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Pezzali LG, Ferreira FV, Ferreira FV, Wender MCO. Impact of the new coronavirus (SARS-CoV-2) pandemic on climacteric women's health: Websurvey. Climacteric 2023; 26:594-600. [PMID: 37669691 DOI: 10.1080/13697137.2023.2246877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 05/15/2023] [Accepted: 08/03/2023] [Indexed: 09/07/2023]
Abstract
OBJECTIVE The menopausal transition is an important milestone in female reproductive life. Many studies have been conducted to assess the impact of the COVID-19 pandemic on women, but few of them focus on the climacteric population. This study aimed to investigate changes in the health and health care of climacteric women aged 40-70 years residing in Brazil during the pandemic period. METHOD A cross-sectional study was carried out using an electronic form with questions related to sociodemographic, clinical and gynecological data, treatments, access to health services and changes in behavior. RESULTS A total of 419 women answered the questionnaire. Sixty percent reported weight gain and 50.8% reported reduced physical activity practice. More than 80% reported worsening mental health and 66.1% had a change in their sleep pattern. More than half reported having difficulty accessing gynecological consultations and routine examinations. Women living in capital cities reported a greater change in alcohol consumption (p = 0.002). Income change was associated with a higher prevalence of weight gain (p = 0.033) and changes in sleep quality (p = 0.018). CONCLUSION We observed an important reduction in the health care of climacteric women during the pandemic period, such as a decrease in medical consultations and preventive examinations, worsening of life habits and deterioration in mental health.
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Affiliation(s)
- L G Pezzali
- Department of Gynecology and Obstetrics, Hospital de Clínicas de Porto Alegre, School of Medicine, Universidade Federal do Rio Grande Do Sul, Porto Alegre, Brazil
| | - F V Ferreira
- Department of Gynecology and Obstetrics, Hospital de Clínicas de Porto Alegre, School of Medicine, Universidade Federal do Rio Grande Do Sul, Porto Alegre, Brazil
| | - F V Ferreira
- Department of Community and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - M C O Wender
- Department of Gynecology and Obstetrics, Hospital de Clínicas de Porto Alegre, School of Medicine, Universidade Federal do Rio Grande Do Sul, Porto Alegre, Brazil
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Batchelor S, Lunnay B, Macdonald S, Ward PR. Extending the sociology of candidacy: Bourdieu's relational social class and mid-life women's perceptions of alcohol-related breast cancer risk. SOCIOLOGY OF HEALTH & ILLNESS 2023; 45:1502-1522. [PMID: 37056162 DOI: 10.1111/1467-9566.13644] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 03/30/2023] [Indexed: 06/19/2023]
Abstract
Alcohol is a modifiable breast cancer risk, increasing risk in a dose-dependent manner. Mid-life women (aged 45-64 years) consume alcohol at higher rates than younger women and this, combined with age, make them a high-risk group for breast cancer. This critical public health problem has a seemingly obvious solution (reduce drinking); however, women do not necessarily know alcohol causes breast cancer, and if they do, reducing consumption is not always possible, or desirable. To innovate public health responses, we employ an interpretative sociological framework 'candidacy' to understand women's perspectives on breast cancer risk relative to alcohol consumption and their social class. Drawing on 50 interviews with Australian mid-life women, our findings reveal the socio-structural determinants of 'candidacy', that mean modifying alcohol consumption for breast cancer prevention is impacted by social class. Utilising Bourdieu's relational capitals, our interpretations show how social class shapes women's ascriptions and enactments of breast cancer candidacy. We offer an important theoretical extension to 'candidacy' by demonstrating more or less fluidity in women's assessment of breast cancer risk according to their agency to adopt breast cancer prevention messages. Understanding the social class possibilities and limitations in women's perceptions of breast cancer risk provides a new opportunity to reduce inequities in breast cancer incidence.
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Affiliation(s)
- Samantha Batchelor
- Research Centre for Public Health, Equity and Human Flourishing, Adelaide Campus, Torrens University, Adelaide, Australia
| | - Belinda Lunnay
- Research Centre for Public Health, Equity and Human Flourishing, Adelaide Campus, Torrens University, Adelaide, Australia
| | - Sara Macdonald
- General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Paul R Ward
- Research Centre for Public Health, Equity and Human Flourishing, Adelaide Campus, Torrens University, Adelaide, Australia
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Fu Q, Ge J, Xu Y, Liang X, Yu Y, Shen S, Ma Y, Zhang J. The evolution of research on depression during COVID-19: A visual analysis using Co-Occurrence and VOSviewer. Front Public Health 2022; 10:1061486. [PMID: 36561872 PMCID: PMC9764011 DOI: 10.3389/fpubh.2022.1061486] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 11/21/2022] [Indexed: 12/12/2022] Open
Abstract
Background The COVID-19 pandemic has led to public health problems, including depression. There has been a significant increase in research on depression during the COVID-19 pandemic. However, little attention has been paid to the overall trend in this field based on bibliometric analyses. Methods Co-Occurrence (COOC) and VOSviewer bibliometric methods were utilized to analyze depression in COVID-19 literature in the core collection of the Web of Science (WOS). The overall characteristics of depression during COVID-19 were summarized by analyzing the number of published studies, keywords, institutions, and countries. Results A total of 9,694 English original research articles and reviews on depression during COVID-19 were included in this study. The United States, China, and the United Kingdom were the countries with the largest number of publications and had close cooperation with each other. Research institutions in each country were dominated by universities, with the University of Toronto being the most productive institution in the world. The most frequently published author was Ligang Zhang. Visualization analysis showed that influencing factors, adverse effects, and coping strategies were hotspots for research. Conclusion The results shed light on the burgeoning research on depression during COVID-19, particularly the relationship between depression and public health. In addition, future research on depression during COVID-19 should focus more on special groups and those at potential risk of depression in the general population, use more quantitative and qualitative studies combined with more attention to scale updates, and conduct longitudinal follow-ups of the outcomes of interventions. In conclusion, this study contributes to a more comprehensive view of the development of depression during COVID-19 and suggests a theoretical basis for future research on public health.
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Affiliation(s)
- Qiannan Fu
- College of Geography and Environmental Sciences, Zhejiang Normal University, Jinhua, China
| | - Jiahao Ge
- College of Teacher Education, Zhejiang Normal University, Jinhua, China
| | - Yanhua Xu
- School of Geography and Environment, Jiangxi Normal University, Nanchang, China
| | - Xiaoyu Liang
- College of Geography and Environmental Sciences, Zhejiang Normal University, Jinhua, China
| | - Yuyao Yu
- College of Geography and Environmental Sciences, Zhejiang Normal University, Jinhua, China
| | - Suqin Shen
- College of Geography and Environmental Sciences, Zhejiang Normal University, Jinhua, China
| | - Yanfang Ma
- College of Geography and Environmental Sciences, Zhejiang Normal University, Jinhua, China
| | - Jianzhen Zhang
- College of Geography and Environmental Sciences, Zhejiang Normal University, Jinhua, China,*Correspondence: Jianzhen Zhang
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Lunnay B, Foley K, Meyer SB, Miller ER, Warin M, Wilson C, Olver IN, Batchelor S, Thomas JA, Ward PR. 'I have a healthy relationship with alcohol': Australian midlife women, alcohol consumption and social class. Health Promot Int 2022; 37:6674367. [PMID: 36000531 DOI: 10.1093/heapro/daac097] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Alcohol consumption by Australian women during midlife has been increasing. Health promotion efforts to reduce alcohol consumption in order to reduce alcohol-related disease risk compete with the social contexts and value of alcohol in women's lives. This paper draws on 50 qualitative interviews with midlife women (45-64 years of age) from different social classes living in South Australia in order to gain an understanding of how and why women might justify their relationships with alcohol. Social class shaped and characterized the different types of relationships with alcohol available to women, structuring their logic for consuming alcohol and their ability to consider reducing (or 'breaking up with') alcohol. We identified more agentic relationships with alcohol in the narratives of affluent women. We identified a tendency for less control over alcohol-related decisions in the narratives of women with less privileged life chances, suggesting greater challenges in changing drinking patterns. If classed differences are not attended to in health promotion efforts, this might mitigate the effectiveness of alcohol risk messaging to women.
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Affiliation(s)
- Belinda Lunnay
- Research Centre of Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, South Australia, Australia
| | - Kristen Foley
- Research Centre of Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, South Australia, Australia
| | - Samantha B Meyer
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
| | | | - Megan Warin
- School of Social Sciences, University of Adelaide, Adelaide, South Australia, Australia and Fay Gale Centre for Research on Gender, University of Adelaide, Adelaide, South Australia, Australia
| | - Carlene Wilson
- School of Psychology and Public Health and the Olivia Newton-John Cancer Wellness and Research Centre at Austin Health, La Trobe University, Melbourne, Victoria, Australia
| | - Ian N Olver
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
| | - Samantha Batchelor
- Research Centre of Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, South Australia, Australia
| | - Jessica A Thomas
- College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia
| | - Paul R Ward
- Research Centre of Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, South Australia, Australia
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Batterham PJ, Shou Y, Farrer LM, Murray K, Morse AR, Gulliver A, Slade T, Newton NC, Calear AL. Patterns and predictors of alcohol use during the early stages of the COVID-19 pandemic in Australia: Longitudinal cohort study. Alcohol Clin Exp Res 2022; 46:1248-1257. [PMID: 35567305 PMCID: PMC9348344 DOI: 10.1111/acer.14858] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 04/21/2022] [Accepted: 04/29/2022] [Indexed: 11/26/2022]
Abstract
Background The COVID‐19 pandemic has resulted in disruptions across many life domains. The distress associated with the pandemic itself, and with public health efforts to manage the outbreak, could result in increased alcohol use. This study aimed to quantify changes in alcohol use during the early stages of the pandemic and factors associated with different patterns of use. Methods Data were obtained from a longitudinal survey of a representative Australian adult sample (N = 1296, 50% female, Mage = 46.0) conducted from March to June 2020, during the first wave of the COVID‐19 outbreak in Australia. Change in alcohol consumption was examined using Alcohol Use Disorders Identification Test‐Consumption (AUDIT‐C) scores from waves one, three, five, and seven of the study, each 4 weeks apart. Factors associated with alcohol consumption were examined, including depression (PHQ‐9) and anxiety (GAD‐7) symptoms, health risk tolerance, stress and coping, work and social impairment (WSAS), COVID impacts, and sociodemographic variables. We tested changes in alcohol use across the full sample using a mixed effects repeated measure ANOVA model and a multinomial logistic regression to identify factors assessed at wave 1 that were independently associated with alcohol use. Results There was no significant change in AUDIT‐C scores across the study. For most participants, alcohol use did not increase during the early phase of the COVID‐19 pandemic in Australia. COVID‐19 exposure, higher perceived coping, depression symptoms, and male gender were associated with greater odds of increasing or elevated levels of alcohol use. Social changes, which included working from home, had mixed effects on alcohol consumption. Conclusions Although no evidence was found for increased alcohol use overall during the early months of the pandemic, several factors were associated with alcohol consumption at risky levels. Greater understanding of motivations for drinking across public and private contexts, along with targeted support for high‐risk groups, could assist in reducing harm associated with alcohol consumption.
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Affiliation(s)
- Philip J Batterham
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, ACT, Australia
| | - Yiyun Shou
- Research School of Psychology, College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Louise M Farrer
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, ACT, Australia
| | - Kristen Murray
- Research School of Psychology, College of Health and Medicine, The Australian National University, Canberra, ACT, Australia
| | - Alyssa R Morse
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, ACT, Australia
| | - Amelia Gulliver
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, ACT, Australia
| | - Tim Slade
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, Australia
| | - Nicola C Newton
- The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, NSW, Australia
| | - Alison L Calear
- Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, ACT, Australia
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