Journal of women's health
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Journal of women's health · May 2016
Factors Associated with Adherence to Routine Screening Mammography in HIV-Infected Women.
Both HIV-infected women and minority women have historically lower rates of screening mammography. The objective of this study was to identify factors related to adherence to routine screening mammography in a diverse inner-city cohort of HIV-infected women, to inform future work on targeted interventions to address disparities. ⋯ Among a racially diverse urban population of HIV-infected women engaged in care, only half had a mammogram. Foreign-born women had higher odds of undergoing mammography, suggesting that nativity status and social determinants of health are under-recognized drivers of adherence in this population. Future programs targeting screening must be mindful of the multiple predictors of adherence.
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Journal of women's health · May 2016
Differences in Risk Factors for Anemia Between Adolescent and Adult Women.
Iron deficiency anemia (IDA) affects 2%-5% of reproductive-age women. Screening is based on risk factors, such as a low-iron diet and menstruation. However, published IDA risk factors fail to consider age-related risks specific to adolescent women, potentially limiting identification of high-risk adolescents for objective testing. The goal of the study was to examine IDA risk factors in a nationally representative sample of younger (12-21 years) and older (22-49 years) reproductive-age women. ⋯ Risk factors for IDA among older reproductive-age women do not apply to adolescent women. To better inform the timing and frequency of screening recommendations, further research must identify adolescent-specific IDA risk factors.
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Bladder symptoms are common in women and result in use of healthcare resources and poor quality of life. Bladder symptoms have been linked to age and menopause, but debate exists in the literature. This article examines factors associated with bladder symptoms and compares women in late reproductive stage with those in menopausal transition. ⋯ Bladder symptoms were associated with reproductive stage. Women in late reproductive stage were more likely to experience nocturia and incontinence than those in menopause transition. The higher rates of nocturia and incontinence in late reproductive stage are intriguing. Future studies should include analysis of pelvic organ prolapse degree and other structural differences.
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Journal of women's health · May 2016
Randomized Controlled TrialRandomized Intervention of Self-Collected Sampling for Human Papillomavirus Testing in Under-Screened Rural Women: Uptake of Screening and Acceptability.
Our aim was to determine if cervical cancer screening uptake would increase among under-screened women living in rural Ontario, Canada, if at-home self-collected sampling for human papillomavirus (HPV) testing was offered as a primary cervical cancer screening modality, compared to invited papanicolaou (Pap) testing or routine opportunistic screening. ⋯ Providing self-collected sampling for HPV testing was more effective than sending reminder letters to increase screening coverage in under-screened women.
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Journal of women's health · May 2016
Prenatal Discussion of Contraceptive Options in Teenage Pregnancies.
To determine if contraceptive options are discussed during prenatal care among pregnant teenagers. ⋯ Pregnant teenagers are not frequently counseled about postpartum contraceptives. When counseling does occur, it happens in the third trimester, which may not provide enough time for a teenager to thoroughly consider contraceptive options. Guidelines on when providers should discuss postpartum contraception are necessary.