Single Women Research Articles

Factors associated with the consumption of ultra-processed among Brazilian and Portuguese pregnant

Abstract Considering the recent evidence about the negative effect of the consumption of ultra-processed foods (UPF) on current and future generations, and pointing to the development of public food policies adapted to the needs of pregnant women, it is important to identify the factors associated with high consumption of UPF. Cross-sectional comparative study that used data from: 1) a randomized controlled clinical trial conducted with pregnant women treated at Health Units in a city in São Paulo (n = 350), Brazil; and 2) the National Dietary and Physical Activity Survey 2015-2016, Portuguese pregnant women (n = 226). Two 24-hour recall surveys were collected. The UPF were classified according to the Nova. Usual consumption was estimated using the Multiple Source Method software. The percentage of energy coming from UPF was calculated using the mean (±SD) and 95%CI. Adjusted and crude linear regression models were used. The analysis were conducted in SPSS (version 21), considering p < 0.05 as significant. The average age of the total sample was 29.4(±6.3) years and the BMI corresponded to 27.8(±3.4)kg/m². The average daily energy consumption from UPF among Brazilian pregnant women was 449.6(±207.6) kcal, representing 24.2(±8.8)% of the total energy consumed on a usual day; among Portuguese women the average corresponded to 484.2(±242.4)kcal and 22.3(9.3)%, respectively. In crude and adjusted linear regression models, the participation of UPF in total energy was higher among single Brazilian pregnant women compared to married women (3.2[0.8-5.5]p=0.009); Among Portuguese women, an inverse relationship was observed between weekly physical activity (PA) ≥150 minutes and UPF energy consumption (-3.2[-6.0 - -0.3]p= 0, 03). In the studied pregnant women, results showed that being single and practicing less than 150 minutes of PA weekly were factors associated with greater consumption of UPF, characterizing a priority group to receive nutritional interventions during prenatal care. Key messages • Public policies and strategies to reduce the consumption of ultra-processed foods during pregnancy. • Promotion of healthy lifestyle habits and impact on current and future health.

Social support for women undergoing induced abortions in Belgrade, Serbia

Abstract Background Having an unwanted pregnancy requires social support to help women ease the stress and stigma of having an induced abortion. The study aimed to investigate the main providers of social support to women having induced abortions. Methods Women undergoing induced abortions from 2022 to 2024 in a University clinic in Belgrade were invited to participate. Data were collected using an anonymous questionnaire examining socio-demographic data of women and sources of social support. Results This study included 433 women out of which 50.1% informed their mothers about the abortion, 23.1% their fathers, 87.3% their partners, 42.3% their friends, and 1.6% women told no one about the abortion. A total of 40% of women were supported to undergo the abortion by their parents, 80.1% by their partner, 34.9% by friends, and there were 2.1% of women who did not get any support to perform abortion. There were significantly more (p = 0.001) mothers (163 vs. 54), fathers (87 vs. 13), partners (331 vs. 47), and friends (136 vs. 47) who were informed about the abortion and also supported women compared to those who did not provide support. Getting support for the abortion by the parents was associated with younger age, not being in a relationship, and not having children. Support of the partner was linked to older age, higher education, being unemployed, being married with more children, and having abortions previously. Being supported by friends or not being supported at all did not correlate with socio-demographic data of the investigated women. Conclusions Women are generally supported by their family and friends in their decision to have induced abortions. This study identified socio-demographic factors that impact the choice of principal supporting person when undergoing induced abortion. Key messages • Partners are the main source of social support for married women who had induced abortion. • Parents are principal social supporters for single younger women undergoing induced abortion.

“Sisters Are Doin’ It for Themselves”: Gender Differences in Singles’ Well-Being

The experience of singles has been largely overlooked in relationship science, garnering a need for understanding correlates of singles’ well-being. Gender is an important focus of well-being research, and qualitative work on singlehood has suggested that men and women may have experiences of singlehood that differ in important ways. In this study ( N = 5941; 50% men; Mage = 31.74), we provide the first comprehensive, descriptive profile of gender differences on a suite of variables with important ties to well-being in singlehood; satisfaction with relationship status, life satisfaction, sexual satisfaction, and desire for a partner. Our results suggest that single women, on average, report higher levels of satisfaction with relationship status, life satisfaction, sexual satisfaction, and lower desire for a partner. Exploratory analyses showed significant gender interactions with age and ethnicity. Overall, these findings suggest that women are, on average, happier in singlehood than men.

Do immigrant women spend more time on unpaid labor? Generational differences by race, ethnicity, and household composition in household work within the United States

ABSTRACT Despite relative progress, it is an overt fact that women still take on the heavier burden of unpaid work in the household compared to men in the United States. Our study expands the horizons of previous studies by looking at women specifically and analyzes how women’s performance of unpaid labor differentiates based on various contexts such as generational status, household composition, race, and ethnicity. Using the pooled cross-sectional data from the 2011-2021 American Time Use Survey (ATUS), we test hypotheses derived from an absolute resources perspective and a structural perspective to examine migrant generational differences among married, cohabiting, and single women as well as investigate the intra-group differences of racial and ethnic groups. From our descriptive analysis and ordinary least squares (OLS) regression analyses, we find support for the structural perspective for housework, as the generational differences remain even after controlling for socioeconomic factors, but only for first-generation married women. However, socioeconomic factors account for the differences between cohabiting or single first-generation women, which is supported by the absolute resources perspective. Our intra-group analysis by racial and ethnic groups yielded similar findings but found that Hispanic and Asian first-generation women take on a larger proportion of housework, relative to later-generation women.

Nonlinear association between alanine aminotransferase to high-density lipoprotein cholesterol ratio and risk of gestational diabetes mellitus

Previous studies have indicated a potential association between the alanine aminotransferase to high-density lipoprotein cholesterol (ALT/HDL-C) ratio and the risk of Type 2 Diabetes Mellitus, but its relation with gestational diabetes mellitus (GDM) remains uncertain. This study aims to investigate the correlation between the ALT/HDL-C ratio in early pregnancy and the risk of GDM. This study is a secondary analysis based on an open-source cohort study. A total of 590 single pregnant women attending two hospitals in Korea up to 14 weeks gestation were included between November 2014 and July 2016. Logistic regression analysis, subgroup analysis, and smooth curve fitting were employed to explore the association between the ALT/HDL-C ratio and GDM risk. The predictive capability of the ALT/HDL-C ratio for GDM was assessed using ROC curve analysis. The average age of participants was 32.06 ± 3.80 years, with a GDM incidence rate of 6.27%. Multifactorial logistic regression analysis revealed that the serum ALT/HDL-C ratio is an independent influencing factor for GDM (OR = 1.08, 95% CI: 1.02–1.16). Furthermore, a non-linear relationship between the ALT/HDL-C ratio and GDM risk was observed, with a turning point at 5.51. The effect size (OR) on the left and right sides of the turning point were 0.75 (95% CI: 0.37–1.59) and 1.55 (95% CI: 1.18-2.00), respectively. Additionally, when combined with age, pre-pregnancy body mass index, parity, and insulin resistance index in a prediction model for GDM, the ALT/HDL-C ratio demonstrated improved sensitivity of prediction by reaching up to 67.6%, specificity of prediction by reaching up to 87.3%, and an area under curve value of 0.819 (95%CI: 0.743–0.894). In early pregnancy, the serum ALT/HDL-C ratio shows a positive correlation with maternal risk in a nonlinear manner. The combination of ALT/HDL-C ratio with maternal characteristics and metabolic indicators provides good predictive value for GDM. This study may facilitate optimization of GDM prevention in pregnant women and enable timely and effective intervention to enhance their prognosis.

Mistreatment in healthcare: peripartum experience in a Tunisian maternity

BackgroundMistreatment in healthcare is defined by the set of behaviors, acts, and omissions committed by the healthcare providers on patients. Pregnant women can be exposed to this behavior during pregnancy, childbirth, and the postpartum period. It can have several aspects and affects the women's mental health, social and professional life, and also their newborns and families. ObjectiveThis study was made to estimate the frequency of mistreatment during the peripartum period in a Tunisian maternity unit, determine its impact on the parturient and her entourage, and draw up recommendations for the prevention of this public health problem. Study DesignWe conducted a cross-sectional survey in Department C of the Tunis Maternity and Neonatology Center from July 2022 to September 30, 2022. Our questionnaire encompassed verbal and physical abuse, patient information, consent, unprofessional conduct, poor communication, and discrimination. ResultsThis study included 400 patients. The average age was 29.3+–5.65. Single women represented 12.3% of the cases. Seventy-five percent of women reported having been victims of at least one type of violence during childbirth. Verbal abuse was the most frequent type observed. Eighty-two percent of women reported verbal abuse, while 23.25% underwent physical violence. After the delivery, 391 women (97.8%) stated that the delivery was a source of anxiety and that they were not ready to repeat the experience. Six of them were followed up in psychiatry. Mistreatment was expressed by a lack of information and/or respect for consent, unprofessional conduct, or poor communication between the caregiver and the patient. ConclusionThis study emphasizes the significance of including women in decision-making processes regarding their care. Establishing systematic approaches for providing information and obtaining consent is crucial, ensuring a dynamic approach that promotes women's freedom of choice.

The Gender Investment Gap over the Life Cycle

Abstract Single women invest less in risky assets than do single men. This paper analyzes the determinants of the “gender investment gap” based on a structural life-cycle framework. The model can rationalize the gender investment gap without gender heterogeneity in preferences. Rather, lower deterministic income and larger household sizes shift the composition of single women toward poorer households that invest less risky (composition effect). Additionally, future outcomes of both variables (which cannot easily be controlled for in regressions) make single women more vulnerable to financial shocks and decrease their optimal equity share even conditional on state variables (policy effect). (JEL E21, G11, G50, J16)

Assessing the Effectiveness of Wet Mount and PCR Methods in Diagnosing Trichomonas vaginalis Infections in Endocervical and Urine samples

Trichomonas vaginalis is the cause of trichomonas’s infection, which is referred to be the global sexually transmitted disease (STD) worldwide. This parasite primarily spreads through sexual activity, though it can also spread through intimate. Vaginal inflammation in females causes a variety of clinical symptoms, such as a profusion of greenish-yellow, frothy, foul-smelling discharge, valvar enlargement, itching, and punctate erythematous lesions of the cervix, commonly referred to as "strawberry cervix." There are numerous scenarios in which women may be sick but not exhibit any symptoms. The purpose of the current study is to compare the diagnostic efficacy of polymerase chain reaction (PCR) and wet mount preparation for detecting T. vaginalis in various sample types, including endocervical discharge, endocervical swabs, and urine, of 300 female patients (married and single), ages ranging from 15 to 62, who were referred to Dohuk Maternity Hospital, Shariya Camp, either inside or outside of Dohuk city. Based on the clinical symptoms of the patients, the diagnosis of parasite infection was validated by microscopically confirming the infection in the laboratory using two methods: PCR and direct wet mount preparation. The study findings demonstrated, out of 240 samples, 61 (25.4%) at Dohuk Maternity Hospital and 15 (25%) out of 60 samples in Shariya Camp were contaminated with T. vaginalis. Of the 300 samples, 74 (24.6%) had wet mount preparation infection, and 75 (25.0%) had PCR infection. In the current study, 42 single women had 10 (23.8%) and 258 married women had 66 (25.5%) infected. The age range of 15 to 25 had a higher infection rate (32.8%).

The Love Jones Cohort and singlehood are family law issues

AbstractThis article reviews the changing Black family and households. The core theme is to understand the uniqueness of those single and living alone in the Black middle class—the “Love Jones Cohort”—and how their intersecting identities of race, class, gender, and singleness inform their lifestyle, shape how they manage life decisions, and their relationship to policy as well as family law and family court. This essay moves beyond the popularized and omnipresent inquiry: “Why are Black women not getting married?” or “Why are there so many single professional Black women?” This line of questioning throws the spotlight squarely on Black women's individual dating practices, while often ignoring structural factors that undergird those decision‐making processes. It implies that because of the individual actions of the Love Jones Cohort, specifically Black women, they are somehow at a deficiency if they are not married and child‐free, rendering them invisible as a family. This article discusses the legal implications of the presence of the Love Jones Cohort.

Have later state pensions made people less connected? The effects of older female pension ages in England on social capital

Abstract Many countries have increased their state pension ages (SPAs) to offset demographic ageing and to increase numbers of older people remaining in paid work. Most research attention has focused on the economic outcomes whereas little attention has been paid to impacts on social capital, including rates of volunteering and care-giving. Prior research suggests that these are sensitive to retirement decisions. Using nine waves of individual longitudinal data from the English Longitudinal Study of Ageing, this study examines the effects of increased SPA on volunteering, group membership and providing care. Our results show that higher SPAs have a negative impact on rates of volunteering and providing care, particularly for women in couples. Single women are not affected, and there are not significant effects on group membership and childcare provision. The more work-like aspects of social capital are affected by the increased SPA.

미혼남녀의 결혼 및 자녀가치관에 따른 잠재프로파일 유형 분석: 개인주의와 집단주의와의 관련 및 결혼의향 차이 탐색

Objectives: This study aimed to classify latent profiles of unmarried adults based on their views on marriage and childrearing, explore the influence of cultural orientation on the profiles, and examine differences in marriage intention. Methods: Data were collected from 886 single men and women aged 25-40. Latent profile analysis was conducted separately for each sex. Results: First, both men and women were classified into three latent profiles. The male profiles were named “Affective/Traditional Family-Oriented” (17%), “Ambiguous-Neutral” (71%), and “Couple-Centered & Childrearing Avoidant” (12%). The female profiles were named “Traditional Family-Oriented” (11%), “Ambiguous-Neutral” (67%), and “Career/Self-Oriented & Childrearing Avoidant” (22%). Second, for men, subfactors of collectivism (advice and harmony) and a subfactor of individualism (responsibility) were associated with the profiles. For women, subfactors of collectivism (advice and harmony) were associated with the profiles. Third, there were significant differences in marriage intentions across profiles for both men and women. Conclusions: The results indicate that while men and women show overall similarities in the latent profile classifications of marriage and childrearing, there are notable differences as well. Detailed explanations of the findings are discussed.

Abstract A112: The seroprevalence of nine human papillomavirus types included in the nonavalent vaccine in unvaccinated women living in Puerto Rico

Abstract Introduction Human papillomavirus (HPV) surveillance is lacking in Puerto Rico (PR). We aim to estimate the seroprevalence of the HPV types included in the nonavalent vaccine (9vHPV) in women and explore associations. Methodology A population-based cross-sectional study of socio-demographic, clinical [including, sexually transmitted infections (STIs)], and behavioral characteristics of sexually active women (16-64 years) was conducted in PR from 2010-2013. Blood samples from 524/566 (92.6%) HPV unvaccinated women were included in this sub- analysis. Antibody responses to 9vHPV types (HPV-6/11/16/18/31/33/45/52/58) were analyzed using M9ELISA by the U.S. Centers for Disease Control and Prevention (CDC). A self-collected cervical and anal sample from all 524 women were also tested using L1 consensus primer (MY09/MY11) PCR followed by dot hybridization to detect 40 HPV types. Statistical analyses included Pearson’s chi-square and logistic regression models. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were reported. Results The mean age of participants was 42.4 years ± 0.6 standard deviations (SD), 52.5% were married/cohabited, and 9.7% were uninsured. About half (51.3%) had between 3-9 lifetime sexual partners, 15.9% had history of STIs, and 40.3% had a current anogenital HPV infection. Overall, 65.8% were seropositive to at least one of the 9vHPV types (1.0% to all 9vHPV types), 59.9% to any of the seven oncogenic types (HPV-16/18/31/33/45/52/58) and 49.1% to any of the quadrivalent vaccine (4vHPV) types. The seroprevalence for specific HPV types ranged between 10.7%-28.1% [HPV-33 (10.7%), 11 (11.6%), 45 (11.8%), 58 (15.8%), 18 (18.7%), 31 (25.0%), 6 (26.2%), 52 (26.9%), and 16 (28.1%)]. In bivariate analysis, significant associations between 9vHPV types were observed with marital status, age at sexual debut, lifetime sexual partners, anal sex, history of STIs and anogenital HPV infection (p<0.05). In the multivariate model, divorced/separated/widowed women (aOR: 2.2, 95%CI: 1.2-4.3) had higher odds of seropositivity to any of the 9vHPV types than single women. Women with 3-9 (aOR: 2.4, 95%CI, 1.5-3.8) and with >10 (aOR: 3.1, 95%CI, 1.6-5.8) lifetime sexual partners had higher odds of seropositivity than women with 1-2 partners. Women with a history of STIs (aOR: 2.1, 95%CI, 1.1-4.0) and with an anogenital HPV infection (aOR: 1.9, 95%CI, 1.2-2.9) had higher odds of HPV seropositivity than their counterparts. In this model, no differences were observed by age, education, healthcare coverage, age at sexual debut or anal sex. Conclusion Before implementation of the HPV nonavalent vaccine, the seroprevalence of at least one of the 9vHPV types among women in PR was high (65.8%). However, less than 1% of women were seropositive for all nine HPV types, indicating this population would benefit from HPV vaccine implementation. Acknowledgements Study funded by the National Institute of Allergy and Infectious Diseases Grant (Grant #1SC2AI090922-01) of the National Institutes of Health. Citation Format: Angeline Cruz, Jeslie M. Ramos-Cartagena, Gitika Panicker, Elizabeth Unger, Ana P Ortiz. The seroprevalence of nine human papillomavirus types included in the nonavalent vaccine in unvaccinated women living in Puerto Rico [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A112.

Antecedents of Life Satisfaction Among Women in Kashmir: An Empirical Study From India

Psychologists believe that life satisfaction is a crucial indicator of an individual's overall health and happiness, regardless of their work or culture. This topic has been extensively researched, with the authors identifying novel antecedents of life happiness. Life satisfaction and health are strongly related, and enhancing one area can improve the other. Frequent shifts in life satisfaction can be harmful to overall health and life expectancy. However, there is still potential to investigate life satisfaction from a fresh perspective, particularly in the Indian context. This study aimed to investigate the factors influencing people's levels of pleasure in life, focusing on three categories of women in the Kashmir region: single women, married women, and widowed women. The study used a quantitative research design, including all three types of women: married, unmarried, and widowed. The research objectives were to study optimism, spirituality, resilience, and social support as predictors of life satisfaction among unmarried, married, and widowed women in Kashmir. The findings showed that optimism, spirituality, resilience, and perceived social support all have a beneficial impact on one's level of life satisfaction. Self-confidence under pressure has the biggest impact on life satisfaction, while optimism has the lowest effect amongst all variables.

Is Oncoplastic Surgery Safe in High-Risk Breast Cancer Phenotypes?

Oncoplastic surgery (OPS) has increased in popularity over the recent years. It is a form of breast conservation surgery allowing for larger partial mastectomy (PM) resections followed by either volume displacement or volume replacement reconstruction techniques. However, there is a lack of evidence on the effectiveness and safety of OPS with radiotherapy (OPS + RT) in high-risk breast cancer phenotypes, such as triple negative breast cancer (TNBC) and HER2 positive (HER2+) patients. Our aim was to compare the breast cancer-specific survival (BCSS) and postoperative surgical complications in OPS + RT compared to PM alone with radiation (PM + RT) and total mastectomy (MTX) without radiotherapy (MTX-RT). Patient data were analyzed from the Surveillance, Epidemiology, and End Results (SEER) cancer registries from January 1, 2012 to December 31, 2020. Patients were stratified according to the type of surgery. Cox regression analysis was performed to assess prognostic factors of BCSS. A total of 24 621 patients with high-risk breast cancer phenotypes were identified, 180 underwent OPS + RT; 13 402, PM + RT; and 11 039 MTX-RT. OPS + RT was more frequently performed in younger (mean age of 65.53 years, SD: 9.29, p < 0.001), non-Hispanic White (90.5% vs. 77.7% vs. 76.3%) and single women (17.9% vs. 12.1% vs. 13.3%). MTX-RT was usually performed in patients with high histological grade, TNBC, and higher stages. Overall complication rates were higher in the MTX-RT, compared to OPS + RT and PM + RT, 2%, 1.1%, and 0.7%, respectively, p < 0.001. Rates of hematoma and surgical site infections were higher in the MTX-RT group. With a median follow-up of 46 months, OPS + RT had better BCSS rates at 5 years compared to PM + RT and MTX-RT (97.1% vs. 94.7% vs. 89.8%, p < 0.001). MTX-RT was found to be an independent prognostic factor of worse BCSS compared to OPS + RT (hazard ratio [HR] = 2.584; 95% confidence interval [CI]: 1.005-7.171), while PM + RT had no difference compared to OPS + RT (HR = 1.670, 95% CI: 0.624-4.469). OPS is a safe breast surgical option in patients with HER2+ and TNBC. Patients with high-risk phenotypes who underwent OPS + RT and have similar BCSS and complication rates compared to standard breast surgical options. As such, OPS should be considered as an option whenever breast conservation surgery is being discussed.

Influence of perinatal factors on full-term low-birth-weight infants and construction of a predictive model.

Being too light at birth can increase the risk of various diseases during infancy. To explore the effect of perinatal factors on term low-birth-weight (LBW) infants and build a predictive model. This model aims to guide the clinical management of pregnant women's healthcare during pregnancy and support the healthy growth of newborns. A retrospective analysis was conducted on data from 1794 single full-term pregnant women who gave birth. Newborns were grouped based on birth weight: Those with birth weight < 2.5 kg were classified as the low-weight group, and those with birth weight between 2.5 kg and 4 kg were included in the normal group. Multiple logistic regression analysis was used to identify the factors influencing the occurrence of full-term LBW. A risk prediction model was established based on the analysis results. The effectiveness of the model was analyzed using the Hosmer-Leme show test and receiver operating characteristic (ROC) curve to verify the accuracy of the predictions. Among the 1794 pregnant women, there were 62 cases of neonatal weight < 2.5 kg, resulting in an LBW incidence rate of 3.46%. The factors influencing full-term LBW included low maternal education level [odds ratio (OR) = 1.416], fewer prenatal examinations (OR = 2.907), insufficient weight gain during pregnancy (OR = 3.695), irregular calcium supplementation during pregnancy (OR = 1.756), and pregnancy hypertension syndrome (OR = 2.192). The prediction model equation was obtained as follows: Logit (P) = 0.348 × maternal education level + 1.067 × number of prenatal examinations + 1.307 × insufficient weight gain during pregnancy + 0.563 × irregular calcium supplementation during pregnancy + 0.785 × pregnancy hypertension syndrome - 29.164. The area under the ROC curve for this model was 0.853, with a sensitivity of 0.852 and a specificity of 0.821. The Hosmer-Leme show test yielded χ 2 = 2.185, P = 0.449, indicating a good fit. The overall accuracy of the clinical validation model was 81.67%. The occurrence of full-term LBW is related to maternal education, the number of prenatal examinations, weight gain during pregnancy, calcium supplementation during pregnancy, and pregnancy-induced hypertension. The constructed predictive model can effectively predict the risk of full-term LBW.

Forgotten Family: The Influence of Women and Children on the Nexus of Wage Earning and Demographic Change in England, 1260–1860

E. A. Wrigley identified the responsiveness of nuptiality and marital fertility to changes in male wages. Others have theorized the importance of women's decision-making in the timing of marriage, but without much empirical evidence. Combining new long-run series of annual wages for men, for married and single women, and for children with existing demographic data, the influence of women and children's remuneration on household formation is investigated. Women played a key role in the functioning of early modern preventive checks. High wages encouraged single women to delay marriage, reducing marital fertility. This counterbalanced the encouragement of nuptiality stimulated by high male earnings, which helped balance population and economic growth. Juvenile earnings had little influence on family formation, challenging links suggested in accounts of protoindustrialization or proletarianization. Demographic evidence suggests that economic circumstances contributed to the timing of medieval marriage, but poverty more often than prosperity prompted celibacy.

Donor sperm: only for the rich and straight

Although single women and lesbian couples are given access to donor spermatozoa, all kinds of restrictions limit their actual use of donor insemination. These restrictions are frequently justified by the increase in safety (lowering the genetic risk) or well-being of donor-conceived persons. However, these restrictions directly result in stratified reproduction in which only the rich (those with the necessary financial means) and the straight (those who conform to dominant views of parenthood) are allowed to reproduce.

Factors Influencing Timely Follow-up After Inconclusive Screening Mammograms at a 3D Mobile Mammography Center.

Background The Linda Fenner 3D Mobile Mammography Center (LFMMC) was created to reduce disparities in screening for breast cancer and improve survival for women with limited access to such screening.However, for screened patients requiring follow-up testing, research has shown a wide variation of time taken to access diagnostic imaging, especially among uninsured women. Aim To explore factors associated with longer (>30 days) time intervals to complete diagnostic imaging after screening. Methods This was a retrospective cohort study using data from the LFMMC from 2014 to 2022. Women living in Miami-Dade County (MDC), over the age of 40, uninsured, and requiring follow-up diagnostic imaging after breast cancer screening were included. Factors assessed included women's age, area of residency, race, primary language spoken, marital status, body mass index (BMI), history of hormone use, previous mammogram, breast implants, breast cancer in immediate family, past breast surgery, and menopause status. The interval of time taken between receiving a screening mammogram result and completing further diagnostic imaging was the outcome, dichotomized into greater than 30 days (longer follow-up time) or up to 30 days.Multivariable binary logistic regression models were used to estimate independent associations (odds ratio [OR] and 95% confidence interval [CI]) of selected factors and longer time intervals to complete diagnostic imaging follow-up. Results We analyzed data from 926 eligible patients. Themean age was 50.1 years (SD = 8.81). A majority werewhite (n = 643; 69%), Hispanic (n = 698; 72%), had a history of previous mammograms (n = 589; 64%), and had no family history of breast cancer (n = 757; 82%).About 50% had a diagnostic follow-up exam performed after 30 days (median time to follow-up was 32, interquartile range 23-46 days). Single women had 30% lower odds of longer follow-up than married women (OR 0.70, 95% CI 0.52-0.93). Residents of Homestead (a city within Miami-Dade County) had 2.5 higher odds of having a longer time to follow-up, compared to non-Homestead residents (OR 2.50, 95% CI 1.60-3.90). Conclusions Being single was associated with a shorter time to follow up with diagnostic imaging while residing in Homestead was associated with a longer time to follow-up. Further research with a larger sample and further details on patient characteristics are warranted to better identify targets for interventions aimed at optimizing continuity of care and detecting breast cancer at earlier stages.

Extension de l’Utilisation de Gamètes en IntraConjugal (EUGIC) : quel usage des spermatozoïdes d’une femme trans ?

ObjectiveThe French Law relating to Bioethics allows access to medically assisted reproduction for lesbian couples and single women and has expanded the possibilities for self-preservation of gametes. The question now arises of new uses of gametes of the couple, within couples of two cis women, one cis woman and one transgender woman, or two transgender individuals. The acronym EUGIC (Extension of the Use of Gametes in IntraCouple) allows these new situations to be grouped together, particularly if gametes have already been previously cryopreserved, thus avoiding the need for gamete donation. MethodsAnalysis of the different situations of sperm use from a trans woman using gametes available within the couple rather than gamete donation. ResultsThe inconsistency in the use of sperm from a trans woman, the situations already encountered by professionals, the prospects for filiation for a trans woman as well as the issues related to the interest of the unborn child are discussed. ConclusionFrench law does not fully address the use of a trans woman's spermatozoa to meet the new EUGIC requirements and leads to complex situations for healthcare professionals.

‘Living-alone’ wanghong: Women’s singleness as a wanghong genre and the configuration of Chinese postfeminist wanghong culture

In this article, I explore how women’s singleness is represented by ‘living-alone’ wanghong on the Chinese social media platform Xiaohongshu (小红书) and discuss the configuration of Chinese postfeminist wanghong culture. The term ‘“living-alone” wanghong’ refers to a group of Chinese vloggers – mostly women – who showcase their daily lives in domestic spaces while living by themselves. ‘Living-alone’ wanghong narrate their singleness as an autonomous choice that leads to a happy, high-quality, and bourgeois life. This narrative is distinct from the stigmatised ‘ shengnü’ (剩女, leftover women) discourse in contemporary urban China. By conducting thematic analysis of 50 sampled ‘living-alone’ vlogs featuring female wanghong, I examine three recurring themes: economic independence; self-care/self-discipline; and enjoyable loneliness. The analysis contextualises these three tropes in the postfeminist wanghong culture on Chinese social media. I argue that while ‘living-alone’ wanghong productively challenge stigmas around single women in the context of urban China, they ultimately transform women’s singleness into a neoliberal and postfeminist object in feminised consumer culture. Within their narratives, the structural struggles that single women face become issues that can and should be resolved by individual women. This transformation overshadows the underlying logic of consumption/commercialisation within Chinese postfeminist wanghong culture. This article further discusses the importance of the intersectional gender dimension in wanghong studies, as evidenced by the case study of ‘living-alone’ wanghong.