A study in BMCWomensHealth provides insight into actionable and practical strategies for enhancing sexual assault screening and discussions in community-based obstetrical and gynecological healthcare appointments.
]. Any discrepancies were resolved via consensus discussion and data review until the final themes were fully agreed upon.
“I mean it’s mainly domestic violence screening… not really sexual assault screening. I don’t think… I doubt very many providers ask [about sexual assault].” “So, the experience I, that I’ve had like in an OB/GYN office, it actually was not something that was asked very often, even if the patient was alone. Which I thought was interesting. Because in the emergency department, you know, we ask every person, men, female. We ask everybody.”
When discussing how healthcare can become traumatic for some patients, factors impacting this outcome presented themselves in two forms: how healthcare professionals may prevent distressing care and how professionals may be contributing to traumatic experiences in healthcare.Many healthcare professionals shared how they utilize precautionary approaches when interacting with patients and probing on previous experiences.
“I make sure that every woman knows that you have to give consent for everything. If somebody’s saying I’m going to check your cervix. Now you can say No, thank you. And it doesn’t matter if they get shi**y about it. If they get hostile with you, you ask for a new nurse until you find one that is willing to respect your wishes.”
“I mean, that caused a lot of women to suffer post-traumatic stress from their birth… it isn’t even about that she had a C section it is about she was violated.” “I mean yeah because you can throw somebody back into traumatic moments by doing things like if they don’t know.” “They tend to deny cervical exams. And then there’s this hostility with the providers, if they’re not understanding well, ‘I want this information,’ and the client then not feeling comfortable enough to say, ‘well, this is why I don’t want this.’”
“let’s say the NuvaRing most women with trauma regarding like their vagina don’t really want to remove and insert something you know, like, regularly from their vagina, vulva, so I think it definitely can affect like how quick they are to seek care… If they feel like they’re going to be required to, you know, have a vaginal exam or something breast exam, that kind of stuff, too. I’m sure, it’ll be traumatic as well.
“Some of it is a power thing to a lot of women that I’ve seen that are domestic abuse survivors are more apt to want to have unmedicated births because they feel like it’s a challenge. It’s an empowering thing. They can say they did something really hard. And it kind of makes them feel better about themselves makes them feel stronger.”
“we definitely can be a supportive person to talk to, we always suggest we would refer out to a therapist if they weren’t already utilizing one. But we have resources, you know, at our disposal to get them to the right person.”
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Changes to physical activity behavior during the COVID-19 pandemic and their associated factors: a cross sectional survey of Mexican women - BMC Women's HealthBackground On March 24, 2020, the Mexican Government established social distancing measures to address the outbreak of the COVID-19 pandemic. The resulting home confinement affected daily lifestyle habits such as eating, sleeping, and physical activity (PA). The objectives of this study were to determine changes in PA behaviors among Mexican women due to the COVID-19 pandemic and to assess potential factors associated with these changes. Methods This was a cross-sectional study based on an anonymous online questionnaire developed by the Task Force on Physical Activity for Persons with Disabilities (PAPD) within the International Society of Physical and Rehabilitation Medicine (ISPRM). Descriptive, quantitative statistics were used for data analysis. A Chi-squared (χ²) test was used to explore associations between dependent and independent variables. Results A total of 1882 surveys were completed. Among the respondents, 53.3% declared that their PA was reduced during the pandemic, 26.6% reported similar PA behavior, and 20.1% declared that their PA had increased during the pandemic. Lower PA behavior during the pandemic was associated with lower education levels, stricter pandemic constraints, obesity, and lower self-perceived functioning levels. A statistically significant association between poorer self-perceived mental health and decreased PA behaviors was also found. Respondents who were younger, self-perceived as unimpaired, not overweight, and whose income was not impacted by COVID-19 were associated with higher levels of reported physical and mental health. Conclusions The study results identify disparities experienced in PA behavior during the COVID-19 pandemic among Mexican women and highlights the need for social support for PA participation.
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Benefits of physical activity on reproductive health functions among polycystic ovarian syndrome women: a systematic review - BMC Public HealthBackground Polycystic ovary syndrome (PCOS) is among the predominant endocrine disorders of reproductive-aged women. The prevalence of PCOS has been estimated at approximately 6–26%, affecting 105 million people worldwide. This systematic review aimed to synthesize the evidence on the effects of physical activity on reproductive health functions among PCOS women. Methods The systematic review includes randomization-controlled trials (RCTs) on physical exercise and reproductive functions among women with PCOS. Studies in the English language published between January 2010 and December 2022 were identified via PubMed. A combination of medical subject headings in terms of physical activity, exercise, menstrual cycle, hyperandrogenism, reproductive hormone, hirsutism, and PCOS was used. Results Overall, seven RCTs were included in this systematic review. The studies investigated interventions of physical activity of any intensity and volume and measured reproductive functions and hormonal and menstrual improvement. The inclusion of physical activity alone or in combination with other therapeutic interventions improved reproductive outcomes. Conclusion The reproductive functions of women with PCOS can be improved with physical activity. Furthermore, physical activity can also reduce infertility, as well as social and psychological stress among women. PROSPERO systematic review registration CRD42020213732.
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Views from women and maternity care professionals on routine discussion of previous trauma in the perinatal period: A qualitative evidence synthesisBackground Over a third of pregnant women (around 250,000) each year in the United Kingdom have experienced trauma such as domestic abuse, childhood trauma or sexual assault. These experiences can have a long-term impact on women’s mental and physical health. This global qualitative evidence synthesis explores the views of women and maternity care professionals on routine discussion of previous trauma in the perinatal period. Methods Systematic database searches (MEDLINE, EMBASE, CINAHL Plus, APA PsycINFO and Global Index Medicus) were conducted in July 2021 and updated in April 2022. The quality of each study was assessed using the Critical Appraisal Skills Programme. We thematically synthesised the data and assessed confidence in findings using GRADE-CERQual. Results We included 25 papers, from five countries, published between 2001 and 2022. All the studies were conducted in high-income countries; therefore findings cannot be applied to low- or middle-income countries. Confidence in most of the review findings was moderate or high. The findings are presented in six themes. These themes described how women and clinicians felt trauma discussions were valuable and worthwhile, provided there was adequate time and appropriate referral pathways. However, women often found being asked about previous trauma to be unexpected and intrusive, and women with limited English faced additional challenges. Many pregnant women were unaware of the extent of the trauma they have suffered, or its impact on their lives. Before disclosing trauma, women needed to have a trusting relationship with a clinician; even so, some women chose not to share their histories. Hearing trauma disclosures could be distressing for clinicians. Conclusion Discussions of previous trauma should be undertaken when women want to have the discussion, when there is time to understand and respond to the needs and concerns of each individual, and when there are effective resources available for follow up if need
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Effects of air pollution control policies on intracerebral hemorrhage mortality among residents in Tianjin, China - BMC Public HealthBackground Exposure to air pollution is an important risk factor for intracerebral hemorrhage (ICH), which is a major cause of death worldwide. However, the relationship between ICH mortality and air quality improvement has been poorly studied. This study aims to evaluate the impact of the air pollution control policies in the Beijing-Tianjin-Hebei region on ICH mortality among Tianjin residents. Methods This study used an interrupted time series analysis. We fitted autoregressive integrated moving average (ARIMA) models to assess the changes in ICH deaths before and after the interventions of air pollution control policies based on the data of ICH deaths in Tianjin collected by the Tianjin Center for Disease Control and Prevention. Results Between 2009 and 2020, there were 63,944 ICH deaths in Tianjin, and there was an overall decreasing trend in ICH mortality. The intervention conducted in June 2014 resulted in a statistically significant (p = 0.03) long-term trend change, reducing the number of deaths from ICH by 0.69 (95% confidence interval [CI]: -1.30 to -0.07) per month. The intervention in October 2017 resulted in a statistically significant (p = 0.04) immediate decrease of 25.74 (95% CI: -50.62 to -0.85) deaths from ICH in that month. The intervention in December 2017 caused a statistically significant (p = 0.04) immediate reduction of 26.58 (95% CI: -52.02 to -1.14) deaths from ICH in that month. The intervention in March 2018 resulted in a statistically significant (p = 0.02) immediate decrease of 30.40 (95% CI: -56.41 to -4.40) deaths from ICH in that month. No significant differences were observed in the changes of male ICH mortality after any of the four interventions. However, female ICH deaths showed statistically significant long-term trend change after the intervention in June 2014 and immediate changes after the interventions in December 2017 and March 2018. Overall, the interventions prevented an estimated 5984.76 deaths due to ICH. Conclusion Du
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‘Emerging Salmonella Outbreak' Found at Boston Taco RestaurantAn outbreak of salmonella has been linked to a location of a popular taco chain restaurant in Boston’s Brighton neighborhood, health officials said Friday. Los Amigos Taqueria was closed and had its health permit suspended, according to the Boston Public Health Commission, Massachusetts Department of Public Health, and Boston Inspectional Services Department, which said in a statement they were investigating…
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