Women's Health Information Research Articles

Modified CMIS Factors Predicting Chinese Women's Mental Health Information Seeking in Douyin

The popularity of Douyin (known as TikTok overseas) could provide additional mental health information services to Chinese women. However, the factors that influence women to seek mental health information services in Douyin are still understudied. The study applied the Comprehensive Model of Information Seeking (CMIS) to Chinese women's mental health information seeking behaviors on Douyin to examine this. The study used a questionnaire (N=505), and the data analysis was conducted using partial least squares structural equation modeling (PLS-SEM). SmartPLS 4.0 was the primary data analysis technology. Results showed that direct experience, beliefs, salience, and characteristics of mental health information could significantly affect the utility of mental health information on Douyin. In addition, utility, social support, and characteristics directly affect Chinese women's mental health information seeking. Moreover, utility partially mediates the relationship between direct experience, beliefs, salience, characteristics, and mental health information seeking. Rather than targeting specific diseases or pan-health information, this study demonstrates the possibility of applying CMIS to mental health information seeking. This insight could contribute to Douyin and government health interventions to better meet the mental health information needs of Chinese women.

Content and quality of YouTube regarding women's health: a scoping review.

This scoping review investigated the content and quality of YouTube videos on women's health. A literature search of the Cochrane Library, PubMed, Embase, CINAHL, ERIC, and RISS databases was performed using the keywords "('youtube'/exp OR youtube OR 'social media'/ exp OR 'social media' OR (('social'/exp OR social) AND ('media'/exp OR media))) AND ('female health care' OR (('female'/exp OR female) AND ('health'/exp OR health) AND ('care'/exp OR care)))" from February 21 to 27, 2023. Peer-reviewed analytic studies in English or Korean that focused on women's health using YouTube were included. The review identified 21 articles that covered various themes related to women's health, such as breast cancer, urinary disease, sexual health, pelvic organ prolapse, the human papillomavirus vaccine, Papanikolaou smears, contraception, women's health information during the coronavirus disease 2019 pandemic, obstetric epidural anesthesia, and placenta accreta. However, the overall quality of the content was low, inaccurate, unreliable, and misleading. This scoping review demonstrated that YouTube videos on women's health covered diverse topics, but the quality of the content needed improvement. More reliable and high-quality videos produced by academic institutes and healthcare professionals specializing in women's health are needed for social media to be usable as a reliable source of women's health information. The high number of views and shares received by the videos underscores the importance of providing accurate and reliable information on women's health.

A Study of Women's Health Information Seeking Behavior (30 to 50 Years) in Kermanshah

Background: Women play a decisive role in various aspects of family health, therefore their access to and using the documented health information in order to manage the family is very important. Objectives: This study aimed to investigate the health information seeking behavior in 30 to 50 years old women of Kermanshah city. Methods: This cross-sectional online survey was conducted with among women aged 30 to 50 years in Kermanshah city, in western Iran. Sample size based on Cochran's formula was determined as 383 people. Participants were invited and recruited through social media. Data were collected using a researcher-made questionnaire. The validity of the questionnaire was confirmed by a panel of experts consisting of information and communication science specialists, and its reliability was confirmed by Cronbach's alpha coefficient of 0.783. Data were analyzed using one-way analysis of variance and independent t-test in SPSS software version 24. Results: The results showed that the main purpose of participants for health information seeking behavior (HISB) was to know about the type of diseases. Among the health information resources, the most use belonged to Internet resources (website), national media (health channel in TV), people around (family members), social networks (telegram), doctors (specialist doctor) and print sources (books). Health information seeking behaviors were not differ according to demographic variables including marital status, level of education, income level, and area of residence. Conclusions: Heavy use of internet resources, few visits to doctors, and less reading of books are challenging for health information seeking because non-specialized and undocumented information may be used. Officials should provide internet resources and virtual media with rich and documented information in order to develop community health by women.

A systematic assessment of online international breast density information

BackgroundBreast density has become a topic of international discussion due to its associated risk of breast cancer. As online is often a primary source of women's health information it is therefore essential that breast density information it is understandable, accurate and reflects the best available evidence. This study aimed to systematically assess online international breast density information including recommendations to women. MethodsSearches were conducted from five different English-speaking country-specific Google locations. Relevant breast density information was extracted from the identified websites. Readability was assessed using the SHeLL Editor, and understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT). A content analysis of specific recommendations to women was also conducted. ResultsForty-two eligible websites were identified and systematically assessed. The included informational content varied across websites. The average grade reading level across all websites was 12.4 (range 8.9–15.4). The mean understandability was 69.9% and the mean actionability was 40.1%, with 18/42 and 39/42 websites respectively scoring lower than adequate (70%). Thirty-six (85.7%) of the websites had breast density-related recommendation to women, with ‘talk to your doctor’ (n = 33, 78.6%) the most common. ConclusionsOnline information about breast density varies widely and is not generally presented in a way that women can easily understand and act on, therefore greatly reducing the ability for informed decision-making. International organisations and groups disseminating breast density information need to ensure that women are presented with health literacy-sensitive and balanced information, and be aware of the impact that recommendations may have on practice.

Accessibility of web‐based health information for women in midlife from culturally and linguistically diverse backgrounds or with low health literacy

ObjectiveTo measure the accessibility of Australian web‐based health information for midlife women including those from culturally and linguistically diverse (CALD) backgrounds or with low health literacy. MethodsSearch terms relating to midlife health were entered into Google Australia to identify health information websites. The content of the first two results pages was assessed using the European Commission's quality criteria for health websites. Readability was assessed using the Flesch Readability Ease Score with Grade 8 accepted as the average Australian reading level. ResultsSixteen websites were evaluated. Accessibility scores ranged between 0 and 8. The Victorian Government's health website Better Health Channel and the Jean Hailes for Women's Health website contained the most accessible information, each scoring 8, but were both ‘difficult to read’ on the readability test. Four websites included written resources in languages other than English and two had information in audio‐visual format in languages other than English. ConclusionsThere is a gap in accessible online health information for Australian women from CALD backgrounds or those with low health literacy. Implications for public healthHealthy behaviour changes in midlife may lead to better health in older age. More accessible health information resources are needed for women in midlife from CALD backgrounds and those with low health literacy.

Health-wellness resources on Canadian immigrant service provider organizations’ websites: A content, navigability, usability, and credibility analysis towards service & asset mapping

BackgroundImmigrant service provider organizations (SPOs) are often immigrants’ first point of contact to Canadian systems, such as job, education, health and social care, and housing. Prior research emphasizes the health literacy potential of websites as information infrastructures that can reduce information poverty and improve health outcomes. Yet, whether health-wellness resources are present on immigrant SPOs’ websites in a user-friendly manner remains unexplored. MethodsWe identified the presence of health-wellness resources on SPOs’ websites and analyzed those contents to understand their typology. We also ascertained the navigability, usability, and credibility of those websites regarding the health-wellness resources. ResultsAmong the 1453 SPO websites identified, only 289 (35.9%) had health-wellness information in their web-contents. Of the websites with health-wellness contents, “lifestyle and wellness resources” were present on 86.5% and “healthcare system resources” were present on 80.6% of the websites. Regarding “navigability”, zero to two mouse clicks were required to access health-wellness resources on 94.8% of the websites; however, more than one language option was very limited, available on less than a quarter of websites. ConclusionsAs immigrants continue to seek information online, immigrant SPOs’ websites hold value in increasing the health literacy and health-wellness of immigrants. This research assessed the current state of immigrant SPOs’ websites as information infrastructures and reveals areas for improvement. We recommend SPOs add resources for obtaining healthcare card, accessing primary care, sexual and reproductive, parenting, senior's health, mental wellbeing, and women's health information to their websites. We also recommend websites accommodate ethnic language option to improve navigability for immigrants.

Egyptian pregnant women's health information needs and behaviour: A qualitative study

The primary goal of this research is to examine Egyptian pregnant women's health information needs and behaviour in terms of their thoughts, perceptions, attitudes, motives, interests, techniques, preferences, tools, and other factors that influence their use of health information. Six focus groups with an effective size of 64 women were used in a qualitative approach. Approximately two-thirds of the Egyptian pregnant women sampled in this study were between the ages of 26 and 35, had a Bachelor's degree (BA), and were classified as upper-middle income. Approximately two-thirds of the pregnant Egyptian women sampled were able to precisely identify these needs and use appropriate means to meet them. Many of them preferred to communicate with their families, relatives, peers, and friends, particularly those who are currently pregnant or have recently delivered, via cell phones or inperson meetings. Verbal communication with mothers and relatives, friends, as well as gynaecologists and healthcare providers have been identified as the most commonly used communication channels. Pregnant Egyptian women surveyed used health information sources to assist with pregnancy-related tasks such as understanding the requirements for monitoring the foetus's health, nutrition, weight, growth, and movement, and finding suitable and affordable birthplaces. The majority of them have used a variety of technologies for day-to-day communication, particularly cell phones, the Internet, social media, and social networking sites such as WhatsApp and Facebook. Because of the difficulties associated with pregnancy, many pregnant women have stated that using any type of library to meet their health information needs plays no significant role. The most significant barriers encountered by Egyptian pregnant women in this study were a lack of time, a lack of money, and a lack of knowledge about appropriate sources of information.

The Maternal and Child Health (MCH) Handbook and its Influence on Health Behaviors: A Literature Review

Objectives: The MCH handbook is a health record and home-based information tool that records and provides health information for women throughout their pregnancy, delivery, and postnatal period, and about the child from the years 0-5. A literature review was conducted using current evidence-based results to determine the effectiveness of the MCH handbook Methods: The Medline Ovid database was searched for “Maternal and Child Health Handbook”. Among the 50 results, 17 articles were found to be relevant and thus reviewed. Results: This literature review revealed that the MCH handbook is an effective tool that positively influences the behaviours of pregnant women in regard to immunizations, breastfeeding, nutrition, child development, and illnesses. Allowing for two-way communication ensures that the health of both pregnant women and their child(ren) are taken care of at an optimal level. Discussion: There is a need for greater collaboration between governments, the United Nations, donor agencies and NGOs. This will ensure that every mother, regardless of her culture and socioeconomic class, is educated and empowered well enough to positively impact both the health of her own, and her child(ren)’s.

Women's Health Information Survey: Common Health Concerns and Trusted Sources of Health Information Among Different Populations of Female Patients.

Background: Women are more likely to search for information on behalf of both themselves and others, thus making them a valuable target for health information research. The purpose of this project was to identify and compare the most important medical concerns and sources of health information trusted by women in relationship to demographic differences in two different clinical settings within the same geographic area (Mayo Clinic Department of Family Medicine and Beaches Community Health care—a Sulzbacher Center Clinic).Methods: A novel survey tool was developed to obtain information regarding the age, race, and socioeconomic demographics of patients as well as the patients' personal significant medical concerns and trusted sources of health information.Results: Despite the huge development of health care information delivery through online resources, in our study, the majority of patients from both clinics still used and viewed their primary care provider as the most trusted source of health information. The health concerns most reported by both populations included cardiac health, breast and other cancers, and obesity; meanwhile, mental health was significantly more reported by patients from the free clinic.Conclusions: Education level may be an important factor of the awareness and ultimate treatment and prevention of these prevalent diseases. Furthermore, our study results may help improve patient satisfaction, knowledge, and health outcomes.

Maternal Morbidity and Mortality.

Maternal Morbidity and Mortality.

Guideline No. 405: Screening and Counselling for Alcohol Consumption During Pregnancy.

To establish national standards of care for screening and counselling pregnant women and women of child-bearing age about alcohol consumption and possible alcohol use disorder based on current best evidence. Health care providers who care for pregnant women and women of child-bearing age. Pregnant women and women of child-bearing age and their families. Medline, EMBASE, and CENTRAL databases were searched for "alcohol use and pregnancy." The results were filtered for a publication date between 2010 and September 2018. The search terms were developed using Medical Subject Headings terms and keywords, including pre-pregnancy, pregnant, breastfeeding, lactation, female, women, preconception care, prenatal care, fetal alcohol spectrum disorder, prenatal alcohol exposure, drinking behavior, alcohol abstinence, alcohol drinking, binge drinking, alcohol-related disorders, alcoholism, alcohol consumption, alcohol abuse, benzodiazepines, disulfiram, naltrexane, acamprosate, ondansetron, topiramate, cyanamide, calcium carbimide, alcohol deterrents, disease management, detoxification, Alcoholics Anonymous, alcohol counselling, harm reduction, pre-pregnancy care, prenatal care, incidence, prevalence, epidemiological monitoring, and brief intervention. Evidence was included from clinical trials, observational studies, reviews, systematic reviews and meta-analyses, guidelines, and conference consensus. The content and recommendations in this guideline were drafted and agreed upon by the authors. The Board of Directors of the Society of Obstetricians and Gynaecologists of Canada approved the final draft for publication. The quality of evidence was rated using the criteria described in the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology framework. Implementation of the recommendations in these guidelines using validated screening tools and brief intervention approaches may increase obstetrical care provider recognition of alcohol consumption and problematic alcohol use among women of child-bearing age and those who are pregnant. It is anticipated that health care providers will become confident and competent in managing and supporting these women so they can achieve optimal health and pregnancy outcomes. RECOMMENDATIONS (GRADE RATINGS IN PARENTHESES).

Post-discharge needs of Iranian women diagnosed with severe mental illness: A qualitative study.

WHAT IS KNOWN ON THE SUBJECT?: A search of common databases indicates the absence of any research focused on the needs of Iranian women diagnosed with severe mental illness post-discharge from an inpatient setting. Moreover, there is a lacuna of information about the unique experiences and needs of persons diagnosed with severe mental illness living in non-Western communities (esp. Middle Eastern communities). WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE: This study examined interviews of women diagnosed with severe mental illness receiving treatment at an Iranian inpatient hospital. Three categories of post-discharge needs emerged: support, skill acquisition and information. Support consisted of family, social and health system subcategories. Skill acquisition was comprised of social skills, work skills and self-management skills. Lastly, information distinguished between illness-related information and women's health information. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Findings highlight the need for systemic changes to current care models. Broadly, families should be incorporated into care to improve outcomes and decrease stigma. Regarding mental health nursing, results highlighted the need for additional nursing and occupational therapy interventions to empower families and patients. Nursing practitioners can aid in preparing these patients for employment and public health initiatives to decrease stigma and improve access to care. ABSTRACT: Introduction Understanding the post-discharge needs of patients diagnosed with severe mental illness is critical for improving treatment outcomes. Aim The aim of the present study was to determine the unique post-discharge needs of Iranian women diagnosed with severe mental illness. Method Conventional content analysis was utilized to analyse data gathered via focus group interviews conducted within the psychiatric inpatient unit at Farabi hospital located in Kermanshah, Iran. Participants (N=42; M age=40; SD=6.3years) had been diagnosed with a severemental illness, had a history of at least two psychiatric hospitalizations and were awaiting discharge following significant symptom improvement. Results Content analysis extracted three categories of post-discharge needs: support, skill acquisition and information. Support consisted of family, social and health system subcategories. Skill acquisition was comprised of social skills, work skills and self-management skills. Lastly, information distinguished between illness-related information and women's health information. Discussion/Implications for practice Analysis of interview data highlighted the general need for adopting a family-system approach to reduce stigma, increase knowledge and foster skill acquisition. Regarding mental health nursing, results highlighted the unique role of nurses and their capacity to pre-emptively address needs such as aiding in employment. Lastly, findings are contrasted against Western care models.

Codesigning care improvements for women living with HIV: a patient-oriented deliberative dialogue workshop in Montréal, Quebec

Care services have not been sufficiently adapted to meet the comprehensive care needs of women living with HIV. Our study objective was to engage patients and providers in codesigning care recommendations to improve care for this population in the province of Quebec. We conducted a 5-hour deliberative dialogue workshop in April 2019 in Montréal as the final phase of a mixed-methods study investigating comprehensive care for women living with HIV. The study drew on data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Recruitment was guided by a purposive maximum-variation sampling strategy to ensure an appropriate mix of participants and was facilitated by our existing CHIWOS networks. Participants included patients (women living with HIV) and HIV care providers (doctors, nurses, pharmacists). The workshop was facilitated professionally and included a synthesis of the evidence, small- and large-group deliberations, and voting on care improvements. Eight patients and 8 HIV care providers participated. Drawing on identified care priorities, the participants identified 4 relatively rapid care improvements and 3 longer-term improvements. The rapid care improvements included delegating medical acts to members of multidisciplinary care teams; greater involvement of HIV community members within care settings and health care decision-making; creating a women's health information booklet; and increasing HIV education among all health care providers and raising awareness of women's care needs beyond HIV-specific care among HIV care providers. The longer-term care improvements included advocating for complete financial coverage of antiretroviral therapy within the government-sponsored Medicare program, facilitating access to allied care providers (e.g., physiotherapists and psychologists) and launching a population-wide campaign to increase awareness about the Undetectable = Untransmittable (U=U) initiative and other HIV advances. The deliberative dialogue workshop yielded evidence-based, stakeholder-driven recommendations to improve the comprehensive care of women living with HIV in Quebec.

Young sexual minority women's use of the internet and other digital technologies for sexual health information seeking

We know little about the online sexual health information seeking practices and needs specific to young sexual minority women. This is problematic as young sexual minority women report heightened negative sexual health outcomes in contrast to their heterosexual peers, which could be partially addressed through being able to access effective, relevant online sexual health information sources. This exploratory qualitative study employed a series of focus groups to understand more about what types of online resources young sexual minority women access, their motivations for using those resources, and what types of sexual health information they need. The focus group data were analyzed from a thematic analysis approach. Results indicate that participants used a wide range of online resources, such as apps, websites, blogs, and YouTube. The type of resource accessed often depended upon the information needed. Participants reported preferring online resources due to experiences or expectations of heteronormativity from their sexual health service providers, convenience and accessibility, the capacity to remain anonymous, and the lack of relevant sexual health information offline. These findings help begin to fill the gap on knowledge of young sexual minority women's sexual health information seeking practices, which can be used for the development of effective online sexual health information resources targeting young sexual minority women.

Mammography Patient Information at Hospital Websites: Most Neither Comprehensible Nor Guideline Supported.

Ongoing controversy regarding screening mammography guidelines has created confusion for many patients. Given recommendations that patient educational material be prepared at or below the 7th grade reading level of average Americans, the purpose of this study was to assess the readability of online mammography information offered by hospitals nationwide. During 2015, online mammography patient educational materials were identified for all Medicare-recognized hospitals nationwide for which screening mammography metrics were publicly available. Patient educational materials were assessed using six validated readability score algorithms. All references to official screening guidelines were captured. Of 4105 hospitals nationwide, 3252 had websites and confirmable screening mammography services. Of those, 1753 (54%) offered mammography information material online. Only 919 (28%) referenced any professional society guidelines. After excluding information not formatted in HTML and shorter than 100 words (to improve algorithm reliability), 1524 hospital mammography webpages were assessed for grade level scores. Nationally, the mean of each readability score for all hospitals varied between the 10th and 14th grade levels, all higher than the recommended 7th grade level (p < 0.001). At the individual hospital level, only 14 hospitals (0.4%) had mean scores at or below the 7th grade level. Of U.S. hospitals that offer screening mammography and have websites, only 54% provide online mammography educational material. Of those, only 0.4% present information at a reading level comprehensible to average Americans, and only 28% offer specific information to help patients reconcile conflicting guidelines. Health systems offering mammography should strive to better meet women's health information and literacy needs.

ERegistries: Electronic registries for maternal and child health.

BackgroundThe Global Roadmap for Health Measurement and Accountability sees integrated systems for health information as key to obtaining seamless, sustainable, and secure information exchanges at all levels of health systems. The Global Strategy for Women’s, Children’s and Adolescent’s Health aims to achieve a continuum of quality of care with effective coverage of interventions. The WHO and World Bank recommend that countries focus on intervention coverage to monitor programs and progress for universal health coverage. Electronic health registries - eRegistries - represent integrated systems that secure a triple return on investments: First, effective single data collection for health workers to seamlessly follow individuals along the continuum of care and across disconnected cadres of care providers. Second, real-time public health surveillance and monitoring of intervention coverage, and third, feedback of information to individuals, care providers and the public for transparent accountability. This series on eRegistries presents frameworks and tools to facilitate the development and secure operation of eRegistries for maternal and child health.MethodsIn this first paper of the eRegistries Series we have used WHO frameworks and taxonomy to map how eRegistries can support commonly used electronic and mobile applications to alleviate health systems constraints in maternal and child health. A web-based survey of public health officials in 64 low- and middle-income countries, and a systematic search of literature from 2005–2015, aimed to assess country capacities by the current status, quality and use of data in reproductive health registries.ResultseRegistries can offer support for the 12 most commonly used electronic and mobile applications for health. Countries are implementing health registries in various forms, the majority in transition from paper-based data collection to electronic systems, but very few have eRegistries that can act as an integrating backbone for health information. More mature country capacity reflected by published health registry based research is emerging in settings reaching regional or national scale, increasingly with electronic solutions. 66 scientific publications were identified based on 32 registry systems in 23 countries over a period of 10 years; this reflects a challenging experience and capacity gap for delivering sustainable high quality registries.ConclusionsRegistries are being developed and used in many high burden countries, but their potential benefits are far from realized as few countries have fully transitioned from paper-based health information to integrated electronic backbone systems. Free tools and frameworks exist to facilitate progress in health information for women and children.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-0801-7) contains supplementary material, which is available to authorized users.

An Assessment of Canadian Criminalized Women's Health Information Preferences and Health Literacy Skills

An Assessment of Canadian Criminalized Women's Health Information Preferences and Health Literacy Skills

An Assessment of Canadian Criminalized Women's Health Information Preferences and Health Literacy Skills

This research assessed criminalized women's health literacy skills. Health literacy is conceptualized as one's ability to access, understand, appraise, communicate, and act upon health information. Estimates of health literacy skill for criminalized women in Canada do not exist. The research question that guided this study was: what are the assessed health literacy skills of criminalized women? A cross-sectional survey design assessed participant demographics, health information preferences, and health literacy skills. The Newest Vital Sign (NVS) was administered to incarcerated women in Ontario, Canada. Descriptive statistics of demographic data and assessed health literacy skills were reported. Eighty-five women with a mean age of 29 years participated. The majority (N= 50, 65%) reported an income less than $14,999 (CAN) and 81% (N=68) reported their education level as a high school diploma or less. A range of health literacy skill (inadequate (51%), marginal (15%), adequate (34%)) were documented with a mean NVS score of 2.79± 1.75/6. The results demonstrated participants' had limited health literacy skills, which have far reaching implications for the development of health resources that strive to accommodate diverse health literacy skill and lived complexity. The results support population level reports of limited health literacy skill among marginalized Canadians.

Rural Women's Health Information Needs: Are Technology-Based Services the Answer?

Various models of community health information delivery exist in Canada. Spiraling health care costs have many governments seeking to promote more judicious (and presumably more cost-effective) use of health care by consumers. One such method is through centralized, government-run health information services that rely heavily on information and communication technologies.

Why research sex differences and similarities?

Why research sex differences and similarities?