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  1. AU="Wallace, Kate F"
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  3. AU="Kay, Emma Sophia"
  4. AU="Yin, Fanghao"
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  21. AU="Bernard Rosner"
  22. AU="van de Schoor, F."
  23. AU="Strzelecki, Antoine"
  24. AU=Cheung P Y
  25. AU="Arima, Tetsuhiko"
  26. AU="José Del Castillo Diego, Julio"
  27. AU="Han, Shujie"
  28. AU="Hernandez-Garcia, Elena"
  29. AU="Mansfield, Sara A"
  30. AU="Igarashi, Miyako"
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  1. Artikel ; Online: Posttraumatic Stress Disorder, Military Sexual Trauma, and Birth Experiences at VA.

    Schafer, Katherine Musacchio / Wallace, Kate F / Kroll-Desrosiers, Aimee / Mattocks, Kristin

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2023  

    Abstract: Background: Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, ... ...

    Abstract Background: Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, depression, posttraumatic stress disorder (PTSD), and traumatic events, including military sexual trauma, as compared with women in the general population. It is possible that mental health disorders may be associated with birth experiences.
    Objectives: We investigated the link between anxiety, depression, PTSD, and military sexual trauma (MST; i.e., rape and sexual harassment) with perceived birth experience (i.e., Negative or Neutral vs. Positive).
    Methods: Participants included 1,005 veterans who had recently given birth and were enrolled in the multisite, mixed methods study known as the Center for Maternal and Infant Outcomes Research in Translation study (COMFORT). Using χ
    Results: Findings indicated that participants who endorsed PTSD (39.5%), MST-rape (32.1%), or MST-harassment (51.4%; all p < .05) were significantly more likely to report a Negative/Neutral birth experience (14.7%) versus a Positive birth experience (85.3%). Anxiety and depression were not associated with birth experience.
    Conclusions: Veterans with PTSD and/or who experienced MST were more likely to report a negative or neutral birth experience. Thus, screening for PTSD and MST during obstetrics services as well as providing trauma-informed obstetrics care during pregnancy, labor, birth, and recovery may be important among veterans seeking obstetric services.
    Sprache Englisch
    Erscheinungsdatum 2023-12-19
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2023.11.006
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Online survey of consumer awareness and perceptions of a Massachusetts law for 12-month supply of contraception.

    Qasba, Neena T / Wallace, Kate F / Yu, Veronica / Capoccia, Kam L / Goff, Sarah L / Shcherbakova, Natalia

    Contraception

    2023  Band 128, Seite(n) 110138

    Abstract: Objectives: This study aimed to characterize awareness of a 2017 Massachusetts (MA) law that ensures access to a 12-month supply of short-acting contraceptive methods (e.g., pill, patch, and vaginal ring) among short-acting contraceptive users in MA and ...

    Abstract Objectives: This study aimed to characterize awareness of a 2017 Massachusetts (MA) law that ensures access to a 12-month supply of short-acting contraceptive methods (e.g., pill, patch, and vaginal ring) among short-acting contraceptive users in MA and to identify perceived benefits and concerns of a 12-month supply.
    Study design: An online survey was administered to a Qualtrics panel of MA women who were using short-acting contraceptive methods and were insured by an eligible health plan. The survey's primary outcome was general awareness of the law; interest in, receipt of, and perceived benefits and risks of a 12-month supply were also elicited. Analysis included descriptive statistics and bivariate and multivariable analyses examining factors associated with awareness of the law.
    Results: Among the 207 survey respondents, 76% were aware of the law, and 93% expressed interest in receiving a 12-month supply of a short-acting method; however, only 9% received it. Respondents identified as White (66%), privately insured (59%), and pill users (44%). Concerns about a 12-month supply included privacy, product expiration, and change in personal medical status. Perceived benefits included avoiding multiple trips to pharmacy and increased compliance. Multivariable analyses showed general awareness of the law was only associated with employer-based insurance, with those respondents having 75% lower odds of being aware of the law than respondents with Medicaid coverage.
    Conclusion: Although a high percentage of women surveyed were aware of the law and most were interested in receiving a 12-month supply of their short-acting method, the low percentage who have received a 12-month supply suggests barriers to policy uptake.
    Implications: This study describes perceptions of the 12-month supply provision of the contraception Act Advancing Contraceptive Coverage and Economic Security in our State law. Addressing consumer concerns may be important to improve the implementation and dissemination of this state policy change.
    Mesh-Begriff(e) United States ; Female ; Humans ; Contraceptive Agents, Female ; Contraception/methods ; Surveys and Questionnaires ; Massachusetts ; Contraceptive Devices, Female
    Chemische Substanzen Contraceptive Agents, Female
    Sprache Englisch
    Erscheinungsdatum 2023-08-06
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80106-9
    ISSN 1879-0518 ; 0010-7824
    ISSN (online) 1879-0518
    ISSN 0010-7824
    DOI 10.1016/j.contraception.2023.110138
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Musculoskeletal Pain During Pregnancy Among Veterans: Associations With Health and Health Care Utilization.

    Kroll-Desrosiers, Aimee / Wallace, Kate F / Higgins, Diana M / Martino, Steve / Mattocks, Kristin M

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2023  Band 34, Heft 1, Seite(n) 90–97

    Abstract: Introduction: Musculoskeletal (MSK) pain is more likely to be diagnosed in veterans compared with the general population; however, MSK pain during pregnancy has not been studied in veterans. This study examined health and health care use differences ... ...

    Abstract Introduction: Musculoskeletal (MSK) pain is more likely to be diagnosed in veterans compared with the general population; however, MSK pain during pregnancy has not been studied in veterans. This study examined health and health care use differences between pregnant veterans with and without MSK pain (MSK-).
    Methods: Veterans who delivered a newborn before June 1, 2021, were identified from an existing cohort (n = 1,181). Survey and Veterans Health Administration (VA) electronic health record data were obtained on participants. Veterans meeting inclusion criteria were identified as those with MSK pain (MSK+) and were compared with MSK- participants. We examined differences between primary outcomes of VA health care engagement (including mental health diagnoses, health care visits, receipt of prescription opioids, and complementary and integrative health use) and secondary outcomes (including postpartum variables) between MSK pain groups. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated.
    Results: There were 172 veterans (14.6%) who met MSK pain eligibility criteria. In adjusted models, MSK+ veterans were more likely to be diagnosed with major depressive disorder (aOR, 1.76; 95% CI, 1.22-2.53) and post-traumatic stress disorder (aOR, 1.79; 95% CI, 1.21-2.64) during pregnancy compared with MSK- veterans. The use of VA mental health care (aOR, 1.52; 95% CI, 1.09-2.12) and the odds of receiving an opioid prescription during pregnancy (aOR, 2.76; 95% CI, 1.53-5.00) was higher in MSK+ veterans compared with MSK- veterans. Only a small proportion (3.6%) of our entire cohort used complementary and integrative health approaches during pregnancy. MSK+ veterans were more likely to deliver by cesarean section compared with MSK- veterans (36% vs. 26%).
    Conclusions: MSK+ veterans were more likely to be diagnosed with mental health conditions and to use VA mental health care during pregnancy compared with MSK- veterans. Because veterans receive their obstetrical care in the community, understanding the unique needs of pregnant MSK+ veterans in comparison with MSK- veterans is important to provide comprehensive care during the perinatal period.
    Mesh-Begriff(e) United States/epidemiology ; Infant, Newborn ; Humans ; Female ; Pregnancy ; Veterans/psychology ; Musculoskeletal Pain/epidemiology ; Cesarean Section ; Depressive Disorder, Major ; United States Department of Veterans Affairs ; Patient Acceptance of Health Care ; Analgesics, Opioid/therapeutic use ; Veterans Health
    Chemische Substanzen Analgesics, Opioid
    Sprache Englisch
    Erscheinungsdatum 2023-08-12
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2023.07.004
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Facilitators and Barriers to Breastfeeding Among Veterans Using Veterans Affairs Maternity Care Benefits.

    Inderstrodt, Jill / Stryczek, Krysttel C / Vargas, Sara E / Crawford, Jennifer N / Hooker, Taylor / Kroll-Desrosiers, Aimee R / Marteeny, Valerie / Wallace, Kate F / Mattocks, Kristin

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2024  

    Abstract: Introduction: U.S. veterans of childbearing age represent one of the fastest growing populations using Veterans Affairs (VA) health care. The VA does not provide obstetric care directly but pays for VA-enrolled veterans to obtain outside obstetric care. ...

    Abstract Introduction: U.S. veterans of childbearing age represent one of the fastest growing populations using Veterans Affairs (VA) health care. The VA does not provide obstetric care directly but pays for VA-enrolled veterans to obtain outside obstetric care. The VA also provides maternity care coordination (MCC) services, including lactation support. Breastfeeding benefits mothers and babies; however, previous research shows that veteran mothers quit exclusive breastfeeding earlier than the American Academy of Pediatrics and World Health Organization recommendation of 6 months. This study aimed to understand facilitators and barriers to breastfeeding among a cohort of veterans who used VA maternity care benefits.
    Methods: Qualitative data from an open-ended question from a national sample of postpartum veterans using VA pregnancy benefits were coded using deductive and inductive content analysis within a matrix framework. Quantitative data were used to contextualize the responses.
    Results: Four themes emerged from the data: (1) impacts on health of baby/mother; (2) the ability to breastfeed; (3) early postnatal experiences breastfeeding; and (4) cost/convenience. Among those who responded to the open-ended breastfeeding question (329/669), most participants (n = 316; 96%) attempted breastfeeding their current baby. Respondents who did not initiate breastfeeding or who discontinued breastfeeding earlier than planned cited diverse reasons. These included low milk supply, poor latch, nipple pain, mental health factors, and low confidence in their ability to continue breastfeeding. Participants cited the MCC program as a facilitator to breastfeeding, and non-VA hospital experiences were mentioned as barriers.
    Conclusion: Veterans in this cohort of 329 veterans who responded to an open-ended breastfeeding question wanted and attempted to breastfeed; however, barriers such as lactation challenges and unsupportive health care providers made it difficult to continue the practice. As the MCC program grows to include more lactation professionals, MCCs may address barriers such as lactation challenges and unsupportive non-VA health care providers. Further program development should focus on addressing these challenges prenatally.
    Sprache Englisch
    Erscheinungsdatum 2024-02-06
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2023.12.005
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: College students' experiences early in the COVID-19 pandemic: Applications for ongoing support.

    Wallace, Kate F / Putnam, Natalia I / Chow, Eva / Fernandes, Meghan / Clary, Kelsey M / Goff, Sarah L

    Journal of American college health : J of ACH

    2021  Band 71, Heft 7, Seite(n) 2052–2061

    Abstract: Objective: To explore U.S. college students' experiences during the onset of the COVID-19 pandemic.: Participants: Students at a Northeastern public university.: Methods: Participants were interviewed via videoconference between April 1 and May 31, ...

    Abstract Objective: To explore U.S. college students' experiences during the onset of the COVID-19 pandemic.
    Participants: Students at a Northeastern public university.
    Methods: Participants were interviewed via videoconference between April 1 and May 31, 2020. Interviews were audio-recorded and professionally transcribed; analyzed using deductive and inductive approaches to thematic analysis.
    Results: 34 students (68% female; 56% racial/ethnic minority) participated. Deductively derived themes included: (1) trust/mistrust; (2) desire for change; (3) precarity; and (4) silver linings. Subthemes included variation in vaccine confidence, concern regarding inequalities, and anxiety about education. Building on deductively derived themes, we hypothesized that participation in change-oriented activities could benefit well-being and novel approaches to information dissemination may be needed to overcome institutional distrust.
    Conclusions: This study offers insights into potential short and long-term pandemic impacts as well as mitigation strategies college and university faculty and administrations may consider.
    Sprache Englisch
    Erscheinungsdatum 2021-08-17
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 604907-2
    ISSN 1940-3208 ; 0744-8481
    ISSN (online) 1940-3208
    ISSN 0744-8481
    DOI 10.1080/07448481.2021.1954011
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Twelve-month supply of short-acting contraception methods: Pharmacists' perspectives on implementation of new state law.

    Qasba, Neena / Wallace, Kate F / Sopko, Juliana / Czajka, Jennifer / Capoccia, Kam L / Shcherbakova, Natalia / Goff, Sarah L

    Journal of the American Pharmacists Association : JAPhA

    2022  Band 62, Heft 4, Seite(n) 1296–1303.e2

    Abstract: Background: Oral contraceptives and other short-acting reversible contraceptive (SARC) methods such as the patch, vaginal ring, and medroxyprogesterone injections are used by approximately 30% of people using contraception. People may face barriers in ... ...

    Abstract Background: Oral contraceptives and other short-acting reversible contraceptive (SARC) methods such as the patch, vaginal ring, and medroxyprogesterone injections are used by approximately 30% of people using contraception. People may face barriers in obtaining a timely and adequate supply of their SARCs. It is well established that dispensing more than 1-month supply at a time is more convenient for patients, improves continuation, and decreases the risk of unintended pregnancy. Given the potential for public health impact, 20 states, including Massachusetts, have expanded access to a 12-month supply of SARCs.
    Objectives: The goal of this qualitative study was to explore Massachusetts pharmacists' general awareness and specific knowledge of the state's 2017 Act Advancing Contraceptive Coverage and Economic Security in Our State (ACCESS) law, explore barriers to the implementation of the law, and elicit recommendations to improve uptake of this practice.
    Methods: Semistructured interviews were conducted with a purposeful sample of community pharmacists in Massachusetts between September 2020 and May 2021 using a pretested interview guide. Interviews were audio recorded and professionally transcribed. Data collection ceased when theoretical saturation was achieved. Data were analyzed using modified grounded theory, including code book development and line-by-line and axial coding.
    Results: Sixteen pharmacists from diverse practice settings participated in the interviews. All the pharmacists (100%) reported that they had received no training on the ACCESS law, and only 1 pharmacist reported having complete knowledge of the specifics of the law. We identified key themes and subthemes related to pharmacists' concerns about implementation of the law at the system, pharmacy, and patient level, including insurance coverage, communication of new laws, stocking, supply, and misuse by patients.
    Conclusion: Addressing the need for pharmacist training and communication regarding new regulations may improve provision of an extended supply of SARC methods.
    Mesh-Begriff(e) Attitude of Health Personnel ; Community Pharmacy Services ; Contraception ; Contraceptive Agents ; Female ; Humans ; Pharmacists ; Pregnancy ; Professional Role
    Chemische Substanzen Contraceptive Agents
    Sprache Englisch
    Erscheinungsdatum 2022-02-22
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2118585-2
    ISSN 1544-3450 ; 1544-3191 ; 1086-5802
    ISSN (online) 1544-3450
    ISSN 1544-3191 ; 1086-5802
    DOI 10.1016/j.japh.2022.02.013
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: Knowledge, attitudes, and practices regarding COVID-19 among university students and employees in Massachusetts, USA: a qualitative study

    Ravenhurst, Johanna / Snyder, Teah / Wallace, Kate F. / Pennell, Sheila / Goff, Sarah L. / Lover, Andrew A.

    medRxiv

    Abstract: ... Background ... At the time of this study, Massachusetts had recorded a total of 352,558 COVID-19 cases and 12,076 deaths. Few qualitative studies have been conducted that investigate the experiences of university students and employees during the ... ...

    Abstract Background At the time of this study, Massachusetts had recorded a total of 352,558 COVID-19 cases and 12,076 deaths. Few qualitative studies have been conducted that investigate the experiences of university students and employees during the COVID-19 pandemic. The objective of this study was to explore the knowledge, attitudes, and practices regarding COVID-19 in university affiliates to inform future COVID-19 policies. Methods Semi-structured focus groups and interviews were conducted via Zoom between December 14, 2020 and January 15, 2021. Twenty-two focus group participants included undergraduate students, graduate students and university employees who had not experienced isolation or quarantine during the Fall 2020 semester. Fourteen participants who had experienced quarantine or isolation were interviewed individually to protect confidentiality. Data were analyzed using Dedoose software via inductive thematic analysis, with reporting as per Consolidated Criteria for Reporting Qualitative Studies (COREQ) guidelines. Results Five major themes emerged from these data: COVID-19 knowledge, stress and coping, trust, decision-making, and institutional feedback. Misinformation regarding COVID-19 was common, compounding high levels of stress reported by many participants. Reported direct sources of stress included physical illness, fear of infection, and lack of access to resources while in quarantine or isolation settings. Reported indirect sources of stress included social isolation and financial constraints. Levels of trust were generally high regarding mainstream news media, scientific journals, and university-related information sources. For decision-making processes, participants described altered behaviors to socialize safely during the pandemic, which included increased testing, gathering outdoors, and limiting group sizes. Conversely, some undergraduate students reported increases in socialization behaviors after testing negative for COVID-19, while most university employees did not report altered behaviors after negative test results. While some participants described negative feedback regarding university decisions, most feedback for the institution was positive, with participants reporting appreciation for the university9s asymptomatic testing program and other on-campus health response activities. Conclusion The university9s investment in COVID-related resources, including the asymptomatic testing program and the on-campus quarantine and isolation spaces, were reported to greatly reduce stress and increase perceived safety. Key findings from this research could guide institutional communication, public health protocols, and support for university community members.
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2022-07-06
    Verlag Cold Spring Harbor Laboratory Press
    Dokumenttyp Artikel ; Online
    DOI 10.1101/2022.07.05.22277273
    Datenquelle COVID19

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