Validity assessment of self-reported weight and its correction process among Mexican adult women of reproductive age

Abstract Background Anti-Müllerian hormone is a dimeric glycoprotein produced by the granulosa cells of preantral and small antral follicles of the ovaries. It is a reliable biomarker of ovarian reserve, ageing, and response in the management of women with infertility. However, there are few studies on the determinants of serum anti-Müllerian hormone in Nigerian women. This study aimed to investigate determinants of serum anti-Müllerian hormone among adult women of reproductive age. The study was a hospital-based cross-sectional study involving 161 women of reproductive age attending the gynaecology clinic and immunisation clinic of a Nigerian tertiary hospital. Baseline characteristics were collected using a semi-structured questionnaire. Serum anti-Müllerian hormone was quantified using enzyme-linked immunosorbent assay. Results In univariate analysis, age (B = − 0.035, P = 0.000), parity (B = − 0.080, P = 0.001), and infertility duration (B = − 0.050, P = 0.011) had a negative relationship with serum anti-Müllerian hormone, while ethnicity (B = 0.180, P = 0.040), body mass index (B = 0.015, P = 0.010), and cycle length (B = 0.042, P = 0.000) had a positive relationship with serum anti-Müllerian hormone. In multivariable analysis, all relationships except infertility duration persisted. Conclusion We found that age, ethnicity, parity, infertility duration, body mass index, and cycle length were associated with serum anti-Müllerian hormone. A large prospective population-based study is required to better understand factors that are associated with serum anti-Müllerian hormone in an ethnically diverse country like Nigeria.

Download Full-text

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age.

10.21203/rs.3.rs-17403/v2 ◽

2020 ◽

Author(s):

Alick Sixpence ◽

Owen Nkoka ◽

Gowokani C. Chirwa ◽

Edith B. Milanzi ◽

Charles Mangani ◽

...

Keyword(s):

Rural Women ◽

Rural Areas ◽

Formal Education ◽

Preventive Measures ◽

Multinomial Logistic Regression ◽

Scale Up ◽

Reproductive Age ◽

Bed Nets ◽

Adult Women ◽

Women Of Reproductive Age

Abstract Background: Malawi is a malaria-endemic country and approximately 6 million cases are reported annually. Improving knowledge of malaria causes and symptoms, and the overall perception towards malaria and its preventive measures is vital for malaria control. Thus, the current study investigated the levels of knowledge of the causes, symptoms, and prevention of Malaria among Malawian women. Methods: We analyzed data from the 2017 wave of the Malawi Malaria Indicator Survey (MIS). In total, 3,422 women of reproductive age (15–49 years) were sampled and analyzed. We assessed the levels of women’s knowledge about 1), causes of malaria 2) symptoms of malaria and 3) preventive measures. The tertiles of the composite score were used as the cut-offs to categorize the levels of knowledge as ‘‘low”, ‘‘medium” and ‘‘high”. Multinomial logistic regression models were constructed to assess the independent factors while taking into account the complex survey design. Results : All in all, 49.74% of all respondents had high levels of knowledge of causes, symptoms, and preventive measures. The high level of knowledge was 45% for rural women and 55% for urban dwellers. After adjustment for independent factors, women of age group 15–19 years adjusted odds ratio ([aOR]: 2.58; 95% Confidence Interval [CI]: 1.69–3.92), women with no formal education (aOR: 3.73; 95% CI: 2.20–6.33), women whose household had no television (aOR: 1.50; 95% CI: 1.02–2.22), women who had not seen/heard malaria message (aOR: 1.53; 95% CI: 1.20–1.95), women of Yao tribe (aOR: 1.95; 95% CI: 1.10–3.46) and women from rural areas had low levels of knowledge about the causes of malaria, symptoms of malaria, and preventive measures. Additionally, the results also showed that women aged 15–19 years (beta [β] = -0.73, standard error [SE] = 0.12); P <.0001, women with no formal education (β = -1.17, SE = 0.15); P <.0001, women whose household had no radio (β = -0.15, SE = 0.0816); P =0.0715 and women who had not seen or heard malaria message (β = -0.41, SE = 0.07); P <.0001 were likely to have a lower knowledge score. Conclusions: The levels of malaria knowledge were reported to be unsatisfactory among adult women, underscoring the need to scale up efforts on malaria education. Beside insecticide-treated bed nets (ITNs) and prompt diagnosis, malaria can be best managed in Malawi by increasing knowledge of malaria causes, and symptoms especially for younger women, women with no formal education, women whose households have no media, women from Yao tribes and rural dwellers.

Download Full-text

Fetal Surveillance in Pregnancies with Myasthenia Gravis

Medicina ◽

10.3390/medicina57111277 ◽

2021 ◽

Vol 57 (11) ◽

pp. 1277

Author(s):

Brîndușa Ana Cimpoca-Raptis ◽

Anca Marina Ciobanu ◽

Nicolae Gica ◽

Gheorghe Peltecu ◽

Dan Mitrea ◽

...

Keyword(s):

Myasthenia Gravis ◽

Reproductive Age ◽

Adult Women ◽

Women Of Reproductive Age ◽

International Consensus ◽

Fetal Surveillance ◽

Improve Pregnancy Outcome ◽

Autoimmune Condition ◽

Consensus Guidance ◽

Receptor Antibodies

Myasthenia gravis (MG) is an autoimmune condition, that commonly impacts adult women of reproductive age. Myasthenia gravis in pregnancy is rare, but the incidence is higher in different geographical areas. Pregnancies in mothers with MG can have an unfortunate outcome. Acetylcholine receptor antibodies may pass into the fetal circulation and can affect the fetal neuromuscular junction, generating transient MG or even fetal arthrogryposis. The 2016 and 2021 International Consensus Guidance for Management of Myasthenia Gravis issued by Myasthenia Gravis Foundation of America is lacking in recommendation for fetal surveillance for pregnancies in women with MG. The aim of this paper is to highlight fetal and neonatal complications in mothers with MG and to offer antenatal care insights. Close maternal and pregnancy monitoring can improve pregnancy outcome. Patients with MG should be encouraged to conceive, to avoid triggers for exacerbations of the disease during pregnancy and a multidisciplinary team should be established to ensure the optimal support and therapy.

Download Full-text

The association between combined oral contraceptive use and overweight/obesity: a secondary data analysis of the 2016 Ethiopia Demographic and Health Survey

BMJ Open ◽

10.1136/bmjopen-2020-039229 ◽

2020 ◽

Vol 10 (12) ◽

pp. e039229

Author(s):

Melese Linger Endalifer ◽

Gedefaw Diress ◽

Amanuel Addisu ◽

Bedilu Linger

Keyword(s):

Oral Contraceptive ◽

Health Survey ◽

The Body ◽

Demographic And Health Survey ◽

Reproductive Age ◽

Adult Women ◽

Negative Consequences ◽

Women Of Reproductive Age ◽

Eligibility Criteria ◽

Combined Oral Contraceptive

ObjectivesIn this study, we aimed to assess the association between combined oral contraceptive (OC) use and overweight/obesity among Ethiopian adult women of reproductive age.Design, setting and participantsThe data were extracted from the 2016 Ethiopia Demographic and Health Survey; these data were collected from nine regions and two city administrations. We analysed the data from a total of 11 018 women aged 18–49 years who met eligibility criteria.Main outcome measuresWe employed WHO criteria to classify the body mass index of women. Specifically we tested the association between combined OC utilisation with overweight/obesity after controlling for confounding variables.ResultThe prevalence of combined OC utilisation was 1.7% and the prevalence of overweight/obesity was 8.6% among adult women of reproductive age. Use of combined OC increases the odds of overweight/obesity by two times among adult women of reproductive age after controlling for potential confounders (adjusted OR=1.902 (1.064–3.399)).ConclusionIn conclusion there is significant association between combined OC use and overweight/obesity. The findings have important implications for policymakers to design evidence based policy approachs to obesity prevention for women and at large for government to recognise the negative consequences of combined OC on women health.

Download Full-text

Malnutrition in all its forms and socio-economic disparities in children under 5 years of age and women of reproductive age in Peru

Public Health Nutrition ◽

10.1017/s136898001900315x ◽

2019 ◽

Vol 23 (S1) ◽

pp. s89-s100

Author(s):

Katherine Curi-Quinto ◽

Eduardo Ortiz-Panozo ◽

Daniel López de Romaña

Keyword(s):

Short Stature ◽

Economic Status ◽

Family Health ◽

Wealth Index ◽

Prevalence Ratio ◽

Reproductive Age ◽

Adult Women ◽

Women Of Reproductive Age ◽

Double Burden ◽

Children Under 5

AbstractObjective:To compare the distribution of malnutrition by socio-economic indicators (SEI) in Peruvian children under 5 years and women of reproductive age (WRA).Design:We analysed data from the National Demographic and Family Health Survey. WHO criteria were used to define malnutrition indicators (overweight/obesity combined (OW); wasting/underweight; stunting/short stature; anaemia). Linear combination test was used to compare the prevalence of malnutrition by SEI (wealth index as a proxy of socio-economic status (SES); education; ethnicity). Prevalence ratio (PR) was used to describe disparities and associations between malnutrition and SEI.Setting:Peru (2015).Participants:Children (n 22 833) under 5 years and WRA (n 33 503; 5008 adolescents and 28 495 adults).Results:The most prevalent form of malnutrition was anaemia (32·0 %) in children and OW in adolescent and adult WRA (31·3 and 65·1 %, respectively). Adjusted models showed that stunting and anaemia were significantly lower among children with high SES (PR = 0·25, 0·67), high-educated mothers (PR = 0·26, 0·76) and higher in indigenous children (PR = 1·3, 1·2); conversely, OW was higher among those with high SES and high-educated mothers (PR = 1·8, 1·6) compared with their lowest counterparts. In WRA, stunting/short stature was lower among those with high SES, high education and higher in indigenous adult women. OW in adolescents and adults was higher in high SES (PR = 1·4, 1·1), lower in indigenous adult women (PR = 0·84) and lower in high-educated adult women (PR = 0·86).Conclusions:In the studied population, the distribution of malnutrition was associated with SEI disparities. Effective policies that integrate actions to overcome the double burden of malnutrition and reduce disparities are needed.

Download Full-text

Perceived Access to Abortion Among Women in the United States in 2018: Variation by State Abortion Policy Context

American Journal of Public Health ◽

10.2105/ajph.2020.305659 ◽

2020 ◽

Vol 110 (7) ◽

pp. 1039-1045

Author(s):

Krista M. Perreira ◽

Emily M. Johnston ◽

Adele Shartzer ◽

Sophia Yin

Keyword(s):

Public Funding ◽

Medical Abortion ◽

The United States ◽

Reproductive Age ◽

Adult Women ◽

Abortion Policy ◽

Women Of Reproductive Age ◽

Women's Lives ◽

Abortion Access ◽

Perceived Access

Objectives. To describe perceptions of access to abortion among women of reproductive age and their associations with state abortion policy contexts. Methods. We used data from the 2018 Survey of Family Planning and Women’s Lives, a probability-based sample of 2115 adult women aged 18 to 44 years in US households. Results. We found that 27.6% of women (95% confidence interval [CI] = 23.3%, 32.7%) believed that access to medical abortion was difficult and 30.1% of women (95% CI = 25.6%, 35.1%) believed that access to surgical abortion was difficult. Adjusted for covariates, women were significantly more likely to perceive access to both surgical and medical abortions as difficult when they lived in states with 4 or more restrictive abortion policies compared with states with fewer restrictions (surgical adjusted odds ratio [AORsurgical] = 1.60, 95% CI = 1.15, 2.21; AORmedical = 1.65, 95% CI = 1.04, 1.95). Specific restrictive abortion policies (e.g., public funding restrictions, mandatory counseling or waiting periods, and targeted regulation of abortion providers) were also associated with greater perceived difficulty accessing both surgical and medical abortions. Conclusions. State policies restricting abortion access are associated with perceptions of reduced access to both medical and surgical abortions among women of reproductive age.

Download Full-text

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age

10.21203/rs.3.rs-17403/v1 ◽

2020 ◽

Author(s):

Alick Sixpence ◽

Owen Nkoka ◽

Gowokani C. Chirwa ◽

Edith B. Milanzi ◽

Charles Mangani ◽

...

Keyword(s):

Rural Women ◽

Rural Areas ◽

Formal Education ◽

Preventive Measures ◽

Multinomial Logistic Regression ◽

Scale Up ◽

Reproductive Age ◽

Bed Nets ◽

Adult Women ◽

Women Of Reproductive Age

Abstract Background: Malawi is a malaria-endemic country and approximately 6 million cases are reported annually. Improving knowledge of malaria causes and symptoms, and the overall perception towards malaria and its preventive measures is vital for malaria control. Thus, the current study investigated the levels of knowledge of the causes, symptoms, and prevention of Malaria among Malawian women.Methods: We analyzed data from the 2017 wave of the Malawi Malaria Indicator Survey (MIS). In total, 3,422 women of reproductive age (15–49 years) were sampled and analyzed. We assessed the levels of women’s knowledge about 1), causes of malaria 2) symptoms of malaria and 3) preventive measures. The tertiles of the composite score were used as the cut-offs to categorize the levels of knowledge as ‘‘low”, ‘‘medium” and ‘‘high”. Multinomial logistic regression models were constructed to assess the independent factors while taking into account the complex survey design. Results: Approximately 50% of all respondents had high levels of knowledge of causes, symptoms, and preventive measures. The high level of knowledge was 45% for rural women and 55% for urban dwellers. After adjustment for known confounders, women of age group 15–19 years adjusted odds ratio ([aOR]: 2.576; 95% Confidence Interval [CI]: 1.692–3.921), women with no formal education (aOR: 3.733; 95% CI: 2.203–6.326), women whose household had no television (aOR: 1.504; 95% CI: 1.021–2.216), women :who had not seen/heard malaria message (aOR: 1.527; 95% CI: 1.197–1.948), women of Yao tribe (aOR: 1.954; 95% CI: 1.103–3.460) and women from rural areas had low levels of knowledge about the causes of malaria, symptoms of malaria, and preventive measures.Conclusions: The levels of malaria knowledge were reported to be moderate among adult women, underscoring the need to scale up efforts on malaria education. Beside insecticide-treated bed nets (ITNs) and prompt diagnosis, malaria can be best managed in Malawi by increasing knowledge of malaria causes, and symptoms especially for younger women, women with no formal education, women whose households have no media, women from Yao tribes and rural dwellers.

Download Full-text

Malnutrition in all its forms and socioeconomic status in Bolivia

Public Health Nutrition ◽

10.1017/s1368980019003896 ◽

2020 ◽

Vol 23 (S1) ◽

pp. s21-s28

Author(s):

M Miranda ◽

A Bento ◽

AM Aguilar

Keyword(s):

Formal Education ◽

Wealth Index ◽

Overweight And Obesity ◽

Reproductive Age ◽

Adult Women ◽

Socioeconomic Indicators ◽

Women Of Reproductive Age ◽

Wealth Status ◽

Adolescent Women ◽

Nationally Representative

AbstractObjective:To estimate the prevalence of malnutrition (undernutrition and excess BMI) among children under the age of 5 years and women of reproductive age in Bolivia considering three socioeconomic indicators: wealth, education and ethnicity.Design:We used the 2008 nationally representative Bolivian Demographic and Health Survey (DHS). Malnutrition’s prevalence was estimated by wealth, ethnicity and educational level. Wealth index was measured based on the DHS methodology and nutritional status by using WHO standards and indicators. Education level (EL) was categorized by years of formal education.Setting:Bolivia.Participants:In total, 5·903 children <5 years, 3·345 adolescent women (15–19 years) and 12·297 women (20–49 years) with available information on anthropometric measurements·Results:A disproportionate prevalence of malnutrition was observed among different wealth groups: lower wealth tertiles show the higher prevalence of stunting (>30 %) and anaemia (>40 %) in all ages· The prevalence of overweight and obesity tends to rise with age from childhood (10·02–11·60) to adolescence (27·9–31·03), reaching highest levels in women of reproductive age (56·02–57·76). According to wealth tertiles, higher prevalence of overweight and obesity was found in children of high tertile (12·23), adolescent women of low (32·56) and adult women of medium tertile (63·08).Conclusions:The present study shows that currently Bolivia is in a transitional stage, faces not only the problem of undernutrition but also those of overnutrition, showing strong inequalities according to socioeconomic and education status. This study calls for state-specific policies keeping in view of the nature of inequality in malnutrition in the country and its differential characteristics across wealth status.

Download Full-text

Levels of knowledge regarding malaria causes, symptoms, and prevention measures among Malawian women of reproductive age.

10.21203/rs.3.rs-17403/v3 ◽

2020 ◽

Author(s):

Alick Sixpence ◽

Owen Nkoka ◽

Gowokani C. Chirwa ◽

Edith B. Milanzi ◽

Charles Mangani ◽

...

Keyword(s):

Rural Women ◽

Formal Education ◽

Preventive Measures ◽

Multinomial Logistic Regression ◽

Scale Up ◽

Reproductive Age ◽

Bed Nets ◽

Adult Women ◽

Women Of Reproductive Age ◽

Wide Range

Abstract Background Malawi is a malaria-endemic country and approximately 6 million cases are reported annually. Improving knowledge of malaria causes and symptoms, and the overall perception towards malaria and its preventive measures is vital for malaria control. The current study investigated the levels of knowledge of the causes, symptoms and prevention of malaria among Malawian women. Methods Data from the 2017 wave of the Malawi Malaria Indicator Survey (MMIS) were analysed. In total, 3,422 women of reproductive age (15-49 years) were sampled and analysed. The levels of women’s knowledge about: 1) causes of malaria; 2) symptoms of malaria; and, 3) preventive measures were assessed. The tertiles of the composite score were used as the cut-offs to categorize the levels of knowledge as ‘low’, ‘medium’ and ‘high’. Multinomial logistic regression models were constructed to assess the independent factors while taking into account the complex survey design. Results Approximately 50% of all respondents had high levels of knowledge of causes, symptoms and preventive measures. The high level of knowledge was 45% for rural women and 55% for urban dwellers. After adjusting for the a wide range of factors, women of age group 15-19 years adjusted odds ratio ((aOR): 2.58; 95% Confidence Interval (CI): 1.69-3.92), women with no formal education (aOR: 3.73; 95% CI: 2.20-6.33), women whose household had no television (aOR: 1.50; 95% CI: 1.02-2.22), women who had not seen/heard malaria message (aOR: 1.53; 95% CI: 1.20-1.95), women of Yao tribe (aOR: 1.95; 95% CI: 1.10-3.46), and women from rural areas had low levels of knowledge about the causes of malaria, symptoms of malaria and preventive measures. Additionally, the results also showed that women aged 15-19 years (beta [β] = -0.73, standard error [SE] = 0.12); P <.0001, women with no formal education (β = -1.17, SE = 0.15); P <.0001, women whose household had no radio (β = -0.15, SE = 0.0816); P =0.0715 and women who had not seen or heard malaria message (β = -0.41, SE = 0.07); P <.0001 were likely to have a lower knowledge score. Conclusions The levels of malaria knowledge were reported to be unsatisfactory among adult women, underscoring the need to scale up efforts on malaria education. Beside insecticide-treated bed nets (ITNs) and prompt diagnosis, malaria can be best managed in Malawi by increasing knowledge of malaria causes, and symptoms especially for younger women, women with no formal education, women whose households have no media, women from Yao tribes, and rural dwellers.

Download Full-text

Evaluation of concomitant gynecological pathology in group of patients of reproductive age with tumors and tumor formations

Medical alphabet ◽

10.33667/2078-5631-2020-16-10-14 ◽

2020 ◽

pp. 10-14

Author(s):

N. V. Spiridonova ◽

A. A. Demura ◽

V. Yu. Schukin

Keyword(s):

Diagnostic Errors ◽

Ovarian Tumors ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Predisposing Factor ◽

Ovarian Tumours ◽

Preoperative Diagnostic ◽

Neoplastic Process ◽

History Of ◽

The Moment

According to modern literature, the frequency of preoperative diagnostic errors for tumour-like formations is 30.9–45.6%, for malignant ovarian tumors is 25.0–51.0%. The complexity of this situation is asymptomatic tumor in the ovaries and failure to identify a neoplastic process, which is especially important for young women, as well as ease the transition of tumors from one category to another (evolution of the tumor) and the source of the aggressive behavior of the tumor. The purpose of our study was to evaluate the history of concomitant gynecological pathology in a group of patients of reproductive age with ovarian tumors and tumoroid formations, as a predisposing factor for the development of neoplastic process in the ovaries. In our work, we collected and processed complaints and data of obstetric and gynecological anamnesis of 168 patients of reproductive age (18–40 years), operated on the basis of the Department of oncogynecology for tumors and ovarian tumours in the Samara Regional Clinical Oncology Dispensary from 2012 to 2015. We can conclude that since the prognosis of neoplastic process in the ovaries is generally good with timely detection and this disease occurs mainly in women of reproductive age, doctors need to know that when assessing the parity and the presence of gynecological pathology at the moment or in anamnesis, it is not possible to identify alarming risk factors for the development of cancer in the ovaries.

Download Full-text