Journal of women's health
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Journal of women's health · Aug 2009
Randomized Controlled Trial Multicenter StudyNeighborhood characteristics, adherence to walking, and depressive symptoms in midlife African American women.
African American women have more symptoms of depressed mood than white women. Adverse neighborhood conditions may contribute to these symptoms. Although reductions in depressive symptoms with physical activity have been demonstrated in white adults, little research has examined the mental health benefits of physical activity in African American women. Further, it is unknown whether physical activity can offset the effects of living in disadvantaged neighborhoods on depressive symptoms. The purpose of this study was to examine the relationships among neighborhood characteristics, adherence to a physical activity intervention, and change over time in depressive symptoms in midlife African American women. ⋯ Adherence to walking as well as aspects of the environment may influence depressive symptoms in African American women. In addition to supporting active lifestyles, improving neighborhood conditions may also promote mental health among African American women.
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Journal of women's health · Aug 2009
Preventive screening of women who use complementary and alternative medicine providers.
Many women use complementary and alternative medicine (CAM). Although CAM use has been associated with reductions in conventionally recommended pediatric preventive care (e.g., vaccination), little is known about associations between CAM use and receipt of recommended preventive screening in women. ⋯ When used in conjunction with conventional care, use of provider-based CAM may signal high interest in various types of health-promoting behavior, including cancer screening. Negative associations between CAM and Chlamydia screening and between naturopathy and mammography require additional study. Interventions with CAM providers and their patients, aimed at improving rates of conventionally recommended screening, might encourage greater focus on preventive care, an important task when CAM providers serve as women's only contact with the healthcare system.
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Journal of women's health · Aug 2009
Comparative StudyColorectal cancer screening practices among obstetrician/gynecologists and nurse practitioners.
Obstetrician/gynecologists (Ob/Gyn) and nurse practitioners (NP) are essential providers of primary and preventive care for their female patients. Therefore, colorectal cancer (CRC) screening should be part of their routine preventive practices. The purpose of our study is to evaluate the CRC screening practices of these providers. ⋯ Ob/Gyns and NPs underuse CRC screening compared with breast and cervical cancer screening and lack knowledge about appropriate use of CRC screening modalities. Opportunities to further educate Ob/Gyns and NPs should be sought to improve compliance with current CRC screening guidelines.
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Journal of women's health · Jul 2009
Familial risk factors for self-immolation: a case-control study.
Women are the primary victims of self-immolation in Iran; between 70-88% of self-immolation patients are women. The aim of this study is to investigate familial risk factors for self-immolation patients. ⋯ Findings from this study suggest marital conflict with the spouse and conflict with other members of the family are risk factors for self-immolation. Screening, identification, and education of at-risk individuals on problem solving and other aspects of coping skills, as well as interpersonal relationships, could be appropriate preventive actions and strategies to reduce self-immolation in Iran.
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Journal of women's health · Jul 2009
ReviewPerformance characteristics of postpartum screening tests for type 2 diabetes mellitus in women with a history of gestational diabetes mellitus: a systematic review.
Women with a history of gestational diabetes mellitus are at high risk for type 2 diabetes mellitus. We systematically reviewed and synthesized the literature on the sensitivity, specificity, and reproducibility of postpartum screening tests for type 2 diabetes in women with prior gestational diabetes to inform screening guidelines. ⋯ When compared with the OGTT, the single FBG alone was not consistently reported to be a sensitive screening test for type 2 diabetes in women with a history of gestational diabetes. Longitudinal studies are needed to address the natural history of glucose metabolism in women with a history of gestational diabetes, the optimal approach to diagnostic testing for type 2 diabetes in this population, and the short-term and long-term outcomes of testing.