Women In Occupations Research Articles

Dietary diversity and associated factors among pregnant women attending antenatal care at public hospitals in North Shewa, Oromia, Ethiopia, 2023.

Adequate consumption of diversified food during pregnancy enables adequate intake of 11 important micronutrients. Pregnant women who consume an inadequate amount of diversified food during pregnancy are at a higher risk of delivering preterm babies, stillbirth, low birth weight, and small for gestational age newborns. This study aimed to assess dietary diversity (DD) and associated factors among pregnant women attending antenatal care (ANC) at public hospitals in North Shewa, Oromia, Ethiopia, 2023. An institution-based cross-sectional study was conducted on 400 pregnant women attending antenatal care. The study participants were selected using a systematic random sampling method. A pre-tested, structured, and interviewer-administered questionnaire was used to collect information about dietary diversity. The questionnaire was adapted from a validated and modified individual dietary diversity guideline, as recommended by the Food and Agriculture Organization (FAO) of the United Nations. The household food security level was determined using a standard set of questions derived from the Household Food Insecurity Access Scale (HFIAS) measurement guide. The data were entered into EpiData version 4.6 software and exported to Statistical Package for the Social Sciences (SPSS) version 24 for analysis. The results from the bivariate analysis of p < 0.25 were moved to the multivariable logistics regression analysis model. Any statistical test with a p < 0.05 at a 95% confidence interval (CI) was considered statistically significant. The study revealed that 55.4% of the pregnant women had adequate dietary diversity. Being an urban dweller [adjusted odds ratios (AOR = 2.4. 95% CI: 1.1, 5.18)], being a housewife (AOR = 3.44, 95% CI: 1.37, 8.68), being employed (AOR = 3.69, 95% CI: 1.12, 12.16), being a merchant (AOR = 3.43, 95% CI: 1.15, 10.24), being a daily laborer (AOR = 3.66, 95% CI: 1.0, 13.45), having a low average monthly household income of <500 Ethiopian birr (ETB) (AOR = 0.25, 95% CI: 0.07, 0.83), practicing home gardening (AOR = 2.5, 95% CI: 1.39, 4.5), meal frequency being three or more times per day (AOR = 2.9, 95% CI: 1.64, 5.09), and receiving dietary counseling during antenatal care (AOR = 3.56, 95% CI: 2.0, 6.35) were factors associated with the dietary diversity of the pregnant women. This study found that 55.4% of the pregnant women had adequate dietary diversity. Place of residence, women's occupation, average monthly household income, practicing home gardening, meal frequency per day, and receiving dietary counseling during antenatal care were strong predictors of adequate dietary diversity among pregnant women. Therefore, attention should be paid to pregnant women's diet by healthcare providers during antenatal care.

PREDICTING SELF-ASSESSED HEALTH STATUS IN WOMEN: WHAT COUNTS FOR GERMAN MIDWIVES AND MEDICAL OFFICE ASSISTANTS?

Previous studies on women's work and health have tended to summarize women's occupations in broad categories and ignore job-specific workload. We compared occupational characteristics, burnout, health behaviour, and predictors of subjective health status between German midwives and medical office assistants (MOAs). We conducted a cross- sectional survey using a standardized questionnaire with items addressing aspects of the occupational biography, job characteristics, unpaid work, social support, gender role orientation, and health status and behaviour. Burnout was measured using the Maslach Burnout Inventory (MBI, Maslach and Jackson 1986). Altogether 386 questionnaires for midwives and 552 questionnaires for MOAs were sent out (response rates 60.4% and 44.1% respectively). Chi-square- and Mann-Whitney-U-tests and multiple regression models were conducted. Significant group differences were found regarding, for example, satisfaction with salary and control. More midwives than MOAs would choose their profession again (p&lt;0.001). The level of burnout was medium for MOAs. Midwives had medium levels of burnout on two subscales and low levels on one subscale of the MBI. Health behaviours such as smoking, alcohol consumption and exercise did not differ between the occupations. Midwives conducted breast self-examination and ate whole-wheat products more often, whereas MOAs utilized GP and cancer checkups more frequently and consumed more medication. Satisfaction with salary and overtime hours predicted burnout in both occupations. Burnout and smoking were the only overlapping predictors of the health status of midwives and MOAs. Further studies should consider differences between female-dominated occupations when designing appropriate studies on women's health. Increases in salary and reductions in overtime hours may be appropriate interventions for health promotion in these occupations.

Dietary Intake Pattern and Nutritional Status of Women of Reproductive Age in Slum Areas of Pokhara Metropolitan.

The pattern of diet intake is associated with food availability and the intake of nutrients from different food groups and is an important component of nutritional status. The dietary habits of individuals are integral to understanding their nutritional wellbeing, making this assessment crucial for public health interventions. The objective of the study was to assess the dietary intake pattern and nutritional status among women of reproductive age in slum areas of Pokhara Metropolitan. Methodology. A cross-sectional analytical study was conducted to assess the dietary intake pattern and nutritional status among 404 women of reproductive age in the slum area of Pokhara from June 2019 to December 2019. A simple random sampling technique was used to select the wards while a purposive sampling technique was used to collect the samples. 24-hour recall meal-based questions and anthropometric measurements were used for collecting data. Data were entered into EpiData and analyzed using SPSS version 16 software for analysis. Frequency and mean, median, chi-square test, and logistic regression were performed. The mean (±SD) age (SD) of the participants was 31 (±9.25) years, and most of the participants belonged to the age group 25-35 years. Out of 404 women of reproductive age, 99% of the participants consumed starchy staple foods daily, while 56.7% ate vegetables daily, and nearly half frequently consumed prepackaged foods and soft drinks. Among the total participants, 41.3% were found with a normal BMI, 37.6% were overweight, and only 12.4% were underweight. There was a significant association between underweight and age, women's occupation, and frequency of food consumption per day. Age, knowledge of nutrition, and frequency of food consumption per day were found to be associated factors with being overweight at a p value <0.05. Age, occupation status, and frequency of food consumption were the key predictors of being underweight, and age, knowledge regarding nutrition, and frequency of meals were the key predictors of being overweight. Developing countries must emphasize the importance of considering these factors in public health interventions and strategies aimed at promoting healthy weight management. More studies are needed.

Prevalence and factors associated with adequate dietary diversity among pregnant women in Nekemte town, Western Ethiopia, 2021.

Dietary diversity refers to increasing the consumption of a variety of foods. The consumption of diversified food during pregnancy enables the adequate intake of 11 important micronutrients. Inadequate dietary intake during pregnancy is the major determinant factor in the risk of low birth weight infants. It is capable of ensuring the adequate intake of essential nutrients, which can promote good physical health and mental development. Pregnant women require more protein, iron, iodine, vitamin A, folate, and other nutrients. Adequate intake of fruit, vegetables, and animal products throughout the life cycle helps ensure that women enter pregnancy and lactation without deficiencies. Micronutrient deficiency and protein, carbohydrate, and fat intake imbalances are also linked to an increased risk of chronic disease. To assess the prevalence and associated factors with adequate dietary diversity among pregnant woman in Nekemte town, western Ethiopia, 202.1. A community-based cross-sectional study was conducted among 475 pregnant women in the town. We used a systematic random sampling technique. Data were collected through face-to-face interviews by trained data collectors using a validated questionnaire. Before being exported to STATA version 14, data were entered into EpiData version 3.1, cleaned, coded, and checked for missing values. Results from bivariable analysis of p-value less than 0.25 were moved to a multivariable binary logistic regression model for analysis. Finally, multivariable logistic regression with p-value of less than 0.05 was considered statistically significant. The Prevalence of adequate dietary diversity was 43.6% (95% CI; 39.1-48.1). Households with the richest wealth index adjusted odds ratio (AOR = 3.17; 95%Confidence Interval = 1.60-6.28), those who have antenatal care (AOR = 2.16; 95%CI = 1.22-3.84), and women who were government employees (AOR = 1.87; 95%CI = 1.01-3.48) were positively associated with adequate dietary diversity. On the other hand, food-insecure households (AOR = 0.34; 95%CI = 0.17-0.66), women who had not changed their meal frequency (AOR = 0.613; 95%CI = 0.38-0.99), and women in their third trimester (AOR = 0.40; 95%CI = 0.20-0.81) were negatively associated with adequate dietary diversity during pregnancy. The findings showed that there was a low acceptable level of dietary diversity among pregnant women in the town. Wealth index, antenatal care, women's occupation, household food insecurity, gestational age, and not changing meal frequency were identified as factors associated with adequate dietary diversity. Therefore, multi-sectoral collaboration is needed to enhance the dietary diversity of pregnant women by promoting women's employment and strengthening sustainable income-generating activities.

EP01.01-01 Adenocarcinoma and Small Cell Lung Cancer Risk Associated with Occupation in Women

EP01.01-01 Adenocarcinoma and Small Cell Lung Cancer Risk Associated with Occupation in Women

Job strain, occupation, and bladder health among women.

Lower urinary tract symptoms (LUTS) are common among employed women. An underexplored topic is whether characteristics of women's occupations may influence LUTS. The present study examined whether job strain and its individual components (psychological demands, decision latitude) were associated with greater LUTS and their impact and whether, compared to managerial and professional occupations, occupations characterized by manual labor, sales, service, nursing, and teaching were associated with greater LUTS and their impact. Coronary Artery Risk Development in Young Adults cohort study data were analyzed. Job strain and occupation were assessed in 1987-88 and 1995-96. In 2012-13, LUTS and their impact were assessed. LUTS/impact category (a composite variable ranging from bladder health to mild, moderate, and severe LUTS/impact) was regressed on job strain and occupation in separate analyses, adjusting for age, race, parity, education, and financial hardship (n = 1006). Job strain and its individual components were not associated with LUTS/impact. In comparison to managerial and professional occupations, service occupations in 1987-88 and 1995-96 were both associated with greater odds of LUTS/impact in proportional odds logistic regression analyses. Employment as a nurse, health assistant, or health aide in 1995-96 was associated with greater odds of any LUTS/impact versus bladder health. Support positions in 1987-88 and sales positions in 1995-96 were associated with greater odds of moderate or severe LUTS/impact versus bladder health or mild LUTS/impact. Future research should examine characteristics of workplaces that may promote or constrain bladder health (e.g., time and autonomy to void when desired, infrastructure to void).

Postnatal Consultation According to Who Recommendations Has the Motherhood of Thereference Health Center of Kalaban Coro in Bamako (Mali)

The aim was to evaluate the postnatal consultation (CPON) according to WHO recommendations at the maternity ward of the Kalaban Coro reference health centre in Bamako (Mali). Material and Method: This was a cross-sectional study with prospective collection from May 21 to July 21, 2018, i.e. a period of 2 months. Results: In our study, we recorded a total of 440 deliveries who were seen in postnatal consultations. When this number is compared to the total number of deliveries, this gives a postnatal consultation completion rate of 56.4% (782). Of the 440 women, 390 performed all three recommended CPON (88.4%). Fifty (50) women gave birth performed only the first CPON while only 2 completed the first and second CPON. There were no significant differences between women receiving CPON based on medical and obstetric history The factors influencing the occurrence of neonatal death in this work were: adolescence (&lt;20 years); the emergency reference, the existence of high blood pressure in the mother and premature delivery. Less than 5% of neonatal deaths were recorded during our study the number of women seen at the first, second and third postnatal visits were 440, 392 and 388 respectively. There was no association between antenatal consultation rank and the woman's age, education and occupation. Primigestity, the existence of high blood pressure during pregnancy and reference during labour were the three main factors associated with the occurrence of maternal complications after multivariate

Uang Panai: a phenomenology in determining the price of marriage

Uang panai a significant role in the smooth conduct of marriage. In Bugis culture, giving uang panai is an obligation in marriage. This study utilizes a systematic literature review (SLR) of several articles on uang panai in South Sulawesi. The findings of this research indicate several factors that influence the determination of uang panai, such as noble lineage, education, economy, and women's occupation. The agreement on the value of uang panai should avoid imposing excessive burdens on the groom while respecting the dignity and position of the bride, facilitated by effective communication between both parties.

Childbearing: The First Birth Interval and Its Determinants in the Employees of Tehran University of Medical Sciences, Iran, 2018 - 2021

Background: Childbearing is a major concern in some countries around the world. The fertility pattern can be described by several indicators, such as the first birth interval (FBI). Objectives: This study aimed to predict the factors affecting the time of first birth. Methods: This cross-sectional study is part of a cohort study in Iran (2018-2021). The participants were 986 married women who were employees at the Tehran University of Medical Sciences (TUMS) and enrolled by the census method. A checklist was used to collect information. Data were described by mean, SD, frequency, and the effect of the variables on first birth and analyzed by the Cox analysis. Results: The adjusted hazard ratio (aHR) of the first birth was higher in the women with a high level of education than in those with a lower level of education (aHR = 0.29; 95% CI, 0.16 - 0.52; P &lt; 0.001). Also, the hazard of earlier first birth tripled in women with higher occupation levels than those with lower occupation levels (aHR = 0.34; 95% CI, 0.59 - 0.96; P &lt; 0.05). The hazard of first birth was lower in married women under 20 years than in those with other cohort age groups (aHR = 1.87; 95% CI, 1.09 - 1.89; P &lt; 0.001). Conclusions: The age at first birth is significantly under the effect of women's education, occupation, marriage age, and wealth index.

Occupations and balance during the transition to motherhood with a lifetime chronic illness: A scoping review examining cystic fibrosis, asthma, and Type-1 diabetes.

Throughout the transition to motherhood, changes are experienced across a woman's physical, mental, social, and occupational self. Maternal chronic illness adds the complexity of increased healthcare needs and navigating a high-risk, medicalised pregnancy, birth, and post-natal period. Literature concerning motherhood transitions in chronic illness generally focusses on the mother's medical health and pregnancy outcomes; little is known about the impacts on women's occupations, balance, and quality of life. Understanding these issues may help support women in a more tailored and holistic way. This scoping review aims to gather, analyse, and synthesise existing empirical research on occupational engagement and occupational balance as they impact on wellbeing and quality of life in women with a lifetime chronic illness before and during pregnancy and in early motherhood. The review follows the nine-stage framework described in the Joanna Briggs Institute Manual for Evidence Synthesis (2020). Five databases were searched: Embase, Medline, PsycINFO, CINAHL, Scopus, and OT Seeker. Data were extracted and examined via content analysis, described in narrative synthesis, summarised into a conceptual framework, and tabulated. A total of 8,655 papers were discovered on initial search. Following title and abstract screening, 220 full-text studies were assessed for eligibility, and 46 papers were finally included. Analysis generated four major themes: The Disrupted Transition Journey; Adaptation, Compromise and Choice; Outcomes; and Drawing on What's Available. The themes were conceptualised into a framework to explain how women sought to balance motherhood and illness-related occupations. Adequate access to information, social support, expert care, and financial resources improved both quality of life and healthcare compliance. Findings of this scoping review deepen the understanding of occupational balance during the transition to motherhood in the context of lifetime chronic illness. Healthcare providers and supportive family and friends can use this knowledge to adapt their approach to assisting women with chronic illness on the motherhood journey. These findings may also inform further inquiry into the scope of occupational therapy practice with this population.

High prevalence of food insecurity in peri-urban communities in Karachi, Pakistan: The flood aftermath.

Food insecurity (FI) is at a steep risk, especially in low middle-income countries. FI is further compounded in areas that experience environmental and economic instability, thus a reassessment in such critical times is required for burden estimation and to propose targeted interventions. The objectives of this study were to assess the prevalence of, and sociodemographic factors associated with FI, as well as the coping strategies utilized in response to FI in peri-urban communities in Karachi, Pakistan. We conducted a cross-sectional survey from November-December 2022 on 400 households in four peri-urban communities in Karachi, Pakistan. The Household Food Insecurity Access Scale (HFIAS) and reduced Coping Strategies Index (rCSI) questionnaire were used to assess FI. A Poisson regression was used to assess associations between sociodemographic factors and FI. The overall prevalence of FI was found to be 60.2% (n = 241) of which 33.8% (n = 135) were severely food insecure. Age, women's and breadwinners' education, women's occupation, and parity were significantly associated with FI. Participants reported relying on less expensive foods (44%) and borrowing food or help from others (35%) as the most common coping strategies overall in the FI households. With more than half the households facing FI and adopting severe measures to cope in these communities, it is pivotal to design and test interventions that can withstand economic and climate catastrophes and help ensure a safety need for food security for the most vulnerable.

Marriage Registration Practice in Nepal

Marriage registration is a relatively more difficult and serious issue than other vital events registration. It was once viewed solely as a mechanism for recording life events and updating data on a regular basis, but in the modern world, it has evolved into a socio-economic and right-based approach. This study found, the practice of marriage registration in Nepal is yet unfamiliar. According to the study, women's age, literacy, media exposure, urban settlement, caste/ethnicity, occupation, wealth index and CEB appear to be the primary influencing elements in Nepal's marriage registration practice.

Pregnant Women's Experiences with Midwifery-Led Antenatal Care Services in Peri-Urban Communities in Karachi, Pakistan.

To understand pregnant women's experience with midwifery-led antenatal care services using the Respectful Maternity Care charter in primary health centers in Karachi, Pakistan. This cross-sectional study was at Rehri Goth and Ibrahim Hyderi, two peri-urban communities in Karachi, Pakistan, where women receive antenatal care services. All pregnant women in their third trimester who consented during the study period were included. The participants were asked about access to care, antenatal care experience, person-centered approach, and general satisfaction with the facility using a pre-designed questionnaire. These themes were mapped onto the universal Respectful Maternity Care charter. Descriptive statistics were used to summarize the findings in each of these themes. Multivariable logistic regression techniques to determine the relationship between the dependent and independent variables. There were 904 women who agreed to participate in this study during January to December 2021. Majority of the women (94%, n=854) were satisfied with the operating hours and cleanliness. More than 90% of the women reported positive experiences regarding privacy, respectful treatment by midwives, and non-discriminatory care. However, 40% (n=362) of the women reported not receiving adequate information and informed consent before a medical procedure, while 65% (n=587) reported poor counseling for birth preparedness. Maternal age, women's occupation, women's education, and parity were found to be significantly associated with respect provided, satisfaction with counseling and the consent process. This study reported satisfaction of pregnant women with the facility's ambiance, respect, and care; however, poor communication skills regarding consent and antenatal counseling were reported. The findings suggest the need for more efficient strategies, such as regular respectful maternity care and technical training to strengthen midwife-patient interactions and enhance overall satisfaction, thus improving maternal and newborn outcomes.

Completion of the Maternal Health Care Continuum-Barriers and Facilitators Among Pregnant Women in Jimma Zone, Southwest Ethiopia: A Prospective Study.

Continuum of care (CoC) for Maternal Health Care (MHC) is a key strategy aimed at saving lives and promoting the well-being of women and newborns. To achieve the global targets for reducing maternal and newborn mortality, it is preferable to ensure the completion of key care stages (Antenatal, Institutional Delivery, and Postnatal) rather than fragmented care. Therefore, investigating the determinants of CoC completion for MHC is imperative for recommending schemes and designing strategies. To assess the determinants influencing completion of the maternal healthcare continuum among pregnant women in Jimma Zone, Southwest Ethiopia. A community-based prospective study was conducted from July 2020 to June 2021 among 1065 pregnant women from randomly selected woredas in Jimma Zone. The data were collected, entered using Epi-data and analyzed with SPSS software. Binary logistic regression was used to select candidate variables for multivariate analysis. Multivariate analysis was performed to identify associations between the dependent and independent factors. Principal Component Analysis (PCA) was used to determine the socioeconomic index. The overall completion rate was 16.1% (CI, 13.8%-18.5%), with significant dropouts observed between the first and the fourth ANC.Factors associated with the completion of MHC included the women's residence (AOR: 1.73 95% CI: 1.07, 2.81), educational status of their partners (AOR: 5.60 95% CI: 2.40, 13.08), women's occupation (AOR: 2.57 95% CI: 1.28, 5.16), knowledge of ANC (AOR: 7.64 95% CI: 4.03, 14.48), knowledge of PNC (AOR: 4.88 95% CI: 3.21, 7.42), service provided during ANC contacts (AOR: 3.39 95% CI: 1.94, 5.93), parity (AOR: 1.86 95% CI: 1.11, 3.12), time of booking for ANC (AOR: 2.10 95% CI: 1.45, 3.03), and nature of care (AOR: 2.03 95% CI: 1.07, 3.82). Additionally, factors such as topography, distance, lack of transportation, facility closeness, and indirect costs were associated with the completion for MHC. The completion rate of CoC for MHC remains low. Factors influencing completion include women's residence, partners' educational status, women's occupation, services provided during ANC, history of PNC use, parity, time of booking for ANC, knowledge of ANC and PNC, and nature of care. To address this, strategies should focus on empowering women economically, improving knowledge of ANC and PNC, enhancing the capacity of health facilities to provide comprehensive ANC services, and making the service delivery more supportive. Further research is recommended to explore the impact of CoC for MHC on birth outcomes.

Minimum Dietary Diversity and Associated Factors Among Pregnant Women Living in Arba Minch Health and Demographic Surveillance Sites, Southern Ethiopia, 2022.

Worldwide 1.2 billion women suffer from micronutrient deficiency. Feeding diversified foods during pregnancy prevents pregnancy complications such as severe anemia, low birth weight, and birth defects. However, the status of minimum dietary diversity and associated factors among pregnant women were not explored in the study area; therefore, this study was conducted at the Arba Minch Health and Demographic Surveillance Sites (AMHDSS). A community-based cross-sectional study was conducted from December 19, 2021, to October 30, 2022, on randomly selected 635 pregnant women. The data were collected through face-to-face interviews, and measurements of mid-upper arm circumference using a tablet; then exported to Statistical Package for Social Sciences version 25. Descriptive statistics were used to describe the characteristics of the study participants and presented by text, figures, and tables. Binary logistic regression was used to determine factors associated with pregnant women MDD-W. Independent variables with a P-value < .05 were considered as associated factors. 98.2% of the pregnant women responded to this survey, more than half, (53.3%) of them achieved MDD-W, and 24.2% of the pregnant women were undernourished. The MDD-W was associated with household food security (AOR = 0.55, CI: .36, .83), meal frequency, (AOR = 1.62, CI: 1.1, 2.5), house ownership (AOR = 0.52, CI: .29, .9), ownership of banana farms (AOR = 1.7, CI: 1.02, 2.8), antenatal follow-up (ANC) (AOR = 1.9, CI: 1.1, 3.3), and occupational status (AOR = 6, CI: 2.1, 17.6). The MDD-W outcome in this study was higher than that in other studies. The MDD-W is associated with, ANC follow-up, meal frequency, living in a food-secured household, ownership of a house, and pregnant women's merchant occupation. For optimal pregnancy outcomes; the AMHDSS and stakeholders might need to work in collaboration to increase ANC coverage and meal frequency for pregnant women. In addition, micronutrient supplementation, and increasing the availability/production capacity of food-insecure households are expected.

“Africa's First Woman Press Photographer”: Mabel Cetu's Photographs in Zonk!

“Africa's First Woman Press Photographer”: Mabel Cetu's Photographs in <i>Zonk!</i>

The intergenerational sources of the U-turn in gender segregation

In the early 1970s, the balkanization of the US labor market into "men's occupations" and "women's occupations" began to unravel, as women entered the professions and other male-typed sectors in record numbers. This decline in gender segregation continued on for several decades but then suddenly stalled at the turn of the century and shows no signs of resuming. Although the stall is itself undisputed, its sources remain unclear. Using nearly a half-century of data from the General Social Survey, we show that a resurgence in segregation-inducing forms of intergenerational transmission stands behind the recent stall. Far from serving as impartial conduits, fathers are now disproportionately conveying male-typed occupations to their sons, whereas mothers are effectively gender-neutral in their transmission outcomes. This segregative turn among fathers accounts for 47% of the stall in the gender segregation trend (between 2000 and 2018), while the earlier integrative turn among fathers accounts for 34% of the initial downturn in segregation (between 1972 and 1999). It follows that a U-turn in intergenerational processes lies behind the U-turn in gender segregation.

Magnitude and Factors Associated with Late Initiation of Antenatal Care Booking on First Visit Among Women in Rural Parts of Ethiopia.

Early antenatal care visits enhance early detection and treatment of pregnancy problems, resulting in optimal delivery management. This study aimed to assess the late initiation of antenatal care visits among pregnant women in rural parts of Ethiopia. A 2016 Ethiopian Demographic and Health Survey provided the data for this study and a population-based cross-sectional study was conducted during data collection. Only 3065 women from rural areas were included in this study due to having complete information from all eligible women aged 15 to 49 who participated in the interview during data collection. SPSS-20 and R-4.1.2 statistical software were used to examine the data. The factors associated with the late initiation of antenatal care visits were identified using descriptive analysis and a binary logistic regression model. This finding revealed that only 31% of women visited their initial antenatal care within the first 3months. The distance between the health facility and the participants was a concern for 87.7% of the participants. Our research found that women's education, maternal age, region, media access, women's occupation, distance from the health facility, wealth index, pregnancy complication, and pregnancy plan all had significant effects on the late initiation of antenatal care visits. When compared to the reference group, women with a secondary and above education (AOR = 1.52, p-value = 0.02), women in age group 30-34 (AOR = 1.57, p-value = 0.02), and women in age group 35-39 (AOR = 1.56, p-value = 0.03), women with media access (AOR = 2.4, p-value = 0.04), richer women's (AOR = 1.29, p-value ≤ 0.001), women with pregnancy previous complication (AOR = 1.58, p-value ≤ 0.001), and women who had plan to the pregnancy (AOR = 1.26, p-value = 0.02) were more likely to start visiting ANC service earlier. In addition, private worker mothers, housewife women, and mothers having distance problems were less likely to visit antenatal care service before or at 12weeks of gestation compared to those mothers in reference categories of each variable. In Ethiopia, particularly in rural areas, early registration to antenatal care visits was extremely low. Community-based services such as media coverage, education, transportation, and raising awareness about the need of receiving antenatal care services early are required to encourage expecting mothers to attend their ANC appointment on time.

THE RELATIONSHIP BETWEEN CORONAVIRUS FEAR AND ANXIETY IN PREGNANT WOMEN DURING COVID-19 OUTBREAK

The aim of this research is to determine the relationship between coronavirus (COVID-19) fears and anxiety levels of pregnant women. The research was conducted in descriptive and cross-sectional design with 461 pregnant women between 15.10.2020-15.11.2020. Data were collected using personal information form, COVID-19 Fear Scale, and Beck Anxiety Scale. There was no statistically significant difference between the women's occupation, number of pregnancies, family structure, and income status, and the total mean scores of COVID-19 fear (p&amp;gt;0.05). While the coronavirus fear average score of pregnant women (21.29±6.08) was above the medium level, it was found to be at a moderate level for anxiety (15.85±9.80). It was determined that there was a significant positive difference between the COVID-19 fear and anxiety in pregnant women (r=.399, p&amp;lt;0.01). It can be recommended to provide telephone consultation service to pregnant women during the pandemic to reduce their fear and anxiety levels and inform them using mass communication methods.

Women's Strategies for Managing Land in Rural England, circa 1700‐1800

AbstractAnalysing landholding histories of sixty‐one women farming land in Puddletown, Dorset, across the eighteenth century, this article shows, first, that the scale of women's ownership and occupation of land declined over time and, second, that women were less likely to expand and more likely to retire or scale back their farming enterprises than men. These differences are accounted for by age because most women landholders were widows and, therefore, generally older than their male counterparts. Like young men, younger widows expanded their farming enterprises, while women widowed later in life were more likely to scale back their holdings, as were elderly men.