Gap In Women Research Articles

Developing a Women's Heart Center With a Specialization in Coronary Microvascular and Vasomotor Dysfunction: If You Build It, They Will Come.

Women's Heart Centers (WHC) are comprehensive, multidisciplinary care centers designed to close the existing gap in women's cardiovascular care. The WHC at The Christ Hospital Heart and Vascular Institute (TCH-WHC) in Cincinnati, Ohio was established in October of 2020, and is a specialized coronary microvascular and vasomotor dysfunction (CMVD) program. The TCH-WHC focuses its efforts across five pillars: patient care, research, education, community outreach and advocacy, and grants and philanthropy. These areas, centered around providing specalized CMVD care and treatment have allowed for substantial growth. From October 2020-December 2023, TCH-WHC saw a total of 3219 patients, 42% of which were apart of the CMVD program. Since establishment, patient volume has consistently increased year over year. The CMVD program at TCH-WHC is one of the fastest growing in the U. S. and is nationally recognized for specialized clinical care, diagnostics, and research. The goal of this review is to provide an overview of the TCH-WHC structure that allows for the establishment and growth of a CMVD program and to outline core activities supporting the TCH-WHC approach.

Preventing ischemic heart disease in women: a systematic review of global directives and policies

Cardiovascular disease is the leading cause of mortality in women worldwide. Yet cardiovascular disease in women remains underdiagnosed and undertreated, especially among vulnerable populations such as older women, low-income populations, and ethnic minorities. Resultantly, reduction in cardiovascular mortality among women has stagnated. To examine, consolidate current research findings and policies to identify gaps in women’s heart health practice, this review screened 21476 records and synthesized results from 124 English language publications worldwide. Using a life course approach, we assessed the connection between clinical recommendations and policy, and documented global recommendations and policies addressing prevention of cardiovascular disease in women. Key recommendations include fostering environments that encourage sustainable health behaviors for young women, advocating for national surveillance systems and guidelines for monitoring and increasing the understanding of cardiovascular health in high-risk pregnancy/postpartum groups, developing community prevention programs for midlife/menopause, and implementing direct population health management initiatives for elderly women, with an emphasis on higher risk groups. Inequalities still exist among women with varying socioeconomic status and race between countries, and even within countries.

Women empowerment: challenges and opportunities for sustainable development goals

PurposeThe paper aims to explore gaps in women's empowerment in rural areas, specifically focusing on the alignment of skill development with job creation. The overarching goal is to understand how firms can contribute to achieving the 5th Sustainable Development Goal (SDG) related to women's empowerment through skill development and job creation programs.Design/methodology/approachThe paper reviews information available in various formats to analyse the existing landscape of women's empowerment, skill development and job creation in rural areas. It likely involves a literature review synthesising insights from diverse sources, including academic studies, government initiatives and reports from researchers working in the field. The methodology may also encompass an examination of success cases and challenges faced by government programs.FindingsGender disparities: Over 80% of the global impoverished population is in rural areas, with women constituting 70% of this demographic. Challenges in policy implementation: Despite women-centred policies, challenges persist in enabling rural women to recognise the potential of remunerative skills for improving their lives. Linking skills and decision-making: Scholarly work highlights the connection between remunerative skills and decision-making, emphasising the importance of financial independence for women's empowerment. Gap in job opportunities: Lack of industry and commercial setups in rural areas poses a significant challenge, hindering the recognition of the value that skill development can offer.Originality/valueThe paper reviews information available in various formats to analyse the existing landscape of women's empowerment, skill development and job creation in rural areas. It likely involves a literature review synthesising insights from diverse sources, including academic studies, government initiatives and reports from researchers working in the field. The methodology may also encompass an examination of success cases and challenges faced by government programs.

Addressing Psychosocial Care Needs in Women with Peripheral Artery Disease.

Peripheral artery disease (PAD) is a growing global epidemic. Women with PAD are at elevated risk of experiencing psychosocial stressors that influence the diagnosis, management, and course of their illness due to unique sex- and gender-based factors. We review existing evidence for increased psychosocial risk in women with PAD with a focus on mood disorders, chronic stress, pain experiences, substance use disorders, health behaviors and illness perceptions, and healthcare access. We discuss how these factors exacerbate PAD symptomatology and lead to adverse outcomes. Existing gaps in women's vascular care are reviewed and potential solutions to bridge these gaps through psychosocial care integration are proposed. Current care paradigms for women's vascular care do not adequately screen for and address psychosocial comorbidities. Clinician education, integration of evidence-based psychological care strategies, implementation of workflows for the management of individuals with PAD and mental health comorbidities, reform to reimbursement structures, and further advocacy are needed in this space. This review provides a construct for integrated behavioral health care for women with PAD and advocates for further integration of care.

Uncovering gaps in women's authorship: A big data analysis in academic surgery.

Women are underrepresented in surgical authorship. Using big data analyses, we aimed to investigate women's representation as first and last authors in surgical publications worldwide and identify underlying predictors. We retrieved eligible surgical journals using Scimago Journal & Country Rank 2021. We queried articles indexed in PubMed from selected journals published between January 2018 and April 2022. We used the EDirect tool to extract bibliometric data, including first and last authors' names, primary affiliation country, and publication year. Countries and dependent territories were classified following World Bank income levels and regions. Women's representation was predicted from forenames using the Gender-API software. Citations were included if gender accuracy was ≥80%. We analyzed 210,853 citations containing both first and last authors' forenames, representing 158 countries and 14 territories. Women constituted 23.8% (50,161/210,853) of the first and 14.7% (31,069/210,853) of the last authors. High-income economies had more women as first authors than other income categories (p<0.001), but fewer women as last authors than upper-middle- and lower-middle-income economies (p<0.001). The odds of the first author being a woman were more than three times higher when the last author was also a woman (OR 3.21, 95% CI 3.13-3.30) and vice versa (OR 3.25, 95% CI 3.16-3.34) after adjusting for income level and publication year. Women remain globally underrepresented in surgical authorship. Our findings urge concerted global efforts to overcome identified disparities.

Media coverage of the impact of the war on gender segregation in the Ukrainian labor market

The article aims to outline the trends of gender professional segregation occurring in Ukraine during the military conflict. Materials and Methods. The research was carried out with the use of qualitative methods. A content analysis was chosen for this study. The material consists of online textual publications, which include interviews with managers, specialists, and employees of the State Employment Center. It also includes interviews in which women residing on the territory of Ukraine share their experiences of employment and work during the war. Results and Discussion. In Ukraine today, two factors operate in parallel. On the one hand, there is an urgent need to fill vacancies in professions that have traditionally been dominated by men. On the other hand, the financial situation of women is on the decline. Women are forced to rethink their gender identity in the family and in society because of financial difficulties and their inability to guarantee a minimum of financial stability for themselves and their families. This leads them to be willing to accept jobs with working conditions that are particularly harmful and difficult. Employment opportunities for women are increasing due to differentiated demand, which contributes to the reduction of horizontal gender segregation. One factor that impedes this process is the demand for professions traditionally considered women’s domains, which do not require basic skills, and for which demand increased during the war. These professions are mainly related to manufacturing and working specialties. Given that educated and skilled women occupy blue-collar jobs, we can expect vertical segregation to intensify during wartime, when gender differences are manifested in positions and roles with differing status or potential for advancement. In the area of state gender policy, Ukraine has business development initiatives that reduce the gender gap in women’s access to assets and capital to invest in profitable entrepreneurial industries. However, these initiatives only involve a limited number of women and cannot be associated with radical gender changes in society. At the same time, the positive aspects of reducing horizontal gender segregation observed in Ukraine during wartime may be negated by the lack of or insufficient incentives for the development of preschool education. Thus, there are few effective levers to overcome gender segregation in Ukraine in the short and medium term. Achieving gender equality in the labor market is practically declaratory. Conclusions. In the context of the wartime crisis, gender segregation is a significant issue with negative consequences. A market specifically for women’s labor is emerging, and the social status of women’s work is declining compared to pre-war times. This situation may reinforce societal stereotypes that view men as more suitable for leadership positions, potentially decreasing women’s motivation and career aspirations.

A quality of care assessment for women of childbearing potential with epilepsy in Bhutan: An observational study

Background & objectiveIn lower-middle income countries such as Bhutan, the treatment gap for epilepsy is over 50% as compared to a treatment gap of less than 10% in high-income countries. We aim to analyze the quality of epilepsy care for women of childbearing potential in Bhutan using the Quality Indicators in Epilepsy Treatment (QUIET) tool, and to assess the usefulness of the tool’s section for women with active epilepsy (WWE) in the Bhutanese setting. MethodsA prospective convenience cohort was enrolled in Thimphu, Paro, Punakha, and Wangdue, Kingdom of Bhutan, in 2022. Bhutanese women of childbearing potential at the time of enrollment (18–44 years old) were evaluated for the diagnosis of active epilepsy and underwent a structured survey-based interview with Bhutanese staff. Participants were surveyed on their epilepsy, pregnancy, and antiseizure medicine (ASM) histories. The clinical history and quality of epilepsy care of adult WWE were assessed using a section of the QUIET tool for women, an instrument originally developed by the U.S. Department of Veterans Affairs to analyze the quality of epilepsy care for American adults. ResultsThere were 82 Bhutanese WWE of childbearing potential, with mean age of 30.6 years at enrollment (range 18–44, standard deviation (SD) 6.6) and mean age of 20.3 years at epilepsy diagnosis (range 3–40, SD 8.0)). 39 % (n = 32) had a high school or above level of education, and 42 % (n = 34) were employed. 35 % (n = 29) reported a seizure within the prior week, and 88 % (n = 72) reported a seizure within the prior year. 49 % (n = 40) of participants experienced > 100 lifetime seizures.All but one participant took antiseizure medications (ASMs). At enrollment, participants presently took no (n = 1), one (n = 3), two (n = 37), three (n = 25), four (n = 11), or over five (n = 5) ASMs. The most common ASMs taken were levetiracetam (n = 40), phenytoin (n = 27), carbamazepine (n = 23), phenobarbital (n = 22), and sodium valproate (n = 20). 61 % of all WWE took folic acid. Of the 40 previously pregnant WWE, eight (20 %) took folic acid during any time of their pregnancy. 35 % (n = 29) used betel nut (doma, quid) and 53 % (n = 21) of pregnant WWE used betel nut during pregnancy. ConclusionsBased on data about WWE participants’ ASM, supplement, and substance use, our study identified the high use of first generation ASMs (including valproate), frequently in polytherapy, and betel nut use as treatment gaps in women of childbearing potential age with active epilepsy in Bhutan. To address these gaps for locations such as Bhutan, we propose modifications to the QUIET tool’s “Chronic Epilepsy Care for Women” section.

Comparing health systems readiness for integrating domestic violence services in Brazil, occupied Palestinian Territories, Nepal and Sri Lanka.

Domestic violence (DV) is a global prevalent health problem leading to adverse health consequences, yet health systems are often unprepared to address it. This article presents a comparative synthesis of the health system's pre-conditions necessary to enable integration of DV in health services in Brazil, Nepal, Sri Lanka and occupied Palestinian Territories (oPT). A cross-country, comparative analysis was conducted using a health systems readiness framework. Data collection involved multiple data sources, including qualitative interviews with various stakeholders; focus-group discussions with women; structured facility observations; and a survey with providers. Our findings highlight deficiencies in policy and practice that need to be addressed for an effective DV response. Common readiness gaps include unclear and limited guidance on DV, unsupportive leadership coupled with limited training and resources. Most providers felt unprepared, lacked guidance and felt unsupported and unprotected by managers and their health system. While in Brazil most providers felt they should respond to DV cases, many in Sri Lanka preferred not to. Such organizational and service delivery challenges, in turn, also affected how health providers responded to DV cases leaving them not confident, uncertain about their knowledge and unsure about their role. Furthermore, providers' personal beliefs and values on DV and gender norms also impacted their motivation and ability to respond, prompting some to become 'activists' while others were reluctant to intervene and prone to blame women. Our synthesis also pointed to a gap in women's use of health services for DV as they had low trust in providers. Our conceptual framework demonstrates the importance of having clear policies and highlights the need to engage leadership across every level of the system to reframe challenges and strengthen routine practices. Future research should also determine the ways in which women's understanding and needs related to DV help-seeking are addressed.

Sex differences in achieving guideline-recommended heart rate control among a large sample of patients at risk for sudden cardiac arrest

BackgroundDespite known clinical benefits, guideline-recommended HR control is not achieved for a significant proportion of patients with HF and reduced ejection fraction. The Wearable Cardioverter Defibrillator (WCD) provides continuous heart rate (HR) monitoring and alerts that could aid medication titration. ObjectiveThis study sought to evaluate sex differences in achieving guideline-recommended HR control during a period of WCD use. MethodsData from patients fitted with a WCD from 2015 to 2018 were obtained from the manufacturer´s database (ZOLL, Pittsburgh, PA). The proportion of patients with adequate nighttime resting HR control at the beginning of WCD use (BOU) and at the end of WCD use (EOU) were compared by sex. Adequate HR control was defined as having a nighttime median HR <70 bpm. ResultsA total of 21,440 women and a comparative sample of 17,328 men (median 90 days of WCD wear, IQR 59-116) were included in the final dataset. Among patients who did not receive a shock, over half had insufficient HR control at BOU (59% of women, 53% of men). Although the proportion of patients with resting HR ≥70 improved by EOU, 43% of women and 36% of men did not achieve guideline-recommended HR control. ConclusionsA significant proportion of women and men did not achieve adequate HR control during a period of medical therapy optimization. Compared to men, a greater proportion of women receiving WCD shocks had insufficiently controlled HR in the week preceding VT/VF and 43% of non-shocked women, compared to 36% of men, did not reach adequate HR control during the study period. The WCD can be utilized as a remote monitoring tool to record HR and inform adequate up-titration of BB, with particular focus on reducing the treatment gap in women.

Assessing women’s empowerment, participation, and engagement in aquaculture in Bangladesh

Women’s empowerment and gender equality are key goals for development and human rights. However, a significant gap still exists in achieving these twin goals. Formulating appropriate strategies for women’s empowerment requires first understanding context-specific patterns and sources of disempowerment. We use data collected using a questionnaire survey from 1653 households in Rangpur and Rajshahi districts in Bangladesh. Guided by an analytic tool that measures women’s empowerment, inclusion and agency (the project level Women’s Empowerment in Fisheries and aquaculture Index (pro-WEFI)), and using seven empowerment indicators, we provide findings on the status of women’s empowerment, participation, and engagement in aquaculture in Bangladesh. Results show that women were highly involved in making household decisions, mainly jointly with their husbands. However, data suggest a substantial gap in women’s access to financial services, in participation in aquaculture activities, and in access to and control over productive capital and remuneration for aquaculture labor. Finally, despite some women achieving adequacy on some indicators, most women in fish farming households in Bangladesh lack adequacy on many of the selected indicators.

Realizing Food Security from the Role of Women in the Family in Kolam Village Deli Serdang Regency

Food security can be defined as the availability of food in sufficient quantity and quality, distributed at affordable prices and safe for consumption for people to be able to carry out daily activities all the time. Food security cannot be separated from the role of women. Women are involved in production activities (on farm), processing and distribution of food. Women not only produce food, but are also the main person responsible for the nutritional needs of all family members. By nature, women, whether they act as housewives or heads of families, are the first to have a strategic role in selecting food ingredients, managing them, even processing and serving them to their household members. Women not only process food, but also must participate in the agricultural production process to ensure economic access to food. The gender gap in women's roles in agriculture disadvantages them in several ways.

Access to and use of financial services in ECOWAS countries: Is mobile money closing the gender gap?

&lt;p&gt;&lt;span lang="EN-US" style="font-size: 12pt; font-family: verdana, geneva, sans-serif;"&gt;This paper deals with the gender gap in accessing and using financial services provided by mobile money and financial institutions. Using data from ECOWAS member countries, we applied the Fairlie decomposition method to estimate and decompose the gender gap. The results show that mobile money contributes to improving of the use of services compared to financial institutions. However, it also increases the gender gap in women's disadvantages in accessing and using these services. The difference in the level of education and income between males and females is the main factor explaining the gender gap.&lt;/span&gt;&lt;/p&gt;

The impact of sex on stroke care: From epidemiology to outcome

BackgroundCarotid stenosis and atrial fibrillation are key risk factors for development of hemispheric strokes. In this review we aim to identify sex-specific differences in the pathophysiology and treatment of these risk factors and areas for future study. Key findingsWomen are underrepresented in research studies of stroke in patients with carotid disease and atrial fibrillation. However, key differences have been found between men and women that suggest that the development of carotid disease and atrial fibrillation occur at later stages of life and are associated with higher severity of stroke. Some treatments, including surgical treatment, seem to have different rates of efficacy and women and women are at higher risk of surgical complications. This suggests that treatment recommendations may need to be sex specific. ConclusionEfforts should be made to address research and treatment gaps in women with stroke risk factors. This may lead to the development of sex-specific recommendations for stroke prevention and treatment.

Selecting for Masculinity: Women’s Under-Representation in the Republican Party

The gap between women’s representation in the Democratic and Republican parties has grown significantly in the last three decades. We argue existing explanations undervalue voters’ contributions to this trend by focusing on voter responses to candidate sex rather than candidate gender. We theorize that Republican voters (especially the most conservative) prefer masculine candidates in intraparty and entry-level elections. Because sex and gender are correlated, this limits the number of Republican women who advance through the political pipeline. Experimental vignettes from two rounds of the Cooperative Congressional Election Study (N = 2,000) and two large surveys of Republicans (N &gt; 10,000) show that Republican (but not Democratic) voters penalize candidates with “feminine” self-presentation regardless of the candidate’s sex. Original data on the self-presentation of Republican candidates for entry-level office (N = 459) confirm Republican candidates often present themselves in gender-stereotypical ways. In short, voters play an underappreciated role in the partisan gap in women’s representation.

Using mHealth to reduce disparities in Black maternal health: Perspectives from Black rural postpartum mothers.

Racial disparities are evident in maternal morbidity and mortality rates globally. Black women are more likely to die from pregnancy and childbirth than any other race or ethnicity. This leaves one of the largest gaps in women's health to date. mHealth interventions that connect with women soon after discharge may assist in individualizing and formalizing support for mothers in the early postpartum period. To aid in developing an mHealth application, Black postpartum mothers' perspectives were examined. Utilizing the Sojourner Syndrome Framework and Maternal Mortality & Morbidity Measurement Framework, group interview discussion guides were developed to examine the facilitators and barriers of postpartum transitional care for rural Black women living in the United States to inform the development of a mobile health application. In this study, seven group interviews were held with Black mothers, their support persons, and healthcare providers in rural Georgia to aid in the development of the Prevent Maternal Mortality Using Mobile Technology (PM3) mobile health (mHealth) application. Group interviews included questions about (1) post-birth experiences; (2) specific needs (e.g. clinical, social support, social services, etc.) in the postpartum period; (3) perspectives on current hospital discharge processes and information; (4) lived experiences with racism, classism, and/or gender discrimination; and (5) desired features and characteristics for the mobile app development. Fourteen out of the 78 screened participants were eligible and completed the group interview. Major discussion themes included: accessibility to healthcare and resources due to rurality, issues surrounding race and perceived racism, mental and emotional well-being in the postpartum period, and perspectives on the PM3 mobile application. Participants emphasized the challenges that postpartum Black women face in relation to accessibility, racism and discrimination, and mental health. The women favored a culturally relevant mHealth tool and highlighted the need to tailor the application to address disparities.

Explaining the Rural-Urban Gaps in Women’s Nutritional Outcomes in Bangladesh: Evidence from Counterfactual Decomposition Methods

Explaining the Rural-Urban Gaps in Women’s Nutritional Outcomes in Bangladesh: Evidence from Counterfactual Decomposition Methods

Changing Pattern of Women Empowerment in Bangladesh: An Administrative Perspective

The pattern of women’s empowerment has many features over the years in post-colonial periods and after the inception of Bangladesh’s Independence in terms of administrative views. The study has been accomplished through qualitative methodology by analyzing reviewed journals (secondary sources). The study’s objectives are to discover the changing pattern of women’s empowerment through government initiatives in different periods in Bangladesh and to critically analyze the gaps in women’s empowerment to articulate the current positions of women in Bangladesh. The study’s findings have been organized by the government’s initiatives over the periods and the fundamental challenges and solutions of women’s empowerment in Bangladesh. The governments’ initiatives have been classified into three periods. Each period was organized by the significant initiatives of the government and the conditions of women’s empowerment at that time. Recognizing women’s empowerment used two primary determinants: adult literacy rate and participation in the making process of women, respectively. The study suggests that the concerned authority needs to update its administrative approaches to Change the Pattern of Women Empowerment in Bangladesh.

Fulfillment of women's political rights through mainstreaming gender quotas in Election Supervisory Board

This study examines women's political representation as election supervisors, the rules regarding women's representation in accordance with the regulations of Law Number 7 of 2017 concerning General Elections have not been able to run well. This study uses qualitative research by making observations in the recruitment process of the Election Supervisory Board of the Republic of Indonesia and the affirmation quota of women as election supervisors in Election Supervisory Board, Yogyakarta Special Region Province. This study aims to see the application of regulations on the general election law on women's representation and its application in the recruitment process of election supervisors that accommodate women's representation. This finding shows that there is still a gap in women's representation in election supervisory institutions where the rules regarding 30 percent female representation have been very clearly regulated. Evaluation of these findings requires a policy of changing regulations that regulate sanctions for non-fulfillment of women's representation as one of the solutions to fulfill women's gender kouta as female supervisors. The conclusion of this study is that there are several factors that hinder the fulfillment of women's political rights such as, a wrong understanding of political gender, the risk of becoming a very large election supervisor, socialization of selection that is not right on target and the competence of prospective candidates who lack knowledge about elections.

Effect of women empowerment on women-owned business performance in Wakiso District, Uganda

Purpose: This study identified women empowerment practices and investigated the challenges to women-owned business performance in the Kyengera Town Council. Research methodology: This study employed a descriptive survey design using a qualitative data collection approach. A sample of 57 women was selected from 67 women who owned businesses using Yamane’s formula. Data were collected through surveys and interviews, edited, cleaned, coded to develop themes, and entered into MS Excel to generate frequency tables. Results: The results showed economic empowerment, competence development, market information sharing, and social networking as practices for women’s empowerment. Furthermore, the results reveal economic issues, law and policy, environmental issues, sociocultural issues, geopolitics, and incompetence as key challenges. Limitations: The study was limited by financial challenges and inaccessibility to women-owned businesses on the Kyengera town council. Contribution: This study offers a new era for research on women’s empowerment, key to addressing the existing gap in women’s contribution to women-owned business performance. Thus, based on the results, women feel assured of their role in women-owned business performance and community development in the district. Novelty: The originality of the study was expressed in the results elicited from the participants. Such a study has never been conducted in the Kyengera Town Council; thus, the results would provide avenues for referral for future researchers. In previous studies, male businesses were at the forefront of other areas. However, women who owned businesses in the Kyengera council were considered for study.

Rural-urban disparities in nutritional status among ever-married women in Bangladesh: A Blinder-Oaxaca decomposition approach

This study aims to investigate socioeconomic disparities in nutritional status among ever-married women in Bangladesh and to break down urban-rural differences in the underlying causes of undernutrition. We utilized data from the Bangladesh Demographic and Health Survey 2017–18, a sample size of 18328 ever-married women, including 5170 from urban residences, and 13159 from rural residences. To explore socioeconomic inequality, we employed a concentration indexing measure, while a multiple binary logistic regression model was carried out to identify the determinants associated with the outcome variable. A Blinder-Oaxaca decomposition analysis was performed to decompose the urban-rural gap in women’s nutritional status using associated factors. The prevalence of undernutrition among ever-married women in Bangladesh was 12 percent. Notably, this percentage varied by region, with urban residents accounting for 8.6% and rural residents accounting for 13.3%. Our findings confirmed that undernutrition was more prevalent among women with lower wealth indexes in Bangladesh, as indicated by the concentration index (CIX = −0.26). The multivariable analysis investigating the determinants of undernutrition status among ever-married women, with a focus on residence revealed significant associations with respondent age, education, marital status, mass media access, wealth status, and division. According to the Blinder-Oaxaca decomposition and its extension, the prevalence was significantly higher in rural residences of Bangladesh than in urban residences, and the endowment effect explained 86 percent of the total urban-rural difference in undernutrition prevalence. The results of this study indicate that the factors that influence women’s nutritional status in rural areas play a significant role in the gap, and the majority of the gap is caused by education and economic position. In order to effectively promote maternal health policies in Bangladesh, intervention techniques should be created that are aimed at the population, that is, the poorest and least educated.