Life Of Adult Women Research Articles

근력운동을 병행한 비대면 요가 프로그램이 성인 여성의 스트레스, 우울감, 삶의 질에 미치는 효과

근력운동을 병행한 비대면 요가 프로그램이 성인 여성의 스트레스, 우울감, 삶의 질에 미치는 효과

Factors Influencing Health-related Quality of Life in Adult Women

Objectives: The present study investigates the association between the health-related quality of life of Korean adult women and their socio-demographics, health behavior, and psychological characteristics. Methods: The analysis was carried out using the 8th Korea National Health and Nutrition Examination Survey data (KNHNES) in the second year (2020), and the subjects consisted of 2,181 adult women between the ages of 19-64. A multivariate linear regression analysis was performed, employing three models to identify factors related to health-related quality of life as the dependent variable. In Model 1, socio-demographic characteristics were considered. While Model 2 includes both socio-demographics and health behavior characteristics. In Model 3, psychological characteristics as well as socio-demographic and health behavior characteristics were considered. Results: The health-related quality of life of adult women in late adulthood, post-menopause, low household income, and poor subjective health status were found to be low in the analysis of socio-demographic characteristics. For the health behavior characteristics, the health-related quality of life showed significant differences with respect to smoking, drinking, sleeping, and physical activity but these variables were not identified as the affecting factors. For the psychological characteristics, depression and perceived stress were found to be factors lowering the health-related quality of life. Conclusions: To enhance the health-related quality of life of adult women, prevention and proper management of depression and stress for those with poor health behavior are needed with special care and support for post-menopause women with low household income and poor subjective health status.

The Effect of Subjective Body Type Perception on Quality of Life in Adult Women

The Effect of Subjective Body Type Perception on Quality of Life in Adult Women

Development and psychometric properties of a measurement to ascertain the impact of genitourinary symptoms on health-related quality of life in menopausal women: the Cervantes-GSM questionnaire.

The Cervantes-GSM questionnaire is a novel tool currently being developed to examine the impact of genitourinary symptoms on health-related quality of life in adult women with genitourinary syndrome of menopause (GSM). A literature review and cognitive debriefing were conducted in women with GSM, which provided the basis for creating a draft questionnaire. This draft version was pilot-tested to check participant comprehension and ease of completion. The initial draft was then refined to obtain a 15-item version with five domains whose initial psychometric properties were analyzed in 130 adult women with GSM. The psychometric properties tested in this study were factorial structure, feasibility, reliability, and construct validity. The Cervantes-GSM 15-item questionnaire consists of five domains: vulvovaginal symptoms, urinary symptoms, psychological (emotions), interference with daily activities, and sexuality. The instrument was shown to be feasible and easy to complete, regardless of age or educational level. Internal consistency was high (Cronbach α = 0.88). Construct validity was supported by convergent-divergent validity showing higher correlation coefficients between items in their own domain (>0.70) than with the other items and domains in the questionnaire. Cervantes-GSM also showed known group validity with significant differences in total score and most domains (13-20 points, P < 0.01) regardless of whether women chose local treatment of their genitourinary symptoms. This study presents a novel questionnaire capable of assessing health-related quality of life in menopausal women with GSM. The tool has shown acceptable preliminary psychometric properties, including feasibility, factor structure, construct validity, and internal consistency.

Emancipatory interests of multiple literacies for activism and community transformation

Literacies are the social processes that emerge and sustain, from everyday life, representing and transforming the mundane and repeated activities which resist the unequal power adjustment in society. In this regard, informal learning and literacies cultivate critical reflexivity of people to perform like activists. This paper aims to explore informal learning and literacies that foster awareness of existing social hierarchies and structures to help bring about change in family and social life. Two adult women’s groups were purposefully selected in a village in Nepal. The main sources of data were persistent observations of these groups in a number of meetings, transient walks in the village, and participation in a range of community activities. Two women from each group were selected for in-depth interviews. The themes emerging were generated and analysed from three human interest perspectives: technical, practical, and emancipatory, using the concepts of Jurgen Habermas. This paper found that everyday life activities are embedded in learning and literacies which result in the critical reflexivity of a marginalised group of people. Critical reflexivity has helped them to think through their value system and to anticipate the changes in their life. The paper concludes that informal learning and literacies are the process of activism that enables change in the lives of adult women and the wider community, thereby recognising and valuing adult learning and literacies.

P-470 Sex in the time of Covid-19: Examining the sexual behavior and sexual desire of female adults in Hong Kong

Abstract Study question How are sexual behavior and sexual desire of Hong Kong women affected during the Covid-19 pandemic? Summary answer The Covid-19 pandemic has a negative impact on the sexual life of adult women, in particular, single women who do not have a live-in partner. What is known already Since the beginning of the Covid-19 pandemic, there have been ongoing debates on whether lockdown measures would do more harm on individuals or families who are already living in fear of virus infection. Some studies have shown that despite social distancing and measures that limit contact and interaction, women, particularly those who are either married or have a stable partner, were found to be sexually more active and reported stronger emotional bonding with their partners during lockdown. This study attempts to examine any significant changes in sexual behavior and sexual desire of adult females in Hong Kong during the pandemic. Study design, size, duration This is a cross-sectional online study examining the sexual behaviors among female adults. The survey was conducted in Hong Kong between July and August 2020, in which the city has been locked down. Participants/materials, setting, methods Six hundred and two Chinese female adults (mean age = 32±7.09) were recruited through social media and community networks. Respondents completed the Desire Domain of the Female Sexual Function Index and self-reported frequency of sexual behavior before and during the Covid-19 pandemic. T-tests and ANOVAs were used to compare sexual behavior and sexual desire across demographic groups. Linear regression was conducted with sexual behavior and sexual desire as criterion variable and demographic characteristics as predictors. Main results and the role of chance Women reported significantly lower frequency of sexual behavior during the Covid-19 pandemic compared to previously (t = 8.25, P &amp;lt; .001). Less often did women feel sexual desire or interest during the pandemic (t = 7.05, P &amp;lt; .001) and a lower degree of sexual desire or interest was reported (t = 11.16, P &amp;lt; .001). During the pandemic, women who were married or cohabitated reported significantly more frequent sexual behavior than did single women with partners (P &amp;lt; .01), while the two groups were comparable in terms of the frequency and intensity of having sexual desire. Linear regression analyses showed a statistically significant reduction in frequency of sexual intercourse during Covid-19 with increasing age (B = -.19, P &amp;lt; .001), and being single with (B = -.26, P &amp;lt; .001) or without partner (B = -.40, P &amp;lt; .001), taking into account all other demographic characteristics. Single women reported significantly less often did they feel sexual desire or interest during Covid-19, while age (B = -.26, P &amp;lt; .001) and being single without a partner (B = -.22, P &amp;lt; .001) predicted significantly lower intensity of sexual desire during Covid-19. Limitations, reasons for caution Women with either primary or secondary education level are not adequately represented as recruitment was carried out via community network and social media platform, which are more likely to be more accessible by a population who is more tech-savvy and has more access to email. Wider implications of the findings We are still in the middle of the pandemic and there is still paucity of data illustrating its impact on sexual life. Current findings could give insight to stakeholders to develop sexual health counselling services that address the negative effect on sexual intimacy arising from sexual behavioral change. Trial registration number Not applicable

Vocal Changes of Men and Women from Different Age Decades: An Analysis from 30 Years of Age

ObjectiveTo verify the modifications in auditory-perceptual and acoustic parameters of the fundamental frequency, short-term perturbation, noise, and cepstral measures of voice in young and elderly were distributed over the age of decades. MethodsThe study was conducted on 265 subjects (140 females and 125 males), aged 30 to 79 years, without a history of vocal complaints or dysphonia, distributed in five age groups for females and males (30-39 years until 70-79 years). Three speech therapists voice specialists performed the perceptual-auditory analysis using a 100-mm visual analog scale, based on the overall dysphonia grade (overall grade), roughness, and breathiness from the sustained vowel /a/. The smoothed cepstral peak prominence (CPPS), average fundamental frequency (F0), standard deviation of the fundamental frequency (std-F0), jitter percentage (%), shimmer percentage (%), noise-to-harmonic ratio (NHR), voice turbulence index (VTI), and soft phonation index (SPI) were extracted for the acoustic analysis ResultsIn the case of the auditory-perceptual characteristics, the comparison between aged groups showed that, in men, the vocal quality did not show significant differences in the overall grade, roughness, and breathiness. However, women in the 3rd decade of life presented higher breathiness than those in the 5th, 6th, and 7th decades. Men had a higher overall grade and roughness than women. In the case of the acoustic data, the cepstral measure showed that in the 3rd decade, men presented higher CPPS than females. The noise measures, in the comparison by age groups, only VTI and SPI were different for women: VTI was higher in the 7th decade than in the 4th, whereas SPI was higher in the 4th decade than in older women. In the male population, the SPI in the 4th decade was also higher than that in the older population ConclusionThe analysis by age groups of life allowed the identification of breathiness as a sensitive parameter in the different stages of adult life in women. The CPPS analysis showed that the 7th age decade is the period of the appearance of vocal changes for females, characterized by higher CPPS. The results related to traditional short-term perturbation and noise measurements showed that changes in F0, jitter, shimmer, and NHR were not found. Among the other noise measurements, VTI and SPI demonstrated some changes in different decades of life.

The Effect of Manipulative Therapy of Blind Masseurs on Pain, Sleep, Depression, Quality of Life in Adult Women with Chronic Pain

This study was conducted to investigate the effects of massage therapy of blind masseurs on pain, sleep quality, depression and quality of life of adult women with chronic pain. For this purpose, the subjects underwent therapeutic massage therapy of Blind masseurs once a week for 10 weeks, and the changes in the scores of pain, sleep quality, depression, and quality of life were examined before and after intervention. As a result, the subjects pain scores were significantly decreased statistically (p <0.001) and the quality of sleep was significantly increased (p <0.001), and massage therapy has been shown to relieve pain and improve sleep quality in adult women. In addition, depressive symptoms score in adult women before and after massage therapy were significantly decreased (p <0.001) and quality of life scores were significantly increased (p <0.001), and it can be understood that ten weeks of massage therapy alleviated depression in adult women and improved quality of life. According to the results of this study, massage therapy of blind masseurs may not only relieve physical symptoms such as pain and sleep quality in adult women with chronic pain but also improve psychological symptoms such as depression and quality of life.

Associations among eating disorder behaviors and eating disorder quality of life in adult women with anorexia nervosa

The study examined associations between eating disorder behaviors measured via ecological momentary assessment (EMA) and eating disorder quality of life (EDQOL) in anorexia nervosa (AN). Women with AN (N = 82) completed an EDQOL measure and two-weeks of EMA. Greater frequency of EMA-assessed restriction and bulimic behavior were independently related to lower EDQOL scores. Lower psychological EDQOL was associated with increased EMA dietary restriction; lower work-related EDQOL was associated with increased EMA binge eating; aspects of EDQOL were unrelated to EMA purging. Findings suggest that severity of restriction and bulimic behaviors may serve as severity indicators of EDQOL in AN.

Understanding health-related quality of life in adult women with metastatic cancer who have dependent children.

Cancer is a leading cause of death among women of parenting age in the United States. Women living with advanced or incurable cancer who have dependent children experience high rates of depression and anxiety as well as unique parenting challenges. To the authors' knowledge, few studies to date have examined the parenting factors associated with health-related quality of life (HRQOL) in women with advanced cancer. The authors conducted a cross-sectional, Web-based survey of the psychosocial concerns of 224 women with a tumor-node-metastasis staging system of the AJCC stage IV solid tumor malignancy who had at least 1 child aged <18 years. Participants completed validated measures of HRQOL (Functional Assessment of Cancer Therapy-General [FACT-G]); depression and anxiety symptom severity; functional status; parenting concerns; and investigator-designed questions to assess demographic, communication, and parenting characteristics. Multiple linear regression models were estimated to identify factors associated with FACT-G total and subscale scores. The mean FACT-G score was 66 (standard deviation, 16). The mean Emotional Well-Being subscale scores were particularly low (13; standard deviation, 5). In multivariable linear regression models, parenting variables explained nearly 40% of the HRQOL model variance. In the fully adjusted model, parenting concerns and the absence of parental prognostic communication with children both were found to be significantly associated with HRQOL scores. For each 1-point increase in parenting concern severity, FACT-G scores decreased by 4 points (P = .003). Women with metastatic cancer who are parents of dependent children are at risk of high psychological distress and low HRQOL. Parenting factors may have a negative influence on HRQOL in this patient population. Cancer 2018;124:2629-36. © 2018 American Cancer Society.

Effect of Rheumatoid Arthritis on the Masticatory Muscles' Thickness, Bite Force, Mandibular Mobility and Quality of Life of Adult Women.

Effect of Rheumatoid Arthritis on the Masticatory Muscles' Thickness, Bite Force, Mandibular Mobility and Quality of Life of Adult Women.

Repercussions of teenage pregnancy in the life of adult women

Objective : to uncover the repercussions of pregnancy during adolescence on the life of women in adulthood. Methods: a qualitative study performed in a Basic Health Unit. Individual data were collected and recorded with seven women for data collection. For the organization of the data, the Thematic Categories Analysis was adopted. Results: three categories emerged: recalling the experiences of pregnancy in adolescence, positive and negative repercussions of teenage pregnancy in the view of women and rescuing knowledge about contraceptive methods in adolescence. Conclusion: the pregnancy occurred in adolescence had positive repercussions when reporting the development of responsibility and maturity, the constitution of a family, and being a mother. As for the negative aspects, the following were observed: the non-completion of the studies; fear of having another child; responsibility; difficulty in reaching plans for the future.

The effect on acne quality of life of topical azelaic acid 15% gel versus a combined oral contraceptive in adult female acne: A randomized trial.

ABSTRACTAcne vulgaris is a chronic inflammatory disease that affects the pilosebaceous unit. Recent studies have shown an increasing number of cases of acne in adult women. These cases are predominantly normoandrogenic and have show some clinical differences compared to adolescent acne. In addition to the physical aspects, acne has a strong psychosocial impact and can lead to the onset of signs and symptoms of depression, such as anger. Our objective was to evaluate the effect on acne-specific quality of life in adult women treated with topical azelaic acid versus a combined oral contraceptive. The study population consisted of 38 adult women with acne and without any features of hyperandrogenism recruited from the clinic of Dermatology Hospital Division of São Paulo, Federal University of São Paulo from January 2012 to September 2014. Patients were randomized into two different groups: one receiving containing 20 ug of ethinylestradiol and 3 mg drospirenone in a regimen of 24 days of medication, a combined oral contraceptive (COC), and the other group topical 15% azelaic acid (AA) gel, twice daily, both for six months. The quality of life was evaluated at baseline and end of treatment with an acne specific measure (Acne-QoL). Before treatment, our data revealed a significant impact of the presence of acne on quality of life. Both treatments resulted in improvement with significant statistical values in quality of life scores. Comparing the four domains of Acne-QoL, patients treated with an oral contraceptive showed greater improvement in two domains (self-perception and acne symptoms) than those treated with azelaic acid.

Oestrogens and Overactive Bladder

Estrogen has an important role in lower urinary tract function and dysfunction throughout adult life in women. Postmenopausal estrogen deficiency causes atrophic changes in the lower urinary tract and may be associated with urinary frequency, urgency, nocturia, and incontinence. The association of these changes with overactive bladder (OAB) symptoms is unclear. Systemic and vaginal estrogens have been used for many years during and after menopause to manage urinary dysfunction (including symptoms of OAB) despite the lack of adequate controlled trials confirming their efficacy. Data from large epidemiological studies have questioned the benefits of systemic estrogens for menopausal symptoms of incontinence and OAB. In the last decade, concerns regarding breast cancer and thromboembolic disease have been led to a marked reduction in the number of women seeking systemic hormone replacement therapy for menopausal symptoms. The aim of this article was to review current evidence-based data on the effect of exogenous estrogen therapy on lower urinary tract function in menopausal and postmenopausal women, specifically those with symptoms of OAB. Evidence is reviewed on use of both systemic and vaginal estrogen therapy as well as combination therapy with antimuscarinic agents in this population. Analysis of the Women’s Health Initiative (WHI) trial data, as well as meta-analyses and systematic reviews, supports the use of vaginal estrogen therapy, but not systemic, for management of OAB. Systemic estrogens (combined estrogen/progestin or estrogen only) as well as oral estrogens did not decrease the risk of overall urinary incontinence (UI); they increased the risk and worsened baseline incontinence symptoms. Recent published guidelines have established the safety and effectiveness of low-dose vaginal estrogens for treatment of women with urogenital atrophy and lower urinary tract symptoms. There is evidence that the vaginal route may be useful in managing symptoms of OAB, especially symptoms of urgency. The well-known adverse effects of systemic estrogens on the breast and uterus do not occur with vaginal administration. Combined use of vaginal estrogen and antimuscarinic therapy in postmenopausal women with OAB has been investigated. This combination could potentially increase compliance and persistence though improved efficacy as well as reduced troublesome antimuscarinic adverse effects because of the lower doses used. Three prospective randomized trials investigated the effects of 12 weeks of combined use of vaginal estrogen and antimuscarinic therapy for management of postmenopausal women with OAB. Results of these 3 trials were contradictory. Further studies are needed to investigate combined use of newer, more efficacious antimuscarinics and low-dose vaginal estrogens.

Quality of life in adult women with acne treated with 2 different approaches

Quality of life in adult women with acne treated with 2 different approaches

Risk of developing adulthood obesity among females born with low birth weight: Results from a non-concurrent study from rural Southern India.

Objective:To determine the relationship between birth weight and the evolution of obesity in adult life in women from a rural developmental block in southern India.Design:Non-concurrent cohortSetting:General community- a rural developmental block in southern India.Participants:Two hundred and seventy one young healthy females were recruited from a birth cohort. The study subjects were 98 women in the age group of 19-23 years who had been born with low birth weight (LBW) and 173 women in the same age group who had been born with normal birth weight (NBW).Materials and Methods:Data collection involved interview using a structured questionnaire and anthropometric measurements.Analysis:Chi-square test to assess significance of association, independent sample t test to assess the difference between means, odds ratios for measuring magnitude of association, stratified analysis to identify various interactions and confounders, and multiple logistic regression models to identify the relationship between birth weight and young adult obesity (BMI > 25).Results:A crude odds ratio of 0.564 (95% CI 0.262 - 1.214) was obtained for the association between LBW and development of obesity later in life. In the final logistic regression model, it was found that a young adult female with low birth weight who belonged to a higher socio-economic group had a higher risk of developing obesity (Adjusted odds for the interaction term between LBW and high SES 6.251; 95% CI 1.236 - 31.611).Conclusion:The study could not find any significant association between LBW and development of obesity later in life, but it found a higher probability of developing obesity later in life among low birth weight female children born in high socio-economic status families.

Vocal Parameters and Voice-Related Quality of Life in Adult Women With and Without Ovarian Function

To identify the perceptual and acoustic parameters of voice in adult women with and without ovarian function and its impact on quality of life related to voice. Cross-sectional and analytical study with 106 women divided into, two groups: G1, with ovarian function (n=43) and G2, without physiological ovarian function (n=63). The women were instructed to sustain the vowel "a" and the sounds of /s/ and /z/ in habitual pitch and loudness. They were also asked to classify their voices and answer the voice-related quality of life (V-RQOL) questionnaire. The perceptual analysis of the vocal samples was performed by three speech-language pathologists using the GRBASI (G: grade; R: roughness; B: breathness; A: asthenia; S: strain; I: instability) scale. The acoustic analysis was carried out with the software VoxMetria 2.7h (CTS Informatica). The data were analyzed using descriptive statistics. In the perceptual analysis, both groups showed a mild deviation for the parameters roughness, strain, and instability, but only G2 showed a mild impact for the overall degree of dysphonia. The mean of fundamental frequency was significantly lower for the G2, with a difference of 17.41Hz between the two groups. There was no impact on V-RQOL in any of the V-RQOL domains for this group. With the menopause, there is a change in women's voices, impacting on some voice parameters. However, there is no direct impact on their quality of life related to voice.

PIH42 Health Related Quality of Life in Adult Women with Anxiety Disorders (AD) in the United States in 2006 Using Medical Expenditures Panel Survey (MEPS)

PIH42 Health Related Quality of Life in Adult Women with Anxiety Disorders (AD) in the United States in 2006 Using Medical Expenditures Panel Survey (MEPS)

Improvement of health-related quality of life in adult women with 21-hydroxylase deficiency over a seven-year period

Health related quality of life (HRQoL) is impaired in adult patients with 21-hydroxylase deficiency (21-OHD). Up to now, only cross-sectional and no longitudinal studies are available. It is not known if HRQoL can be improved in adult 21-OHD patients. We performed a longitudinal, prospective, single centre, follow-up study over seven years including 15 adult female 21-OHD patients. Two standardized questionnaires (Short Form 12 (SF-12); Hospital Anxiety and Depression Scale (HADS)) were completed in 2003, 2006 and 2010. Adjustment for age and sex was performed by transformation of score values into age- and sex-adjusted Z-scores using data sets from respective normative groups. Data regarding glucocorticoid therapy, clinical and hormonal parameters were assessed. We found that two of eight scales of SF-12 showed a significant improvement and four of eight scales a positive trend to better scores. No significant changes were seen in scores for HADS or for steroid hormone levels. Daily hydrocortisone equivalent dose per body surface significantly decreased over the study period. No changes in BMI were observed over the study period. We conclude that improvement of HRQoL in adult female 21-OHD patients is possible. Several factors might be involved in this improvement including reduced daily hydrocortisone equivalent dose per body surface.

Chiari骨盤骨切り術後患者の身体活動量と健康関連QOLについて

Chiari骨盤骨切り術後患者の身体活動量と健康関連QOLについて