Timeliness and Adequacy of Prenatal Care Among Department of Veterans Affairs –Enrolled Veterans: The First Step May Be the Biggest Hurdle
Little is known about access to and use of prenatal care by veterans using U.S. Department of Veterans Affairs (VA) maternity benefits. We compared the timeliness and adequacy of prenatal care by veteran status and payor. (Source: Womens Health Issues)
Source: Womens Health Issues - January 21, 2022 Category: Primary Care Authors: Jodie G. Katon, Jonathan G. Shaw, Vilija R. Joyce, Susan K. Schmitt, Ciaran S. Phibbs Tags: Original article Source Type: research

Women's Substance Use and Mental Health During the COVID-19 Pandemic
Women are experiencing greater unemployment and increased stress from childcare responsibilities than men during the Coronavirus disease 2019 (COVID-19) pandemic. Women with these experiences may be at particular risk for mental illness and increased substance use during the COVID-19 pandemic. The purpose of the study was to assess women's substance use, mental health, and experiences of COVID-19 pandemic impacts. (Source: Womens Health Issues)
Source: Womens Health Issues - January 20, 2022 Category: Primary Care Authors: Amanda Devoto, McKenzie Himelein-Wachowiak, Tingting Liu, Brenda Curtis Tags: Original Article Source Type: research

Women ’s Substance Use and Mental Health During the COVID-19 Pandemic
Women are experiencing greater unemployment and increased stress from childcare responsibilities than men during the COVID-19 pandemic. Women with these experiences may be at particular risk for mental illness and increased substance use during the COVID-19 pandemic. The purpose of the study was to assess women ’s substance use, mental health, and experiences of COVID-19 pandemic impacts. (Source: Womens Health Issues)
Source: Womens Health Issues - January 20, 2022 Category: Primary Care Authors: Amanda Devoto, McKenzie Himelein-Wachowiak, Tingting Liu, Brenda Curtis Source Type: research

Advanced Maternal Age and Its Association With Cardiovascular Disease in Later Life
The objective of this study was to evaluate whether AMA is associated with cardiovascular disease (CVD) later in life, adjusting for important social and health factors related to maternal age. (Source: Womens Health Issues)
Source: Womens Health Issues - January 17, 2022 Category: Primary Care Authors: Carrie Wolfson, Alison Gemmill, Donna M. Strobino Tags: Original article Source Type: research

After Childbirth: Better Data Can Help Align Postpartum Needs with a New Standard of Care
Birthing people build the foundation for long-term health and well-being in the weeks and months after birth, yet data on postpartum health and health outcomes are inadequate to support clinical and policy efforts to ensure optimal postpartum health. Key information is inconsistently measured, often poor in quality, and lacking in continuity throughout the postpartum year. Such data deficits disproportionally impact Black, Indigenous, and People of Color, who experience greater risk for adverse maternal health outcomes compared with non-Hispanic White patients and for whom better data collection and use could have a great ...
Source: Womens Health Issues - January 11, 2022 Category: Primary Care Authors: Julia D. Interrante, Lindsay K. Admon, Alison M. Stuebe, Katy B. Kozhimannil Tags: Commentary Source Type: research

A Comprehensive Analysis of the Costs of Severe Maternal Morbidity
The objectives of this study were to include readmissions and physician costs in the estimates of total costs of severe maternal morbidity (SMM), to consider the effect of SMM on maternal length of stay (LOS), and to examine these for the more restricted definition of SMM that excludes transfusion-only cases. (Source: Womens Health Issues)
Source: Womens Health Issues - January 11, 2022 Category: Primary Care Authors: Claire M. Phibbs, Katy B. Kozhimannil, Stephanie A. Leonard, Scott A. Lorch, Elliott K. Main, Susan K. Schmitt, Ciaran S. Phibbs Tags: Original article Source Type: research

Impact of Medicaid Expansion on Interpregnancy Interval
Medicaid expansion under the Affordable Care Act (ACA) improved access to reproductive health care for low-income women and birthing people who were previously ineligible for Medicaid. We aimed to evaluate if the expansion affected the risk of having a short interpregnancy interval (IPI), a preventable risk factor for adverse pregnancy outcomes. (Source: Womens Health Issues)
Source: Womens Health Issues - January 8, 2022 Category: Primary Care Authors: Can Liu, Jonathan M. Snowden, Maya Rossin-Slater, Florencia Torche, Julia D. DiTosto, Suzan L. Carmichael Tags: Original article Source Type: research

Incorporating HIV Pre-Exposure Prophylaxis Care for Patients Seeking Induced Abortion and Pregnancy Loss Management
Family planning clinical encounters are important opportunities for HIV prevention. Our objectives were to 1) estimate the proportion of patients seeking induced abortion and early pregnancy loss management eligible for HIV pre-exposure prophylaxis (PrEP) and 2) compare PrEP eligibility and uptake between patients with unintended and intended pregnancy. (Source: Womens Health Issues)
Source: Womens Health Issues - January 5, 2022 Category: Primary Care Authors: Sarita Sonalkar, William R. Short, Arden McAllister, Corinne Kete, Leah Ingeno, Jessica Fishman, Helen C. Koenig, Courtney A. Schreiber, Anne M. Teitelman Tags: Original article Source Type: research

Experiencing Sexual Assault and/or Stalking-Related Behavior is Associated with Binge Drinking and Substance Use Consequences in Deployed U.S. Servicewomen
Being deployed is a risk factor for poor postdeployment mental health outcomes in U.S. servicewomen, including harmful drinking. However, to our knowledge, no studies have examined deployment-related sexual assault and exposure to stalking-related behavior in relation to binge drinking and substance use consequences in this population. (Source: Womens Health Issues)
Source: Womens Health Issues - January 3, 2022 Category: Primary Care Authors: Michael A. Cucciare, Michelle A. Mengeling, Xiaotong Han, Kristina Kennedy, James Torner, Anne G. Sadler Tags: Original Article Source Type: research

Women Veterans ’ Attrition from the VA Health Care System
Patient attrition from the Veterans Health Administration (VA) health care system could undercut its mission to ensure care for eligible veterans. Attrition of women veterans could exacerbate their minority status and impede systemic efforts to provide high-quality care. We obtained women veterans ’ perspectives on why they left or continued to use VA health care. (Source: Womens Health Issues)
Source: Womens Health Issues - December 28, 2021 Category: Primary Care Authors: Joya G. Chrystal, Susan Frayne, Karen E. Dyer, Jessica L. Moreau, Cynthia E. Gammage, Fay Saechao, Eric Berg, Donna L. Washington, Elizabeth M. Yano, Alison B. Hamilton Tags: Women Veterans Source Type: research

Ways Forward in Preventing Severe Maternal Morbidity and Maternal Health Inequities: Conceptual Frameworks, Definitions, and Data, from a Population Health Perspective
The United States ranks worse on maternal mortality than other high-resource countries (Tikkanen, Gunja, FitzGerald,& Zephyrin, 2020). It is one of few countries where maternal mortality has not improved in recent decades (GBD 2015 Maternal Mortality Collaborators, 2016). Racial/ethnic and geographic inequities in maternal mortality are substantial and persistent. Black and Native American individuals are particularly burdened, with at least two- to threefold higher mortality than the rest of the population (Admon et  al., 2018). (Source: Womens Health Issues)
Source: Womens Health Issues - December 28, 2021 Category: Primary Care Authors: Suzan L. Carmichael, Barbara Abrams, Alison El Ayadi, Henry C. Lee, Can Liu, Deirdre J. Lyell, Audrey Lyndon, Elliott K. Main, Mahasin Mujahid, Lu Tian, Jonathan M. Snowden Tags: Commentary Source Type: research

Women Veterans ’ Attrition from the VA Healthcare System
Patient attrition from the Veterans Health Administration (VA) healthcare system could undercut its mission to ensure care for eligible veterans. Attrition of women veterans could exacerbate their minority status and impede systemic efforts to provide high-quality care. We obtained women veterans ’ perspectives on why they left or continued to use VA health care. (Source: Womens Health Issues)
Source: Womens Health Issues - December 28, 2021 Category: Primary Care Authors: Joya G. Chrystal, Susan Frayne, Karen E. Dyer, Jessica L. Moreau, Cynthia E. Gammage, Fay Saechao, Eric Berg, Donna L. Washington, Elizabeth M. Yano, Alison B. Hamilton Tags: Original Article Source Type: research

Mental Health and Postpartum Care in California: Implications from California's Provisional Postpartum Care Extension
California's Provisional Postpartum Care Extension (PPCE) extended Medicaid eligibility through 1  year postpartum for women enrolled in Medi-Cal with annual household incomes of 138%–322% of the federal poverty level and maternal mental health diagnoses. (Source: Womens Health Issues)
Source: Womens Health Issues - December 23, 2021 Category: Primary Care Authors: Erica L. Eliason, Sarah H. Gordon Tags: Original Article Source Type: research

The Magnitude and Potential Causes of Sex Disparities in Statin Therapy in Veterans with Type 2 Diabetes: A 10-year Nationwide Longitudinal Cohort Study
Past research has shown that women eligible for statin therapy are less likely than their male counterparts to receive any statin therapy or be prescribed a statin at the guideline-recommended intensity. We compared statin treatment in men and women veterans from a national cohort of older veterans with type 2 diabetes. (Source: Womens Health Issues)
Source: Womens Health Issues - December 20, 2021 Category: Primary Care Authors: Casey H. Buchanan, Elizabeth A. Brown, Kinfe G. Bishu, Erin Weeda, R. Neal Axon, David J. Taber, Mulugeta Gebregziabher Tags: Original Article Source Type: research

Discontinuity of Women Veterans ’ Care in Patient-Centered Medical Homes: Does Workforce Gender Sensitivity Matter?
Prior research has found that 25% of women veterans who are new to the Department of Veterans Affairs (VA) health care system discontinue services within 3  years of initial use. Although it has been suggested that providing more gender-sensitive care might improve women veterans' health care experiences, no study has yet documented an empirical relationship between clinic and provider factors associated with the provision of gender-sensitive care and women veterans’ care discontinuity. (Source: Womens Health Issues)
Source: Womens Health Issues - December 17, 2021 Category: Primary Care Authors: Claire T. Than, Donna L. Washington, Dawne Vogt, Emmeline Chuang, Jack Needleman, Ismelda Canelo, Lisa S. Meredith, Elizabeth M. Yano Tags: Original Article Source Type: research