scholarly journals INTEREST GROUP SESSION—WOMEN’S ISSUES: FROM MENOPAUSE TO MEDICARE: CONTRIBUTIONS FROM COHORT STUDIES OF AGING WOMEN’S HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S354-S354
Author(s):  
Nancy F Woods ◽  
Barbara B Cochrane ◽  
Barbara B Cochrane

Abstract Although some countries have well-established birth cohorts for research on aging, few US projects have followed the evolution of women’s health from midlife through older age, leaving gaps in understanding their health and ignoring a window of time spanning age groups during which women may benefit from health promotion and prevention efforts. Cohort studies of midlife and older women’s health have begun to address this gap, providing opportunities to advance our understanding of both reproductive and healthy aging, including multiple racial/ethnic groups and US regions. Studying existing cohorts of aging women provides investigators with opportunities to: track changes over time, identifying trajectories of health along with aging; clarify antecedent-consequent relationships; identify how historical events may be related to emergent patterns of health; incorporate common data elements that allow comparisons within and across cohorts over time; and introduce new measures/indicators, such as genomic markers. This symposium will provide a foundation for future research using existing databases from studies providing longitudinal health-related measures of women as they age. Opportunities for conducting new analyses on midlife and older women’s health will be described for four large cohort studies: two studies of women exclusively -- the Study of Women’s Health Across the Nation and the Women’s Health Initiative – and two studies with large numbers of women participants – the Baltimore Longitudinal Study of Aging and the Rancho Bernardo Study of Healthy Aging. Unique and common considerations for answering future questions about women’s health from menopause to Medicare in these studies will be discussed.

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2829
Author(s):  
Jennifer N. Baldwin ◽  
Lee M. Ashton ◽  
Peta M. Forder ◽  
Rebecca L. Haslam ◽  
Alexis J. Hure ◽  
...  

Healthcare costs are lower for adults who consume more vegetables; however, the association between healthcare costs and fruit and vegetable varieties is unclear. Our aim was to investigate the association between (i) baseline fruit and vegetable (F&V) varieties, and (ii) changes in F&V varieties over time with 15-year healthcare costs in an Australian Longitudinal Study on Women’s Health. The data for Survey 3 (n = 8833 women, aged 50–55 years) and Survey 7 (n = 6955, aged 62–67 years) of the 1946–1951 cohort were used. The F&V variety was assessed using the Fruit and Vegetable Variety (FAVVA) index calculated from the Cancer Council of Victoria’s Dietary Questionnaire for Epidemiological Studies food frequency questionnaire. The baseline FAVVA and change in FAVVA were analysed as continuous predictors of Medicare claims/costs by using multiple regression analyses. Healthy weight women made, on average, 4.3 (95% confidence interval (CI) 1.7–6.8) fewer claims for every 10-point-higher FAVVA. Healthy weight women with higher fruit varieties incurred fewer charges; however, this was reversed for women overweight/obese. Across the sample, for every 10-point increase in FAVVA over time, women made 4.3 (95% CI 1.9–6.8) fewer claims and incurred $309.1 (95% CI $129.3–488.8) less in charges over 15 years. A higher F&V variety is associated with a small reduction in healthcare claims for healthy weight women only. An increasing F&V variety over time is associated with lower healthcare costs.


Author(s):  
Emma Parry

The seamless electronic health record is often hailed as the holy grail of health informatics. What is an electronic health record? This question is answered and consideration is given to the advantages and disadvantages of an electronic health record. The place of the electronic health record at the centre of a clinical information system is discussed. In expanding on the advantages several areas are covered including: analysis of data, accessibility and availability, and access control. Middleware technology and its place are discussed. Requirements for implementing a system and some of the issues that can arise in the field of women’s health are elucidated. Finally, in this exciting and fast moving field, future research is discussed.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e039759
Author(s):  
Eva N Hamulyák ◽  
Austin J Brockmeier ◽  
Johanna D Killas ◽  
Sophia Ananiadou ◽  
Saskia Middeldorp ◽  
...  

ObjectiveTo determine how the representation of women’s health has changed in clinical studies over the course of 70 years.DesignObservational study of 71 866 research articles published between 1948 and 2018 in The BMJ.Main outcome measuresThe incidence of women-specific health topics over time. General linear, additive and segmented regression models were used to estimate trends.ResultsOver 70 years, the overall odds that a word in a BMJ research article was ‘woman’ or ‘women’ increased by an annual factor of 1.023, but this rate of increase varied by clinical specialty with some showing little or no change. The odds that an article was about some aspect of women-specific health increased much more slowly, by an annual factor of 1.004. The incidence of articles about particular areas of women-specific medicine such as pregnancy did not show a general increase, but rather fluctuated over time. The incidence of articles making any mention of women, gender or sex declined between 1948 and 2005, after which it rose steeply so that by 2018 few papers made no mention of them at all.ConclusionsOver time women have become ever more prominent in BMJ research articles. However, the importance of women-specific health topics has waxed and waned as researchers responded ephemerally to medical advances, public health programmes, and sociolegal changes. The appointment of a woman editor-inchief in 2005 may have had a dramatic effect on whether women were mentioned in research articles.


1994 ◽  
Vol 18 (4) ◽  
pp. 509-537 ◽  
Author(s):  
Mary P. Koss ◽  
Lori Heise ◽  
Nancy Felipe Russo

Women's rights to be free from male violence are now recognized by the United Nations as fundamental human rights. Two parallel transformations in the understanding of rape have been central to the international effort to achieve this declaration. The first is increased recognition of the extent to which rape typically involves intimates. The second is the shift from regarding rape as a criminal justice matter towards an appreciation of its implications for women's health. The focus of this paper is the health burden of rape, which is addressed from the global perspective and includes discussion of its prevalence and psychological, sociocultural, somatic, and reproductive health consequences. Quantitative efforts to capture the relative economic impact of rape compared to other threats to women's health are also discussed. The paper concludes with an agenda for future research on rape that could enrich activists' efforts on behalf of women's health and development.


2002 ◽  
Vol 50 (2) ◽  
pp. 238-246 ◽  
Author(s):  
Mary McGrae McDermott ◽  
Luigi Ferrucci ◽  
Eleanor M. Simonsick ◽  
Jennifer Balfour ◽  
Linda Fried ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e052038
Author(s):  
Kelly R Evenson ◽  
John Bellettiere ◽  
Carmen C Cuthbertson ◽  
Chongzhi Di ◽  
Rimma Dushkes ◽  
...  

PurposeThis paper describes the Women’s Health Accelerometry Collaboration, a consortium of two prospective cohort studies of women age 62 years or older, harmonised to explore the association of accelerometer-assessed physical activity and sedentary behaviour with cancer incidence and mortality.ParticipantsA total of 23 443 women (age mean 73.4, SD 6.8) living in the USA and participating in an observational study were included; 17 061 from the Women’s Health Study (WHS) and 6382 from the Women’s Health Initiative Objective Physical Activity and Cardiovascular Health (WHI/OPACH) Study.Findings to dateAccelerometry, cancer outcomes and covariate harmonisation was conducted to align the two cohort studies. Physical activity and sedentary behaviour were measured using similar procedures with an ActiGraph GT3X+ accelerometer, worn at the hip for 1 week, during 2011–2014 for WHS and 2012–2014 for WHI/OPACH. Cancer outcomes were ascertained via ongoing surveillance using physician adjudicated cancer diagnosis. Relevant covariates were measured using questionnaire or physical assessments. Among 23 443 women who wore the accelerometer for at least 10 hours on a single day, 22 868 women wore the accelerometer at least 10 hours/day on ≥4 of 7 days. The analytical sample (n=22 852) averaged 4976 (SD 2669) steps/day and engaged in an average of 80.8 (SD 46.5) min/day of moderate-to-vigorous, 105.5 (SD 33.3) min/day of light high and 182.1 (SD 46.1) min/day of light low physical activity. A mean of 8.7 (SD 1.7) hours/day were spent in sedentary behaviour. Overall, 11.8% of the cohort had a cancer diagnosis (other than non-melanoma skin cancer) at the time of accelerometry measurement. During an average of 5.9 (SD 1.6) years of follow-up, 1378 cancer events among which 414 were fatal have occurred.Future plansUsing the harmonised cohort, we will access ongoing cancer surveillance to quantify the associations of physical activity and sedentary behaviour with cancer incidence and mortality.


Schlaf ◽  
2015 ◽  
Vol 04 (03) ◽  
pp. 124-128
Author(s):  
BERND SALETU ◽  
PETER ANDERER ◽  
GERDA SALETU-ZYHLARZ

Epidemiologische Studien, wie die US-amerikanische Women’s Health Initiative (WHI) Study (1) oder die australische Healthy Aging of Women (HOW) Study (2), zeigten, dass 24,5 bzw. 23 % der postmenopausalen Frauen an Insomnie leiden, die wiederum mit physischen, emotionalen und gemischten Störungen assoziiert ist.


1999 ◽  
Vol 8 (5) ◽  
pp. 681-688 ◽  
Author(s):  
WENDY J. BROWN ◽  
ANNETTE J. DOBSON ◽  
LOIS BRYSON ◽  
JULIE E. BYLES

1996 ◽  
Vol 26 (4) ◽  
pp. 461-478 ◽  
Author(s):  
Atie Van Den Brink-Muinen ◽  
Jozien M. Bensing

Objective: Differences between health problems presented by women (aged 20–45) to female “women's health care” doctors and both female and male regular health care doctors were investigated. This article explores the relationship of patients' roles (worker, partner, or parent) and the type of health care, controlling for education, to the presentation of psychological, social, and purely somatic problems in general practice. Method: Data was derived from a “women's health care” practice and twenty-one group practices providing regular care. The doctors registered detailed information about all patient contacts during a three-month period. Logistic regression analysis was used in order to calculate the likelihood of women attending their doctor to present with psychological, social, or somatic health problems. Results: We found that the effect of education was much stronger than the effect of roles. Women attending women's health care presented more psychological and social problems and less somatic problems than women visiting regular health care doctors. Patients of female and male doctors providing regular care did not differ in this respect between each other. Conclusions: This study showed that patient characteristics, like roles and education, are related to the type of health problems presented to general practitioners. The type of health care was also important in explaining differences in the problems presented to them. Future research in primary care should include doctor characteristics to better understand how these characteristics might relate to patient outcomes.


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