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Does a Welcoming Environment Influence Women Veterans’ Primary Care Experiences? Women's Health Issues (IF 2.8) Pub Date : 2024-08-28 Danielle E. Rose PhD MPH, Melissa M. Farmer PhD, Sabine M. Oishi PhD MSPH, Ruth S. Klap PhD, Bevanne A. Bean-Mayberry MD MHS, Ismelda Canelo MPA, Donna L. Washington MD MPH, Elizabeth M. Yano PhD MPH
A welcoming environment may influence patient care experiences, and it may be particularly relevant for underrepresented groups, such as women veterans at Veterans Health Administration (VA) facilities where they represent only 8–10% of patients. Challenges to ensuring a welcoming environment for women veterans may include unwelcome comments from male veterans and staff or volunteers and feeling unsafe
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Health and Health Care Use of American Indian/Alaska Native Women Veterans: A Scoping Review Women's Health Issues (IF 2.8) Pub Date : 2024-08-26 Mary K. Good PhD, Heather Davila PhD, Daniel Ball PhD, Skye O'Neill MS, Heather Healy MA MLS, Michelle A. Mengeling PhD
American Indian/Alaska Native (AI/AN) women serve in the U.S. military, use Veterans Health Administration (VA) health care, and reside in rural areas at the highest rates compared with other women veterans. However, little is known about their unique health care needs, access, and health care use. We assessed the existing literature on the health and health care use of U.S. AI/AN women veterans. Online
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Suicidal Ideation and Suicide Attempts Among Women Veterans Using VA Reproductive Health Care: Prevalence and Associations With Fertility-, Pregnancy- and Parenting-related Factors Women's Health Issues (IF 2.8) Pub Date : 2024-08-05 Claire A. Hoffmire PhD, Julie A. Kittel PhD, Lisa A. Brenner PhD, Alexandra L. Schneider BA, Jodie Katon PhD, Christin Miller MS, Lindsey L. Monteith PhD
Women veterans are at elevated risk for suicide and experience a high prevalence of suicidal ideation (SI) and suicide attempt (SA) history. Knowledge regarding SI/SA correlates among women veterans who use reproductive health care services is limited, inhibiting development of evidence-based, gender-sensitive suicide prevention programming tailored to meet women veterans’ needs and preferences. This
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Uncertainty in Postpartum Permanent Contraception Decision-Making: Physician and Patient Perspectives Women's Health Issues (IF 2.8) Pub Date : 2024-08-02 Brooke W. Bullington BA, Madeline Thornton MD MPH, Madison Lyleroehr MA, Kristen A. Berg PhD CRC, Kari White PhD MPH, Margaret Boozer MD, Tania Serna MD MPH, Emily S. Miller MD, Jennifer L. Bailit MD MPH, Kavita Shah Arora MD MBE MS
We sought to understand how patients and physicians conceptualize uncertainty in the permanent contraception decision-making process. In 2022–2023, we interviewed postpartum patients with a documented desire for permanent contraception ( = 81) and their delivering physicians ( = 67). Eligible patients gave birth at one of our four study hospitals in California, Ohio, Illinois, and Alabama. We used
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Development and Evaluation of a Novel Approach to Patient-Centered Contraceptive Counseling Women's Health Issues (IF 2.8) Pub Date : 2024-07-24 Katharine O. White MD MPH, Kelly M. Treder MD MPH, Placidina Fico MPH, Elizabeth Raskin MPH MSW, Natasha M. Lerner DrPH MPA
We aimed to develop and evaluate a novel model, PHI CARE, that provides a standardized framework for shared decision-making in contraceptive counseling. We developed the PHI CARE model with national experts, piloted it at three family planning clinics, and finalized it following additional patient and clinician review. We recruited pregnancy-capable people for an evaluation study via simulated contraceptive
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Leveraging a Longitudinally Linked Dataset to Assess Recurrence of Severe Maternal Morbidity Women's Health Issues (IF 2.8) Pub Date : 2024-07-17 Hafsatou Diop MD MPH, Eugene R. Declercq PhD, Chia-Ling Liu RN ScD MPH, Xiaohui Cui ScD, Ndidiamaka Amutah-Onukagha PhD MPH, Audra R. Meadows MD MPH, Howard J. Cabral PhD MPH
Among those with a severe maternal morbidity (SMM) event and a subsequent birth, we examined how the risk of a second SMM event varied by patient characteristics and intrapartum hospital utilization. We used a Massachusetts population-based dataset that longitudinally linked in-state births, hospital discharge records, prior and subsequent births, and non–birth-related hospital utilizations for birthing
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Birth Outcomes Among First Nations Birthing Parents Incarcerated While Pregnant: A Linked Administrative Data Study From Manitoba, Canada Women's Health Issues (IF 2.8) Pub Date : 2024-07-08 Nathan C. Nickel PhD, Jennifer E. Enns PhD, Marni Brownell PhD, Farzana Quddus MSc, Randy Walld BSc BComm (Hons), Emily Brownell BHSc, Lorna Turnbull JSD, Hygiea Casiano MD FRCPC, Marcelo Urquia PhD, Elizabeth Decaire BA RN BN, Alyson Mahar PhD, Elizabeth Wall-Wieler PhD, Rhonda Campbell RN NP MSc MN, Anita Durksen MSc, Janelle Boram Lee MSc, Miyosha Tso Deh BA MPAR, Ivy Ferland, Mark Granger, Wanda
In Canada, colonial policies have resulted in health inequities between First Nations and other Canadians. These policies contribute to overrepresentation of First Nations in the criminal legal system, where incarcerated people and their infants face elevated health risks. We investigated the association between prenatal incarceration and adverse birth outcomes among First Nations and other birthing
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Facilitators and Barriers to Medicaid Doula Benefit Implementation in California: Perspectives From Managed Care Plans and Risk-Bearing Organizations Women's Health Issues (IF 2.8) Pub Date : 2024-07-08 Cassondra Marshall DrPH MPH, Ashley Nguyen MPH, Clara E. Yang MPH, Anu Manchikanti Gómez PhD MSc
Medicaid coverage of doula services is increasing as a policy strategy to reduce maternal health inequities in the United States. However, early adopter states struggled to offer accessible, equitable Medicaid doula benefits when implementation began. California began covering doula services through its Medicaid program, Medi-Cal, in 2023. Managed care plans (MCPs) and risk-bearing organizations (RBOs)
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Health Care Provider Willingness to Recommend Self-collected Tests for Human Papillomavirus: A Mixed Methods Examination of Associated Factors Women's Health Issues (IF 2.8) Pub Date : 2024-07-02 Holly B. Fontenot PhD RN NP, Lindsay Fuzzell PhD, Naomi C. Brownstein PhD, Paige Lake MPH, Alexandra Michel PhD RN CNM, Susan T. Vadaparampil PhD, Rebecca B. Perkins MD
Cervical cancer disproportionately affects those who are underscreened. Human papillomavirus self-collection is a promising tool to expand screening. Study objectives were to examine 1) factors (provider characteristics and practice type) associated with and 2) attitudes (perceived benefits and concerns) toward using human papillomavirus self-collection for cervical cancer screening in clinical practice
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Navigating Miscarriage Management Post-Dobbs: Health Risks and Ethical Dilemmas Women's Health Issues (IF 2.8) Pub Date : 2024-06-25 Preetha Nandi MD MPH, Danielle M. Roncari MD MPH, Erika F. Werner MD MS, Allison L. Gilbert MD MPH, Sebastian Z. Ramos MD
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A Multipronged Approach to Caring for Women Veterans With Military Environmental Exposures Women's Health Issues (IF 2.8) Pub Date : 2024-06-18 Mehret T. Assefa PhD MPH, Maheen M. Adamson PhD MHL, Lindsey B. Proctor MS RDN LDN, Stacy Moeder MHA MBA, J. Wesson Ashford MD PhD, Jennifer S. Jennings MD
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“It Feels Like Health Care with the Patient in Mind”: VA Patient and Staff Perspectives on Self-Collected HPV Testing Women's Health Issues (IF 2.8) Pub Date : 2024-06-17 Elisheva R. Danan MD MPH, Erin C. Amundson MPH, Alexandra Gowdy-Jaehnig MPH, Jessica K. Friedman PhD MPH, Rebekah Pratt PhD, Erin E. Krebs MD MPH, Michele Spoont PhD, Princess E. Ackland PhD MSPH
Self-collected testing for human papillomavirus (HPV) is poised to transform cervical cancer screening. Self-tests demonstrate similar accuracy to clinician-collected tests, but for the half a million women served by the Veterans Health Administration (VA) and their clinicians, self-collected cervical cancer screening would be a new practice. We examined VA patient and staff perspectives to inform
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Neighborhood Racialized Economic Polarization, Home Visiting Coverage, and Adverse Birth Outcomes in a Medicaid-eligible Population Women's Health Issues (IF 2.8) Pub Date : 2024-06-06 Xiao Yu PhD, Lee Anne Roman MSN PhD RN, Jennifer E. Raffo MA, Ran Meng MS, Peggy Vander Meulen MSN, Celeste Sanchez Lloyd MA, Cristian I. Meghea PhD
Residential polarization shaped by racial segregation and concentrations of wealth (hereafter neighborhood racialized economic polarization) results in both highly deprived and highly privileged neighborhoods. Numerous studies have found a negative relationship between neighborhood racialized economic polarization and birth outcomes. We investigated whether community-informed home visiting programs
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Barriers and Facilitators of Extended Use of the Contraceptive Implant: A Cross-Sectional Survey of Clinicians Women's Health Issues (IF 2.8) Pub Date : 2024-05-28 Nicole Rigler BA, Sarah Averbach MD MAS, Selina Sandoval MD MPH, Marisa Hildebrand MPH, Sheila K. Mody MD MPH
The U.S. Food and Drug Administration (FDA) approved the etonogestrel contraceptive implant for 3 years of use. Evidence suggests that it may be used for up to 5 years for pregnancy prevention, also known as extended use. We conducted a national cross-sectional survey among a group of reproductive health clinicians. We developed an online survey using the Consolidated Framework for Implementation Research
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Experiences and Perceptions of Maternal Autonomy and Racism Among BIPOC Veterans Receiving Cesarean Sections Women's Health Issues (IF 2.8) Pub Date : 2024-05-17 Kristin Mattocks PhD MPH, Valerie Marteeny MS, Lorrie Walker MA, Kate Wallace MPH, Karen M. Goldstein MD MSPH, Elizabeth Deans MD, Erin Brewer MD, Bevanne Bean-Mayberry MD MHS, Aimee Kroll-Desrosiers PhD
Previous studies of pregnant veterans enrolled in Department of Veterans Affairs (VA) care reveal high rates of cesarean sections among racial/ethnic minoritized groups, particularly in southern states. The purpose of this study was to better understand contributors to and veteran perceptions of maternal autonomy and racism among veterans receiving cesarean sections. We conducted semi-structured interviews
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The Impact of Immigration Policy Changes on Preterm Birth Rates in Texas: An Examination of Border and Nonborder Regions Women's Health Issues (IF 2.8) Pub Date : 2024-05-09 Marvellous A. Akinlotan BDS MPH PhD, Fatma Marouf JD MPH, Bryn Esplin JD HEC-C CPPS, Scott Horel MAG, Jane N. Bolin BSN JD PhD, Alva O. Ferdinand DrPH JD
Our study examined the acute and sustained impact of immigration policy changes announced in January 2017 on preterm birth (PTB) rates among Hispanic and non-Hispanic white women in Texas's border and nonborder regions. Using Texas birth certificate data for years 2008 through 2020, we used a multiple group interrupted time series approach to explore changes in PTB rates. In the nonborder region, the
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United States Doula Programs and Their Outcomes: A Scoping Review to Inform State-Level Policies Women's Health Issues (IF 2.8) Pub Date : 2024-05-09 Gabriela Alvarado MD MSc MA MPhil, Dana Schultz MPP, Nipher Malika PhD MPH, Nastassia Reed BA
The field of maternal health has advanced significantly over the past decades. However, the United States continues to have poor outcomes in comparison with other industrialized nations. With emerging evidence on the promise of doula care, states are including doula care under their Medicaid programs. We conducted a scoping review across four academic databases and gray literature published between
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Contraceptive Attitudes and Beliefs of Women With Sickle Cell Disease: A Qualitative Study Women's Health Issues (IF 2.8) Pub Date : 2024-05-03 Andrea H. Roe MD MPH, Jessica Wu MD, Arden McAllister MPH, Shelley Aragoncillo BA, Esofi Nunyi BA, Samuelle Voltaire MSW MPH, Allyson Pishko MD MSCE, Farzana Sayani MD, Morine Cebert PhD MSHP FNP-C
We aimed to qualitatively explore factors influencing contraceptive use in women living with sickle cell disease (SCD). We conducted a semi-structured qualitative study using data from interviews with reproductive-aged women with SCD. The Theory of Planned Behavior, which describes an individual's attitudes, subjective norms, and perceived behavioral control as drivers of a health behavior, served
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Socioeconomic and Racial/Ethnic Inequalities in Infertility Prevalence, Help-Seeking, and Help Received Since 1995 Women's Health Issues (IF 2.8) Pub Date : 2024-05-01 Katherine I. Tierney PhD, Arthur L. Greil PhD, Ann V. Bell PhD
In the United States, infertility and treatment for infertility are marked by racial/ethnic and socioeconomic inequalities. Simultaneously, biomedical advances and increased public health attention toward preventing and addressing infertility have grown. It is not known, however, whether the racial/ethnic and socioeconomic inequalities observed in infertility prevalence, help-seeking, or help received
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Using Administrative Claims Data to Address Maternal Health Disparities: Benefits, Pitfalls, and Methodological Solutions Women's Health Issues (IF 2.8) Pub Date : 2024-04-30 Sara E. Heins PhD, Toyya A. Pujol PhD
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Risk of Iron Deficiency in Women With Endometriosis: A Population-Based Prospective Cohort Study Women's Health Issues (IF 2.8) Pub Date : 2024-04-24 Dereje G. Gete PhD, Jenny Doust PhD, Sally Mortlock PhD, Grant Montgomery PhD, Gita D. Mishra PhD
Endometriosis may be linked to the risk of iron deficiency through chronic systemic inflammation or heavy menstrual bleeding. No longitudinal studies, however, have examined the relationship between endometriosis and the risk of iron deficiency. This study included 3,294 participants born from 1973 to 1978 and followed as part of the Australian Longitudinal Study on Women's Health from 2000 to 2018
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Interest in and Support for Alternative Models of Medication Abortion Provision Among Patients Seeking Abortion in the United States Women's Health Issues (IF 2.8) Pub Date : 2024-04-23 Natalie Morris MPH, M. Antonia Biggs PhD, C. Finley Baba MPH, Jane W. Seymour PhD MPH, Kari White PhD MPH, Daniel Grossman MD
Medication abortion is safe and effective, but restrictions still limit patients from accessing this method. Alternative models of medication abortion provision, namely advance provision, over-the-counter (OTC), and online, could help improve access to care for some, although there is limited evidence about abortion patients’ interest in these models. Between 2017 and 2019, we administered a cross-sectional
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Latent Profiles of Disordered Eating Among Veterans: Associations With Mental Health Concerns Women's Health Issues (IF 2.8) Pub Date : 2024-04-15 Patrycja Klimek-Johnson PhD, Matthew M. Yalch PhD, Shira Maguen PhD
Varying patterns in eating disorder (ED) classification are evident and may impact ED treatment and prevention. However, investigations of patterns of heterogeneity in ED presentations have been limited to civilian samples, despite the high prevalence of EDs in military personnel and veterans. The present study aimed to explore ED-related symptom patterns, including emotional overeating, in women veterans
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Delays in Care by Race, Ethnicity, and Gender Before and During the COVID-19 Pandemic Using Cross-Sectional Data From the National Institutes of Health's All of Us Research Program Women's Health Issues (IF 2.8) Pub Date : 2024-04-09 Katherine A. Hill MD MHS, Vivian Colón-López PhD MPH
Delays in receiving medical care are an urgent problem. This study aims to determine whether the odds of, and reasons for, experiencing care delays differ by gender, race-ethnicity, and survey completion before versus during the COVID-19 pandemic. We conducted a cross-sectional analysis of survey data from participants age ≥18 in the National Institutes of Health's All of Us Research Program collected
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Barriers to Accessing Paid Parental Leave Among Birthing Parents With Perinatal Health Complications: A Multiple-Methods Study Women's Health Issues (IF 2.8) Pub Date : 2024-04-03 Lisset M. Dumet MBA, William H. Dow PhD, Deborah Karasek PhD, Linda S. Franck PhD, Julia M. Goodman PhD
Even in the small number of U.S. states with paid parental leave (PPL) programs, studies have found awareness of PPL remains low and unevenly distributed among parents. Moreover, little is known about whether parents with perinatal health complications have unmet needs in obtaining information about and support for accessing parental leave during that time. This study aims to address this research
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Florida Doulas’ Perspectives on Their Role in Reducing Maternal Morbidity and Health Disparities Women's Health Issues (IF 2.8) Pub Date : 2024-03-19 Adetola F. Louis-Jacques MD, Janelle Applequist PhD MA, Megan Perkins BSN RN IBCLC, Charlette Williams MD, Ria Joglekar MD, Richard Powis PhD, Angela Daniel MSSW, Roneé Wilson PhD
Maternal mortality rates continue to rise in the United States. Considerable racial disparities exist, as Black women face two to three times the risks of dying from pregnancy-related complications compared with white women. Doulas have been associated with improved maternal outcomes. This study aimed to 1) investigate Florida doulas’ perspectives and influence on severe maternal morbidity/mortality
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Pregnancy Care Utilization, Experiences, and Outcomes Among Undocumented Immigrants in the United States: A Scoping Review Women's Health Issues (IF 2.8) Pub Date : 2024-03-16 Rose L. Molina MD MPH, Alexandra Beecroft, Yessamin Pazos Herencia BS, Maria Bazan MD MPH, Carrie Wade MLIS, Amanda DiMeo MSc, Jeffrey Sprankle BS, Margaret M. Sullivan FNP-BC DrPH
Undocumented immigrants face many barriers in accessing pregnancy care, including language differences, implicit and explicit bias, limited or no insurance coverage, and fear about accessing services. With the national spotlight on maternal health inequities, the current literature on undocumented immigrants during pregnancy requires synthesis. We aimed to describe the literature on pregnancy care
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Young Women's Perspectives on Being Screened for Hereditary Breast and Ovarian Cancer Risk During Routine Primary Care Women's Health Issues (IF 2.8) Pub Date : 2024-03-05 Mady Head MS LCGC, Betty Cohn MBE, Karen J. Wernli PhD MS, Lorella Palazzo PhD, Kelly Ehrlich MS, Abigail Matson BA, Sarah Knerr PhD MPH
The U.S. Preventive Services Task Force recommends screening women to identify individuals eligible for genetic counseling based on hereditary breast and ovarian cancer syndrome (HBOC) risk (i.e., risk assessment). However, risk assessment has not been widely integrated into primary care. This qualitative study explored young women's views on implementing routine HBOC risk assessment with a focus on
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Endometriosis and Disability: Analysis of Federal Court Appeals of Social Security Disability Insurance and Supplemental Security Income Claims by Individuals Suffering From Endometriosis Women's Health Issues (IF 2.8) Pub Date : 2024-02-27 Martha Grace Cromeens JD PhD RN, Kathleen Knafl PhD FAAN, Whitney R. Robinson PhD MSPH, Erin T. Carey MD MSCR, Zakiya Haji-Noor PhD MPH, Suzanne Thoyre PhD RN FAAN
Endometriosis, a chronic noncancerous gynecologic condition commonly characterized by disruptive physical and psychosocial symptoms, can be disabling. Individuals in the United States with endometriosis who are unable to work before retirement age can apply for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI). Given the multi-step process of disability review, it
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Financial Toxicity Considerations in Breast Reconstruction: Recommendations for Research and Practice Women's Health Issues (IF 2.8) Pub Date : 2024-02-26 Hannah Kinzer MPH, Clara N. Lee MD MPP, Krista Cooksey BA, Terence Myckatyn MD, Margaret A. Olsen PhD MPH, Randi Foraker PhD MA FAHA FAMIA FACMI, Anna Rose Johnson MD MPH, Mary C. Politi PhD
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Factors Associated With Guideline-concordant and Excessive Cervical Cancer Screening: A Mixed Methods Study Women's Health Issues (IF 2.8) Pub Date : 2024-02-20 Rebecca B. Perkins MD MSc, Lindsay Fuzzell PhD, Paige Lake MPH, Naomi C. Brownstein PhD, Holly B. Fontenot WHNP PhD, Alexandra Michel PhD, Ashley Whitmer MPH CPH, Susan T. Vadaparampil PhD MPH
National guidelines recommend cervical cancer screening with Papanicolaou (Pap) testing at 3-year intervals or with human papillomavirus (HPV) testing alone or HPV/Pap cotesting at 5-year intervals for average-risk individuals aged 30–65 years. We explored factors associated with clinician-reported guideline-concordant screening, as well as facilitators and barriers to appropriate cervical cancer screening
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“How Do I Prepare for This?” Patient Perspectives on Providers’ Employment-related Support During Pregnancy Women's Health Issues (IF 2.8) Pub Date : 2024-02-20 Julia M. Goodman PhD MPH, Annette M. Crawford MPH MPA MSc, Erika K. Cottrell PhD MPP, Jeanne-Marie Guise MD MA MPH MBA
Health care providers can offer employment-related support to pregnant patients by providing information about occupational risks and benefits, discussing adjustments, and/or completing paperwork to help patients obtain accommodations or benefits, but little research has examined whether and how this support is provided. We conducted interviews with 20 adults who had been employed while pregnant within
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Facilitators and Barriers to Breastfeeding Among Veterans Using Veterans Affairs Maternity Care Benefits Women's Health Issues (IF 2.8) Pub Date : 2024-02-06 Jill Inderstrodt PhD MPH, Krysttel C. Stryczek MA, Sara E. Vargas PhD, Jennifer N. Crawford PhD, Taylor Hooker MS CTRS NBC-HWC, Aimee R. Kroll-Desrosiers PhD, Valerie Marteeny MS, Kate F. Wallace MPH, Kristin Mattocks PhD MPH
U.S. veterans of childbearing age represent one of the fastest growing populations using Veterans Affairs (VA) health care. The VA does not provide obstetric care directly but pays for VA-enrolled veterans to obtain outside obstetric care. The VA also provides maternity care coordination (MCC) services, including lactation support. Breastfeeding benefits mothers and babies; however, previous research
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Awareness of the Maternal Health Benefits of Lactation Among U.S. Pregnant Individuals Women's Health Issues (IF 2.8) Pub Date : 2024-02-01 Caidon Iwuagwu BS, Melissa J. Chen MD MPH, Adrienne E. Hoyt-Austin DO MAS, Laura Kair MD MAS, Margaret Fix MPH, Eleanor Bimla Schwarz MD MS
We assessed awareness of the maternal health benefits of lactation among a sample of nulliparous pregnant individuals in the United States, identified variables associated with awareness of these benefits, and examined whether awareness of these benefits impacts breastfeeding attitudes or intentions. We administered a web-based survey to nulliparous U.S.-born individuals carrying a singleton gestation
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Increasing Urban African American Women's Readiness for Pre-exposure Prophylaxis: A Pilot Study of the Women Prepping for PrEp Plus Program (WP3+) Women's Health Issues (IF 2.8) Pub Date : 2024-01-23 Gail E. Wyatt PhD, Enricka Norwood-Scott BA, Michele Cooley-Strickland PhD, Muyu Zhang MA, Amber Smith-Clapham MA, Wilbert Jordan MD, Honghu Liu PhD, Alison B. Hamilton PhD MPH
African American women are disproportionately at risk for HIV infection. To increase women's readiness to consider taking pre-exposure prophylaxis (PrEP), we conducted a pilot study of Women Prepping for PrEP Plus (WP3+). Adapted from an evidence-based HIV risk reduction intervention for African American couples who are HIV-serodiscordant, WP3+ is a group-based culturally congruent program designed
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“I Wasn't Expecting That Question”: Responses to Requests for Abortion Referral at College Student Health Centers Women's Health Issues (IF 2.8) Pub Date : 2024-01-20 Priyanka Anand MD, Licia Bravo BS, Sarah Gutman MD MSPH, Arden McAllister MPH, Shimrit Keddem PhD, Sarita Sonalkar MD MPH
Women 18–24 years of age have the highest proportion of unintended pregnancies of any age group, and thus represent a significant population in need of abortion services. Prior research indicated that only half of college student health centers provide appropriate abortion referrals. Our objective was to better understand the referral experience and barriers to abortion referral at college student
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Maternity Care Deserts in Louisiana and Breastfeeding Initiation Women's Health Issues (IF 2.8) Pub Date : 2024-01-11 Chanell O. Haley PhD, Lily E. King MPH, Lauren Dyer MPH, Melissa G. Evans PhD, Katherine P. Theall PhD, Maeve Wallace PhD
Breastfeeding provides physical, psychological, and immunological benefits to both the mother and infant, but breastfeeding rates are suboptimal. The purpose of this study was to examine whether residing in a maternity care desert (a county with no hospital offering obstetric care and no OB/GYN or certified nurse midwife providers) was associated with lower breastfeeding rates among birthing people
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“Something Has to Be Done to Make Women Feel Safe”: Women Veterans’ Recommendations for Strengthening the Veterans Crisis Line for Women Veterans Women's Health Issues (IF 2.8) Pub Date : 2024-01-09 Melissa E. Dichter PhD MSW, Aneeza Z. Agha MA, Lindsey L. Monteith PhD, Lauren S. Krishnamurti PhD, Katherine M. Iverson PhD, Ann Elizabeth Montgomery PhD
Women represent 15% of veteran callers to the Veterans Crisis Line (VCL); there has been little research identifying the experiences and needs of women veterans who use the VCL. The objective of this study was to identify women veterans’ experiences with and recommendations for strengthening VCL services for women. We conducted qualitative interviews with 26 women veterans across the United States
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Effects of Breastfeeding Peer Counseling on County-Level Breastfeeding Rates Among WIC Participants in Greater Minnesota Women's Health Issues (IF 2.8) Pub Date : 2024-01-08 Julia D. Interrante PhD MPH, Alyssa H. Fritz MPH RD CLC, Marcia B. McCoy MPH IBCLC, Katy Backes Kozhimannil PhD MPA
U.S. breastfeeding outcomes consistently fall short of public health targets, with lower rates among rural and low-income people, as well as participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The U.S. Department of Agriculture funded a subset of local WIC agencies in Minnesota to implement Breastfeeding Peer Counseling Programs (BFPCs) aimed at improving
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The Association of Mental Health and Substance Use With Retention in HIV Care Among Black Women in Washington, District of Columbia Women's Health Issues (IF 2.8) Pub Date : 2024-01-05 Bianca Stewart MPH, Morgan Byrne MPH, Matthew Levy PhD, Michael A. Horberg MD MAS FACP FIDSA, Anne K. Monroe MD MSPH, Amanda D. Castel MD MPH FAAP AAHIVS, DC Cohort Executive Committee, Natella Rakhmanina, Clover Barnes, Angela Wood, Princy Kumar, Marinella Temprosa, Vinay Bhandaru, Tsedenia Bezabeh, Nisha Grover, Lisa Mele, Susan Reamer, Alla Sapozhnikova, Greg Strylewicz, Shannon Barth, Morgan Byrne
Black women with HIV are impacted by mental health and substance use disorders alongside barriers to care. The impact of these disorders on retention in care, a crucial step of the HIV care continuum, has not been well-studied. We examined the association between these disorders and retention in care over a 2-year period. Data from January 1, 2011, to June 30, 2019, were obtained from the DC Cohort
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Abortion Clients’ Perceptions of Alternative Medication Abortion Service Delivery Options in Mississippi Women's Health Issues (IF 2.8) Pub Date : 2023-12-26 Klaira Lerma MPH, Whitney Arey PhD, Eva Strelitz-Block BA, Sacheen Nathan MD MPH, Kari White PhD MPH
We assessed Mississippi abortion clients’ perceptions of alternative medication abortion service delivery options that were restricted under state law but available elsewhere. We conducted in-depth interviews with medication abortion clients between November 2020 and March 2021 at Mississippi's only abortion facility. We described alternative service delivery models: telemedicine, medications by mail
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Mifepristone Use Among Obstetrician-Gynecologists in Massachusetts: Prevalence and Predictors of Use Women's Health Issues (IF 2.8) Pub Date : 2023-12-20 Emily Newton-Hoe MPH MPA, Alice Lee MD, Jennifer Fortin MPH, Alisa B. Goldberg MD MPH, Elizabeth Janiak ScD, Sara Neill MD MPH
We estimated the prevalence of mifepristone use for evidence-based indications among obstetrician-gynecologists in independent practice in Massachusetts and explored the demographic and practice-related factors associated with use. We used data from a cross-sectional survey administered to Massachusetts obstetrician-gynecologists identified from the American Medical Association Physician Masterfile
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Posttraumatic Stress Disorder, Military Sexual Trauma, and Birth Experiences at the Veterans Health Administration Women's Health Issues (IF 2.8) Pub Date : 2023-12-19 Katherine Musacchio Schafer PhD, Kate F. Wallace MPH, Aimee Kroll-Desrosiers PhD, Kristin Mattocks PhD MPH
Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, depression, posttraumatic stress disorder (PTSD), and traumatic events, including military sexual trauma, as compared with women in the general population. It is possible
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Gibbs Leadership Prize: Best Manuscripts of 2023 in Women's Health Issues Women's Health Issues (IF 2.8) Pub Date : 2023-12-14
Abstract not available
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Effects of Georgia's Medicaid Family Planning Waiver on Pregnancy Characteristics and Birth Outcomes Women's Health Issues (IF 2.8) Pub Date : 2023-12-15 Gery P. Guy Jr. PhD MPH, E. Kathleen Adams PhD MS, Sara K. Redd PhD MSPH, Anne L. Dunlop MD MPH
Medicaid family planning waivers can increase access to health care services and have been associated with lower rates of unintended pregnancy, which is associated with a higher risk of negative birth outcomes such as preterm birth and low birthweight. The objective of this study was to test the effect of Georgia's Medicaid family planning waiver, Planning for Healthy Babies (P4HB), on pregnancy characteristics
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Associations Between Head Injury, Strangulation, Cardiometabolic Health, and Functional Disability Among Female Survivors of Intimate Partner Violence Women's Health Issues (IF 2.8) Pub Date : 2023-12-14 Michelle M. Pebole PhD MA, Katherine M. Iverson PhD, Catherine B. Fortier PhD, Kimberly B. Werner PhD, Jennifer R. Fonda PhD MA, Alyssa Currao MPH, James W. Whitworth PhD, Regina E. McGlinchey PhD, Tara E. Galovski PhD
Head injury and strangulation are highly prevalent in intimate partner violence (IPV) contexts, but there is little research examining the potential implications of these injuries on physical health and functional status. This pilot study explored the extent to which injury type (head injury, strangulation) and severity (no injury, subconcussive head injury, traumatic brain injury; no strangulation
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Characteristics of U.S. Abortion Patients Who Obtained Care Out of State Prior to the Overturning of Roe v. Wade Women's Health Issues (IF 2.8) Pub Date : 2023-12-14 Sarah M. Axelson MSW, Riley J. Steiner PhD MPH, Rachel K. Jones PhD
In light of the decision overturning the number of people who need to travel out of state for abortion is increasing as several states impose abortion bans. Better understanding the characteristics of patients who obtained out-of-state abortions before the decision can provide a reference point for future research and inform efforts to improve abortion access. We used data from the 2014 Abortion Patient
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Changes in Commercial Insurance Claims for Contraceptive Services During the Beginning of the COVID-19 Pandemic—United States, January 2019–September 2020 Women's Health Issues (IF 2.8) Pub Date : 2023-12-07 Kathryn M. Curtis PhD, Aniket D. Kulkarni MBBS MPH, Antoinette T. Nguyen MD MPH, Lauren B. Zapata PhD, Katherine Kortsmit PhD MPH, Ruben A. Smith PhD, Maura K. Whiteman PhD
We describe changes in commercial insurance claims for contraceptive services during the beginning of the COVID-19 pandemic. We analyzed commercial insurance claims using IQVIA PharMetrics Plus data from more than 9 million U.S. females aged 15–49 years, enrolled during any month, January 2019 through September 2020. We calculated monthly rates of outpatient claims for intrauterine devices (IUDs),
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Individual and Neighborhood-level Socioeconomic Status and Somatic Mutations Associated With Increased Risk of Cardiovascular Disease and Mortality: A Cross-Sectional Analysis in the Women's Health Initiative Women's Health Issues (IF 2.8) Pub Date : 2023-12-06 Shelly-Ann M. Love PhD MS, Jason M. Collins MPH, Kurtis M. Anthony MPH, Sophie F. Buchheit, Eboneé N. Butler PhD MPH, Ganga S. Bey PhD MPH, Rahul Gondalia PhD MPH, Kathleen M. Hayden PhD MA, Anthony S. Zannas MD PhD MSc, Alexander G. Bick MD PhD, JoAnn E. Manson MD DrPH MPH, Pinkal M. Desai MD MPH, Pradeep Natarajan MD MMSC, Romit Bhattacharya MD, Siddhartha Jaiswal MD PhD, Ana Barac MD PhD, Alex Reiner
Clonal hematopoiesis of indeterminate potential (CHIP), the expansion of leukemogenic mutations in white blood cells, has been associated with increased risk of atherosclerotic cardiovascular diseases, cancer, and mortality. We examined the relationship between individual- and neighborhood-level socioeconomic status (SES) and CHIP and evaluated effect modification by interpersonal and intrapersonal
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Early Childcare Precarity and Subsequent Maternal Health Women's Health Issues (IF 2.8) Pub Date : 2023-11-17 Carol Duh-Leong MD MPP, Caitlin F. Canfield PhD, Anne E. Fuller MD MS, Rachel S. Gross MD MS, Nancy E. Reichman PhD
We examined prospective associations between early childcare precarity, or the security and reliability of childcare arrangements, and subsequent maternal health. We conducted a secondary analysis of survey responses from mothers of 2,836 children in the Future of Families and Child Wellbeing study. We assessed the following childcare measures: insecure childcare, insecure childcare with missed work
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Contraception Use by Title X Clients and Clients of Other Providers, 2015–2019 Women's Health Issues (IF 2.8) Pub Date : 2023-11-10 Rebecca Wells, Nicole K. Smith, Maria I. Rodriguez
Introduction Title X clinics provide access to a wide range of contraceptive options for individuals of all income levels and documentation statuses. As Title X continues to face political uncertainties, it is important to provide up-to-date information about its clients’ use of contraception. This study used recent nationally representative data to compare contraception received by Title X clients
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New Resources to Advance Equity in Academic Publishing Women's Health Issues (IF 2.8) Pub Date : 2023-11-09
Abstract not available
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Examining the Association Between Affordable Care Act Medicaid Expansion and Sexually Transmitted Infection Testing Among U.S. Women Women's Health Issues (IF 2.8) Pub Date : 2023-11-07 Emily S. Unger, Margaret McConnell, S. Bryn Austin, Meredith B. Rosenthal, Madina Agénor
Introduction Sexually transmitted infection (STI) rates are rising among women in the United States, increasing the importance of routine STI testing. Beginning in 2014, some states expanded Medicaid under the Affordable Care Act, providing health coverage to most individuals in and near poverty. Here, we investigate whether Medicaid expansion changed rates of STI testing among U.S. women. Methods
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Association Between Physical Activity During Pregnancy and Perinatal Depressive Symptoms in Pregnant Individuals With Overweight and Obesity Women's Health Issues (IF 2.8) Pub Date : 2023-11-07 Sabrina Karim, Jihong Liu, Sara Wilcox, Bo Cai, Anwar T. Merchant
Introduction Current research on the association between physical activity and perinatal depression is inconclusive. This study examined the association between objectively measured physical activity during pregnancy and perinatal depressive symptoms among individuals with overweight and obesity. Methods Data came from the Health in Pregnancy and Postpartum study (N = 205). Physical activity was measured
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Breastfeeding-related Pain, Sensory Over-responsiveness, and Exclusive Breastfeeding at 6 Months: A Prospective Cohort Study Women's Health Issues (IF 2.8) Pub Date : 2023-11-06 Adi Freund-Azaria, Orit Bart, Rivka Regev, Tami Bar-Shalita
Background Exclusive breastfeeding (EBF) is recommended for the first 6 months of life, yet EBF rates at 6 months (T3) in most developed countries are low. Painful and nonpainful sensory stimuli processing is linked, and while pain has been suggested to restrict breastfeeding, its coupling with sensory over-responsiveness (SOR) in relation to breastfeeding has not yet been reported. Objective We aimed
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Impact of the Affordable Care Act on Prescription Contraceptive Use and Costs Among Privately Insured Women, 2006–2020 Women's Health Issues (IF 2.8) Pub Date : 2023-11-06 Cynthia H. Chuang, Carol S. Weisman, Guodong Liu, Sarah Horvath, Diana L. Velott, Amy Zheng, Douglas L. Leslie
Background In the years immediately following the Affordable Care Act (ACA)'s contraceptive coverage requirement, out-of-pocket costs fell for all Food and Drug Administration–approved contraceptive methods and use of long-acting reversible contraception (LARC) increased. This analysis examines whether these trends have continued through 2020 for privately insured women. Methods Using 2006–2020 MarketScan