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Racial And Ethnic Disparities In Desire For Reversal Of Sterilization Among U.S. Women, Ginny Garcia-Alexander, Kelly Gonzales, Elizabeth Carol Hauck 2016 Portland State University

Racial And Ethnic Disparities In Desire For Reversal Of Sterilization Among U.S. Women, Ginny Garcia-Alexander, Kelly Gonzales, Elizabeth Carol Hauck

Ginny Garcia-Alexander

Purpose: Female sterilization rates and subsequent desire for reversal of the procedure are substantially higher in minorities, low-income women, and those who use public insurance. Despite the disproportionate distribution of these outcomes, few studies in this area have considered the extent to which such disparities are attributable to a restricted set of contraceptive options among medically underserved populations, which may in turn explain higher rates of desire for reversal. Methods: We use the most recent wave of NSFG data (2011-2013) to estimate odds ratios for race/ethnicity on the likelihood of desire for reversal of sterilization, while controlling for an ...


Racial And Ethnic Disparities In Desire For Reversal Of Sterilization Among U.S. Women, Ginny Garcia-Alexander, Kelly Gonzales, Elizabeth Carol Hauck 2016 Portland State University

Racial And Ethnic Disparities In Desire For Reversal Of Sterilization Among U.S. Women, Ginny Garcia-Alexander, Kelly Gonzales, Elizabeth Carol Hauck

Ginny Garcia-Alexander

Purpose: Female sterilization rates and subsequent desire for reversal of the procedure are substantially higher in minorities, low-income women, and those who use public insurance. Despite the disproportionate distribution of these outcomes, few studies in this area have considered the extent to which such disparities are attributable to a restricted set of contraceptive options among medically underserved populations, which may in turn explain higher rates of desire for reversal. Methods: We use the most recent wave of NSFG data (2011-2013) to estimate odds ratios for race/ethnicity on the likelihood of desire for reversal of sterilization, while controlling for an ...


Intersecting Positions Of Social Disadvantage And Self-Reported Health Status Disparities, Carla S. Alvarado, Chunhuei Chi 2016 Oregon State University

Intersecting Positions Of Social Disadvantage And Self-Reported Health Status Disparities, Carla S. Alvarado, Chunhuei Chi

Journal of Health Disparities Research and Practice

Health disparities along the gender, race and class are particularly important to monitor and study given the predicted differential distribution of health along these social identities. Intersectionality is a theoretical framework that allows public health and health disparities researchers to account for the simultaneous, mutually constitutive, reinforcing and multidimensional effects of gender, class, and race with the aim to better understand health disparities. Disparities along gender, race and class have been noted in self-reported health status (SRHS) which has been shown to be a strong predictive factor of mortality, morbidity and mental health independent of other physiologic, behavioral and psychosocial ...


Older Women’S Muscle And Gait Response To A Bout Of Exercise Differs By Physical Activity Level, Jocelyn F. Hafer, Katherine A. Boyer 2016 University of Massachusetts Amherst

Older Women’S Muscle And Gait Response To A Bout Of Exercise Differs By Physical Activity Level, Jocelyn F. Hafer, Katherine A. Boyer

UMass Center for Clinical and Translational Science Research Retreat

Changes in gait are a consequence of aging and likely contribute to knee osteoarthritis (OA) incidence. Decrements in muscle function with age, including muscle power and fatigue resistance, may contribute to changes in gait and, subsequently, knee OA. Examining the impact of habitual physical activity (PA) on gait mechanics and muscle function may provide insight for interventions to modify knee OA risk. As knee OA affects women at greater rates than men, the current study focused on older women. The aim of this study was to determine if older women with different levels of habitual PA experienced the same effect ...


A Pilot Randomized Controlled Trial Of A Videoconferencing Smoking Cessation Intervention For Korean American Women: Preliminary Findings, Sun S. Kim, Somporn Sitthisongkram, Kunsook Bernstein, Hua (Julia) Fang, Won S. Choi, Douglas M. Ziedonis 2016 University of Massachusetts Boston

A Pilot Randomized Controlled Trial Of A Videoconferencing Smoking Cessation Intervention For Korean American Women: Preliminary Findings, Sun S. Kim, Somporn Sitthisongkram, Kunsook Bernstein, Hua (Julia) Fang, Won S. Choi, Douglas M. Ziedonis

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Korean American women prefer online or telephone smoking cessation interventions that can be remotely accessed from home. However, these interventions have been found ineffective for the group.

Methods: This study is a pilot clinical trial testing the feasibility and acceptability of a videoconferencing smoking cessation intervention for Korean American women and compared its preliminary efficacy with a telephone-based smoking cessation intervention. Korean women in the United States were recruited nationwide and randomly assigned at a ratio of 1:1 to either a video arm or a telephone arm. Participants in both arms received eight 30-minute weekly individualized counseling sessions ...


Discovery And Development Of Human Monoclonal Antibodies To Block Rhd Alloimmunization During Pregnancy, Tushar Gupta, Melissa Gawron, Colby A. Souders, Michael A. Brehm, Dale Greiner, Leonard D. Shultz, Smita Jaiswal, Sean McCauley, Ann Dauphin, Jeremy Luban, Lisa Cavacini 2016 University of Massachusetts Medical School

Discovery And Development Of Human Monoclonal Antibodies To Block Rhd Alloimmunization During Pregnancy, Tushar Gupta, Melissa Gawron, Colby A. Souders, Michael A. Brehm, Dale Greiner, Leonard D. Shultz, Smita Jaiswal, Sean Mccauley, Ann Dauphin, Jeremy Luban, Lisa Cavacini

UMass Center for Clinical and Translational Science Research Retreat

Exposure of an Rh negative mother to red blood cells (RBCs) of an Rh positive fetus results in alloimmunization and development of anti-RhD antibodies. The anti-RhD antibodies cause hemolytic disease of the new born babies during subsequent pregnancies. Current prophylactic treatment involves polyclonal anti-RhD IgG purified from plasma of humans and is administered in approximately 20% of pregnancies. While the current prophylaxis is effective, it involves the use of human plasma and non-RhD specific antibodies, thus posing a risk of transmitting infections and undesired antibody reactions. Moreover, there is a serious scarcity of plasma donors to meet the requirement of ...


Does The Indication For Breast Surgery Impact Surgical Outcomes? A Contemporary Analysis Of The Acs-Nsqip Database, Connie Lee, Ann-Kristin U. Friedrich, Anne C. Larkin, B. Marie Ward, Ashling O'Connor, Robert M. Quinlan, Giles F. Whalen, Jennifer LaFemina 2016 University of Massachusetts Medical School

Does The Indication For Breast Surgery Impact Surgical Outcomes? A Contemporary Analysis Of The Acs-Nsqip Database, Connie Lee, Ann-Kristin U. Friedrich, Anne C. Larkin, B. Marie Ward, Ashling O'Connor, Robert M. Quinlan, Giles F. Whalen, Jennifer Lafemina

UMass Center for Clinical and Translational Science Research Retreat

Background. There is limited data about whether perioperative outcomes differ based on the indication for breast surgery. Herein we aim to assess if breast surgery for prophylaxis, compared to that for malignancy, impacts surgical outcomes.

Methods. All women who underwent simple or subcutaneous mastectomy were identified from the 2007-2012 ACS-NSQIP database. Patients were identified by their ICD-9 codes and categorized into two groups. Group 1 consisted of patients diagnosed with breast cancer or carcinoma in situ; group 2 consisted of patients diagnosed with a genetic predisposition to malignant neoplasm of the breast (i.e., BRCA mutation). Demographic and preoperative variables ...


A Pilot Study To Assess The Feasibility, Safety And Acceptability Of Soy-Based Diet For Pregnant Women At High Risk For Gestational Diabetes Mellitus, Ling Shi, Vidya Iyer, Emily Jones, Tiffany A. Moore Simas, Alice H. Lichtenstein, Laura L. Hayman 2016 University of Massachusetts Boston

A Pilot Study To Assess The Feasibility, Safety And Acceptability Of Soy-Based Diet For Pregnant Women At High Risk For Gestational Diabetes Mellitus, Ling Shi, Vidya Iyer, Emily Jones, Tiffany A. Moore Simas, Alice H. Lichtenstein, Laura L. Hayman

UMass Center for Clinical and Translational Science Research Retreat

Background: Diet plays an important role in the prevention and management of gestational diabetes mellitus (GDM). Previous studies suggest that soy protein and isoflavones may have beneficial effects on lipid and glucose metabolism. Little is known regarding the cardiometabolic effects of soy intake during pregnancy. This pilot study assessed the feasibility, safety and acceptability of daily consumption of soy foods during pregnancy in women at high risk for GDM, and participant adherence to their assigned treatment.

Methods: A randomized controlled trial (RCT) was conducted among pregnant women at high risk for GDM. The Soy group were counseled to consume a ...


Contemporary Analysis Of Malignancies In Women Of Child-Bearing Age: An Nsqip Analysis, Eva Rouanet, Ann-Kristin U. Friedrich, Kate Dinh, Kevin P. Baratta, Giles F. Whalen, Heena Santry, Jennifer LaFemina 2016 University of Massachusetts Medical School

Contemporary Analysis Of Malignancies In Women Of Child-Bearing Age: An Nsqip Analysis, Eva Rouanet, Ann-Kristin U. Friedrich, Kate Dinh, Kevin P. Baratta, Giles F. Whalen, Heena Santry, Jennifer Lafemina

UMass Center for Clinical and Translational Science Research Retreat

Background: Recent evidence suggests that cancer incidence among pregnant women is increasing. The pattern of malignancies in pregnant women and how these compare to their nonpregnant counterparts has not been explored. Here we describe the differences in the proportion of resected malignancies in this population. Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify women aged 18-49 who underwent an operation for malignancy from 2007-2012. Age-adjusted distribution of specific surgical interventions for malignancy based on ICD-9 codes were compared among pregnant and non-pregnant women using logistic regression analysis. Results: 42,732 subjects ...


Association Between First Trimester Pregnancy Associated Plasma Protein–A And The Development Of Gestational Diabetes Mellitus, Aylin Sert, Katherine Leung, Molly E. Waring, Raziel Rojas-Rodriguez, Silvia Corvera, Tiffany A. Moore Simas 2016 University of Massachusetts Medical School

Association Between First Trimester Pregnancy Associated Plasma Protein–A And The Development Of Gestational Diabetes Mellitus, Aylin Sert, Katherine Leung, Molly E. Waring, Raziel Rojas-Rodriguez, Silvia Corvera, Tiffany A. Moore Simas

UMass Center for Clinical and Translational Science Research Retreat

Background: Gestational diabetes (GDM) is a common pregnancy complication with significant cardiometabolic consequences for mothers and offspring. Previous research from our group suggests that adipose tissue IGFBP-5 and its unique metalloprotease PAPP-A (Pregnancy Associated Plasma Protein-A) may play mechanistic roles in GDM development by regulating functional IGF-1 levels and lipid storage and metabolism.

Aim: To examine the relationship between circulating PAPP-A levels and GDM development. We hypothesized that high first trimester PAPP-A levels would be associated with decreased GDM risk.

Methods: A retrospective cohort of women delivering singleton gestations at UMass Memorial Healthcare (2009, 2010, 2014, 2015) was assembled by ...


Conceiving Of Contraception: St. Louis Women's Perspectives On Family Planning & Contraception, Priya Suri 2016 Washington University in St. Louis

Conceiving Of Contraception: St. Louis Women's Perspectives On Family Planning & Contraception, Priya Suri

Senior Honors Papers / Undergraduate Theses

This work highlights the stories women weave as they make their contraceptive decisions. It included their perceptions regarding cultural, religious, and economic barriers. Fifty-one women were interviewed using a semi-structured interview style of about thirty-eight questions in the South Grand St. Louis Planned Parenthood. Contraception itself was primarily thought of as a scientific technology; however, in the context of family planning, it took on social meanings that reflected preparedness in life, financial security, religious viewpoints and the ability to choose. Women expressed varying levels of religious influence. Discussing how each woman understands her own relationship with religion, God, and/or ...


Beyond The Three Delays: A Case Study Of Haiti's Maternal Health Sector, Stephanie Rapp 2016 SIT Graduation Institute

Beyond The Three Delays: A Case Study Of Haiti's Maternal Health Sector, Stephanie Rapp

Capstone Collection

This research seeks to understand how the maternal health sector in Haiti can be understood and perhaps improved through the framework of the Three Delays, developed by Thaddeus and Maine (1994). These delays are (1) the delay in the decision to seek care, (2) the delay in reaching a health facility, and (3) the delay in receiving adequate care at a health facility. The findings of this capstone strongly demonstrated that global health practitioners in Haiti often opt for technical solutions, but in fact there are numerous shadow delays preventing these solutions from taking hold and ameliorating maternal mortality. Tensions ...


Pilot Study Of A Resource-Appropriate Strategy For Downstaging Breast Cancer In Rural Uganda, Alphonsus Matovu, John R. Scheel, Picho Alli Shadrack, Renny Ssembatya, Angela Njeri, Moses Galukande, Kristen K. DeStigter 2016 Mubende Regional Referral Hospital

Pilot Study Of A Resource-Appropriate Strategy For Downstaging Breast Cancer In Rural Uganda, Alphonsus Matovu, John R. Scheel, Picho Alli Shadrack, Renny Ssembatya, Angela Njeri, Moses Galukande, Kristen K. Destigter

The Journal of Global Radiology

Breast cancer incidence and mortality are rapidly increasing in low- and middle-income countries like Uganda. Shifting the proportion of women presenting with late-stage breast cancer to early-stage breast cancer (downstaging) at the time of diagnosis would substantially improve survival and efficient use of available resources. Imaging The World (ITW) conducted a pilot study in Uganda where trained village health teams (VHTs) promoted breast cancer awareness in the Kamuli District (Uganda). As a result, 212 women with self-detected lumps presented to the community health center level III (Nawanyago HCIII) for a clinical breast examination (CBE). Patients with masses on CBE were ...


Effect Of Using Culturally Sensitive Education In Increasing Mammogram Use And Breast Cancer Awareness: African Female Immigrants, Gertrude Mumba-Kaunda 2016 Valparaiso University

Effect Of Using Culturally Sensitive Education In Increasing Mammogram Use And Breast Cancer Awareness: African Female Immigrants, Gertrude Mumba-Kaunda

Evidence-Based Practice Project Reports

Despite the advances in medical technology, breast cancer is the most common cancer among women and is the second leading cause of death in African-American and Caucasian women in the United States. Mammography has shown to be one of the best methods to reduce late detection of breast cancer. The American Cancer Society recommends monthly self-breast examination (SBE), clinical breast examinations every 3 years, and yearly mammography starting at the age of 40. Despite the recommendations, there is still significant disparity among different racial groups, when it comes to death rates, which can be attributed to low screening rates. The ...


Effect Of An Educational Intervention For Prevention Of Std In Minority Women, Umparrys L. Witherspoon 2016 Valparaiso University

Effect Of An Educational Intervention For Prevention Of Std In Minority Women, Umparrys L. Witherspoon

Evidence-Based Practice Project Reports

Historically, African Americans and Hispanics in the United States have been disproportionately affected by human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs), as compared with non-Hispanic whites. Females continue to outnumber males with these diagnoses. Women are generally at greater risk of acquiring HIV and other STDs than men because the female genital tract is more prone to injury and infection resulting from high-risk heterosexual contact (Crepaz et al., 2009). The purpose of the evidence based project was to implement and evaluate an educational intervention for the prevention of HIV and STDs. The Health Belief Model (HBM) was ...


Lean Body Mass And Risk Of Incident Atrial Fibrillation In Post-Menopausal Women, Farnaz Azarbal, Marcia L. Stefanick, Themistocles L. Assimes, JoAnn E. Manson, Jennifer W. Bea, Wenjun Li, Mark A. Hlatky, Joseph C. Larson, Erin S. LeBlanc, Christine M. Albert, Rami Nassir, Lisa W. Martin, Marco V. Perez 2016 Stanford University

Lean Body Mass And Risk Of Incident Atrial Fibrillation In Post-Menopausal Women, Farnaz Azarbal, Marcia L. Stefanick, Themistocles L. Assimes, Joann E. Manson, Jennifer W. Bea, Wenjun Li, Mark A. Hlatky, Joseph C. Larson, Erin S. Leblanc, Christine M. Albert, Rami Nassir, Lisa W. Martin, Marco V. Perez

Wenjun Li

AIMS: High body mass index (BMI) is a risk factor for atrial fibrillation (AF). The aim of this study was to determine whether lean body mass (LBM) predicts AF.

METHODS AND RESULTS: The Women's Health Initiative is a study of post-menopausal women aged 50-79 enrolled at 40 US centres from 1994 to 1998. A subset of 11 393 participants at three centres underwent dual-energy X-ray absorptiometry. Baseline demographics and clinical histories were recorded. Incident AF was identified using hospitalization records and diagnostic codes from Medicare claims. A multivariable Cox hazard regression model adjusted for demographic and clinical risk factors ...


Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, Cindy D. Phillips 2016 East Tennessee State Universtiy

Psychological And Sociocultural Influences Of Current And Historical Intimate Partner Violence In Pregnancy, Cindy D. Phillips

Electronic Theses and Dissertations

The Centers for Disease Control and Prevention (CDC) estimates that 1.5 million women are victims of intimate partner violence (IPV) each year, and 324,000 of these women are pregnant (2013). Research on the predictability of certain factors and their relationship to current and historical IPV is limited. In order to better understand IPV as it related to a sample of 1,016 Appalachian pregnant women selected for the Tennessee Interventions for Pregnant Smokers (TIPS), it was important to evaluate various influences that may predict the prevalence of IPV in this population when compared to the State of Tennessee ...


Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano 2016 East Tennessee State Universtiy

Women And Healthcare In Appalachia: Impeding Circumstance And The Role Of Technology, Ashley Cano

Electronic Theses and Dissertations

For decades, healthcare access and quality in central and southern Appalachia have trailed the rest of the country. Entrenched poverty and low educational attainment compound healthcare problems. This study examines the healthcare obstacles women encounter in southern and central Appalachia and analyzes how technology use, such as Internet searching and social media affect women’s healthcare decisions. Data were analyzed from four focus groups conducted with women from the region. Results indicate that seeing a physician or not did not influence women’s propensity to search the Internet for health-related information or to seek support through social media sites. Additionally ...


Breastfeeding Initiation Among Women Who Have Experience With Incarceration, Natalie R. Libster 2016 College of William and Mary

Breastfeeding Initiation Among Women Who Have Experience With Incarceration, Natalie R. Libster

College of William & Mary Undergraduate Honors Theses

The psychological effects of breastfeeding may be especially beneficial to incarcerated mothers, who are an at-risk population. The current study examines factors impacting breastfeeding initiation among a sample of women who have experience with incarceration. In the first study, 117 incarcerated pregnant women participated in the William and Mary Healthy Beginnings Project, a research and intervention program that works with local correctional facilities to improve the birth outcomes of pregnant inmates. Results reveal that factors associated with incarceration, such as delivering in jail, longer duration of incarceration during pregnancy, and being shackled during delivery, significantly impacted decisions not to initiate ...


Factors Associated With African American Women’S Sexual Health And Risk Behavior: A Mixed Methods Study, Melody N. Waller 2016 University of Tennessee Health Science Center

Factors Associated With African American Women’S Sexual Health And Risk Behavior: A Mixed Methods Study, Melody N. Waller

Theses and Dissertations (ETD)

Introduction: When looking at the health status of our nation, an examination of sexual and reproductive health reveals that there are multiple conditions related to sexual behavior posing a burden on the health of African American women (AAW). Disproportionate rates of sexually transmitted infections, unintended/teen pregnancy, and sexual violence in this group reveal the need to integrate a broader construct to address the multiple factors known to contribute to disparities in sexual and reproductive health affecting AAW. Current health promotion efforts including the encouragement of abstinence and condom use fail to address the multiple components involved in sexual health ...


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