The Utah women's health review最新文献

{"title":"Do Interventions Targeting Women Impact Children's Health Behaviors?","authors":"McKenzie Nava, Kaila Christini, Deanna Kepka, Jacqueline Kent-Marvick, Kathleen B Digre, Louisa A Stark, France A Davis, Doriena Lee, Valentine Mukundente, Eruera Ed Napia, Ana Sanchez-Birkhead, O Fahina Tavake-Pasi, Jeannette Villalta, Heather Brown, Sara Simonsen","doi":"10.26054/0d-jacn-53wd","DOIUrl":"10.26054/0d-jacn-53wd","url":null,"abstract":"<p><strong>Objectives: </strong>Women play an important role in promoting healthy eating and physical activity within their households, influencing the current and life-long health behaviors of children. The purpose of this study is to describe changes in fruit/vegetable consumption and physical activity among children living with racially and ethnically diverse women participating in a lifestyle-change intervention.</p><p><strong>Methods: </strong>The study involves secondary analysis of data from a randomized trial of a wellness-coaching intervention led by Community Health Workers, called Community Wellness Coaches in this study. Study participants came from five diverse racial/ethnic communities. Participants received monthly vs. quarterly wellness coaching. Data on changes in the health behaviors of children at four months after enrollment were collected through interviews. Children's behavior changes were compared by study arm, demographics, and women's health behaviors.</p><p><strong>Results: </strong>Overall, 71.9% of women reported increases in the fruit/vegetable intake of children living in their household and 59.4% reported increases in children's physical activity. There were no differences in children's fruit/vegetable intake or physical activity by study arm (p=0.88). Women who reported that their own fruit/vegetable intake increased were more likely to report an increase in children's consumption (aOR=2.55, 95%CI 1.05 - 6.21).</p><p><strong>Conclusion and implications: </strong>Among women of color participating in a health-behavior change intervention, women's behavior changes were associated with improvements in child health behaviors. Interventions focused on improving women's health behaviors may also impact the behaviors of children and other household members. Emphasizing the role of women on the health of children in such interventions may magnify this impact.</p>","PeriodicalId":93152,"journal":{"name":"The Utah women's health review","volume":"9 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Role Does Hispanic/Latina Ethnicity Play in the Relationship Between Maternal Mental Health and Preterm Birth?","authors":"Michelle Seage, M. Petersen, Margaret Carlson, J. Vanderslice, Joseph B. Stanford, K. Schliep","doi":"10.26054/0d-dkas-c5qe","DOIUrl":"https://doi.org/10.26054/0d-dkas-c5qe","url":null,"abstract":"Objective To investigate the association of prepregnancy and prenatal depression and/or anxiety on preterm birth (PTB), while also exploring Hispanic/Latina ethnicity as a potential effect modifier. Methods Study population included respondents of UT-PRAMS (2016-2019). Associations between prepregnancy and prenatal depression and/or anxiety and PTB were evaluated using Poisson regression models accounting for stratified survey sampling. Results Women with prepregnancy and prenatal depression and anxiety, compared to those without, had a 67 percent (95% CI: 19%, 134%) higher probability of experiencing PTB, after controlling for relevant sociodemographic, lifestyle, and reproductive history factors. Impact of depression on PTB was slightly higher than impact of anxiety. Hispanic/Latina ethnicity was found to protect against PTB for those with prepregnancy and prenatal depression alone (aPR: 0.53, 95% CI: 0.24, 1.21) or both depression and anxiety (aPR: 0.51, 95% CI: 0.18, 1.40) compared to being non-Hispanic/Latina (aPR: 1.79, 95% CI: 1.25, 2.55 for depression alone; aPR: 1.62, 95% CI: 1.18, 2.21 for depression and anxiety). Conclusions Overall, Utah women reporting prepregnancy and prenatal depression and anxiety were more likely to have a PTB. Being of Hispanic/Latina ethnicity was found to mitigate the risk of PTB among women with depression and anxiety. Implications Prepregnancy and prenatal mental health screenings and treatment are key to lessening the impacts of depression and anxiety on both mother and infant. Hispanic/Latina ethnicity may be protective against PTB among women experiencing mental distress. Whether this is through increased social support or through a different mechanism should be explored in future research.","PeriodicalId":93152,"journal":{"name":"The Utah women's health review","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69257160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Pre-pregnancy and Pregnancy Physical Abuse, Partner-related Stress, and Post-partum Depression: Findings from the Utah Pregnancy Risk Assessment and Monitoring System (UT-PRAMS), 2016-2018.","authors":"K. Kah, Jennifer Dailey-Provost, J. Stanford, C. Rogers, K. Schliep","doi":"10.26054/0d-0tbc-7vhj","DOIUrl":"https://doi.org/10.26054/0d-0tbc-7vhj","url":null,"abstract":"","PeriodicalId":93152,"journal":{"name":"The Utah women's health review","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69256821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Baby-Friendly Hospital Initiative (BFHI): An Early Cross-Sectional Analysis of PRAMS Phase 8 Data on Hospital Practices and Breastfeeding Outcomes in Utah and Wyoming.","authors":"Jesse C Bliss, Nana A Mensah, Charles R Rogers, Joseph B Stanford, James VanDerslice, Karen C Schliep","doi":"10.26054/0KMTC25CW0","DOIUrl":"10.26054/0KMTC25CW0","url":null,"abstract":"<p><strong>Introduction: </strong>Breastfeeding has immediate and long-term benefits for both maternal and child health. This study examines the association between Baby-Friendly Hospital Initiative (BFHI) experiences and breastfeeding outcomes in the Mountain West region.</p><p><strong>Methods: </strong>A cross-sectional (retrospective secondary data analysis) was performed using the 2016 Pregnancy Risk Assessment Monitoring System (PRAMS) data. The participants were derived from a stratified random sample of 2,013 women living in Utah and Wyoming who recently had a live birth and who were surveyed on BFHI practices. The association between BFHI experiences and breastfeeding duration were assessed using crude and adjusted Poisson regression models, controlling for other BHFI experiences and maternal age, pre-pregnancy BMI, household income, smoking, alcohol, delivery method, and number of days spent in the hospital post delivery.</p><p><strong>Results: </strong>82.4% and 82.3% of women from Utah and Wyoming, respectively, reported breastfeeding for 2 months or longer. After controlling for other BFHI experiences and potential confounders, the one shared BFHI experience that was associated with breastfeeding for 2 months or longer vs less than 2 months was starting breastfeeding in the hospital (adjusted prevalence ratio [aPR]=1.49, 95% CI (1.12, 1.98) in Utah and aPR=2.03, 95% CI (1.13, 3.64) in Wyoming. Among women in Utah and Wyoming, only 5 of 7 BFHI steps were significant for breastfeeding duration in at least one state.</p><p><strong>Conclusion: </strong>There is substantial epidemiological support for health benefits to both mother and infant for exclusive breastfeeding to 6 months and prolonged breastfeeding until at least 1-year. Our findings suggest that women who initiate breastfeeding in the hospital may be more likely to breastfeed for a longer duration.</p>","PeriodicalId":93152,"journal":{"name":"The Utah women's health review","volume":"2020 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8095720/pdf/nihms-1632819.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38886723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between preconception body mass index and subfertility among Hispanic and non-Hispanic women: A cross-sectional study from Utah's Pregnancy Risk Assessment Monitoring System survey (2012-2015).","authors":"Qingqing Hu,&nbsp;Jihyun Lee,&nbsp;Jeannette Nelson,&nbsp;Marci Harris,&nbsp;Rebekah H Ess,&nbsp;Charles R Rogers,&nbsp;Jessica Sanders,&nbsp;James VanDerslice,&nbsp;Joseph B Stanford,&nbsp;Karen C Schliep","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between pre-pregnancy body mass index (BMI) and subfertility within a population-based cohort, exploring Hispanic ethnicity as a potential effect modifier.</p><p><strong>Methods: </strong>We used cross-sectional study data from the Utah Pregnancy Risk Assessment Monitoring System from 2012-2015. Relationships between maternal pre-pregnancy BMI and subfertility were evaluated via Poisson regression models with robust error variance, accounting for the stratified survey sampling. Preconception BMI was analyzed continuously and categorically. Women's subfertility was defined via self-report in two ways: 1) time trying to achieve pregnancy; and 2) report of using fertility-related drugs/medical procedures.</p><p><strong>Results: </strong>The median age was 27.0; 18.8% were obese, and 15.9% were Hispanic. Women with preconception obesity (BMI>30kg/m²), compared to normal weight women (18.4kg/ m²<BMI<25kg/m²) had a 1.85 (95% CI 1.43, 2.38) higher adjusted prevalence ratio (aPR) for having subfertility defined by time trying and a 1.73 (95% CI 1.20, 2.32) higher aPR for receiving fertility-enhancing drugs/medical procedures. Continuous models indicated a linear relationship between BMI and subfertility (aPR 1.04, 95% CI 1.03, 1.06 for time trying; and 1.06, 95% CI 1.03, 1.10 for receiving fertility-enhancing drugs/medical procedures).</p><p><strong>Conclusions: </strong>Obese women, but not underweight or overweight women, reported higher subfertility than normal-weight women. Findings among this cohort of at-risk new mothers, oversampled on low education and birth weight and comprised of higher than the national average of Hispanics, indicated a dose-response relationship between obesity and subfertility.</p><p><strong>Implications: </strong>Our findings highlight the importance of population-oriented obesity prevention for at-risk women with intentions to conceive.</p>","PeriodicalId":93152,"journal":{"name":"The Utah women's health review","volume":"2020 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7480950/pdf/nihms-1622649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38368628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}