Journal of women's health
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Journal of women's health · Aug 2014
Evaluating universal education and screening for postpartum depression using population-based data.
In 2006, New Jersey was the first state to mandate prenatal education and screening at hospital delivery for postpartum depression. We sought to evaluate provision of prenatal education and screening at delivery, estimate the prevalence of postpartum depressive symptoms, and identify venues where additional screening and education could occur. ⋯ Prenatal education and screening for depression at hospital delivery is feasible and results in the majority of women being educated and screened. However, missed opportunities for education and screening exist. More information is needed on how to utilize WIC, NICU, and well baby and postpartum encounters to ensure effective education, accurate diagnosis, and treatment for depressed mothers.
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Journal of women's health · Aug 2014
Association between individual and geographic factors and nonadherence to mammography screening guidelines.
This study investigates factors that are associated with nonadherence to mammography screening guidelines in Utah, a state where mammography screening rates have remained consistently lower than national averages. ⋯ Mammography screening efforts in Utah should focus on improving access to insurance or a regular source of health care. Future research should also consider how best to address extreme time demands and competing priorities that present potential barriers for women with large families, resulting in lower screening levels among these women.
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Journal of women's health · Aug 2014
Randomized Controlled TrialEffect of a low-fat or low-carbohydrate weight-loss diet on markers of cardiovascular risk among premenopausal women: a randomized trial.
Low-fat and low-carbohydrate weight-loss diets can have a beneficial effect on longitudinal measures of blood pressure and blood lipids. We aimed to assess longitudinal changes in blood pressure and blood lipids in a population of premenopausal women. We hypothesized that results may differ by level of adherence to the respective diet protocol and baseline presence of hypertension or hyperlipidemia. ⋯ Our results support that dietary interventions may be efficacious for lowering blood pressure and blood lipids among overweight or obese premenopausal women. However, a decrease in SBP was the only favorable change that was sustained in this study population. These changes can be maintained over the course of a 1-year intervention, yet changes in blood lipids may be less sustainable.
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Journal of women's health · Aug 2014
African American women's perceptions and attitudes regarding participation in medical research: the Mayo Clinic/The Links, Incorporated partnership.
To examine perceptions and attitudes toward health-related research participation among professional African American women. ⋯ Attitudes toward research participation were generally favorable among professional African American women; many expressed WTP in a variety of research study types.
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Acculturation may influence women's perceptions of health care experiences and may explain the epidemiologic paradox, whereby foreign-born women have lower rates of adverse birth outcomes than United States (US)-born women. We evaluated the relationship between maternal acculturation and specific dimensions of prenatal interpersonal processes of care (IPC) in ethnically diverse women. ⋯ In a large and ethnically diverse sample of childbearing women in Northern California, less acculturated pregnant women reported better prenatal care experiences than more acculturated and US-born women, another dimension of the "epidemiologic paradox." However, the relationship between acculturation and IPC, as reported during the postpartum period, differed according to infant outcomes.