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Health Care for Women International

Joshua O Akinyemi, Clifford O Odimegwu, Ayo S Adebowale
We investigated the relation of internal migration to contraceptive use and adjusted for individual and contextual (community) characteristics. Multilevel logistic regression models were fitted to nationally representative data on 28876 women from 884 communities in Nigeria. Only about 1 out of every 10 women (10.4%) currently used a contraceptive method. Contraceptive prevalence according to migration status were: rural-urban (12.5%), urban-rural (13.8%), rural non-migrants (6.2%) and urban non-migrants (17...
June 23, 2017: Health Care for Women International
Shayesteh Shirzadi, Haidar Nadrian, Mohammad Asghari-Jafarabadi, Hamid Allahverdipour, Hadi Hassankhani
Our aim in this cross-sectional study was to investigate the predictors of the stages of change in mammography adoption (MA) based on Health Belief Model among Iranian women. Through multistage cluster sampling, we recruited and interviewed 1131 older than 40 women. Adjusted for other risk factors, perceived barriers (OR = 0.84, 95% CI = .81-.87) and benefits (OR = 1.17, 95% CI = 1.11-1.24) were significantly associated to MA. Majority of the women were in the pre-contemplation and contemplation stages of change for MA...
June 6, 2017: Health Care for Women International
Elisabeth Chop, Avani Duggaraju, Angela Flignor, Virginia Burke, Stephanie Caldas, Ping Teresa Yeh, Manjulaa Narasimhan, Avni Amin, Caitlin E Kennedy
Gender inequalities shape the experience of food insecurity among women living with HIV (WLHIV). We systematically reviewed the impact of food insecurity on sexual risk behaviors and antiretroviral therapy (ART) adherence among WLHIV. We included qualitative or quantitative peer-reviewed articles, extracted data in duplicate, and assessed rigor. Seven studies, from sub-Saharan Africa, North America and Europe, met inclusion criteria. Food insecurity was associated with increased sexual risk through transactional sex and inability to negotiate safer sex...
June 6, 2017: Health Care for Women International
Nicole Warren, Carmen Alvarez, Maphie Tosha Makambo, Crista Johnson-Agbakwu, Nancy Glass
There is little evidence about family planning knowledge, attitudes, and use among couples in post-conflict Democratic Republic of the Congo. We used qualitative descriptions to analyze data from 75 participants. Intimate partner violence (IPV) was common among participants. They were aware of family planning methods; however, IPV and fears of side effects were barriers to use. Although participants were concerned about the cost of large families, had positive attitudes toward family planning, and intended to use it, actual use was uncommon...
June 6, 2017: Health Care for Women International
Ma Luisa Marván, Joan C Chrisler, Jennifer A Gorman, Angela Barney
The psychological meaning of menarche was explored in 102 college students from Mexico and the United States. The Natural Semantic Networks Technique was used and participants were asked to respond to the prompt "My first period was…" The strongest components of the Mexican women's semantic network were scary, confusing, and unexpected; the strongest components of the American women's semantic network were unexpected, annoying, and painful. Only the Americans listed positive words (i.e., nice). The Mexicans' network contained the most negative words (i...
June 6, 2017: Health Care for Women International
Eleonora C V Costa, Joana Silva, M Graça Pereira
Our aim was to examine how depressive mood, posttraumatic stress disorder (PTSD) symptoms, self-efficacy, and social support are associated with HIV-risk behaviors. Participants were sexually active women (N = 1488) recruited when attending gynecological consultations in primary care settings. Standardized questionnaires were administered to assess for depressive mood, abuse/assault-related PTSD, social support, self-efficacy, stress, and sexual risk behavior. The resulting association models showed that demographic factors, mental health problems, and resources are associated with sexual risk behavior...
June 2, 2017: Health Care for Women International
David W Sibbritt, Matthew Leach, Sungwon Chang, Tobias Sundberg, Holger Cramer, Romy Lauche, Jon Adams
In this article we explore the use of health services and self-prescribed treatments amongst 8,088 young Australian women with severe tiredness. Data were obtained from the Australian Longitudinal Study on Women's Health. The prevalence of severe tiredness was 49.2%. The frequency of visits to healthcare practitioners was greater among women who sought help for their severe tiredness, compared with women who did not seek help for their severe tiredness or who did not report severe tiredness. Given the impact of this health problem on Australian women, we call for further research on the optimal treatment for severe tiredness...
June 2, 2017: Health Care for Women International
Mozhgan Moshtagh, Jila Mirlashari, Hassan Rafiey, Ali Azin, Robert Farnam
This qualitative study was conducted to explore the images of personal identity from the perspective of women with sexual addiction. The data required for the study were collected through 31 in-depth interviews. Sensing a threat to personal identity, dissatisfaction with gender identity, dissociation with the continuum of identity, and identity reconstruction in response to threat were four of the experiences that were common among women with sexual addiction. Painful emotional experiences appear to have created a sense of gender and sexual conflict or weakness in these women and thus threatened their personal identity and led to their sexual addiction...
May 30, 2017: Health Care for Women International
Eun-Ok Im, Young Ko, Eunice Chee, Wonshik Chee, Jun James Mao
Menopausal transition, in which biological and psychosocial changes are caused due to estrogen fluctuations, has been reported to increase cardiovascular risk among midlife women. The purposes of this study were to identify the clusters of midlife women by cardiovascular symptoms and to examine racial/ethnic differences in the clusters. This was a secondary analysis, in which hierarchical cluster and multinomial logistic analyses were conducted with the data (N = 966) collected in two previous studies. Three clusters were adopted: Cluster 1 (high vasomotor and low cardiorespiratory), Cluster 2 (low vasomotor and high cardiorespiratory and high discomfort/pain), and Cluster 3 (high discomfort/pain and high indigestion)...
May 22, 2017: Health Care for Women International
Rufaro Manhanzva, Praise Marara, Theodore Duxbury, Amy Claire Bobbins, Noel Pearse, Erik Hoel, Thandi Mzizi, Sunitha C Srinivas
Until recently, the noncommunicable diseases (NCDs) epidemic has been considered only a significant burden to men in high-income countries. However, latest figures indicate that half of all NCD-related deaths affect women, especially in low- and middle-income countries (LMICs), with global responses to the NCD epidemic overlooking the significance of women and girls in their approaches and programs. This case study highlights the burden of disease challenging South Africa that disproportionately affects women in the country and suggests that the country, along with other LMICs internationally, requires a shift in the gender-based leadership of health literacy and self-empowerment...
May 19, 2017: Health Care for Women International
Maria Luisa Garmendia, Susana Mondschein, Omar Matus, Ruth Murrugarra, Ricardo Uauy
We identified factors associated with gestational weight gain (GWG) in 1,654 Chilean pregnant women with full-term pregnancies. At baseline, we collected information about sociodemographic, gyneco-obstetric, anthropometric, and health-care-related factors. We found that prepregnancy nutritional body mass index was the most important factor related to GWG above recommendations (overweight: ratio of relative risks [RRR] = 2.31, 95% confidence interval [CI, 1.73, 3.09] and obesity: RRR = 2.90, 95% CI [2.08, 4...
May 19, 2017: Health Care for Women International
Tasnima Akter, Angela Dawson, David Sibbritt
We investigated the contribution of antenatal and postnatal care in reducing the risk of neonatal deaths in Bangladesh. The effects of these services were examined using adjusted Cox regression models and secondary data with 7,314 live-born infants. We observed that neonatal mortality was significantly decreased for newborns whose mothers' attended antenatal care services but postnatal care did not show any effect. Health promotion programs offering antenatal care in Bangladesh and other low- and lower-middle-income countries may build awareness about these practices...
May 17, 2017: Health Care for Women International
Caroline D Bergeron, Heather Honoré Goltz, Leigh E Szucs, Jovanni V Reyes, Kelly L Wilson, Marcia G Ory, Matthew Lee Smith
Older women around the globe are generally depicted as asexual beings, which may impact patient-provider discussions about sex. We examined data on 703 aging women in the United States to compare factors associated with women perceiving sex as important and women discussing sex with their physicians since turning 50. While 65.1% of participants perceived sex to be important, only 23.8% discussed sex with their providers since turning 50. Factors related to discussing sex included age, education, having a chronic condition, and consuming alcohol...
May 11, 2017: Health Care for Women International
Despina Sapountzi-Krepia, Maria Rekleiti, Maria Lavdaniti, Maria Psychogiou, Mikaella Chaliou, Maria Xenofontos, Marilena Savva
The purpose of this study was to evaluate female nursing students' knowledge and attitudes regarding breast self-examination (BSE). The sample consisted of 175 nursing students from a university in Cyprus. We collected data via a questionnaire that included the Greek version of the Champion Health Belief Model scale and questions regarding the participants' demographic characteristics. More than half of the participants (58.3%) said that they were knowledgeable about BSE and 29.1% of them had been taught about it during their studies...
May 8, 2017: Health Care for Women International
April L Yerges, Patricia E Stevens, Lucy Mkandawire-Valhmu, Wendy Bauer, Thokozani Ng'ombe Mwenyekonde, Lance S Weinhardt, Loren W Galvao
Polygamy in sub-Saharan Africa has been linked to poverty, infant mortality, and HIV; however, it is unknown how interpersonal dynamics within polygamous households may influence population health outcomes. Findings from this postcolonial feminist study derive from interview data in a larger mixed-methods study in rural Malawi. We used thematic narrative analysis to probe 25 women's stories and applied an arts-based research technique, poetic construction, to present the results. Participants' evocative expressions, distilled and preserved in poetic form, illustrate themes of perseverance, grief, agency, and reflection...
May 8, 2017: Health Care for Women International
Wei-Chen Tung, Minggen Lu, Michelle Granner, Jeeyun Sohn
A large proportion of Korean American women (KAW) do not receive regular cervical cancer screening. Self-report data from 102 KAW were analyzed by multiple linear regressions. Compared to women in action/maintenance, women in precontemplation/relapse stages were less likely to agree that a Pap test is important for health and were more likely to endorse barriers to testing (cost, not having a female doctor, preference for Korean medicine). Women in precontemplation/relapse also reported lower scores on self-efficacy items (travel large distances, pain perceptions, financial costs, time)...
May 4, 2017: Health Care for Women International
Ayşe Akgöz, Sebahat Gözüm, Ayşegül Ilgaz
The purpose of the study was to evaluate perception of body weight (PBW) of women who live in two different regions of the Antalya provincial center in Turkey with different socioeconomic status (SES) and whose ages range from 50 to 65. A cross-sectional survey was conducted. Association with PBW was investigated using multiple logistic regression analyses; correct PBW of women in middle SES was 0.28 times more than those in upper-middle and upper SES. Health professionals should take unemployed women with high body mass index and low SES as a target group...
May 1, 2017: Health Care for Women International
Sukkyung You, Kyulee Shin
Physically active leisure plays a key role in successful aging. Exercise beliefs are one of the key predictors of exercise behavior. We used structural equation modeling to assess the plausibility of a conceptual model specifying hypothesized linkages among middle-aged adults' perceptions of (a) exercise beliefs, (b) physical exercise behavior, and (c) subjective well-being. Four hundred two adults in South Korea responded to survey questions designed to capture the above constructs. We found that physically active leisure participation leads to subjective well-being for both middle-aged men and women...
April 27, 2017: Health Care for Women International
Laura Curran, Judith McCoyd, Shari Munch, Bonnie Wilkenfeld
In this study, we examine the phenomenology of maternal identity development among U.S. women hospitalized with medically high-risk pregnancies (MHRP). We conducted 16 in-depth interviews with women and found that they drew on culturally normative notions of maternal nurture, worry, and sacrifice to construct maternal identity in the context of MHRP. Based on our findings, we suggest that MHRP shape women's sense of connection to and distinctive cognitive representations of their fetus. We conclude that hospitalization simultaneously promotes and challenges women's early maternal identifications...
April 27, 2017: Health Care for Women International
Piotr Żuk, Paweł Żuk
The authors describe the problems of women in Poland, who have limited access to abortion, in vitro fertilization procedures, and prenatal tests. The current situation stems from ideological pressure, which affects women's health issues. This is part of a broader syndrome of the conservative approach to women's health in Eastern Europe, as well as the factor that strengthens the extreme right in Europe. As women's sexual health is demonized, women less often undergo preventive examinations. Making the debate about health more rational requires radical sociocultural changes in this part of the world...
April 25, 2017: Health Care for Women International
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