Demographic Changes Research Articles

Dynamics of multilevel alliances in St. Johns River, Florida, Tamanend's bottlenose dolphins (Tursiops erebennus) with respect to an epizootic unusual mortality event

AbstractDisturbance events can alter a community's association patterns, which can influence mating tactics. The St. Johns River (SJR) bottlenose dolphin (Tursiops erebennus) community was impacted by the 2013–2015 unusual mortality event (UME), caused by cetacean morbillivirus, through mortality and social network changes. We analyzed male alliance stability and behavior from April 2011 through March 2017 with respect to the UME. During the UME, 12 first‐order alliance dyads ended due to a partner's death or disappearance. Alliance tactics varied: forming second‐order alliances (n = 21 alliances; teams of first‐order alliances), forming first‐order alliances (n = 13 alliances) or remaining unallied after an alliance dissolved (n = 8 individuals). During‐ and post‐UME, fewer allied males formed second‐order alliances (55%) compared to pre‐UME (68%). While the UME likely indirectly influenced alliance behavior through demographic changes, female presence and breeding season consistently influenced alliance associations and consortships (cooperatively flanking a female), indicating a reproductive function for SJR alliances. Increased consortships when a second‐order partner was present suggests second‐order alliances may provide consortship support against rival males. These results enhance our understanding of multilevel alliance reproductive benefits and demonstrate the adaptability of male mating tactics in response to disturbances resulting in demographic changes.

Pengaruh Demografi dan Kebijakan Pemerintah Jepang Terhadap Depopulasi Negara Jepang Selama 2 Dekade Terakhir

Depopulation is an event of a continuous decline in population over time in an area. This research starts from the discovery of problems in the phenomenon of depopulation in Japan, among the causes are demographic factors and Japanese government policies. Because of this, research was conducted with the aim of finding the causes of depopulation of Japan from the analysis of demographics and Japanese government policies in the past 2 decades. The method used is data collection by finding data sources and comparing data from various sources such as news media, statistics, and existing research. The results show how demographic changes occur and government policies towards these changes. To determine its impact on the current depopulation phenomenon in Japan. Through research on demographic change and Japanese government policy, it can be concluded that demographic change does not always have a negative impact but can also have a positive impact both in terms of population parameters and other aspects.

Fostering young talents for surgery : Laparoscopy in preclinical education-Too early or exactly right?

Due to the declining interest among medical students in pursuing asurgical career, the impact of demographic changes and the technical challenges, there is an increasing need to attract medical students to the surgical profession. Against this backdrop, ateaching project was developed to familiarize medical students with minimally invasive surgical techniques early in the preclinical education, thereby increasing the interest in surgery. Within the framework of the regular anatomical dissection course the following modules on laparoscopic surgery were integrated: (1)clinical lecture on the technique and application of laparoscopy, (2)exploratory live laparoscopy on abody donor and (3)practical exercises on laparoscopic trainers. The impact of this teaching project on the interest in asurgical career and on the clinical anatomical understanding was evaluated among 295 participating medical students. The evaluation revealed apronounced gender-independent interest in learning surgical skills early in the preclinical study phase. The teaching project led to asignificantly increased interest in pursuing asurgical career. Moreover, the incorporation of laparoscopic teaching modules into the preclinical anatomy course enhanced the learning motivation and understanding of clinically relevant topographic anatomy. The integration of practical surgical content into preclinical anatomical education can increase the attractiveness of surgical disciplines and simultaneously optimize teaching of anatomy. Longitudinal studies are required to examine the sustainability of these clinical teaching modules in career decisions of medical students.

Political Demography: The Political Consequences of Structural Population Change

This article surveys the growing field of political demography, which explores the political consequences of structural population change. It underscores the importance of integrating demography and political sociology research to better understand the complex and nuanced relationship between demography and political dynamics. The existing research demonstrates profound and multifaceted impacts of demographic shifts on the political landscape, with different demographic factors having distinct political consequences. Notably, population composition and distribution tend to hold greater political significance than sheer population size and growth. Furthermore, while more research is needed, the existing work suggests that the effect of structural demographic factors is neither inevitable nor without limit; rather, the political consequences of demographic change often exhibit nonlinear patterns and interact with prevailing socioeconomic and institutional contexts. As demographic shifts continue to unfold globally, political demography stands as a promising and enlightening area of research that merits further inquiry.

Bread consumption trends in Poland: A socio-economic perspective and factors affecting current intake.

Fermentation processes have been known since ancient times and are widely used in the production of food, beverages, and other areas. One of the most well-known fermented products is bread. It plays an important role in human nutrition because of the valuable compounds it contains. The growing population leads to an increase in global bread consumption and other bakery products. Simultaneously, in developed countries, declining consumption trends are observed. Understanding the complex interplay between socio-economic dynamics, food production policies, and the dietary patterns of society is crucial for shaping effective strategies that align with the principles of a sustainable and resilient food system. The aim of this study was to determine bread consumption trends in Poland. Data were obtained from the Household Budget Surveys carried out by Statistics Poland. The study considered the period from 1978 to 2020 and was performed in three dimensions: socio-economic groups, the number of people in households, and income quintile groups. A decreasing trend in bread consumption was observed within the analyzed period in all three socio-economic groups. Based on the analysis of the relationship between bread consumption and income level per capita, the same observation was made. There was no correlation between the amount of bread consumed and the number of people in the household. The obtained data are determined by many factors, including prices of bread, demographic changes, dietary patterns, and education in the field of human nutrition.

Addressing healthcare vulnerabilities in nursing homes : Insights from human rights monitoring in two Austrian provinces.

Current demographic changes bear challenges for national care systems due to higher life expectancy of older citizens. Largely cut off from society, nursing home residents are at risk for violence, neglect, and other potential human rights violations. This study aimed to investigate healthcare vulnerabilities in nursing homes and evaluate the Austrian National Preventive Mechanism (NPM). Between 2017 and 2019, 55 monitoring visits were conducted in 32 nursing homes. Study outcomes from two Austrian provinces included data on infrastructure, occupancy, staffing, resident's demographics and medical conditions, as well as measures related to the functioning of the NPM. Accessibility with mobility aids was sufficient in 87%, but assistance for persons with visual or hearing impairments solely in 20-40% of the institutions. An understaffing with nursing assistants (-5.2 full-time equivalents in Carinthia) and home helpers (-1.6 in Carinthia and Styria) was present. Less than 20% of the personnel received advanced training related to dementia and neuropsychiatric care. While 50% of the residents were diagnosed with apsychiatric disorder, approximately 36% received support from an appointed legal guardian. Of the monitoring visits 58.1% were conducted due to anonymous complaints and urgent referrals. The median processing times of the NPM and the provincial governments exceeded 250 days. Human rights monitoring reveals critical aspects in nursing home care, including insufficient accessibility, understaffing and inadequate training. Although the authorities' handling times hinder prompt responses, the NPM may foster systemic improvements and accountability within nursing homes.

Projections of windstorms damages under changing climate and demography for Norway

Projections of windstorms damages under changing climate and demography for Norway

Media coverage and local cooperation in immigration enforcement

ABSTRACT Public concern about immigrant criminality in the U.S. is reflected in news coverage of immigration, which tends to associate the topic with ‘illegality’ and crime. Although these media characterizations have increased in recent years as local policy action on immigration has intensified, little research has examined whether or how these two phenomena are connected. This study assesses whether local television news coverage of immigration and crime increases the likelihood of county sheriffs adopting 287(g) agreements deputizing officers to enforce immigration law. Employing fixed effect logistic regressions, this study finds that sheriffs’ departments in counties exposed to more news coverage of immigration and crime are more likely to adopt 287(g) agreements. These increases are particularly pronounced in counties with Republican sheriffs as well as areas experiencing above-average immigrant population growth, suggesting that news media may act as an external, politicizing agent that turns seemingly innocuous demographic changes into events that warrant punitive policy action. These findings position news media as an important context of immigrant reception that can trigger threatened responses in local immigration policy.

Implementation of a digital distress detection system in palliative care: qualitative data on perspectives of a multiprofessional palliative care team

BackgroundDigital health technologies such as sensor systems are intended to support healthcare staff in providing adequate patient care. In the Department of Palliative Medicine (University Medical Center Freiburg), we developed and implemented a noninvasive, bed-based sensor system in a pilot study. The aim was to detect distress in patients who were no longer able to express themselves by monitoring heart and respiratory rates, vocalizations, and movement measurements. The sensor system was intended to supplement standard care, which generally cannot guarantee constant monitoring. As there is a lack of data on how healthcare professionals experience such a techno-digital innovation, the aim of this study was to explore how the multiprofessional palliative care team who piloted the sensor system perceived its potential benefits and limitations, and how they experienced the broader context of healthcare technology and research in palliative care.MethodsWe conducted a qualitative interview study with 20 members of the palliative care team and analyzed the recorded, verbatim transcribed interviews using qualitative content analysis.ResultsThe sensor system was described as easy to use and as helpful support for patients, care staff, and relatives, especially against the backdrop of demographic change. However, it could not replace human interpretation of stress and subsequent treatment decisions: this remained the expertise of the nursing staff. A potential reduction in personnel was expected to be a risk of a digital monitoring system. The special conditions of research and digital health technologies in an end-of-life context also became clear. Specifically, healthcare staff were open to health technologies if they benefited the patient and were compatible with professional nursing and/or palliative care attitudes. Additionally, a patient-protective attitude and possible interprofessional differences in priorities and the resulting challenges for the team became apparent.ConclusionsA potential digital solution for distress monitoring was considered useful by palliative care practitioners. However, interprofessional differences and compatibility with existing palliative care practices need to be considered before implementing such a system. To increase user acceptability, the perspectives of healthcare professionals should be included in the implementation of technological innovations in palliative care.

Extremity fractures, attempted suicide, blood transfusion and thromboembolic events are independent risk factors for a prolonged hospital stay in severely injured elderly

MethodsDue to demographic change, the number of polytraumatized geriatric patients (> 64 years) is expected to further increase in the coming years. In addition to the particularities of the accident and the associated injury patterns, prolonged inpatient stays are regularly observed in this group. The aim of the evaluation is to identify further factors that cause prolonged inpatient stays.A study of the data from the TraumaRegister DGU® from 2016–2020 was performed. Inclusion criteria were an age of over 64 years, intensive care treatment in the GAS-region, and an Injury Severity Score (ISS) of at least 16 points. All patients who were above the 80th percentile for the average length of stay or average intensive care stay of the study population were defined as so-called long-stay patients. This resulted in a prolonged inpatient stay of > 25 days and an intensive care stay of > 13 days. Among other, the influence of the cause of the accident, injury patterns according to body regions, the occurrence of complications, and the influence of numerous clinical parameters were examined.ResultsA total of 23,026 patients with a mean age of 76.6 years and a mean ISS of 24 points were included. Mean ICU length of stay was 11 ± 12.9 days (regular length of stay: 3.9 ± 3.1d vs. prolonged length of stay: 12.8 ± 5.7d) and mean inpatient stay was 22.5 ± 18.9 days (regular length of stay: 20.7 ± 15d vs. 35.7 ± 22.3d). A total of n = 6,447 patients met the criteria for a prolonged length of stay. Among these, patients had one more diagnosis on average (4.6 vs. 5.8 diagnoses) and had a higher ISS (21.8 ± 6 pts. vs. 26.9 ± 9.5 pts.)Independent risk factors for prolonged length of stay were intubation duration greater than 6 days (30-fold increased risk), occurrence of sepsis (4x), attempted suicide (3x), presence of extremity injury (2.3x), occurrence of a thromboembolic event (2.7x), and administration of red blood cell concentrates in the resuscitation room (1.9x).ConclusionsThe present analysis identified numerous independent risk factors for significantly prolonged hospitalization of the geriatric polytraumatized patient, which should be given increased attention during treatment. In particular, the need for a smooth transition to psychiatric follow-up treatment or patient-adapted rehabilitative care for geriatric patients with prolonged immobility after extremity injuries is emphasized by these results.

Treatment Trends and Epidemiologic Changes in Acetabular Fracture Management over the Course of 10 Years: An Analysis Based on 2853 Patients as Treated by the German Pelvic Multicenter Study Group.

Background/Objectives: Acetabular fractures, traditionally linked to high-impact trauma in younger adults, are increasingly observed in the elderly due to falls and poor bone quality. This demographic shift necessitates updated treatment approaches. This study analyzes demographic trends and treatment evolution over a decade using the German pelvic fracture registry. Methods: Data on acetabular fractures were analyzed from the German pelvic fracture registry of the German Trauma Society. Parameters included classification, demographics, treatment methods, and surgical details. Trends were assessed by grouping patients based on treatment intervals and age, comparing treatment methods, surgical approaches, and reduction quality across these groups, considering fracture types and treatment volume. Results: The study included 2853 unilateral acetabular fractures with a mean patient age of 61.5 years, showing an increasing age trend. A shift from simple to complex fractures involving the anterior acetabular column was observed. Operative treatment was performed in 62.5% of cases, more common in non-geriatric patients and those with posterior column involvement. The use of anterior intrapelvic approaches increased over time, replacing the Ilioinguinal extrapelvic approach. Anatomical reduction was achieved in 47.4% of cases, with 31.7% having imperfect reductions and 20.9% poor reductions. High-volume centers had significantly better reduction outcomes, particularly for simple fractures. Geriatric patients exhibited worse reduction quality compared to younger patients. In-hospital mortality was stable at 3.3%. Conclusions: The study highlights a demographic shift towards an older patient population, leading to more complex fracture patterns. Despite advancements in surgical techniques and new implant technologies, these demographic changes have resulted in lower reduction quality for complex fractures. Emphasis is placed on careful patient selection for reconstructive surgery or endoprosthetic replacement to ensure high-quality outcomes.

Are There Barriers Separating the Pink River Dolphin Populations (Inia boliviensis, Iniidae, Cetacea) within the Mamoré-Iténez River Basins (Bolivia)? An Analysis of Its Genetic Structure by Means of Mitochondrial and Nuclear DNA Markers.

The pink river dolphin, or bufeo, is one of the dolphins which lives in the rivers of the Orinoco and Amazon basins in South America. The Bolivian bufeo population is considered a differentiated species (Inia boliviensis) from the Amazon and Orinoco species (Inia geoffrensis). Until now, no study has completed an extensive population genetics analysis of the bufeo in Bolivian rivers. We analyzed 82 bufeos from different rivers from the Mamoré and Iténez (Guaporé) river basins for the mt control region (CR), nuclear microsatellites, and DQB-1 gene sequences to determine if the inner rapids of these Bolivian river basins have some influence on the genetic structure of this species. The first relevant result was that the genetic diversity for CR, and the microsatellites were substantially lower in the Bolivian bufeos than in the dolphins studied in other areas of the Amazon and Orinoco. However, the DQB-1 gene sequences yielded similar genetic diversity to those found in other areas. The second relevant result is the existence of some significant genetic heterogeneity among the bufeo populations within Bolivia, although in a small degree, but this differentiation is independent of the inner rapids of the Bolivian rivers we sampled. The third relevant result was the existence of significant isolation by distance for the CR, but not for microsatellites and DQB-1 gene sequences. This was related to differential gene flow capacity of females (philopatric) and males (less philopatric and more migrants) and, possibly, to different selective patterns affecting the molecular markers studied. The fourth relevant result was related to diverse demographic changes of these bufeos. At least two or three bottleneck events and one or two population expansions have occurred in the Bolivian bufeo population. The major part of these events occurred during the Pleistocene.

Genetic structure of populations of Salvia ceratophylloides endemic to southern Calabria (southern Italy)

Assessing the degree of genetic diversity and differentiation of rare or endangered endemic species is essential to evaluate the conservation status of populations and successively implement appropriate conservation strategies. We investigated the population structure of Salvia ceratophylloides Ard., a scapose hemicryptophyte endemic to Calabria (southern Italy), both to answer questions about its genetic structure and to determine whether the actual population size has undergone significant demographic changes in the near past. The data obtained from the census showed that the populations are characterised by a greater number of adult individuals than juveniles and are on declining. The genetic analysis carried out on 99 individuals from four populations of the species under study, shows a mean expected heterozygosity value of 0.50 and an overall differentiation value of 0.083. The population structure shows that the four studied populations are distinct genetic units, genetically linked to four different ancestral gene pools. Bayesian analysis based on ABC models indicates that the present populations underwent a significant reduction in size in the past. This corresponds to the demographic decline at the end of the 19th century, which according to the literature, was due to the strong anthropic pressure (agriculture, grazing, fire and plantations) of Reggio Calabria suburbs. We can therefore conclude that populations are not affected by inbreeding and low genetic diversity and that there is no immediate danger of genetic erosion, and that the problems associated with population decline, past and present, are exclusively due to anthropogenic causes.

Using convolutional neural networks to count parrot nest-entrances on photographs from the largest known colony of Psittaciformes.

Counting animal populations is fundamental to understand ecological processes. Counts make it possible to estimate the size of an animal population at specific points in time, which is essential information for understanding demographic change. However, in the case of large populations, counts are time-consuming, particularly if carried out manually. Here, we took advantage of convolutional neural networks (CNN) to count the total number of nest-entrances in 222 photographs covering the largest known Psittaciformes (Aves) colony in the world. We conducted our study at the largest Burrowing Parrot Cyanoliseus patagonus colony, located on a cliff facing the Atlantic Ocean in the vicinity of El Cóndor village, in north-eastern Patagonia, Argentina. We also aimed to investigate the distribution of nest-entrances along the cliff with the colony. For this, we used three CNN architectures, U-Net, ResUnet, and DeepLabv3. The U-Net architecture showed the best performance, counting a mean of 59,842 Burrowing Parrot nest-entrances across the colony, with a mean absolute error of 2.7 nest-entrances over the testing patches, measured as the difference between actual and predicted counts per patch. Compared to a previous study conducted at El Cóndor colony more than 20 years ago, the CNN architectures also detected noteworthy differences in the distribution of the nest-entrances along the cliff. We show that the strong changes observed in the distribution of nest-entrances are a measurable effect of a long record of human-induced disturbance to the Burrowing Parrot colony at El Cóndor. Given the paramount importance of the Burrowing Parrot colony at El Cóndor, which concentrates 71% of the world's population of this species, we advocate that it is imperative to reduce such a degree of disturbance before the parrots reach the limit of their capacity of adaptation.

Future Developments in Trauma Care in Germany

Trauma surgical care in Germany faces major challenges. The increasing number of cases due to demographic change, combined with reduced bed capacity, requires a rethink in many areas. In order to continue to ensure basic and standard care at a high level and across the board in the future, economic incentives must be created to maintain sufficient locations for trauma care. At the same time, there is a shortage of skilled workers that will worsen in the coming years if appropriate measures are not taken to counteract it. Structural changes will also be needed to improve cross-sector networking between outpatient and inpatient care. With the increase in outpatient care, future shortages of both bed capacity and staff shortages may be buffered.

ANALYSIS OF MODERN TRENDS IN LABOUR MARKET TRANSFORMATION IN UKRAINE

The article examines the main aspects of transforming the labor market in Ukraine in the context of the destructive impact of the war and the associated economic instability. The primary factors affecting the labor market, such as migration processes, changes in the structure of employment, digitization of the economy, and the introduction of the latest technologies, are considered. The consequences of military operations on the transformation of the labor market are analyzed. Current trends in the demand for new professions, demographic changes, and the impact of state regulatory policy on employment support are explored. The prospects for developing the labor market in the context of Ukraine's European integration and the potential for increasing the competitiveness of Ukrainian workers in the European labor market are determined. The necessity of enhancing the adaptability of the workforce to modern challenges and optimizing state employment programs to ensure sustainable economic development of the country in the future has been demonstrated.

Features of Funding Rural Communities and Territories Development Financed by EU Common Budget

This publication substantiates European approaches to financial support for the sustainable development of rural communities and territories. The current state of financial support for the sustainable development of rural communities in the EU is identified using such methods as financial analysis, system analysis, content analysis, case studies, abstract and logical analysis, international policy analysis, etc. It is argued that budgetary policy is the main instrument of influence on the social and economic spheres of life of the EU member states, which determines their own resources (revenues) and influences the eligibility conditions and criteria for the allocation of funds for each expenditure programme. It is proved that by determining the directions of budgetary financing, the joint budget reflects the EU's political priorities. It is established that rural areas cover the majority of the EU territory, and a significant part of the EU population lives in rural areas. It is emphasised that the key challenges of rural settlements are demographic changes, insufficient access to transport and digital infrastructure, high unemployment, dependence of the economy on agricultural production, low income of rural residents, limited access to social services, etc. It is emphasised that structural funds and member states' national budgets actively finance rural communities' development. Funding depends on the type of territory, the direction of funding, and national development strategies. It is substantiated that the application of an integrated approach to solving the problems of rural communities in the EU, which involves cooperation at all levels - from the European to the local level, efficient use of financial resources, introduction of innovations, development of infrastructure and support for local initiatives, contributes to the creation of favourable conditions for sustainable development of rural communities and improvement of the quality of life of their residents.

The Implications of the Russo-Ottoman War of 1877-1878 on the Muslim Minorities in Bulgaria: Reports from the British Documents

The Russo-Ottoman war that broke out in 1877-1878 was aimed at solving the issue of Ottoman administration in the Balkans, especially regarding the alleged weakness of the Ottoman administration over the Christian people in Bosnia-Herzegovina. Ironically, the war had a more significant impact on Muslims in the Balkans, especially in Bulgaria, than the solution to the issue in Bosnia-Herzegovina. This article analyzes on how the war has had implications on the Muslim minority population in Bulgaria. This article uses a qualitative method approach which involves the content analysis of British official documents and records collected from the British National Archives and the University of London from the School of Slavonic and East European Studies. The findings proved that the Russo-Ottoman War of 1877 was not intended to give justice to the Christian community under the Ottoman empire but was a strategy of the Russia and Bulgarian governments to carry out ethnic cleansing on the Muslim minority in Bulgaria. The implication of this war led to widespread oppression and mass expulsion of the Muslim population in Bulgaria, resulting in significant demographic changes and a prolonged humanitarian crisis. For future research, it is suggested that an in-depth examination be conducted on the roles and positions of other European powers in the Russo-Ottoman conflict of 1877, particularly regarding their attitudes and reactions towards the fate of the Muslim population in Bulgaria.

Retirement and unemployment as an opportunity for use and social interaction in urban public spaces / Jubilación y desempleo como oportunidad de uso e interacción social en los espacios públicos urbanos

Demographic changes, associated with longer life expectancy and a lower birth rate, have led to population ageing in societies. There is also a high rate of unemployment linked to job insecurity, temporary employment, school drop-out rates and overqualification, among others. These phenomena have generated a new social challenge. This research paper, based on a sample of 259 people, aims to analyse the extent to which socio-occupational status influences the use of public spaces (parks and squares) and users’ perceptions about the possibilities of contact promoted by different public spaces and the quality of relationships with other users. Findings indicate that there are differences depending on socio-occupational status with regard to the perception of social relations and frequency of use. In particular, unemployed and retired people use urban public spaces to a greater extent, and they also show a more positive perception of the possibilities of contact in public spaces and the quality of relationships.

Current Use and Discrepancies in the Adoption of Health-Related Internet of Things and Apps Among Working Women in Japan: Large-Scale, Internet-Based, Cross-Sectional Survey.

Demographic changes and a low birth rate have led to a workforce shortage in Japan. To address this issue, the government has promoted engagement of female employment. However, increased female employment can impact women's health. Using Internet of Things (IoT) and apps to manage women's health has gained attention, but few studies have focused on working women. This study aimed to clarify the current situation of working women and their use of IoT or apps to manage their health. A large-scale, nationwide internet survey was conducted among 10,000 female participants aged from 20 years to 64 years in Japan. Participants were recruited from a marketing research company's active survey panel of 5.24 million members. The survey included questions about health status, sociodemographic factors, psychological characteristics, and the use of IoT or apps for health management. We compared perceived health status and reasons for current IoT use using t tests and assessed participant characteristics that predicted IoT use using the C5.0 decision tree algorithm. Ethical approval was granted by St. Luke's International University. Among participants, 14.6% (1455/10,000) currently used IoT or apps, 7% (695/10,000) used them previously, and 78.5% (7850/10,000) had never used them. Current users (42.7 years old) were older than past users (39.7 years old). Discrepancies were observed between participants' perceived health problems and the purpose for using IoT or apps, with 21.3% (2130/10,000) of all women reporting they experienced menstrual symptoms or disorders but only 3.5% (347/10,000) used IoT or apps to manage the same symptom. On the other hand, current users were more likely to use IoT or apps to manage nutrition-related problems such as underweight or obesity (405/1455, 27.8%). Device use was highest among current users, with 87.3% (1270/1455) using smartphones, 19.7% (287/1455) using smartwatches, and 13.3% (194/1455) using PCs. Decision tree analysis identified 6 clusters, the largest consisting of 81.6% (5323/6523) of non-IoT users who did not exercise regularly, while pregnant women were more likely to use IoT or apps. Our findings highlight the idea that woman with particular health problems (ie, menstrual symptoms or disorders and premenstrual syndrome) have lower use of IoT or apps, suggesting an unmet need for IoT and apps in specific areas.