BMC Women's Health最新文献

{"title":"150 minutes weekly accumulated exercise as an efficient alternative to continuous exercise: evidence from a randomized trial in young women.","authors":"Tong Jiang, Xin Zheng, Ziren Zhao, Tao Zhong, Fangyuan Zhao, Jing Ai, Kaixiang Zhou, Nijiao Deng","doi":"10.1186/s12905-026-04665-y","DOIUrl":"https://doi.org/10.1186/s12905-026-04665-y","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity is a prevalent issue, particularly among women. While accumulated exercise (AE) is a promising intervention strategy, it remains unclear whether it can achieve similar health benefits to the WHO-recommended 150 min of physical activity per week.</p><p><strong>Objective: </strong>This study compares the effects of the WHO-recommended aerobic exercise dose (150 min/week) as AE versus moderate-intensity continuous exercise (MICE) on body composition, metabolic syndrome risk, atherosclerosis, aerobic capacity, and muscle strength in sedentary young women.</p><p><strong>Methods: </strong>Sixty young women were randomized into two groups: the AE group (n = 30) and the MICE group (n = 30). Both groups performed 150 min of weekly exercise: AE consisted of three short daily sessions, while MICE involved three longer sessions per week. The intervention lasted for 8 weeks, with body composition, muscle strength, metabolic syndrome risk, atherosclerosis, and aerobic capacity measured before and after the intervention. A two-way repeated measures ANOVA (time × group) was used to analyze training effects, with Bonferroni post hoc tests. Effect sizes were reported as partial eta squared ([Formula: see text]) or Cohen's d, with significance set at p < 0.05.</p><p><strong>Results: </strong>Both AE and MICE groups showed significant pre-to-post changes in body weight ([Formula: see text]=0.46), BMI ([Formula: see text]=0.45), body fat percentage ([Formula: see text]=0.70), waist-to-hip ratio ([Formula: see text] =0.54), kneeling push-ups ([Formula: see text]=0.85), long-standing jumps ([Formula: see text] =0.80), sit-ups ([Formula: see text]=0.31), body-weight squats ([Formula: see text]=0.85), V̇O₂_max ([Formula: see text]=0.54), TG ([Formula: see text]=0.35), HDL ([Formula: see text]=0.28), TC ([Formula: see text]=0.10), and atherogenic index ([Formula: see text]=0.52) (all p< 0.05). No significant pre-to-post changes were found for SBP ([Formula: see text]=0.01), DBP ([Formula: see text]=0.01), LDL ([Formula: see text]=0.001) (all p>0.05). These pre-to-post changes were not significantly different between the AE and MICE groups for any outcome (all p>0.05). The adherence rates were 94.9% in AE and 90.7% in MICE.</p><p><strong>Conclusion: </strong>AE and MICE showed similar modest pre-post changes, with no significant between-group differences. These findings should be interpreted cautiously, given the small sample size and absence of a control group. Further large-scale randomized controlled trials are warranted before AE can be recommended as an alternative exercise strategy.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eating patterns and psychological distress among young women: the moderating role of cognitive reappraisal.","authors":"Aiza Qamar, Ayesha Sarfaraz, Ayesha Khalid, Sara Zaib Mufti, Wahab Ali Khan, Shehla A Yasin","doi":"10.1186/s12905-026-04635-4","DOIUrl":"10.1186/s12905-026-04635-4","url":null,"abstract":"<p><strong>Background: </strong>Psychological distress among university students is a pressing public health concern. Emerging research in nutritional psychology links eating patterns to mental health outcomes, while emotion regulation processes shape individual stress responses. Female university students in Pakistan are particularly vulnerable due to compounding sociocultural pressures, rigorous academic demands, and limited mental health resources. This cross-sectional study investigates the association between eating patterns and psychological distress in this demographic, specifically examining whether cognitive reappraisal (an adaptive emotion regulation strategy) moderates this relationship.</p><p><strong>Methods: </strong>Data were collected via purposive sampling from 354 female university students in Lahore, Pakistan. Assessments utilized the Healthy Eating Index (HEI) for dietary patterns, the Emotion Regulation Questionnaire (ERQ) for cognitive reappraisal, and the Depression Anxiety Stress Scales-21 (DASS-21) for psychological distress. Data were analyzed using Pearson correlations, linear regression, and hierarchical moderation.</p><p><strong>Results: </strong>Healthier eating patterns were significantly associated with reduced levels of depression (r = - .233, p < .001), anxiety (r = - .174, p < .05), and stress (r = - .192, p < .05). Cognitive reappraisal correlated positively with healthier eating (r = .215, p < .05) and negatively correlated with depression (r = - .412, p < .01), anxiety (r = - .367, p < .01), and stress (r = - .389, p < .01). Regression models confirmed that eating patterns significantly predicted depression (β = - 0.23, p < .01), anxiety (β = - 0.17, p < .05), and stress (β = - 0.19, p < .01). Moderation analyses indicated that cognitive reappraisal significantly moderated the relationship between eating patterns and psychological distress (interaction β range = - 0.12 to - 0.17), explaining an additional 2-3% of variance. Specifically, higher cognitive reappraisal strengthened the protective association between healthier eating patterns and lower psychological distress while attenuating distress associated with unhealthy eating patterns.</p><p><strong>Conclusion: </strong>Healthier eating patterns and higher levels of cognitive reappraisal were associated with lower psychological distress among young women in academic settings. Cognitive reappraisal appeared to play a protective moderating role by strengthening the beneficial association between healthier eating patterns and lower levels of depression, anxiety, and stress while reducing psychological vulnerability associated with poorer eating habits. These findings highlight the importance of holistic university mental health initiatives that integrate nutritional awareness with adaptive emotion-regulation training to promote psychological well-being among female students.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148454809","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 Menstrual Distress Questionnaire (MEDI-Q): reliability and validity of the German version.","authors":"Yvonne Görlich, Elena Richter","doi":"10.1186/s12905-026-04608-7","DOIUrl":"10.1186/s12905-026-04608-7","url":null,"abstract":"<p><strong>Background: </strong>Menstrual distress affects a substantial proportion of individuals of reproductive age and is associated with impaired quality of life and psychological comorbidities, yet validated German-language instruments for its assessment are lacking. The present study examined the reliability and validity of the German version of the Menstrual Distress Questionnaire (MEDI-Q), a 25-item self-report instrument previously validated in Italian, English, and Indonesian.</p><p><strong>Methods: </strong>A community sample of N = 1,035 German-speaking women completed the MEDI-Q alongside the DASS-21, the PAF10, and a global rating of menstrual symptom severity. Internal consistency, test-retest reliability, convergent validity, and structural validity via confirmatory factor analysis (CFA) were examined.</p><p><strong>Results: </strong>Internal consistency was high (α = 0.839, ω = 0.844) and test-retest reliability acceptable over a naturalistic long-term interval (ICC = 0.823). MEDI-Q Total Score, MS, and MSD correlated negatively with age and positively with psychological distress, premenstrual symptoms, and global symptom severity, while the Menstrual Specificity Index (MESI) showed a significantly weaker and statistically distinct association with the global rating. Among three competing factor models, the theoretically proposed 5-factor structure showed the best relative fit, though none of the models reached conventional fit thresholds (CFI/TLI ≥ 0.90), and structural validity warrants further investigation. Applying the proposed cut-off of ≥ 20, 36.4% of the community sample exceeded this threshold.</p><p><strong>Conclusions: </strong>The German MEDI-Q represents a psychometrically adequate instrument for standardised assessment of menstrual distress in German-speaking contexts, facilitating cross-cultural comparisons across four language versions, while structural validity remains unestablished and the instrument should be interpreted as a total score measure pending further investigation.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":"26 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444518","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 effect of using lubricant for vaginal speculum insertion on the rate of unsatisfactory results of Pap smear: a systematic review and meta-analysis.","authors":"Mohammad Roodsarabi, Parvaneh Mirabi, Zeynab Farhadi, Mouloud Agajani Delavar, Hajar Pasha","doi":"10.1186/s12905-026-04674-x","DOIUrl":"10.1186/s12905-026-04674-x","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer affects approximately 620,000 women annually and remains a leading cause of cancer mortality, particularly in low-resource settings. This meta-analysis evaluates whether lubricant use during vaginal speculum insertion affects unsatisfactory cytologic results in Pap smear procedures.</p><p><strong>Methods: </strong>We systematically searched WoS/ISI, PubMed/MEDLINE, Scopus, Google Scholar, and Cochrane databases. RCTs and cohort studies were analysed in separate subgroup analyses per Cochrane Handbook recommendations. Quality was assessed using the Newcastle-Ottawa Scale and Cochrane RoB 2 tool; evidence certainty was rated via GRADE. Sensitivity analyses and publication bias assessment (funnel plots, Egger's test) were performed.</p><p><strong>Results: </strong>Of 2,112 identified records, 14 studies comprising 18,681 women (7,757 lubricant; 10,924 control) met inclusion criteria (Cohen's Kappa = 0.79). Overall, water-based lubricant did not significantly affect unsatisfactory Pap smear rates (OR = 1.14, 95% CI: 0.90-1.44; P = 0.280; I² = 38.74%). Subgroup analysis confirmed no significant impact in RCTs (OR = 0.83, 95% CI: 0.58-1.16; P = 0.253; I² = 0%), while cohort studies showed a borderline trend toward increased rates (OR = 1.37, 95% CI: 0.98-1.90; P = 0.062; I² = 59.98%). A non-significant trend toward pain reduction was observed (SMD = - 0.77, 95% CI: -1.55 to 0.01; P = 0.054); however, extreme heterogeneity (I² = 94.21%) precludes reliable interpretation.</p><p><strong>Conclusions: </strong>Lubricant use does not compromise Pap smear adequacy based on RCT evidence of moderate certainty; the borderline cohort trend is of low certainty and should be interpreted with caution. Pain evidence is inconsistent and highly heterogeneous; no clinical recommendation regarding patient comfort can be made. Large-scale standardized RCTs examining LSIL/HSIL detection are warranted. These findings support cautious guideline consideration of lubricant use pending higher-certainty evidence.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435083","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":"Transnational strategies to promote female circumcision practice: voices from ghanaian families with relatives living in Europe and North America.","authors":"Alhassan Abdullah, Felix Mensah, Aisha Adam Mahama, Ebenezer Cudjoe, Peter Dwumah, Clifton R Emery","doi":"10.1186/s12905-026-04690-x","DOIUrl":"10.1186/s12905-026-04690-x","url":null,"abstract":"<p><strong>Background: </strong>The results from qualitative studies have revealed that some African migrants subject their young girls to female genital cutting (FGC) before or after migrating to high-income countries, such as the USA and the UK. This raises important questions as to why some African migrants continue to adhere to FGC after migration, given that the practice is socially rejected in destination countries and, in some cases, already criminalised in countries of origin. Little has been documented on the motivational factors for African migrants to continue promoting the practices even after migrating to Europe and North America. Consequently, we investigated the strategies used by Ghanaian families in motivating commitment to FGC norms and practices among their relatives in Europe and North America.</p><p><strong>Methods: </strong>Using a narrative qualitative research approach, we interviewed 13 family members in rural Ghana who strongly supported FGC and have family members who have migrated to Europe and North America. The interviews were analysed in NVivo using the narrative thematic analysis strategy.</p><p><strong>Findings: </strong>The interviews revealed both targeted and non-deliberate strategies, such as pressure from family members, building confidant relationships, and encouraging participation in African community associations. Family members became confidants and a source of connection for their relatives who felt isolated or experienced racism. However, they capitalised on the bonds and trusting relationships to influence their relatives to support FGC through daily conversations.</p><p><strong>Conclusion: </strong>The findings give important insights into how norms are promoted across borders, highlighting the need to strengthen existing transnational collaborative efforts to address FGC, including cross-border legislation.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444435","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":"Risk factors for antibiotic treatment failure in tubo-ovarian abscess: a systematic review and meta-analysis.","authors":"Minmin Zhao, Rong Chen, Liting Fan, Haiyan Zhang","doi":"10.1186/s12905-026-04534-8","DOIUrl":"10.1186/s12905-026-04534-8","url":null,"abstract":"<p><strong>Background: </strong>Tubo-ovarian abscess (TOA) is a severe complication of pelvic inflammatory disease (PID). Conservative antibiotic therapy is the preferred first-line treatment; however, treatment failure necessitates surgical intervention in a subset of patients. This study aimed to identify risk factors associated with antibiotic treatment failure in TOA through a systematic review and meta-analysis, thereby providing evidence for clinical decision-making.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Embase, the Cochrane Library and Web of Science to identify controlled studies on risk factors for antibiotic treatment failure in TOA published between database inception and December 2025. The Newcastle-Ottawa Scale was used to assess the quality of the literature. Mean differences (MDs) or odds ratios with 95% confidence intervals were calculated. Heterogeneity was assessed using the I² statistic and the Q test.</p><p><strong>Results: </strong>Thirteen studies involving 1,759 patients were included. The meta-analysis revealed that patients in the antibiotic treatment failure group were significantly older (MD = 3.61 years, P < 0.0001) and had significantly larger abscess diameters (MD = 18.43 mm, P < 0.0001) than those in the success group. Furthermore, higher gravidity (MD = 0.59, P = 0.0001) and parity (MD = 0.32, P = 0.002) were identified as significant risk factors for treatment failure. No statistically significant associations were found between treatment failure and history of smoking, history of PID, intrauterine device use, palpable pelvic mass or positive pathogen culture.</p><p><strong>Conclusion: </strong>Advanced age, larger abscess diameter and multiparity are potential risk factors for antibiotic treatment failure in TOA. For such high-risk patients, more aggressive monitoring or early combined minimally invasive drainage strategies are recommended.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435076","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":"Prevalence, risk factors, and comparative diagnostic performance of cryptic plasmid and MOMP-based real-time PCR assays for genital Chlamydia trachomatis infection among women of reproductive age in the West Region of Cameroon: a cross-sectional study.","authors":"Boris Emmanuel Djoumsie Gomseu, Mahamat Mustapha Anouar","doi":"10.1186/s12905-026-04673-y","DOIUrl":"10.1186/s12905-026-04673-y","url":null,"abstract":"<p><strong>Background: </strong>Chlamydia trachomatis (C. trachomatis) is a leading cause of sexually transmitted infections (STIs) in resource-limited settings. In low-income contexts such as Cameroon, the epidemiology of this bacterium remains poorly documented. This study aimed to determine the prevalence and risk factors of C. trachomatis infection among women of reproductive age in the West Region of Cameroon, and to assess the analytical performance and concordance of cryptic plasmid and major outer membrane protein (MOMP)-based real-time PCR (R-T PCR) assays.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted among 570 women of reproductive age presenting at four selected health facilities in the West Region of Cameroon. Endocervical swabs were collected and analyzed using R-T PCR targeting the MOMP and cryptic plasmid genes to detect C. trachomatis DNA. Socio-demographic, behavioral, and clinical data were recorded using a structured questionnaire. Statistical analyses were performed using SPSS version 24. Multivariable logistic regression was used to identify factors associated with C. trachomatis infection. Diagnostic performance of MOMP and cryptic plasmid R-T PCR was evaluated using Cohen's kappa statistic and McNemar's test, with ompA R-T PCR assay, used as the comparator.</p><p><strong>Results: </strong>The prevalence of C. trachomatis infection was 12.98%. Infection was associated with secondary education level (aOR = 7.39, [95% CI]: 2.24-24.41), Bantu ethnicity (aOR = 6.52, [95% CI]: 2.35-18.11), being a secondary school student (aOR = 3.04, [95% CI]: 1.24-7.46), lack of knowledge of transmission routes (aOR = 5.91, [95% CI]: 2.16-16.12), postcoital pain (aOR = 14.86, [95% CI]: 4.12-55.10) and history of miscarriage (aOR = 2.40, [95% CI]: 0.94-6.08).</p><p><strong>Conclusions: </strong>Study shows that genital Chlamydia trachomatis infection was identified among women of reproductive age in the West Region of Cameroon and was associated with education level, ethnicity, occupation, limited knowledge of transmission routes, postcoital pain, and history of miscarriage. Cryptic plasmid-based R-T PCR showed acceptable diagnostic performance in this setting. These findings support strengthening sexual health education and considering the integration of C. trachomatis testing into reproductive health services in similar contexts.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435029","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 hands-on breast self-examination training on knowledge, health beliefs, and BSE practice among female university students: a randomized controlled trial.","authors":"Ezgi Ağadayı, Tounaja El Arby, Asude Tuğba Balta, Öznur Kübra Odabaş, Naim Karagöz","doi":"10.1186/s12905-026-04656-z","DOIUrl":"10.1186/s12905-026-04656-z","url":null,"abstract":"<p><strong>Background: </strong>Breast self-examination (BSE) is a simple, low-cost method for promoting breast awareness and early detection of breast abnormalities, particularly among young women. However, lack of confidence and perceived barriers often limit regular BSE practice. Educational interventions that combine theoretical knowledge with hands-on training may enhance self-efficacy and support sustainable behavioral change.</p><p><strong>Objective: </strong>This study aimed to compare the effects of theoretical education alone versus theoretical plus hands-on BSE training on breast cancer knowledge, health beliefs, and BSE practice among female university students.</p><p><strong>Methods: </strong>This randomized controlled study was conducted among 40 female university students residing in university dormitories. Participants were stratified based on pretest scores and randomly assigned to either a theoretical education-only group (n = 20) or a theoretical plus hands-on training group (n = 20). The primary outcomes were breast cancer knowledge, health beliefs, and BSE practice. Breast cancer knowledge was assessed at baseline, immediately after training, and at a 3-month follow-up using the Breast Cancer Knowledge Test (BCKT). Health beliefs were assessed at baseline and at the 3-month follow-up using the Champion Health Belief Model Scale. BSE practice frequency and perceived barriers were also recorded. Repeated-measures and mixed-design ANOVA and chi-square tests were used for data analysis.</p><p><strong>Results: </strong>Breast cancer knowledge increased significantly in all participants from pretest to posttest (p < 0.001) and remained significantly higher than baseline at the 3-month follow-up, although a slight decline was observed. No significant Time × Group interaction was found for knowledge scores. In contrast, significant Time × Group interactions were observed for health motivation (p = 0.001), perceived barriers to BSE (p < 0.001), and self-efficacy (p = 0.005), all favoring the theoretical plus hands-on training group. Regular BSE practice increased from 0% at baseline to 60% at follow-up across the cohort, with a significantly greater increase in the hands-on training group compared with the theoretical-only group (75% vs. 45%, p = 0.038).</p><p><strong>Conclusion: </strong>While theoretical education effectively improves breast cancer knowledge, the addition of hands-on BSE training is critical for reducing perceived barriers, enhancing self-efficacy, and promoting regular BSE practice. Incorporating hands-on training into breast health education programs may substantially improve behavioral outcomes among young women.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148418899","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 women's occupation and fertility outcomes in The Gambia, 2019-2020.","authors":"Baboucarr Jatta, Adriana A E Biney, Joseph W Jatta","doi":"10.1186/s12905-026-04659-w","DOIUrl":"10.1186/s12905-026-04659-w","url":null,"abstract":"<p><strong>Background: </strong>Women's occupation and labour force participation are assumed to lower fertility levels as they compete with women's household obligations. While research has demonstrated this to be true in industrialized nations, developing countries, such as The Gambia, require further investigation.</p><p><strong>Methods: </strong>Secondary data extracted from the Gambia Demographic Health Survey (GDHS) 2019-2020 were used. A weighted sample of 11,865 women of reproductive age (15-49 years) was included in the study. At the bivariate level, one-way ANOVA and t-tests were used to examine the relationship between the dependent variable, children ever born, and the independent variable, women's occupation, as well as each control variable. Multivariable analysis, comprising Poisson regression models, was used to assess the impact of the independent variable on the dependent variable while controlling for confounders.</p><p><strong>Results: </strong>The analysis revealed that women's occupational type was significantly associated with fertility in The Gambia. After adjustment for socio-demographic characteristics, women in professional, technical, managerial, and clerical occupations had approximately 12.8% fewer children than non-working women (IRR = 0.872, p < 0.01), while women in agricultural occupations had approximately 6.3% more children (IRR = 1.063, p < 0.01). Age, education, wealth status, contraceptive use, religion, and marital status were also significantly associated with children ever born.</p><p><strong>Conclusion: </strong>The findings show that measures aimed at lowering fertility should be multifaceted, focusing on variables that were found to be significant in this study. These could be effective tools for empowering Gambian women and lowering fertility. There is also a need for further primary data-based research into the relationship.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13640339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148418907","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":"Ectocervical margin involvement is associated with postoperative hrHPV positivity after hysterectomy or residual cervix resection for incompletely excised CIN3: a retrospective study.","authors":"Yedan Ren, Xiuli Zhang, Junfen Xu","doi":"10.1186/s12905-026-04667-w","DOIUrl":"10.1186/s12905-026-04667-w","url":null,"abstract":"<p><strong>Background: </strong>Persistent high-risk human papillomavirus (hrHPV) infection after hysterectomy or residual cervix resection for incompletely excised cervical intraepithelial neoplasia grade 3 (CIN3) remains a clinical concern. However, the factors associated with postoperative hrHPV positivity in this setting are not well characterized.</p><p><strong>Methods: </strong>This retrospective study included 288 patients who were treated between 2014 and 2024. We evaluated factors associated with postoperative hrHPV positivity after hysterectomy or residual cervix resection for incompletely excised CIN3. Patients were grouped according to their hrHPV status at the first postoperative follow-up, and associated factors were identified by using logistic regression.</p><p><strong>Results: </strong>At the first postoperative follow-up, 50 patients (17.4%) were hrHPV positive. According to the univariate analysis, postoperative hrHPV positivity was associated with ectocervical margin involvement, older age, and lower gravidity (all p < 0.05). Multivariate analysis revealed that ectocervical margin involvement remained independently associated with postoperative hrHPV positivity (OR 5.273, 95% CI 1.491-18.640; p = 0.010). For the patients who were hrHPV positive at the first postoperative follow-up, subsequent clearance of infection mostly occurred within 2 years after surgery.</p><p><strong>Conclusions: </strong>Ectocervical margin involvement was associated with a higher likelihood hrHPV positivity at the first follow-up after hysterectomy or residual cervix resection for incompletely excised CIN3. This observation warrants confirmation in future prospective studies.</p>","PeriodicalId":9204,"journal":{"name":"BMC Women's Health","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148418917","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}