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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. Our purpose of this study was 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 Non Communicable Diseases (NCD) 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 programmes. 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 pre-pregnancy nutritional body mass index (BMI) was the most important factor related to GWG above recommendations (overweight: RRR = 2.31, 95% CI (1.73, 3.09) and obesity: RRR = 2.90, 95% CI (2.08, 4.03)). We believe that women who are overweight/obese at the beginning of pregnancy should be identified because of their higher risk and that adequate strategies should be designed and implemented to help them achieve a healthy GWG...
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 programmes 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 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 age 50. While 65.1% of participants perceived sex to be important, only 23.8% discussed sex with their providers since turning age 50. Factors related to discussing sex included age, education, having a chronic condition, and consuming alcohol...
May 11, 2017: Health Care for Women International
Despoina Sapountzi-Krepia, Maria Rekleiti, Maria Lavdaniti, Maria Psychogiou, Mikaella Chaliou, Maria Xenofontos, Marilena Savva
The purpose of our study was to evaluate female nursing students' knowledge and attitudes regarding breast self-examination. The sample consisted of 175 nursing students from a University of Cyprus. We collected data via a questionnaire which 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 they were knowledgeable about breast self-examination 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, Lauren 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 post-colonial 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 socio-cultural changes in this part of the world...
April 25, 2017: Health Care for Women International
Jane R von Gaudecker, Ann Gill Taylor, Arlene W Keeling, Janice M Buelow, Sailas Benjamin
In India, women with epilepsy face unique challenges. A focused ethnography of six women within the epilepsy treatment gap was conducted in rural South India. Women were asked to describe their day-to-day lives. Data were collected through open-ended, semistructured interview questions, participant observation, and field notes. Thematic analysis was done. The disease-related stigma contributed to the women's physical, psychological, and emotional struggles; the women and their family members made every effort to conceal the disease...
April 20, 2017: Health Care for Women International
Juping Yu, Roiyah Saltus, Paul Jarvis
Drawing quantitative data from a large study, we explored service providers' perceptions of the care and support provided to older women from Black and minority ethnic backgrounds living in the UK. Analyzing 102 responses to a questionnaire, we found that care needs of this group of older women were not adequately addressed, with ineffective communication being frequently reported. A number of information pathways and barriers to service provision were identified. More work is needed to explore how best not only to acknowledge diversity in care needs within older populations, but also to design and deliver responsive services accordingly...
April 13, 2017: Health Care for Women International
Oznur Korukcu, Kamile Kukulu
The purpose of the researchers is to determine the effect of a mindfulness programme on readiness for motherhood, the level of maternal attachment, and on post-partum self-evaluation. We used the quasi-experimental design. Researchers applied the mindfulness-based Transition to Motherhood programme to the treatment group for seven days. Data was collected between December 2012 and June 2014 in Turkey. At the end of the study, the treatment group showed improvement in measures of acceptance of pregnancy, level of readiness to give birth, the level of maternal attachment and the level of competence in the role of motherhood...
April 13, 2017: Health Care for Women International
Thinh Nguyen, Yvonne L Hauck, Rebecca A Pedruzzi, Jacqueline Frayne, Daniel Rock, Milan Dragovic
Australian women attending community mental health services were surveyed to determine the relationship between sexual trauma, sexual activity, and sexual health seeking behaviors. Self-reported history of "forced sex" was 58.4% (n = 122 out of 220). Latent class analysis revealed a three-class model: "sexually active and health seeking," "low sexual activity and health seeking" and "low sexual activity and not health seeking." An association with general practitioner engagement and sexual health seeking behaviors was found...
March 31, 2017: Health Care for Women International
R A Powell, Faith N Mwangi-Powell
No abstract text is available yet for this article.
June 2017: Health Care for Women International
Sheila Young Steinbrenner, Celeste Shawler, Sandra Ferreira, Claire Draucker
The purpose of this study was to explore the lived experience of help-seeking by South African women following sexual assault. Hermeneutic phenomenology guided the study. Interviews were conducted with six women who had experienced sexual assault at some point in their lives. Three venues were most significant to women's help-seeking experiences: the criminal justice system, health care facilities, and/or social service agencies. Essentially, the women's help-seeking experiences in these three venues are best described as fraught justice-seeking, pragmatic help-seeking, and desperate help-seeking...
May 2017: Health Care for Women International
Eleanor Krassen Covan
No abstract text is available yet for this article.
May 2017: 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...
May 2017: Health Care for Women International
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