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The Utah Registry of Autism and Developmental Disabilities (URADD) has studied the prevalence of autism spectrum disorder in Utah since 2002. The key duties of URADD include estimating the number of individuals with autism spectrum disorder and identifying changes in the estimate over time, providing information on the characteristics of individuals with autism spectrum disorder, and understanding the impact it has on children, families, and communities in Utah. This publication also includes: 1) Spotlights: Prenatal Care Experiences During the COVID-19 Pandemic; and 2) Monthly Health Indicators Report.

The Utah Registry of Autism and Developmental Disabilities (URADD) has studied the prevalence of autism spectrum disorder in Utah since 2002. The key duties of URADD include estimating the number of individuals with autism spectrum disorder and identifying changes in the estimate over time, providing information on the characteristics of individuals with autism spectrum disorder, and understanding the impact it has on children, families, and communities in Utah. This publication also includes: 1) Spotlights: Prenatal Care Experiences During the COVID-19 Pandemic; and 2) Monthly Health Indicators Report.

Objective: To describe the clinical and ultrasound characteristics of three types of rare malignant ovarian germ cell tumor: embryonal carcinoma, non-gestational choriocarcinoma and malignant mixed germ cell tumor. Methods: This was a retrospective multicenter study. From the International Ovarian Tumor Analysis (IOTA) database, we identified patients with a histological diagnosis of ovarian embryonal carcinoma, non-gestational choriocarcinoma or malignant mixed germ cell tumor, who had undergone preoperative ultrasound examination by an experienced ultrasound examiner between 2000 and 2020. Additional patients with the same histology were identified from the databases of the departments of gynecological oncology in the participating centers. All tumors were described using IOTA terminology. Three examiners reviewed all available ultrasound images and described them using pattern recognition. Results: One patient with embryonal carcinoma, five patients with non-gestational ovarian choriocarcinoma and seven patients with ovarian malignant mixed germ cell tumor (six primary tumors and one recurrence) were identified. Seven patients were included in the IOTA studies and six patients were examined outside of the IOTA studies. The median age at diagnosis was 26 (range, 14–77) years. Beta-human chorionic gonadotropin levels were highest in non-gestational choriocarcinomas and alpha-fetoprotein levels were highest in malignant mixed germ cell tumors. Most tumors were International Federation of Gynecology and Obstetrics (FIGO) Stage I (9/12 (75.0%)). All tumors were unilateral, and the median largest diameter was 129 (range, 38–216) mm. Of the tumors, 11/13 (84.6%) were solid and 2/13 (15.4%) were multilocular-solid; 9/13 (69.2%) manifested abundant vascularization on color Doppler examination. Using pattern recognition, the typical ultrasound appearance was a large solid tumor with inhomogeneous echogenicity of the solid tissue and often dispersed cysts which, in most cas

The World Health Organization (WHO) refers to cervical cancer as a public health problem, and sub-Saharan Africa bears the world's highest incidence. In the realm of screening, simplified WHO recommendations for low-resource countries now present an opportunity for a public health approach to this public health problem. We evaluated the feasibility of such a public health approach to cervical cancer screening that features community-based self-administered HPV testing and mobile treatment provision. In two rural districts of western-central Uganda, Village Health Team members led community mobilization for cervical cancer screening fairs in their communities, which offered self-collection of vaginal samples for high-risk human papillomavirus (hrHPV) testing. High-risk human papillomavirus-positive women were re-contacted and referred for treatment with cryotherapy by a mobile treatment unit in their community. We also determined penetrance of the mobilization campaign message by interviewing a probability sample of adult women in study communities about the fair and their attendance. In 16 communities, 2142 women attended the health fairs; 1902 were eligible for cervical cancer screening of which 1892 (99.5%) provided a self-collected vaginal sample. Among the 393 (21%) women with detectable hrHPV, 89% were successfully contacted about their results, of which 86% returned for treatment by a mobile treatment team. Most of the women in the community (93%) reported hearing about the fair, and among those who had heard of the fair, 68% attended. This public health approach to cervical cancer screening was feasible, effectively penetrated the communities, and was readily accepted by community women. The findings support further optimization and evaluation of this approach as a means of scaling up cervical cancer control in low-resource settings.

This health status update provides an overview of women's health in Utah and highlights the efforts of the Utah Department of Health (UDOH) to improve women's health.

Objetivo: Explorar la percepción de las profesionales sanitarias que trabajan en centros sanitarios alternativos sobre las barreras y los facilitadores en el acceso de las mujeres inmigrantes a los servicios sanitarios públicos generales y de salud sexual y reproductiva en el País Vasco. Emplazamiento: País Vasco. Diseño: Análisis de contenido cualitativo basado en 11 entrevistas individuales. Participantes: Profesionales sanitarias que trabajan en centros sanitarios alternativos de atención primaria y salud sexual y reproductiva. Método: La recolección de datos se realizó entre septiembre y diciembre de 2015 en cuatro centros sanitarios alternativos. Tras su transcripción, se identificaron unidades de significado, códigos y categorías. Resultados: Del análisis emergieron cuatro categorías que representan cómo las características de las mujeres inmigrantes (Dime cómo eres y te diré cómo accedes), la actitud del personal administrativo y sanitario («Cuando ya les atienden, estupendamente. El problema está con los administrativos»), el funcionamiento del sistema sanitario (Sistema de salud inflexible, pasivo y receptor de necesidades) y las políticas sanitarias («Si no cumples los requisitos, pues no entras. La ley es la ley») influyen en el acceso a los servicios sanitarios públicos de las mujeres inmigrantes. Conclusiones: Este estudio indica que hay un considerable número de barreras y pocos facilitadores en el acceso de las mujeres inmigrantes a los servicios sanitarios públicos y de salud sexual y reproductiva en el País Vasco. Los centros sanitarios alternativos se presentaron como favorecedores en la mejora de la salud de la población inmigrante y en su acceso., Objective: To determine the perception of health professionals working in alternative health centres on the barriers and facilitators in the access by immigrant women to general public health services and sexual and reproductive health in the Basque Country. Location: Basque Country. Design: Analysis of qualitative content based on 11 individual interviews. Participants: Health professionals working in alternative health centres of Primary Care and sexual and reproductive health. Method: Data collection was performed between September and December 2015 in four alternative health centres. After transcription, the units of meaning, codes and categories were identified. Results: Four categories emerged from the analysis, which represented how the characteristics of immigrant women (Tell me how you are and I will tell you how to access), the attitude of the administrative and health staff ("When they are already taken care of"), the functioning of the health system (Inflexible, passive and needs-responsive health system), and health policies ("If you do not meet the requirements, you do not go in. The law is the law") influence access to health services of immigrant women. Conclusions: This study shows that there are a considerable number of barriers and few facilitators to the access by immigrant women to public health and sexual and reproductive health services in the Basque Country. The alternative health centres were presented as favouring the improvement of the health of the immigrant population and in their access., Parallel title: How do immigrant women access health services in the Basque Country? Perceptions of health professionals

Red text over a black and white photograph of three women with 'A's' on their chests. The border of the poster contains black and white text pertaining to women's sexuality.

Series of four individual posters with varying images depicting women and messages pertaining to women's sexual health.

White, red, and green text over a green and tan background; the background of the poster contains a graphic of a sun and line drawing of a woman's face.

Fundamentos: Los estudios publicados no son concluyentes sobre el impacto de determinadas exposiciones ocupacionales en el embarazo, evidenciando la necesidad de considerar el doble rol, profesional y familiar, de las mujeres. El objetivo del presente trabajo fue evaluar el efecto de la situación laboral y de la carga doméstica de trabajo en la duración de la gestación y en el desarrollo fetal. Métodos: Mediante modelos de regresión univariante y multivariante, se estudió la asociación entre partos pretérmino (PPT) (<37 semanas), recién nacidos con bajo peso a término (BPT) (<2500g) y pequeños para su edad gestacional (PEG) (

Background: Published studies are not conclusive on the impact of certain occupational exposures in pregnancy, stressing the need to consider the double role, professional and family, of women. The objective of this study is to evaluate the effect of employment and domestic load on the duration of pregnancy and fetal development. Methods: Using Univariate and Multivariate regression models, we studied the association of preterm deliveries (PPT) (37 weeks), full term newborns with low weight (BPT) (2500g) and small for their gestational age (PEG) (<10th percentile) in weight, length and head circumference according to work situation (employment/non-employment) and domestic load (low/ medium/high) in 2506 women. The analyses were carried out using SPSS and R. Results: Women with medium domestic load have lower risk of PPT (OR=0.41, 95%CI:0.21-0.81), PEG in weight (OR=0.47, 95%CI:0.32-0.69), length (OR=0.57, 95%CI:0.39-0.83) and head circumference (OR=0.58, 95% CI:0.40-0.83) and with high load PEG in weight (OR=0.72, 95%CI:0.54-0.98) and head circumference (OR = 0.73, 95% CI:0.54-0.99). When analyzing employment situation and domestic load, women with medium domestic load have less risk of PPT (OR=0.29, 95%CI:0.14-0.58) than the absence of load or high domestic load. Conclusions: The results show a protective effect of the medium and high domestic load, reducing the probability of preterm birth and small for gestational age babies., RESUMEN Fundamentos: Los estudios publicados no son concluyentes sobre el impacto de determinadas exposiciones ocupacionales en el embarazo, evidenciando la necesidad de considerar el doble rol, profesional y familiar, de las mujeres. El objetivo del presente trabajo fue evaluar el efecto de la situación laboral y de la carga doméstica de trabajo en la duración de la gestación y en el desarrollo fetal. Métodos: Mediante modelos de regresión univariante y multivariante, se estudió la asociación entre partos pretérmino (PPT) (<37 semanas), recién nacidos con bajo peso a término (BPT) (<2500g) y pequeños para su edad gestacional (PEG) (percentil 10) en peso, talla y perímetro cefálico en función de la situación laboral materna (empleo/no empleo) y la carga doméstica (baja/media/alta) en 2506 mujeres. Los análisis se hicieron utilizando SPSS y R. Resultados: Las mujeres con carga doméstica media tenían menos riesgo que el resto de mujeres de PPT (OR=0,41; IC95%:0,21-0,81), PEG en peso (OR=0,47; IC95%:0,32-0,69), talla (OR=0,57; IC95%:0,39-0,83) y perímetro cefálico (OR=0,58; IC95%:0,40-0,83); las mujeres con carga doméstica elevada también reducían su riesgo de PEG en peso: (OR=0,72; IC95%:0,54-0,98) y perímetro cefálico (OR=0,73; IC95%:0,54-0,99). Al analizar conjuntamente la situación laboral y la carga doméstica, las mujeres con carga doméstica media tenían menos riesgo de PPT (OR=0,29; IC95%:0,14-0,58) que las mujeres sin carga doméstica o con carga elevada. Conclusiones: Los resultados muestran un efecto protector de la carga de trabajo doméstico de grado medio y elevado, reduciendo la probabilidad de parto pretérmino y de nacidos pequeños para su edad gestacional.

[Background]Patient experience and clinical quality, which are represented by preventive care measures such as cancer screening, are both widely used for the evaluation of primary care quality. The aim of this study was to examine the association between patient experience and cancer screening uptake among women in a Japanese population. [Methods]We conducted a cross-sectional mail survey. The questionnaire was sent to 1000 adult female residents randomly selected from a basic resident register in Yugawara town, Kanagawa, Japan. We assessed patient experience of primary care using a Japanese version of Primary Care Assessment Tool (JPCAT) and uptake of breast and cervical cancer screening. [Results]The overall response rate was 46.5%. Data were analyzed for 190 female participants aged 21–74 years who had a usual source of primary care. Multivariate logistic regression analyses revealed that the JPCAT total score was significantly associated with uptake of breast cancer screening [odds ratio (OR) per 1 standard deviation increase = 1.63; 95% CI 1.11–2.41], but not with uptake of cervical cancer screening (OR per 1 standard deviation increase = 1.47; 95% CI 0.97–2.24). [Conclusions]Patient experience of primary care was associated with uptake of breast cancer screening among Japanese women. The results of our study might support the argument that patient experience of primary care and the clinical process of preventive care, such as breast cancer screening, are linked.

BackgroundLimited evidence exists to inform physical activity (PA) and sedentary behavior guidelines for older people, especially women. Rigorous evidence on the amounts, intensities, and movement patterns associated with better health in later life is needed.Methods/designThe Objective PA and Cardiovascular Health (OPACH) Study is an ancillary study to the Women's Health Initiative (WHI) Program that examines associations of accelerometer-assessed PA and sedentary behavior with cardiovascular and fall events. Between 2012 and 2014, 7048 women aged 63-99 were provided with an ActiGraph GT3X+ (Pensacola, Florida) triaxial accelerometer, a sleep log, and an OPACH PA Questionnaire; 6489 have accelerometer data. Most women were in their 70s (40%) or 80s (46%), while approximately 10% were in their 60s and 4% were age 90 years or older. Non-Hispanic Black or Hispanic/Latina women comprise half of the cohort. Follow-up includes 1-year of falls surveillance with monthly calendars and telephone interviews of fallers, and annual follow-up for outcomes with adjudication of incident cardiovascular disease (CVD) events through 2020. Over 63,600 months of calendar pages were returned by 5,776 women, who reported 5,980 falls. Telephone interviews were completed for 1,492 women to ascertain the circumstances, injuries and medical care associated with falling. The dataset contains extensive information on phenotypes related to healthy aging, including inflammatory and CVD biomarkers, breast and colon cancer, hip and other fractures, diabetes, and physical disability.DiscussionThis paper describes the study design, methods, and baseline data for a diverse cohort of postmenopausal women who wore accelerometers under free-living conditions as part of the OPACH Study. By using accelerometers to collect more precise and complete data on PA and sedentary behavior in a large cohort of older women, this study will contribute crucial new evidence about how much, how vigorous, and what patte

Explorar la percepción de las profesionales sanitarias que trabajan en centros sani- tarios alternativos sobre las barreras y los facilitadores en el acceso de las mujeres inmigrantes a los servicios sanitarios públicos generales y de salud sexual y reproductiva en el País Vasco. Emplazamiento: País Vasco. Dise ̃ no: Análisis de contenido cualitativo basado en 11 entrevistas individuales. Participantes: Profesionales sanitarias que trabajan en centros sanitarios alternativos de aten- ción primaria y salud sexual y reproductiva. Método: La recolección de datos se realizó entre septiembre y diciembre de 2015 en cuatro centros sanitarios alternativos. Tras su transcripción, se identificaron unidades de significado, códigos y categorías. Resultados: Del análisis emergieron cuatro categorías que representan cómo las características de las mujeres inmigrantes (Dime cómo eres y te diré cómo accedes), la actitud del personal administrativo y sanitario ( « Cuando ya les atienden, estupendamente. El problema está con los administrativos » ), el funcionamiento del sistema sanitario (Sistema de salud inflexible, pasivo y receptor de necesidades) y las políticas sanitarias ( « Si no cumples los requisitos, pues no entras. La ley es la ley » ) influyen en el acceso a los servicios sanitarios públicos de las mujeres inmigrantes. Conclusiones: Este estudio indica que hay un considerable número de barreras y pocos facili- tadores en el acceso de las mujeres inmigrantes a los servicios sanitarios públicos y de salud sexual y reproductiva en el País Vasco. Los centros sanitarios alternativos se presentaron como favorecedores en la mejora de la salud de la población inmigrante y en su acceso., To determine the perception of health professionals working in alternative health centres on the barriers and facilitators in the access by immigrant women to general public health services and sexual and reproductive health in the Basque Country. Location: Basque Country. Design: Analysis of qualitative content based on 11 individual interviews. Participants: Health professionals working in alternative health centres of Primary Care and sexual and reproductive health. Method: Data collection was performed between September and December 2015 in four alter- native health centres. After transcription, the units of meaning, codes and categories were identified. Results: Four categories emerged from the analysis, which represented how the characteristics of immigrant women (Tell me how you are and I will tell you how to access), the attitude of the administrative and health staff (‘‘When they are already taken care of’’), the functioning of the health system (Inflexible, passive and needs-responsive health system), and health policies (‘‘If you do not meet the requirements, you do not go in. The law is the law’’) influence access to health services of immigrant women. Conclusions: This study shows that there are a considerable number of barriers and few facili- tators to the access by immigrant women to public health and sexual and reproductive health services in the Basque Country. The alternative health centres were presented as favouring the improvement of the health of the immigrant population and in their access.

Indicator report of the number of women who reported having a preconception visit with a health care provider in Utah.

The Utah Cancer Control Program's 2017 PSA to increase the number of women 40-64 who receive the recommended breast or cervical cancer screening.

The Utah Cancer Control Program's 2017 PSA to increase the number of women 40-64 who receive the recommended breast or cervical cancer screening.

PSA for Utah Cancer Control Program's "Supporters" campaign to increase the number of Utah women who get screened for breast cancer.

PSA for Utah Cancer Control Program's "Supporters" campaign to increase the number of Utah women who get screened for breast cancer.

BackgroundThe Veterans Health Administration (VA) Patient Aligned Care Team (PACT) initiative aims to ensure that all patients receive care consistent with medical home principles. Women veterans' unique care needs and minority status within the VA pose challenges to delivery of equitable, comprehensive primary care for this population. Currently, little is known about whether and/or how PACT should be tailored to better meet women veterans' needs.MethodsIn 2014, we conducted semistructured interviews with 73 primary care providers and staff to examine facilitators and barriers encountered in providing PACT-principled care to women veterans. Respondents were located in eight VA medical centers in eight different states across the United States.ResultsRespondents perceived PACT as improving continuity of care for patients and as increasing ability of nursing staff to practice at the top of their license. However, the implementation of core medical home features and team huddles was inconsistent and varied both within and across medical centers. Short staffing, inclusion of part-time providers on teams, balancing performance requirements for continuity and same-day access, and space constraints were identified as ongoing barriers to PACT implementation. Challenges unique to care of women veterans included a higher prevalence of psychosocial needs, the need for specialized training of primary care personnel, and short staffing owing to additional sharing of primary care support staff with specialist providers.ConclusionProviders and staff face unique challenges in delivering comprehensive primary care to women veterans that may require special policy, practice, and management action if benefits of PACT are to be fully realized for this population.

PSA for Utah Cancer Control Program's "Supporters" campaign to increase the number of Utah women who get screened for breast cancer.

The Utah Cancer Control Program's 2017 PSA to increase the number of women 40-64 who receive the recommended breast or cervical cancer screening.

[Abstract] Pregnancy women coincide with numerous anatomical and physiological changes, which are believed to have a harmful effect on the quality of life related to foot health. The goal of this research was to identify and compare the impact foot health and overall health in a sample of pregnancy women and women without pregnancies with normalised reference values. A sample of 159 participants of a mean age of 30.13 ± 6.28 came to the area of midwifery center where self-reported data were registered, informants’ with a 1 or various pregnancy was determined and the scores obtained were compared in the foot health status questionnaire (FHSQ). This has 13 questions that assess 4 health domains of the feet, namely pain, function, general health, and footwear. The pregnant women group showed a worse quality of life related to health in general and to foot health specifically at the following domains, foot function, footwear, general foot, health, physical activity, social capacity, and vigor (P < 0.05) and there were no differences at foot pain and general health (P > 0.05). Pregnant women present a negative impact on the quality of life related to foot health, which appears to be associated with the pregnancy period.

The Utah Cancer Control Program's 2017 PSA to increase the number of women 40-64 who receive the recommended breast or cervical cancer screening.

PSA for Utah Cancer Control Program's "Supporters" campaign to increase the number of Utah women who get screened for breast cancer.

The purpose of this study appeared with the creation of the first Birth Center in Rio de Janeiro, as a public strategies for the labor and birth care humanization in the Unified Health System (SUS) in Brazil. The objectives of the present qualitative study are to describe the determinant factors of the creation of the Birth Center in the Unified System of Health (SUS) in Rio de Janeiro and analyze the conflicts in the implantation process of this health service. Antonio Gramsci’s hegemony concept was utilized as theoretical reference. The dialectical method guided the analysis by means of the following methodological categories: contradiction, totality, and historicity. There were semi-structured in-person interviews with Birth Center’s obstetrical nurses, techno-administrative professionals of the Health Secretary, as well as the Health Secretary and Health Programs Managers. The creation of the Birth Center results from the construction of a counter-hegemonic project in the assistance to the birth and child birth in the Brazilian health system, causing conflicts between the defender segments of the hegemonic culture – centered on medical and hospital care – and those that propagate the change in the model of obstetrical attention and support the community Birth Center (out-of-hospital birth center) in which only obstetrical nurses work. In this cultural conflict, a possibility for mediation arises: the discourses that support the Birth Centers integrated into the hospital (based-hospital birth center)., La propuesta de este estudio surgió con la institución del primero Centro del Parto Normal en la ciudad del Rio de Janeiro, como una das estrategias publicas de humanización de la asistencia del parto y nacimiento en el Sistema Unificado de Salud (SUS) en Brasil. Esta investigación cualitativa tuvo como objetivos describir los acontecimientos político-sociales relacionados con la institución de la Casa de Parto en el Sistema Unificado de Salud (SUS) de la ciudad del Río de Janeiro y analizar los conflictos en lo proceso de implementación de este servicio de salud. Fue utilizado como referencial teórico el concepto de hegemonía de Antonio Gramsci. El método dialéctico guió el análisis por medio de las categorías metodológicas: contradicción, totalidad y historicidad. Fueran realizadas entrevistas con las enfermeras obstétricas de la Casa de Parto, profesionales técnico administrativos de la Secretaria de Salud, así como el Secretario y los Gerentes de Programas de Salud. La institución de la Casa de Parto deriva de la construcción de un proyecto contra-hegemónico en la asistencia del parto y el nacimiento en el sistema de salud brasileño, que generó conflictos entre los segmentos defensores de la cultura hegemónica – centrada en la atención médica y hospitalaria – y aquellos que propagan el cambio en el modelo atención obstétrica y apoyan la institución de las Casas de Parto comunitarias en que actúan solamente las enfermeras obstétricas. En ese conflicto cultural, surgió como posibilidad de mediación la aceptación de la existencia solamente de los centros de parto normal integrados físicamente al hospital., A proposta deste estudo surgiu com a institução do primeiro Centro de Parto Normal na cidade do Rio de Janeiro, como uma das estratégias públicas de humanização da assistência ao parto e nascimento no Sistema &UACUTE;nico de Saúde (SUS) no Brasil. Esta pesquisa qualitativa objetivou descrever os acontecimentos político-sociais relacionados com a implantação da Casa de Parto no Sistema Único de Saúde (SUS) do município do Rio de Janeiro e analisar os conflitos no processo de implementação deste serviço de saúde. Foi utilizado como referencial teórico o conceito de hegemonia de Antonio Gramsci. O método dialético guiou a análise por meio das categorias metodológicas: contradição, totalidade e historicidade. Foram realizadas entrevistas com as enfermeiras obstétricas da Casa de Parto, os profissionais técnico-administrativos da Secretaria de Saúde, assim como o Secretário e Gerentes de Programas de Saúde. A implantação da Casa de Parto decorre da construção de um projeto contra-hegemônico na assistência ao parto e nascimento no sistema de saúde brasileiro, que provocou conflitos entre os segmentos defensores da cultura hegemônica centrada na atenção médica e hospitalar e aqueles que propagam uma mamudança no modelo atenção obstétrica e apóiam a instituição das Casas de Parto comunitárias onde atuam somente as enfermeiras obstétricas. Nesse conflito cultural, surge como possibilidade de mediação os discursos que apoiam os centros de parto normal integrados fisicamente ao hospital.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

ObjectiveThe social context of poverty is consistently linked to Trichomonas vaginalis infection, yet few studies regarding T. vaginalis have been conducted exclusively among low-income individuals. We identified social determinants of health associated with prevalent T. vaginalis infection among homeless and unstably housed adult women.MethodsBetween April and October of 2010, we conducted cross-sectional T. vaginalis screening and behavioural interviews in an existing cohort of San Francisco homeless and unstably housed women. Data were analysed using multivariable logistical regression.ResultsAmong 245 study participants, the median age was 47 years and 72% were of non-Caucasian race/ethnicity. T. vaginalis prevalence was 12%, compared to 3% in the general population, and 33% of infected individuals reported no gynaecological symptoms. In adjusted analysis, the odds of T. vaginalis infection were lower among persons older than 47 years, the population median (OR=0.14, 95% CI 0.04 to 0.38), and higher among those reporting recent short-term homeless shelter stays (OR=5.36, 95% CI 1.57 to 18.26). Race and income did not reach levels of significance. Sensitivity analyses indicated that testing all women who report recent unprotected sex would identify more infections than testing those who report gynaecological symptoms (20/30 vs 10/30; p=0.01).ConclusionsThe prevalence of T. vaginalis is high among homeless and unstably housed adult women, over one-third of infected individuals have no gynaecological symptoms, and correlates of infection differ from those reported in the general population. Targeted screening and treatment among impoverished women reporting recent unprotected sex, particularly young impoverished women and all women experiencing short-term homelessness, may reduce complications related to this treatable infection.

The aim of this study was to describe theexperiences lived by the pregnant woman on thedecision-making process about the time to go to thehospital, to ask for childbirth care. Methods. Thenarrative analysis was the research method. Thethematic analysis of the narratives was performed andthe descriptive categories (DCs) were validated by studyparticipants. Results. Two DCs to reveal the collectiveexperience: “Receiving guidance, social support andmaking choices: planning the going to the hospital”and “Between the planned and the unpredictable:decision process about the time to go to the hospital”.Conclusion. The decision-making process of womenis reasoned especially on the social support network,and also on the advises received from healthcareproviders. The professionals involved in prenatalcare should develop actions considering the pregnantwomen’s social context, and the family membersshould be integrated in the provision of prenatal care.The adoption of these measures is essential for theimprovement of the quality of care., Objetivo. O objetivo desta pesquisa foi descrever as experiências vivenciadas pela gestante relativas ao processo decisório sobre o momento de ir ao hospital em busca de assistência ao parto. Métodos. O método de estudo foi a análise da narrativa. Foi realizada a análise temática das narrativas, a elaboração de categorias descritivas (CD) e a validação das categorias com as participantes. Resultados. Os resultados gerados foram duas CD: “Recebendo orientações, suporte social e fazendo escolhas: o planejamento da ida para o hospital” e “Entre o planejado e o imprevisível: o processo decisório sobre o momento de ir para o hospital”. Conclusão. O processo decisório das mulheres é fundamentado na rede de suporte social e nas orientações recebidas de profissionais de saúde. Os profissionais atuantes no pré-natal devem desenvolver ações mediante consideração do contexto social das gestantes e integração da família no atendimento, o que é fundamental para a assistência de qualidade., Objetivo. Describir las experiencias vividas por la mujer embarazada en el proceso de toma de decisiones sobre el momento de salir de casa en busca de asistencia para el parto. Métodos. El análisis de la narrativa se utilizó como método de estudio. Se realizó el análisis temático de las narraciones, la preparación de categorías descriptivas (CD) y la validación de las categorías con las participantes. Resultados. Los resultados generados fueron dos CD: “Recibiendo orientaciones, apoyo social y tomando decisiones: la planeación para ir al hospital”; y “Entre lo planeado y lo impredecible: el proceso decisorio sobre cuándo ir al hospital”. Conclusión. El proceso decisorio de las mujeres se basa en la red de apoyo social y las directrices recibidas de los profesionales de la salud. Los profesionales que trabajan en la atención prenatal deben desarrollar acciones de acuerdo con el contexto social de la embarazada, integrando a la familia en la atención, lo que es fundamental para la asistencia de calidad.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

Mammograms are recommended for all women, regardless of family history. If you are forty or older, talk to your doctor and visit cancerutah.org.

ObjectiveThis study examined service provider perceptions of requirements for successful sustainment of an efficacious intervention for preventing HIV/AIDS and STIs in female sex workers (FSWs) in Mexico.MethodsSemi-structured interviews were conducted with 77 leaders and counselors from 12 community-based reproductive health clinics located throughout Mexico participating in a large hybrid effectiveness-implementation randomized controlled trial to scale-up the use of Mujer Segura, a psychoeducational intervention designed to promote condom use and enhance safer sex negotiation skills among FSWs.ResultsFive sets of requirements for sustainment were identified: 1) characteristics of the provider, including competence in delivering the intervention, need for continued technical support and assistance from outside experts, and satisfaction with addressing the needs of this population; 2) characteristics of the clients (i.e., FSWs), including client need and demand for services and incentives for participation; 3) characteristics of the organization, including its mission, benefits, and operations; 4) characteristics of the outer setting, including financial support and relationship with the community-based organization's central offices, and transportation and security in areas where FSWs live and work; and 5) outcomes associated with the intervention itself, including a reduction of risk through education and increased outreach through referrals from FSWs who received the intervention.ConclusionsAlthough the requirements for successful sustainment of interventions like Mujer Segura are consistent with the factors identified in many models of implementation, the results illustrate the importance of local context in assigning priority to these model elements and suggest that the five categories are not discrete entities but interconnected.

IntroductionThe etiology of childhood obesity is multidimensional and includes individual, familial, organizational, and societal factors. Policymakers and researchers are promoting social-ecological approaches to obesity prevention that encompass multiple community sectors. Programs that successfully engage low-income families in making healthy choices are greatly needed, yet little is known about the extent to which stakeholders understand the complexity of barriers encountered by families. The objective of this study was to contextually frame barriers faced by low-income families reported by community stakeholders by using the Family Ecological Model (FEM).MethodsFrom 2012 through 2013, we conducted semistructured interviews with 39 stakeholders from 2 communities in Massachusetts that were participating in a multisector intervention for childhood obesity prevention. Stakeholders represented schools; afterschool programs; health care; the Special Supplemental Nutrition Program for Women, Infants, and Children; and early care and education. Interviews were audio-recorded, transcribed, coded, and summarized.ResultsStakeholder reports of the barriers experienced by low-income families had a strong degree of overlap with FEM and reflected awareness of the broader contextual factors (eg, availability of community resources, family culture, education) and social and emotional dynamics within families (eg, parent knowledge, social norms, distrust of health care providers, chronic life stressors) that could affect family adoption of healthy lifestyle behaviors. Furthermore, results illustrated a level of consistency in stakeholder awareness across multiple community sectors.ConclusionThe congruity of stakeholder perspectives with those of low-income parents as summarized in FEM and across community sectors illustrates potential for synergizing the efforts necessary for multisector, multilevel community interventions for the prevention of childhood obesity.

Women account for more than half of all individuals living with HIV globally. Despite increasing drug and HIV epidemics among women, women who use drugs are rarely found in research, harm reduction programs, or drug and HIV treatment and care. Women who use drugs continue to face challenges that increase their vulnerability to HIV and other comorbidities because of high rates of gender-based violence, human rights violations, incarceration, and institutional and societal stigmatization. This special issue emphasizes how the burdens of HIV, drug use, and their co-occurring epidemics affect women in a global context. Articles included focus on the epidemiologies of HIV and hepatitis C virus and other comorbidities; HIV treatment, prevention, and care; and policies affecting the lives of women who use drugs. This issue also highlights the state of the science of biomedical and behavioral research related to women who use drugs. The final article highlights the major findings of articles covered and presents a call to action regarding needed research, treatment, and preventive services for women who use drugs. To address these needs, we advocate for women-specific thinking and approaches that consider the social, micro, and macro contexts of women's lives. We present a women-specific risk environment framework that reflects the unique lives and contexts of women who use drugs and provides a call to action for intervention, prevention, and policies.

This Utah Health Status Update discusses autism spectrum disorder (ASD)-related services available to children under age 21 through the general Medicaid benefit. It is likely that the number of reported cases represent only a small proportion of the true burden of disease, as a substantial number of communicable disease cases are never reported. This publication also includes: 1) Breaking News: Postpartum Visits; 2) Community Health Indicators Spotlight: Utah's Hemp Extract Registration Card; and 3) Monthly Health Indicators Report.

This is a summary of OHD's collaboration with the MAHINA (Maternal Health and Infant Advocates) Task Force on a pilot project to raise awareness about birth outcomes disparities among Utah Native Hawaiian/Pacific Islander communities.

Although there have been significant reductions in the number of new HIV infections globally from 2009 to 2013, incidence remains unacceptably high for persons who use drugs. In many settings, women and girls who inject drugs (WWID) with HIV/AIDS experience poor treatment access, including evidence-based practices like antiretroviral therapy and drug treatment. Medication-assisted therapies (MAT) for substance use disorders are especially inaccessible, which in their absence, increases HIV transmission risk. Irrespective of setting or culture, drug treatment using MAT is not only effective but also cost-effective at reducing opioid use and linked injection and sexual risks. Data presented here for WWID address their access to MAT for opioid addiction and to treatments being developed that address the relationship, family, and vocational needs of this group. The most glaring finding is that globally, WWID frequently are excluded in surveys or studies with an impressive lack of disaggregated data by gender when surveying access to MAT—even in wealthy countries. Despite this, there have been some striking improvements in implementing drug treatment as prevention, notably in Iran and China. Still, real barriers remain for women and girls to accessing drug treatment, other harm reduction services, and antiretroviral therapy. Development and/or implementation of interventions that facilitate women and girls engaging in drug treatment that address their roles within society, work, and family/relationships, and outcome evaluation of these interventions are crucial.

Summary: Breast cancer affects one in eight women in the United States. Estimated new breast cancer cases for 2012 in the U.S. are 229,060 women (American Cancer Society, 2012). For all women it is important to be informed regarding all current treatment options. For women in high-risk categories of breast cancer it is even more important. Risk-reducing strategies for women at high-risk of breast cancer include surveillance, chemoprevention, and bilateral prophylactic mastectomy. Prophylactic mastectomy reduces the risk of breast cancer by excision of most breast tissue. Breast cancer among those initially diagnosed as high-risk is 90-94.3% (Hartmann et al., 1999). This procedure entails serious surgeries with numerous physical, social, and emotional ramifications and is not without side effects. The patient has the right to be informed and base her decision-making on the suitability of the procedure for herself. This research describes six (6) woman’s experiences, focusing on the role of transformational learning and self-efficacy, as these women progressed through the stages. Prophylactic mastectomy is radical, irreversible, and costly at the onset. The procedure may preclude a whole lifetime of surgeries, radiation, and chemical treatments. If this treatment is the right fit, and has been fully researched, balanced with options, family history, genetic predisposition, personal concerns, and anxiety levels, along with physician recommendations, a woman should consider pursuing it., 2015, Includes bibliography., Degree granted: Dissertation (Ph.D.)--Florida Atlantic University, 2015., Collection: FAU Electronic Theses and Dissertations Collection