Congenital Syphilis in the Medicaid Program: Assessing Challenges and Opportunities Through the Experiences of Seven Southern States
Rates of congenital syphilis cases are increasing, particularly among lower socioeconomic populations within the southern United States. Medicaid covers a significant portion of these births, which provides an opportunity to improve birth outcomes. This project sought to collect information from key stakeholders to assess facilitators of and barriers to Medicaid funding of prenatal syphilis screening and to provide insight into improving screening and lowering incidence through the Medicaid program. (Source: Womens Health Issues)
Source: Womens Health Issues - January 30, 2023 Category: Primary Care Authors: Naomi Seiler, William S. Pearson, Laura H. Bachmann, Claire Heyison, Paige Organick-Lee, Aaron Karacuschansky, Gregory Dwyer, Alexis Osei, Helen Stoll, Katie Horton Source Type: research

Research Priorities to Support Women Veterans ’ Reproductive Health and Health Care Within a Learning Health Care System
Women veterans are the fastest growing group of new Veterans Health Administration (VA) health care users. Of the estimated 2.3 million women veterans in the United States, 870,000 women veterans were enrolled in VA in fiscal year 2021, and projections indicate that this number will continue to increase (Frayne et  al., 2018). The demand for reproductive health care services within the VA has grown alongside this rapid increase in women veterans using VA services. Reproductive health is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity , in all matt...
Source: Womens Health Issues - January 24, 2023 Category: Primary Care Authors: Jodie G. Katon, Adriana Rodriguez, Elizabeth M. Yano, Amanda M. Johnson, Susan M. Frayne, Alison B. Hamilton, Laura J. Miller, Kayla Williams, Laurie Zephyrin, Elizabeth W. Patton Tags: Commentary Source Type: research

Social Vulnerability and Initiation of Pharmacotherapy for Gestational Diabetes Mellitus in a Medicaid Population
Our study examines the association between social vulnerability index (SVI) and pharmacotherapy initiation for gestational diabetes mellitus (GDM). (Source: Womens Health Issues)
Source: Womens Health Issues - January 19, 2023 Category: Primary Care Authors: Amelie Pham, Andrew D. Wiese, Andrew J. Spieker, Sharon E. Phillips, Margaret A. Adgent, Carlos G. Grijalva, Sarah S. Osmundson Tags: Original Article Source Type: research

Association Between Perinatal Mental Health and Pregnancy and Neonatal Complications: A Retrospective Birth Cohort Study
This study sought to estimate the incidence of perinatal mental health disorders and the associated increased risk of leading pregnancy and infant complications. (Source: Womens Health Issues)
Source: Womens Health Issues - January 6, 2023 Category: Primary Care Authors: Jennifer D. Runkle, Kendra Risley, Manan Roy, Margaret M. Sugg Tags: Original Article Source Type: research

Life-Course Mobility in Socioeconomic Position and High Depressive Symptoms Among Young Black Women: The SELF Study
Current literature on the association between mobility in socioeconomic position (SEP) and depression demonstrates mixed findings, with variation in the benefits of upward SEP by racial group and ethnic background. No study has examined life-course SEP mobility and depressive symptoms among Black women in the United States. (Source: Womens Health Issues)
Source: Womens Health Issues - December 30, 2022 Category: Primary Care Authors: Opal P. Patel, Arbor Quist, Chantel L. Martin, Ganesa Wegienka, Donna D. Baird, Lauren A. Wise, Anissa I. Vines Tags: Original Article Source Type: research

Is the Risk for Sexual Revictimization Cumulative? A  Prospective Examination
Sexual abuse during childhood is associated with risk for sexual assault as an adult, known as revictimization. Although multiple experiences of sexual assault in adulthood are also common, it is unclear how risk trajectories might continue to evolve in emerging adulthood, defined as ages 18 –25. Clarifying risk trajectories is important to inform the development of targeted risk reduction interventions. To fill this gap, we examined cumulative risk for sexual assault in emerging adult women following multiple experiences of childhood sexual abuse (CSA) and adulthood sexual assault (A SA). (Source: Womens Health Issues)
Source: Womens Health Issues - December 27, 2022 Category: Primary Care Authors: Anna E. Jaffe, Alexandra N. Brockdorf, Terri L. Messman, Kim L. Gratz, David DiLillo Tags: Sexual Victimization Source Type: research

Is the Risk for Sexual Revictimization Cumulative? A Prospective Examination
Sexual abuse during childhood is associated with risk for sexual assault as an adult, known as revictimization. Although multiple experiences of sexual assault in adulthood are also common, it is unclear how risk trajectories might continue to evolve in emerging adulthood, defined as ages 18 to 25. Clarifying risk trajectories is important to inform the development of targeted risk reduction interventions. To fill this gap, we examined cumulative risk for sexual assault in emerging adult women following multiple experiences of childhood sexual abuse (CSA) and adulthood sexual assault (ASA). (Source: Womens Health Issues)
Source: Womens Health Issues - December 27, 2022 Category: Primary Care Authors: Anna E. Jaffe, Alexandra N. Brockdorf, Terri L. Messman, Kim L. Gratz, David DiLillo Tags: Original Article Source Type: research

Voices on Zika: Reproductive Autonomy and Shared Decision-Making During an Evolving Epidemic
We aimed to understand the degree to which pregnant individuals exposed to emerging infections, such as Zika, are engaged by providers in shared decision-making and explore potential barriers to inform strategies to improve care for those most at risk for inequities. Studies have demonstrated that Latinx and Black people are less likely to engage in shared decision-making and are less engaged by providers. Limited research explores factors impacting shared decision-making in prenatal care and in the setting of recent epidemics. (Source: Womens Health Issues)
Source: Womens Health Issues - December 22, 2022 Category: Primary Care Authors: Paula Latortue-Albino, Stephanie Delgado, Rebecca Perkins, Christina Yarrington, Pooja Mehta Tags: Original article Source Type: research

Reasons for Having Unprotected Sex Among Adolescents and Young Adults Accessing Reproductive Health Services
Although research suggests that young people are more likely to have unprotected sex than adults, their reasons for doing so are not well-understood. Among a sample of young people accessing no-cost contraceptive services, we explored their reported reasons for having unprotected sex and their willingness to have unprotected sex in the future. (Source: Womens Health Issues)
Source: Womens Health Issues - December 19, 2022 Category: Primary Care Authors: Sarah F. Nathan, Nancy F. Berglas, Shelly Kaller, Aisha Mays, M. Antonia Biggs Tags: Original Article Source Type: research

Contents
(Source: Womens Health Issues)
Source: Womens Health Issues - December 16, 2022 Category: Primary Care Source Type: research

Editorial Board
Women's Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women's health care and policy. As the official journal of the Jacobs Institute of Women's Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women's health. (Source: Womens Health Issues)
Source: Womens Health Issues - December 16, 2022 Category: Primary Care Source Type: research

Gibbs Leadership Prize: Best Manuscript of 2022 in Women's Health Issues
The Editorial Board of Women's Health Issues is pleased to announce that the Charles E. Gibbs Leadership Prize for the best paper published in Women's Health Issues in 2022 (Volume 32) has been awarded to Sara K. Redd, PhD, MSPH, a postdoctoral fellow at Emory University's Rollins School of Public Health and the Center for Reproductive Health Research in the Southeast. Her article, “Variation in Restrictive Abortion Policies and Adverse Birth Outcomes in the United States from 2005 to 2015,” was co-authored by Kelli Stidham Hall, PhD, MS; Monica S. (Source: Womens Health Issues)
Source: Womens Health Issues - December 16, 2022 Category: Primary Care Tags: Announcement Source Type: research

“We Are Working Harder, Not Smarter”: A Qualitative Inquiry into Care Coordination for Department of Veterans Affairs Mammograms Referred to the Community
The Department of Veterans Affairs (VA) relies on facilities outside of VA to provide mammograms for most VA patients. Prior work suggests challenges to coordinating some sex-specific services between VA and other health care systems (e.g., gynecologic malignancies, maternity care), but little is known about barriers and facilitators to mammogram care coordination. We sought to describe processes for coordinating mammograms referred outside of VA and to characterize VA staff perspectives on care coordination barriers and facilitators. (Source: Womens Health Issues)
Source: Womens Health Issues - December 16, 2022 Category: Primary Care Authors: Gillian R. Monty, Samantha K. Benson, Stefanie A. Deeds, Lisa S. Callegari, Jodie G. Katon, Kristina M. Cordasco, Kristen E. Gray Tags: Original Article Source Type: research

Coverage for the Entire Cervical Cancer Screening Process Without Cost-Sharing: Lessons From Colorectal Cancer Screening
Section 2713 of the Patient Protection and Affordable Care Act (ACA) includes provisions requiring that all ACA Marketplace and non-grandfathered private health plans eliminate cost-sharing (i.e., avoid charging copayments or coinsurance, regardless of whether the plan deductible has been met) for specific preventive health services, including screening for four common cancers: breast, cervical, colorectal, and lung. The primary motivation for removing consumer cost-sharing was to enhance access and reduce well-documented disparities in preventive care use. (Source: Womens Health Issues)
Source: Womens Health Issues - December 16, 2022 Category: Primary Care Authors: Allison Ruff, Diane M. Harper, Vanessa Dalton, A. Mark Fendrick Tags: Commentary Source Type: research

“We Are Working Harder, Not Smarter:” a Qualitative Inquiry Into Care Coordination for Department of Veterans Affairs Mammograms Referred to the Community
The Department of Veterans Affairs (VA) relies on facilities outside of VA to provide mammograms for most VA patients. Prior work suggests challenges to coordinating some sex-specific services between VA and other health care systems (e.g., gynecologic malignancies, maternity care), but little is known about barriers and facilitators to mammogram care coordination. We sought to describe processes for coordinating mammograms referred outside of VA and to characterize VA staff perspectives on care coordination barriers and facilitators. (Source: Womens Health Issues)
Source: Womens Health Issues - December 16, 2022 Category: Primary Care Authors: Gillian R. Monty, Samantha K. Benson, Stefanie A. Deeds, Lisa S. Callegari, Jodie G. Katon, Kristina M. Cordasco, Kristen E. Gray Tags: Original Article Source Type: research