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Health Care for Women International

Julie Sou, Shira M Goldenberg, Putu Duff, Paul Nguyen, Jean Shoveller, Kate Shannon
Despite universal health care in Canada, sex workers (SWs) and im/migrants experience suboptimal health care access. In this analysis, we examined the correlates of unmet health needs among SWs in Metro Vancouver over time. Data from a longitudinal cohort of women SWs (An Evaluation of Sex Workers Health Access [AESHA]) were used. Of 742 SWs, 25.5% reported unmet health needs at least once over the 4-year study period. In multivariable logistic regression using generalized estimating equations, recent im/migration had the strongest impact on unmet health needs; long-term im/migration, policing, and trauma were also important determinants...
March 16, 2017: Health Care for Women International
Nazilla Khanlou, Nida Mustafa, Luz Maria Vazquez, Deborah Davidson, Karen Yoshida
We present findings of a qualitative study exploring what constitutes relevant health promotion initiatives for immigrant mothers of children with developmental disabilities. We apply a social ecological approach, with a focus on gender-specific and transformative health promotion, to examine factors impacting mothers' health and wellbeing. Twenty-eight semi-structured and open-ended interviews were conducted with immigrant mothers in the greater Toronto area, Canada. Mothers identified facilitators, challenges, and strategies for their health promotion, providing relevant insights for meaningful intervention...
February 22, 2017: Health Care for Women International
Bola Lukman Solanke
This study examined the relationship between advanced reproductive age and childbearing choices measured by ideal family size, contraceptive use, and unmet need for contraception. Data were extracted from the 2013 Nigeria Demographic and Health Survey. The multinomial logistic regression was applied. Results showed that a majority of the women had large ideal family sizes; were not using any method of contraception; and nearly one-fifth of the women had unmet needs for contraception. Results further showed significant associations between advanced reproductive age and childbearing choices...
February 21, 2017: Health Care for Women International
Aleksandra A Staneva, Fiona Bogossian, Alina Morawska, Anja Wittkowski
Advances in perinatal mental health research have provided valuable insights around risk factors for the overall development of maternal distress. However, there is still a limited understanding of the experience of women struggling emotionally during pregnancy. We explored how women view, experience, and interpret psychological distress antenatally. Eighteen Australian women participated in in-depth interviews that were analyzed thematically within a critical realist theoretical framework. We present and situate the current findings within the dominant discourse of the good mother, which arguably promotes guilt and stigma and results in women self-labeling as bad mothers...
February 21, 2017: Health Care for Women International
Elena Camisasca, Rossella Procaccia, Sarah Miragoli, Giovanni Giulio Valtolina, Paola Di Blasio
The researchers of this study have two aims: The first one is to verify whether PTS symptoms, evaluated at 87 hours and at 3 months post-partum, are associated with MM and parenting stress, measured at 17 months post-partum. The second purpose is to investigate, at 17 months, the predictive effects of PTS symptoms on the dimensions of parenting stress and to explore whether MM mediates these associations. 41 mother-infant dyads participated in the study. The results show that, at 17 months, hyper-arousal symptoms predicted both MM and parenting stress...
February 19, 2017: Health Care for Women International
Jacky Forsyth, Elizabeth Boath, Carol Henshaw, Hannah Brown
To examine the effectiveness of exercise in the management of postpartum depression, women living in an inner-city, who were diagnosed using the Structured Clinical Interview for DSM-IV (Perinatal Version) (SCID-PN), were randomly assigned to an exercise group (N = 12) or control group (N = 12). A focus group was carried out to explore women's views of the trial. There were no significant differences between the two groups for SCID-PN. Although women who had engaged in the exercise viewed it positively (based on focus group data), low adherence to exercise meant that significant improvements in postpartum depression were not found...
February 14, 2017: Health Care for Women International
Adeyinka M Akinsulure-Smith, Tracy Chu
In this project, we explored knowledge and attitudes towards FGC in a survey of 107 West African immigrants, including 36 men. Men in this study were as knowledgeable about the health consequences of FGC as women, though with a less nuanced understanding. They also rejected the practice at rates comparable to women. Despite this knowledge and rejection of FGC, most men did not express a personal preference for women with or without FGC in intimate relationships. Future research and interventions must explore men's opposition to FGC and emphasize the impact of FGC on their partners' gynecological and reproductive health...
February 13, 2017: Health Care for Women International
Sidney Ruth Schuler, Elizabeth Bukusi
The success of women's microbicide use for HIV/AIDS prevention may hinge on health programs' ability to engage men to support it. In this qualitative study in Kenya, most women did not or would not tell their partners prior to initiating use, and/or would use despite their objections. Men generally did not agree with this, yet male partners of trial participants who discovered that their partners were using microbicides without their knowledge did not seem concerned. Findings suggest that efforts to engage men in microbicide use should avoid "awakening" patriarchal gender norms, and support women to use microbicides without involving their partners...
February 7, 2017: Health Care for Women International
Sanaa Abujilban, Jamila Abuidhail, Lina Mrayan, Reem Hatamleh
Dissatisfied pregnant women who are at higher risk of negative outcomes perinatally have not been identified in Jordan. The purposes of the researchers were to identify and compare socio-demographic characteristics of satisfied pregnant women with dissatisfied pregnant women. A non-experimental, descriptive, comparative design was employed. Jordanian pregnant women (n = 203) were consecutively selected. We found that younger, better educated pregnant women, with high economic status and small number of children were more satisfied with their life...
February 2, 2017: Health Care for Women International
Ismael Jiménez Ruiz, Pilar Almansa Martínez, Carolina Alcón Belchí
FGM is internationally considered an affront on human rights and an act of violence against women and young girls. Furthermore, it hierarchizes and perpetuates inequality and denies women and girls the right to physical and psychosexual integrity. The aim of this study is to detect the weak points and false premises underlying male justification of FGM and to present demythologization as a health education tool. We used a qualitative methodology with an ethonursing focus via semi-structured individual and group interviews in 25 men associated with FGM...
February 2, 2017: Health Care for Women International
Olayide Ogunsiji, Emma Clisdell
In this literature review, we present a synthesis of interventions for Intimate partner violence (IPV) among migrants. Searching through five databases for relevant articles published between 2005 and 2016, we report findings from ten relevant articles with focus on process, outcomes and challenges encountered. Our reported interventions mainly targeted survivors, perpetrators and primary level of prevention. The authors argued that grounding interventions on intimate partner violence within the cultural context of migrant population is crucial in increasing participants' engagement and obtaining a positive outcome...
February 2, 2017: Health Care for Women International
Sorayya Kheirouri, Mohammad Alizadeh
Data from 807 mothers in Iran delivering a singleton live infant and their offspring during the last two years up to August 2014 were collected from eight public health care centers and analyzed. Of women, 46.2% gained weight within the recommended range, 29.4% had inadequate and 24.4% had excessive gestational weight gain (GWG). Excessive GWG was more common among overweight and obese women, whereas inadequate GWG were prevalent among 50% of under and normal weight women. After adjusting for appropriate confounding factors the significant correlation was found between maternal anthropometric characteristics, folic acid intake during pregnancy and birth order with GWG...
January 10, 2017: Health Care for Women International
Elizabeth Fugate-Whitlock, Eleanor Krassen Covan, Ismael Jiménez Ruiz, Pilar Almansa Martínez, Carolina Alcón Belchí
No abstract text is available yet for this article.
April 2017: Health Care for Women International
Manoj A Thomas, Poornima Narayan
Reproductive tract infections (RTIs) are the cause of severe gynecological and maternal morbidity in India. In marginalized communities, women persevere quietly when faced with a culturally sensitive health issue such as an RTI. To hypothesize on the differential health behavior and low levels of reported incidents among women living in marginalized communities, we undertake an exploratory study in a coastal fishermen community in South India. We identify barriers influencing decisions to seek curative and preventive medical care...
April 2017: Health Care for Women International
Kathryn Coe, Jelena Čvorović
Indigenous people are over-represented among the world's disadvantaged; their health is influenced by lack of access to critical resources including health care and by their cultural practices. We report on the health and the health practices of one group of indigenous women, the Roma/Gypsies of northern Serbia who live in poverty, reside in sub-standardized housing in segregated communities, and are poorly educated and stigmatized. We describe the environment in which they live, their health history, and the cultural practices that influence their health and health behaviors, including their sporadic utilization of health services that are provided by the state...
April 2017: Health Care for Women International
Josephine B Etowa, Brenda L Beagan, Felicia Eghan, Wanda Thomas Bernard
The "strong Black woman" construct has been well-documented in the United States as both an aspirational icon and a constricting burden for African-heritage women. It has not been examined among African-Canadians. Drawing on qualitative interviews and standardized measures with 50 African-heritage women in Eastern Canada, our analysis reveals their perceptions of the construct as both strongly endorsed as a source of cultural pride, yet also acknowledged to take a terrible toll on health and well-being. The construct arises from and directly benefits racism...
April 2017: Health Care for Women International
Michal Mahat-Shamir, Chaya Possick
In this qualitative study, we examine the experience of 13 Jewish Israeli women carriers of BRCA mutations following risk-reducing surgery. Thematic analysis of in-depth, semi-structured interview texts yielded three themes: (a) dialectic of vulnerability and control, (b) presentation of self as a "normal" woman, and (c) genetic chain of negative life events and guilt. Aspects of Israeli culture impacting participants' experiences are: personal and collective responsibility, the shift toward consumerism, and pro-natal ideology...
April 2017: Health Care for Women International
Farah Ahmad, Syeda F Kabir, Nabila H Purno, Saima Islam, Ophira Ginsburg
In many low- and middle-income countries, breast cancer survival is low. Reasons for this are multifactorial, but delayed presentation for care is a common theme. In this survey study with 100 urban Bangladeshi women, we examined the role of socioeconomic and sociocultural factors on their likelihood to seek breast care from a family physician. In our multivariate model, a woman's age and education significantly predicted her likelihood to see a physician. Sociocultural aspects (e.g., concerns about time commitment of family members, personal household obligations) were significant at bivariate level...
April 2017: Health Care for Women International
Dinah A Tetteh
Traditional notions of the "full" woman and sociocultural beliefs about gender roles contribute to a unique experience of breast cancer in Africa. I used the critical feminist lens to analyze dis-courses about breast cancer in mainstream Ghanaian media. I found that breast cancer awareness is promoted amidst fanfare and that cultural notions of the female breasts, including their sexual appeal, are implied in breast cancer discourse. This obscures a nuanced understanding of the disease and women's health globally, limits the power of women to name their experiences, and contributes to the late presentation of the dis-ease in sub-Saharan Africa...
April 2017: Health Care for Women International
Erin Fredericks, Ami Harbin, Kelly Baker
In this article, we examine the ways in which 18 queer, lesbian, and bisexual (QLB) women in Eastern Canada negotiated their visibility in interactions with primary care providers. QLB women patients used a number of strategies to determine risk and to be visible or invisible to their health care providers. We describe participants' disclosure decisions and strategies, and we argue that being visible and invisible requires work on the part of QLB patients in the context of institutionalized heteronormativity...
April 2017: Health Care for Women International
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