The Risk of Remaining Silent: Addressing the Current Threats to Women's Health

Brindis, Claire D.; Freund, Karen M.; Baecher-Lind, Laura; Merz, C. Noel Bairey; Carnes, Molly; Gulati, Martha; Joffe, Hadine; Klein, W; Mazure, Carolyn M.; Pace, Lydia E.; Regensteiner, Judith G.; Redberg, Rita F.; Wenger, Nanette K.; Younger, Lorie

doi:10.1016/j.whi.2017.10.006

Cited by 7 publications

(9 citation statements)

References 7 publications

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“…Increased awareness and advocacy by the public and providers will be required to preserve these important benefits and programs. 14,37 Women's health, particularly in women who are managing a chronic health condition, is deeply impacted by the ability to benefit from having stable health insurance coverage, along with high-quality healthcare coverage. As a nation, we also need to recognize the importance of primary prevention such as adoption of the new clinical guidelines pertaining to hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…These tax increases, along with the increased government expenditures required to provide extended coverage of the US population, represent major reasons why Republicans have wanted to repeal the ACA since its inception . Today, many of the ACA insurance mandates, coverage, and essential benefits for a variety of preventive and treatment services aimed at improving women's health are being threatened with the loss of federal subsidies, health insurance marketplace instability contributing to premium increases, and substantial reductions to women's preventive health funding …”

Section: Introductionmentioning

confidence: 99%

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The ramifications of recent health policy actions for cardiovascular care of women: Progress, threats, and opportunities

Brindis

Freund

2018

Clinical Cardiology

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Women's health and well-being are shaped by a combination of healthcare policies that impact the type of health insurance coverage they benefit from, as well as access to preventive, screening, and treatment services. Furthermore, more distal policies, such as those that pertain to housing, education, and employment, as well as social determinants of health, such as issues of socioeconomic status and women's status in society, also impact their cardiac health. Before the passage of the Affordable Care Act in 2010, women were at greater risk of facing barriers to coverage, reflecting gender rating and the higher likelihood of the existence of preexisting health conditions such as a previous pregnancy. The ACA made substantial progress in responding to women's health needs by expanding the numbers of low-income groups eligible for Medicaid (for the 32 states and Washington, DC that expanded the program) and other subsidized healthcare, as well as access to preventive health services. Although health reform efforts to eliminate the ACA failed in 2016, the administration and Congress are using a variety of channels, including the new Tax Cuts and Job Act, to implement policies such as the elimination of the individual insurance mandate, as well as the elimination of premium subsidies, that will likely impact women differentially, potentially undoing the progress that has been achieved over the past decade.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The ramifications of recent health policy actions for cardiovascular care of women: Progress, threats, and opportunities

Brindis

Freund

2018

Clinical Cardiology

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“…Evidence reflects that the health of women and girls improved under the ACA (Brindis et al, 2017). Access to sexual and reproductive health services offers females an opportunity to discuss their questions and concerns with healthcare providers, who in turn play a key role in prevention of sexually transmitted infections (STIs) and sexual risk reduction, including screening for intimate partner violence, as well as health enhancements such as vaccination, cancer screenings, and healthy lifestyle recommendations.…”

Section: Response and Policy Optionsmentioning

confidence: 99%

“…The current Administration's healthcare reforms threaten access to sexual and reproductive benefits currently provided to women and girls under the ACA (Brindis et al, 2017). Section 1557 of the ACA was written to prohibit discrimination based on religion, race, and/or gender.…”

Section: Introductionmentioning

confidence: 99%

“…The ACA provides key aspects of care by mandating no cost sharing for Food and Drug Administration approved, evidence-based, contraceptive methods, abortion care, and tubal ligations (PPACA, 2010). Removing cost as a barrier to family planning services has resulted in fewer mistimed/unintended pregnancies and decreased abortion rates (Brindis et al, 2017). Repeated attempts to repeal or dismantle the ACA continue without a viable replacement.…”

Section: Introductionmentioning

confidence: 99%

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The American Academy of Nursing on policy proposed healthcare policy changes threaten women's health

et al. 2018

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Sociopolitical stressors are associated with psychological distress in a cohort of Latina women during early pregnancy

Wiley

Knorr

Chua

et al. 2023

Journal Community Psychology

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Research suggests that the 2016 US election was a potential stressor among Latinos residing in the United States. Sociopolitical stressors targeted toward ethnic minority communities and become embodied through psychosocial distress. The current study investigates if and how sociopolitical stressors related to the 45th President, Donald Trump, and his administration are associated with psychological distress in early pregnancy of Latina women living in Southern California during the second half of his term. This cross‐sectional analysis uses data from the Mothers' Cultural Experiences study (n = 90) collected from December 2018 to March 2020. Psychological distress was assessed in three domains: depression, state anxiety, and pregnancy‐related anxiety. Sociopolitical stressors were measured through questionnaires about sociopolitical feelings and concerns. Multiple linear regression models examined the relationship between sociopolitical stressors and mental health scores, adjusting for multiple testing. Negative feelings and a greater number of sociopolitical concerns were associated with elevated pregnancy‐related anxiety and depressive symptoms. The most frequently endorsed concern was about issues of racism (72.3%) and women's rights (62.4%); women endorsing these particular concerns also had higher scores on depression and pregnancy‐related anxiety. No significant associations were detected with state anxiety after correction for multiple testing. This analysis is cross‐sectional and cannot assess causality in the associations between sociopolitical stressors and distress. These results are consistent with the hypothesis that the 2016 election, the subsequent political environment, and the anti‐immigrant rhetoric and policies of former President Trump and his administration were sources of stress for Latinos residing in the United States.

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The Risk of Remaining Silent: Addressing the Current Threats to Women's Health

Cited by 7 publications

References 7 publications

The ramifications of recent health policy actions for cardiovascular care of women: Progress, threats, and opportunities

The ramifications of recent health policy actions for cardiovascular care of women: Progress, threats, and opportunities

The American Academy of Nursing on policy proposed healthcare policy changes threaten women's health

Sociopolitical stressors are associated with psychological distress in a cohort of Latina women during early pregnancy

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