Journal of Preventive Medicine and Public Health

Brief Report

How Well Do U.S. Primary Care and Obstetrics and Gynecology Clinicians Screen for Pregnancy Complications at Well Woman Visits? A Retrospective Cohort Study: Eli D. Medvescek, Sorana Raiciulescu, Andrew S. Thagard, Katerina Shvartsman; J Prev Med Public Health. 2023;56(2):190-195. Published online March 15, 2023; DOI: https://doi.org/10.3961/jpmph.22.492

1,375 View
58 Download

Abstract PDF: Objectives
Pregnancy complications, including pre-eclampsia, gestational diabetes (GDM), and perinatal mood and anxiety disorders (PMADs), impact long-term health. We compared the frequency of screening documentation for pregnancy complications versus a general medical history at well woman visits between providers in primary care and obstetrics and gynecology.
Methods
We conducted a retrospective cohort study of subjects with at least 1 prior birth who presented for a well woman visit in 2019-2020. Charts were reviewed for documentation of a general medical history (hypertension, diabetes, and mood disorders) versus screening for comparable obstetric complications (pre-eclampsia, GDM, and PMADs). The results were compared using the McNemar and chi-square tests as appropriate.
Results
In total, 472 encounters were identified, and 137 met the inclusion criteria. Across specialties, clinicians were significantly more likely to document general medical conditions than pregnancy complications, including hypertensive disorders (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.18 to 5.48), diabetes (OR, 7.67; 95% CI, 3.27 to 22.0), and mood disorders (OR, 10.5; 95% CI, 3.81 to 40.3). Obstetrics and gynecology providers were more likely to document any pregnancy history (OR, 4.50; 95% CI, 1.24 to 16.27); however, they were not significantly more likely to screen for relevant obstetric complications (OR, 2.49; 95% CI, 0.90 to 6.89). Overall, the rate of pregnancy complication documentation was low in primary care and obstetrics and gynecology clinics (8.8 and 19.0%, respectively).
Conclusions
Obstetrics and gynecology providers more frequently documented a pregnancy history than those in primary care; however, the rate was low across specialties, and providers reported screening for clinically relevant complications less frequently than for general medical conditions.; Summary

Original Article

Concordance in the Health Behaviors of Couples by Age: A Cross-sectional Study: Seungmin Jeong, Sung-Il Cho; J Prev Med Public Health. 2018;51(1):6-14. Published online November 27, 2017; DOI: https://doi.org/10.3961/jpmph.17.137

10,247 View
251 Download
11 Crossref

Objectives
To investigate concordance in the health behaviors of women and their partners according to age and to investigate whether there was a stronger correlation between the health behaviors of housewives and those of their partners than between the health behaviors of non-housewives and those of their partners.
Methods
We used data obtained from women participants in the 2015 Korea Community Health Survey who were living with their partners. The outcome variables were 4 health behaviors: smoking, drinking, eating salty food, and physical activity. The main independent variables were the partners’ corresponding health behaviors. We categorized age into 4 groups (19-29, 30-49, 50-64, and ≥ 65 years) and utilized multivariate logistic regression analysis, stratifying by age group. Another logistic regression analysis was stratified by whether the participant identified as a housewife.
Results
Data from 64 971 women older than 18 years of age were analyzed. Of the 4 health behaviors, the risk of smoking (adjusted odds ratio [aOR], 4.65; 95% confidence interval [CI], 3.93 to 5.49) was highest when the participant’s partner was also a smoker. Similar results were found for an inactive lifestyle (aOR, 2.56; 95% CI, 2.45 to 2.66), eating salty food (aOR, 2.48; 95% CI, 2.36 to 2.62); and excessive drinking (aOR, 1.89; 95% CI, 1.80 to 1.98). In comparison to non-housewives, housewives had higher odds of eating salty food.
Conclusions
The health behaviors of women were positively correlated with those of their partners. The magnitude of the concordance differed by age group.

Summary

Citations

Citations to this article as recorded by

Let’s Enjoy an Evening on the Couch? A Daily Life Investigation of Shared Problematic Behaviors in Three Couple Studies
Theresa Pauly, Janina Lüscher, Corina Berli, Christiane A. Hoppmann, Rachel A. Murphy, Maureen C. Ashe, Wolfgang Linden, Kenneth M. Madden, Denis Gerstorf, Urte Scholz
Personality and Social Psychology Bulletin.2024; 50(5): 733. CrossRef
Between- and Within-Couple Concordance for Health Behaviors Among Japanese Older Married Couples: Examining the Moderating Role of Working Time
Kazuhiro Harada, Kouhei Masumoto, Shuichi Okada
International Journal of Behavioral Medicine.2024; 31(2): 215. CrossRef
The refusal of COVID-19 vaccination and its associated factors: a meta-analysis
Fredo Tamara, Jonny K. Fajar, Gatot Soegiarto, Laksmi Wulandari, Andy P. Kusuma, Erwin A. Pasaribu, Reza P. Putra, Muhammad Rizky, Tajul Anshor, Maya Novariza, Surya Wijaya, Guruh Prasetyo, Adelia Pradita, Qurrata Aini, Mario V.P.H. Mete, Rahmat Yusni, Ya
F1000Research.2024; 12: 54. CrossRef
The refusal of COVID-19 vaccination and its associated factors: a systematic review
Fredo Tamara, Jonny K. Fajar, Gatot Soegiarto, Laksmi Wulandari, Andy P. Kusuma, Erwin A. Pasaribu, Reza P. Putra, Muhammad Rizky, Tajul Anshor, Maya Novariza, Surya Wijaya, Guruh Prasetyo, Adelia Pradita, Qurrata Aini, Mario V.P.H. Mete, Rahmat Yusni, Ya
F1000Research.2023; 12: 54. CrossRef
Human height: a model common complex trait
Mitchell Conery, Struan F. A. Grant
Annals of Human Biology.2023; 50(1): 258. CrossRef
Evidence of correlations between human partners based on systematic reviews and meta-analyses of 22 traits and UK Biobank analysis of 133 traits
Tanya B. Horwitz, Jared V. Balbona, Katie N. Paulich, Matthew C. Keller
Nature Human Behaviour.2023; 7(9): 1568. CrossRef
Similarities in cardiometabolic risk factors among random male-female pairs: a large observational study in Japan
Naoki Nakaya, Kumi Nakaya, Naho Tsuchiya, Toshimasa Sone, Mana Kogure, Rieko Hatanaka, Ikumi kanno, Hirohito Metoki, Taku Obara, Mami Ishikuro, Atsushi Hozawa, Shinichi Kuriyama
BMC Public Health.2022;[Epub] CrossRef
A latent profile analysis of the link between sociocultural factors and health-related risk-taking among U.S. adults
Jessica K. Perrotte, Eric C. Shattuck, Colton L. Daniels, Xiaohe Xu, Thankam Sunil
BMC Public Health.2021;[Epub] CrossRef
Spousal similarities in cardiometabolic risk factors: A cross-sectional comparison between Dutch and Japanese data from two large biobank studies
Naoki Nakaya, Tian Xie, Bart Scheerder, Naho Tsuchiya, Akira Narita, Tomohiro Nakamura, Hirohito Metoki, Taku Obara, Mami Ishikuro, Atsushi Hozawa, Harold Snieder, Shinichi Kuriyama
Atherosclerosis.2021; 334: 85. CrossRef
Spousal Concordance in Dietary Behaviors and Metabolic Components, and Their Association: A Cross-Sectional Study
Dann-Pyng Shih, Chu-Ting Wen, Hsien-Wen Kuo, Wen-Miin Liang, Li-Fan Liu, Chien-Tien Su, Jong-Yi Wang
Nutrients.2020; 12(11): 3332. CrossRef
Determinants of successful lifestyle change during a 6-month preconception lifestyle intervention in women with obesity and infertility
Matty D. A. Karsten, Anne M. van Oers, Henk Groen, Meike A. Q. Mutsaerts, Mireille N. M. van Poppel, Anouk Geelen, Cornelieke van de Beek, Rebecca C. Painter, Ben W. J. Mol, Tessa J. Roseboom, Annemieke Hoek
European Journal of Nutrition.2019; 58(6): 2463. CrossRef

First
Prev
Page of 1
Next
Last

Search