p><p><strong>Methods: </strong>From May to August 2022, we conducted a semi-structured interview study in Germany and interviewed 23 women (21-43 years) who had undergone an elective abortion within the last 12 months, asking them about their experiences, perceived RF, PF and APO. The data was analyzed using qualitative content analysis.</p><p><strong>Results: </strong>We found three different patterns: The first group of women found the process, especially the legal requirements, stressful but reported a mostly positive outcome with sufficient social support as PF. Women who reported neuroticism-related personality factors as RF sought less social support and more frequently used emotion-focused coping strategies such as self-care and distraction and often showed a mixed outcome. A third group of women experienced intimate partner violence (IPV) and also reported distraction as PF. Regardless, all women who survived IPV reported a negative APO.</p><p><strong>Conclusions: </strong>The majority of women find the legal requirements (e.g., mandatory counseling, waiting periods) burdensome. At the same time, they offer no benefit to women who find themselves in critical situations such as coercion and domestic violence, which was a major RF. The protection of women who survived IPV should therefore be improved and the access to abortion improved. Further research is needed to include effects on more vulnerable groups such as migrants or queer individuals.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13380845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497225","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":"Pregnancy history is associated with lower odds of osteoporosis among Taiwanese women.","authors":"Yuen-En Chang, Song-Shan Huang, Chueh-Yi Huang, Chia-Lung Shih","doi":"10.1186/s12905-026-04691-w","DOIUrl":"10.1186/s12905-026-04691-w","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis is a major public health concern worldwide. Although female reproductive factors have been suggested to influence bone health, their associations with osteoporosis remain inconclusive.</p><p><strong>Objective: </strong>This study aimed to investigate the associations between reproductive characteristics and the odds of osteoporosis in Taiwanese women.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis using data from women randomly selected from the Taiwan Biobank. Bone mineral density (BMD) status was classified into three categories according to the World Health Organization (WHO) criteria: normal BMD (T-score > - 1.0), osteopenia (- 2.5 < T-score ≤ - 1.0), and osteoporosis (T-score ≤ - 2.5). Univariable and multivariable logistic regression analyses were performed to assess the association between reproductive factors and the odds of BMD status.</p><p><strong>Results: </strong>Among the 4,854 participants, 3,107 (64.0%) were classified as having normal BMD, 1,374 (28.3%) as having osteopenia, and 373 (7.7%) as having osteoporosis. Univariate analysis showed that a history of pregnancy was associated with a higher odd of osteopenia (odds ratio [OR] = 1.946, 95% CI: 1.589-2.382, p < 0.001), osteoporosis (OR = 1.825, 95% CI: 1.288-2.586, p = 0.001), and low BMD level (T-score < -0.1) (OR = 1.919, 95% CI: 1.597-2.306, p < 0.001). After adjusting for known confounders, pregnancy history was associated with a lower odd of osteoporosis (adjusted OR = 0.644, 95% CI: 0.422-0.981, p = 0.041), but not significantly associated with the odds of osteopenia or low BMD level.</p><p><strong>Conclusions: </strong>Pregnancy history was independently associated with lower odds of osteoporosis among Taiwanese women after adjustment for known confounding factors. However, given the cross-sectional nature of this study, causal relationships cannot be established. Future longitudinal studies are warranted to validate this finding.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469109","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":"Cervical cancer screening preferences by sexual orientation among persons assigned female at birth.","authors":"Wei Yi Kong, Jennifer L St Sauver, Robert M Jacobson, Kathy L MacLaughlin, Lila J Finney Rutten","doi":"10.1186/s12905-026-04678-7","DOIUrl":"10.1186/s12905-026-04678-7","url":null,"abstract":"<p><strong>Background: </strong>Disparities in up-to-date cervical cancer screening rates persist among women, including those identifying as lesbian, gay, bisexual or other sexual orientation (LGB+), highlighting the need for more inclusive and targeted screening interventions. With human papillomavirus at-home self-testing recently approved, we studied cervical cancer screening preferences by sexual orientation among persons assigned female at birth.</p><p><strong>Methods: </strong>We examined cervical cancer screening preferences among a nationally representative sample of persons assigned female at birth aged 25-65 years in the 2024 Health Information National Trends Survey who did not self-report a history of cervical cancer. We assessed variation in preference for at-home self-testing or clinician-delivered cervical cancer screening by sexual orientation using weighted Rao-Scott chi-square tests and multivariate multinomial regression. We also examined reasons for preferring at-home self-testing.</p><p><strong>Results: </strong>The analytical sample included 2,168 respondents. Most self-identified as heterosexual (88.43%) and preferred cervical cancer screening by clinicians (61.45%). Cervical cancer screening preferences differed by sexual orientation (p = 0.02). LGB+ versus heterosexual respondents more frequently preferred at-home self-testing (30.97% versus 19.53%), whereas heterosexual respondents more frequently preferred testing by clinician than their LGB+ counterparts (62.81% versus 50.38%). The odds of preferring at-home self-testing over clinician-delivered screening were higher among LGB+ versus heterosexual respondents (adjusted odds ratio = 2.04, 95% confidence interval = 1.17-3.53), after adjusting for age, household annual income, marital status, health care utilization, race/ethnicity, and health insurance. The most frequently endorsed reason for preferring at-home self-testing was privacy (66.25%). Preferring at-home self-testing due to not taking time off work (35.22%), saving transportation cost (34.24%), and avoiding embarrassment (39.41%) were endorsed less frequently. Reasons for preferring at-home self-testing did not differ by sexual orientation.</p><p><strong>Conclusion: </strong>LGB+ respondents more frequently preferred at-home self-testing compared to heterosexual respondents. These findings highlight the potential utility of at-home self-testing in addressing screening preferences and barriers among LGB+ persons.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469094","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":"Septic shock due to a ruptured ovarian abscess caused by hematogenous Staphylococcus aureus infection in a sexually inactive woman with atopic dermatitis: a case report.","authors":"Takuya Yamaguchi, Kaname Uno, Koh Nagata, Yusuke Shigematsu, Itsuki Kajimura, Sayaka Kawashita, Yuriko Kitajima, Yuri Hasegawa, Kiyonori Miura","doi":"10.1186/s12905-026-04625-6","DOIUrl":"10.1186/s12905-026-04625-6","url":null,"abstract":"<p><strong>Background: </strong>Tubo-ovarian abscess is a severe form of pelvic inflammatory disease that is typically caused by ascending polymicrobial infections in sexually active women. However, it is extremely rare in sexually inactive women, and its pathogenesis in such cases remains poorly understood. Atopic dermatitis is associated with impaired skin barrier function and increased susceptibility to Staphylococcus aureus bacteremia. Here, we present a rare case of septic shock due to a ruptured ovarian abscess caused by S. aureus in a sexually inactive woman with atopic dermatitis.</p><p><strong>Case presentation: </strong>A 44-year-old Japanese woman with no history of sexual intercourse presented with a prolonged fever lasting 4 weeks. Six weeks before admission, she developed pruritic blisters between the right index and middle fingers due to atopic dermatitis, which subsequently ruptured. Seventeen days before referral, she had watery diarrhea and was diagnosed with enteritis at a clinic. Persistent symptoms raised suspicion for viral hepatitis based on elevated C-reactive protein levels and mild liver dysfunction. Subsequently, the patient developed recurrent high-grade fever and lower abdominal pain. Imaging revealed a large pelvic abscess with ascites, and she was transferred to our hospital. On arrival, she was in septic shock, with a blood pressure of 80/40 mmHg and a pulse rate of 125 bpm. A ruptured left ovarian abscess arising from an infected mature cystic teratoma was diagnosed, and emergency laparoscopic surgery was performed. The procedure revealed severe intraperitoneal inflammation with purulent ascites. S. aureus was isolated from both blood cultures and abscess contents. Postoperatively, the patient underwent intensive care management for septic shock and acute kidney injury, gradually recovering with appropriate antibiotic therapy. She was discharged without complications and remained recurrence-free at the 1-year follow-up.</p><p><strong>Conclusions: </strong>No gastrointestinal or gynecological source of infection was identified despite extensive evaluation, raising the possibility of a hematogenous route of infection. The patient's atopic dermatitis may have contributed to increased susceptibility to S. aureus bacteremia through skin blistering, potentially resulting in bacterial seeding of the ovary. This case underscores the diagnostic challenges associated with atypical ovarian abscesses and highlights the importance of including them in the differential diagnosis of atypical, prolonged fever and abdominal symptoms, even in sexually inactive women, particularly those with atopic dermatitis.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469127","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":"Musculoskeletal discomfort, urinary incontinence, and health-related quality of life in female farmers aged 40-65 years: a cross-sectional comparative study from rural Türkiye.","authors":"Meşküre İçel, Doğukan Kurç, Ayşe Nur Tunalı, Seda Saka","doi":"10.1186/s12905-026-04682-x","DOIUrl":"10.1186/s12905-026-04682-x","url":null,"abstract":"<p><strong>Background: </strong>Female farmers are exposed to combined biomechanical and pelvic-floor stressors during agricultural work. However, musculoskeletal discomfort, urinary incontinence, and health-related quality of life have seldom been evaluated together in this population. This exploratory study therefore compared these outcomes between female farmers and rural homemakers and examined associations between regional discomfort and quality of life.</p><p><strong>Methods: </strong>This cross-sectional comparative study included 70 women recruited by snowball sampling: 35 farmers and 35 homemakers aged 40-65 years from rural districts of Aydın Province, Türkiye. Outcomes were assessed using the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and the 36-item Short Form Health Survey (SF-36). Group comparisons, regression models adjusted for age, body mass index, and menopausal status, and Spearman correlations corrected for the false discovery rate (FDR; significance at q < 0.05) were performed.</p><p><strong>Results: </strong>Farmers reported a higher discomfort prevalence in 12 of 18 CMDQ regions. The largest unadjusted differences were observed for the left shoulder (48.6% vs. 26.5%; +22.1% points), left knee (65.7% vs. 45.7%; +20.0), hip (42.9% vs. 25.7%; +17.1), and right forearm (20.0% vs. 8.6%; +11.4). These differences were not statistically robust: no region remained significant after FDR correction (minimum q = 0.626), and adjusted logistic models showed no independent group associations (p = 0.081-0.993). ICIQ-SF scores tended to be higher among farmers (4.0 ± 3.8 vs. 3.0 ± 4.2; unadjusted p = 0.127; adjusted p = 0.578), and self-reported leakage during physical activity/exercise was more frequent (31.4% vs. 11.4%; p = 0.078). SF-36 domains were numerically lower among farmers, with no significant adjusted differences (adjusted p ranging from 0.296 for role emotional to 0.886 for physical functioning). FDR-significant inverse correlations included farmers' upper-back discomfort with general health (rho=-0.700, q < 0.001), farmers' right-knee discomfort with bodily pain (rho=-0.672, q < 0.001), and homemakers' low-back discomfort with bodily pain (rho=-0.632, q = 0.003).</p><p><strong>Conclusions: </strong>In this exploratory rural sample, female farmers showed a broader distribution of musculoskeletal discomfort and a nonsignificant tendency toward more activity-related urinary leakage. Adjusted analyses did not confirm independent group effects; the results should therefore be interpreted as hypothesis-generating. They nonetheless suggest the value of considering combined musculoskeletal and urinary screening, and of more detailed exposure assessment, in rural women's health.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469083","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":"Transcultural adaptation to the Awajún language and psychometric analysis of the Woman Abuse Screening Tool (WAST) in Peruvian women.","authors":"Eliana Del Rocio Calderon-Perez, Ingrid Alejandra Castro-Caro, Jhordan Mayta-Llanos, Jeremias Ugkuch-Jempekit, Violeta Hurtado-Chancafe, Julio Cjuno","doi":"10.1186/s12905-026-04697-4","DOIUrl":"10.1186/s12905-026-04697-4","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence disproportionately affects women from Peruvian Indigenous communities, and the lack of validated instruments in native languages limits timely detection.</p><p><strong>Objective: </strong>To culturally adapt the Woman Abuse Screening Tool (WAST) into Awajún and examine evidence of validity based on internal structure, reliability, and measurement invariance among Awajún women in Peru.</p><p><strong>Methods: </strong>An instrumental study was conducted. The adaptation process followed a sequential procedure including forward-backward translation, translator consensus, expert review using Aiken's V coefficient, and a focus group with bilingual speakers. The adapted WAST was subsequently administered to 403 Awajún women aged 18 years and older from the San Martín region, selected through non-probability sampling. Confirmatory factor analysis (CFA) was performed using the WLSMV estimator, measurement invariance analyses (configural, metric, scalar, and strict) were conducted across sociodemographic variables, and Cronbach's alpha and McDonald's omega coefficients were estimated.</p><p><strong>Results: </strong>The unidimensional model demonstrated adequate fit indices (χ²(28) = 22.601; CFI = 0.994; TLI = 0.991; RMSEA = 0.054 [90% CI 0.032-0.076]; SRMR = 0.035). Reliability was high (α = 0.92; ω = 0.92), and convergent validity showed an average variance extracted of AVE = 0.61. In addition, strict measurement invariance was supported across age, educational level, and marital status (ΔCFI < 0.01; ΔRMSEA < 0.01).</p><p><strong>Conclusions: </strong>The Awajún version of the WAST is a brief, valid, reliable, and culturally appropriate measure for screening intimate partner violence among Peruvian Awajún women, enabling meaningful comparisons across the evaluated sociodemographic subgroups.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469107","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 relationship between xerostomia and oral health-related quality of life in females with polycystic ovary syndrome.","authors":"Kübra Karaçam, Rahime Zeynep Erdem, Özlem Gül","doi":"10.1186/s12905-026-04688-5","DOIUrl":"10.1186/s12905-026-04688-5","url":null,"abstract":"<p><strong>Background: </strong>Polycystic Ovary Syndrome (PCOS) is a disorder commonly seen in females of reproductive age. Significant associations have been reported between oral inflammation, periodontal diseases, and PCOS. An increase in inflammatory markers may be a factor for quality of life in patients with PCOS.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the relationship between xerostomia and oral health-related quality of life in females with PCOS.</p><p><strong>Methods: </strong>In face-to-face interviews, patients diagnosed with PCOS and a healthy control group completed a questionnaire including demographic data, the Oral Health Impact Profile (OHIP-14) and the Xerostomia Inventory. The data obtained were analyzed statistically in the IBM SPSS vn. 27 program.</p><p><strong>Results: </strong>The OHIP-14 total points and the xerostomia points were determined to be statistically significantly higher in the PCOS group than in the control group (p < 0.05). A positive, moderate-level correlation was seen between the OHIP-14 total points and the xerostomia points (p < 0.05).</p><p><strong>Conclusion: </strong>The study results showed that xerostomia was associated with PCOS and the oral health-related quality of life was affected in these patients. In females diagnosed with PCOS, keeping oral health under control can improve quality of life. It highlights the importance of integrating routine oral health assessments into the standard clinical management of women with PCOS. Healthcare professionals should adopt a multidisciplinary approach to identify and manage oral health problems that could adversely affect patients' quality of life.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469072","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}