scholarly journals Prevalence of alcohol use among women of reproductive age in Canada

2021 ◽  
Vol 41 (9) ◽  
pp. 267-271
Author(s):  
Mélanie Varin ◽  
Elia Palladino ◽  
Kate Hill MacaEachern ◽  
Lisa Belzak ◽  
Melissa M. Baker
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Health Care Providers ◽  
Alcohol Exposure ◽  
Reproductive Age ◽  
Sociodemographic Characteristics ◽  
Care Providers ◽  
Women Of Reproductive Age ◽  
Heavy Alcohol ◽  
Heavy Alcohol Consumption

Introduction Reporting on alcohol use among women of reproductive age in Canada addresses a major gap in evidence. Methods We assessed the prevalence of weekly and heavy alcohol consumption among women aged 15 to 54 years by sociodemographic characteristics, province of residence and concurrent use of other substance(s) using data from the 2019 Canadian Community Health Survey. Results Of the target population, 30.5% reported weekly and 18.3% reported heavy alcohol consumption in the past year. Prevalence varied by sociodemographic characteristics, province and substance use. The most notable and significant differences were to do with cannabis use and smoking. Conclusion This information can guide health care providers in assessing alcohol consumption and in promoting low-risk alcohol drinking to prevent alcohol exposure during pregnancy.

scholarly journals “No Alcohol Is Recommended, But . . .”: Health Care Students’ Attitudes About Alcohol Consumption During Pregnancy

2017 ◽  
Vol 4 ◽  
pp. 233339361770766 ◽  
Author(s):  
Kelly D. Coons ◽  
Shelley L. Watson ◽  
Nicole M. Yantzi ◽  
Nancy E. Lightfoot ◽  
Sylvie Larocque
Keyword(s):  
Health Care ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Alcohol Exposure ◽  
Care Providers ◽  
Potential Health ◽  
Health Care Students ◽  
Students Attitudes

Canadian findings suggest that health care providers require further training and education to support their work preventing fetal alcohol spectrum disorder (FASD). However, the knowledge and training of health care students in relation to FASD remains largely unexplored. The purpose of this study was to understand the attitudes and beliefs of health care students about alcohol use during pregnancy. Twenty-one health care students participated in a scenario-based vignette about alcohol consumption during pregnancy. Although almost all students recognized that no alcohol consumption during pregnancy is the safest recommendation, many students recounted that this advice is not always conveyed during encounters with their pregnant patients. Three primary themes related to students’ attitudes concerning alcohol use during pregnancy were identified. Health care professionals in training need further education about the risks of alcohol consumption during pregnancy and the potential health outcomes associated with prenatal alcohol exposure.

scholarly journals Determinants of rural-urban differences in health care provider visits among women of reproductive age in the United States

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0240700
Author(s):  
Hyunjung Lee ◽  
Ashley H. Hirai ◽  
Ching-Ching Claire Lin ◽  
John E. Snyder
Keyword(s):  
Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Providers ◽  
Rural Women ◽  
Reproductive Age ◽  
County Level ◽  
Care Providers ◽  
Provider Type ◽  
Women Of Reproductive Age

Background Rural health disparities and access gaps may contribute to higher maternal and infant morbidity and mortality. Understanding and addressing access barriers for specialty women’s health services is important in mitigating risks for adverse childbirth events. The objective of this study was to investigate rural-urban differences in health care access for women of reproductive age by examining differences in past-year provider visit rates by provider type, and quantifying the contributing factors to these findings. Methods and findings Using a nationally-representative sample of reproductive age women (n = 37,026) from the Medical Expenditure Panel Survey (2010–2015) linked to the Area Health Resource File, rural-urban differences in past-year office visit rates with health care providers were examined. Blinder-Oaxaca decomposition analysis quantified the portion of disparities explained by individual- and county-level sociodemographic and provider supply characteristics. Overall, there were no rural-urban differences in past-year visits with women’s health providers collectively (65.0% vs 62.4%), however differences were observed by provider type. Rural women had lower past-year obstetrician-gynecologist (OB-GYN) visit rates than urban women (23.3% vs. 26.6%), and higher visit rates with family medicine physicians (24.3% vs. 20.9%) and nurse practitioners/physician assistants (NPs/PAs) (24.6% vs. 16.1%). Lower OB-GYN availability in rural versus urban counties (6.1 vs. 13.7 providers/100,000 population) explained most of the rural disadvantage in OB-GYN visit rates (83.8%), and much of the higher family physician (80.9%) and NP/PA (50.1%) visit rates. Other individual- and county-level characteristics had smaller effects on rural-urban differences. Conclusion Although there were no overall rural-urban differences in past-year visit rates, the lower OB-GYN availability in rural areas appears to affect the types of health care providers seen by women. Whether rural women are receiving adequate specialized women’s health care services, while seeing a different cadre of providers, warrants further investigation and has particular relevance for women experiencing high-risk pregnancies and deliveries.

Palliative versus nonpalliative patients’ perceptions of the effect of alcohol consumption on clinical outcomes.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 199-199
Author(s):  
Graham McFarlane ◽  
Karmugi Balaratnam ◽  
Peter Selby ◽  
Shabbir Alibbhai ◽  
M. Catherine Brown ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Overall Survival ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Health Care Providers ◽  
Cancer Diagnosis ◽  
Care Providers ◽  
The Impact ◽  
Palliative Patients

199 Background: Little is known about the perceptions of palliative patients on the impact of continued alcohol consumption after a cancer diagnosis and whether they are similar to the perceptions of patients who are considered potentially curative. Methods: Patients with diverse cancer subtypes were surveyed at a comprehensive cancer centre, cross-sectionally. Specifically, palliative and non-palliative cancer patients were asked about their perceptions on the benefits/harms of continued drinking on cancer-related quality of life, fatigue, and overall survival, and whether they had received information on their alcohol consumption from their health care providers. Palliative status was established by chart review. Results: Of 1049 patients, 48% were male, with median age of 58 (18-98) years; cancer sites included gastrointestinal, genitourinary, breast, thoracic, hematologic, and others; 16% were classified as being palliative at the time of survey; and 14% reported receiving counselling information on alcohol use sometime after their cancer diagnosis. Compared to curative patients, palliative patients were more likely to perceive continued alcohol consumption as harmful to their fatigue (OR=1.39, P=0.05) and survival (OR=1.45, P=0.03), but less so on quality of life (OR=1.16, P=0.35). When compared to those who had not been counselled, informed patients were twice as likely (OR=2.01, P<0.01) to perceive continued drinking as harmful to their levels of fatigue, although there was less of a difference in their perception of quality of life (OR =1.39, P=0.20) and survival (OR=1.40, P=0.19). Conclusions: Palliative patients are more likely to perceive continued alcohol consumption as harmful to their fatigue and overall survival, when compared to non-palliative patients, especially after receiving counselling. Given the lack of data on the benefits or harm of mild-moderate alcohol use and a strong emphasis on quality of life, future research should focus on effects of alcohol in palliative patients, and there should be improved education to both providers and patients on regarding the current lack of information.

scholarly journals Do Sleeping Disorders Impair Sexual Function in Married Iranian Women of Reproductive Age? Results from a Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Poorandokht Afsahri ◽  
Zahra Salehnejad ◽  
Khadijeh Hekmat ◽  
Parvin Abedi ◽  
Ahmad Fakhri ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sexual Function ◽  
Health Care Providers ◽  
Married Women ◽  
Reproductive Age ◽  
Poor Sleep ◽  
Care Providers ◽  
Iranian Women ◽  
Poor Sleep Quality ◽  
Women Of Reproductive Age

Purpose. This study aimed to evaluate the relationship between sleep quality and sexual function among Iranian women. Methods. This study was conducted on 277 married women of reproductive age. The inclusion criteria were as follows: married women aged 18–45 years, with at least basic literacy, and women married monogamously for at least one year. The following tools were used for gathering data: a demographic questionnaire; Pittsburgh Sleep Quality Index (PSQI); Insomnia Severity Index (ISI); Epworth Sleepiness Scale (ESS); and Female Sexual Function Index (FSFI). Pearson correlation coefficients, independent t-tests, chi-square tests, and linear regression analyses were used to analyze the data. Results. There was a significant inverse relation between poor sleep quality (r=-0.13, P=0.02), daytime sleepiness (r=-0.39, P<0.001), insomnia (r=-0.35, P<0.001), and sexual function. Sexual desire was significantly related to sleep quality and insomnia (P<0.001). Sexual arousal (r=-0.18, r=-0.29, P<0.001), lubrication (r=-0.21, r=-0.3, −0.12, P<0.001), orgasms (r=0.17, r=-0.15, P<0.001), and sexual satisfaction (r=-0.02, -r=0.3, r=-0.15, P<0.001) were significantly related to all types of sleep disorders (poor sleep quality, insomnia, and sleepiness). Pain during intercourse was significantly associated with poor sleep quality and insomnia. With each unit decrease in sleep quality, sexual function decreased by 0.49 (P<0.001), and with each unit increase in the delay of sleep onset, sexual function decreased by 1.58 (P=0.04). Conclusion. Results of this study showed that there was a significant relationship between sleep quality and sexual function in Iranian women of reproductive age. The quality of sleep among reproductive-aged women merits the attention of health care providers and policy makers.

scholarly journals Oncofertility Decision Support Resources for Women of Reproductive Age: Systematic Review

JMIR Cancer ◽  
10.2196/12593 ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. e12593 ◽  
Author(s):  
Brittany Speller ◽  
Selena Micic ◽  
Corinne Daly ◽  
Lebei Pi ◽  
Tari Little ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Health Care Providers ◽  
Decision Aids ◽  
The United States ◽  
Reading Level ◽  
Reproductive Age ◽  
Care Providers ◽  
Women Of Reproductive Age ◽  
Specific Patient ◽  
Patient Information Needs

Background Cancer treatments have the potential to cause infertility among women of reproductive age. Many cancer patients do not receive sufficient oncofertility information or referrals to reproductive specialists prior to starting cancer treatment. While health care providers cite lack of awareness on the available oncofertility resources, the majority of cancer patients use the internet as a resource to find additional information to supplement discussions with their providers. Objective Our aim was to identify and characterize Web-based oncofertility decision aids and health education materials accessible for women of reproductive age with a diagnosis of any cancer. Methods We searched five databases and the gray literature for the years 1994-2018. The developer and content information for identified resources was extracted. Each resource underwent a quality assessment. Results We identified 31 open access resources including 4 decision aids and 27 health educational materials. The most common fertility preservation options listed in the resources included embryo (31/31, 100%), egg (31, 100%), and ovarian tissue freezing (30, 97%). Notably, approximately one-third (11, 35%) contained references and 5 (16%) had a reading level of grade 8 or below. Resources were of varying quality; two decision aids from Australia and the Netherlands, two booklets from Australia and the United Kingdom, and three websites from Canada and the United States rated as the highest quality. Conclusions This comprehensive review characterizes numerous resources available to support patients and providers with oncofertility information, counseling, and decision making. More focus is required to improve the awareness and the access of existing resources among patients and providers. Providers can address patient information needs by leveraging or adapting existing resources to support clinical discussions and their specific patient population.

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