Women's reproductive health (Philadelphia, Pa.)最新文献

This study interviews 10 experts in Kathmandu to explore the feasibility of using a social media intervention to improve menstrual health in Nepal. Respondents supported social media as a promising tool to reach youth, normalize menstruation, and expand education. They also emphasized gaps in current outreach, the value of collaborations with influencers and young people, and the need for sustained, long-term efforts. Findings suggest that social media may help shift cultural norms and reduce menstrual restrictions. This is the first known study to examine social media's potential to advance menstrual health in Nepal. Menstruation is a process that can be experienced by people of various genders, and thus several terms are often used to refer to people who menstruate. These terms include "menstruators," "people who menstruate," as well as "women" or "girls." The term menstruator is used in an effort to be inclusive of those who menstruate but do not identify as a woman or girl, such as transgender men and nonbinary or agender people (Babbar et al., 2023). However, most literature about people who suffer from menstrual stigma or restrictions in Nepal refer to women or girls. These terms are used interchangeably throughout this paper.

Objectives: To conduct a preregistered analysis of the interactions between unwanted sex history, inflammation, and luteal phase in 76 healthy women.

Methods: Participants provided saliva samples analyzed for progesterone and inflammation markers and completed subjective ratings of their sexual and physical arousal, disgust, and anxiety pre/post watching a sexual film.

Results: Observed effect sizes were very small, and inferential results were generally non-significant.

Conclusion: Findings suggest that if there are significant interactions of unwanted sex history and inflammation on ovarian cycle-related changes in women's emotional responses to sexual stimuli, these effects are modest and require large samples to reliably detect.

As the COVID-19 vaccine became available, pregnant people from marginalized communities disproportionately delayed vaccination. Although the urgency of vaccination has subsided, COVID-19 infection during pregnancy continues to pose maternal and fetal risks. Interviews with 45 Latinas residing on the US-Mexico border who were pregnant during the first two years of the pandemic revealed varying degrees of hesitancy related to vaccination during pregnancy. Utilizing a spectrum of hesitancy to frame the analysis revealed patterns of delayed vaccination and how varying degrees of trust in medical authority contributed to these patterns. Understanding patterns driving vaccine uptake and delays can inform clinical practice.

Weight stigma is a widespread issue in the U.S., including in healthcare, where even well-intentioned providers may harbor fatphobic biases that negatively impact patient outcomes. Despite growing research on the healthcare needs of fat individuals, sexual and reproductive healthcare remains underexplored. This study investigates how weight stigma disrupts long-term care relationships and affects discussions on sexual health and family planning for fat women. Our findings show that fat women are more likely to engage in doctor shopping and have less communication with providers about sexual and reproductive health, including family planning, likely due to weight stigma and implicit bias.

Immigrant women in the United States often have poorer maternal and infant outcomes and suboptimal experiences of maternity care compared to non-immigrant women in the same setting. The purpose of this study was to explore community-based doulas' experiences of working with immigrant clients and maternal health care providers in Arkansas. A descriptive qualitative design was used. Themes emerged within three categories: 1) experiences with immigrant clients; 2) experiences with maternal health care providers; and 3) suggestions to improve support for immigrant clients. Within the first theme, three subthemes emerged: 1) language barriers; 2) transportation; and 3) access to food and housing. Within the second theme, two subthemes emerged: 1) dismissive; and 2) takes time to build rapport. Within the third theme, two subthemes emerged: 1) listen to the client and improve communication; and 2) more community-based doulas. Community-based doula programs may help address poorer health outcomes faced by immigrant women.

Menstrual pain or dysmenorrhea is a common and disruptive experience for adolescent girls, especially in low-resource settings with limited access to care. This study explored the association between body mass index (BMI) and dysmenorrhea among 1,260 girls aged 14-17 in Uganda. A mixed-effects regression analysis showed significant associations between BMI and dysmenorrhea. Specifically, overweight and obese girls reported less pain than those with normal BMI, but pain increased with age among overweight and obese participants. Additionally, depression was associated with heightened pain while higher family assets and social support reduced it. These findings can inform strategies to enhance adolescent well-being.