Sexual dysfunction was found to be substantially influenced by sociodemographic, biologic, and behavioral variables.

Climacteric symptoms seem to influence the sexual function in middle-aged women.

Objective: to evaluate the relationship between levels of physical activity, fatigue and quality of life (QOL) in women diagnosed with breast cancer. Methods: 215 women between the ages of 40 and 65 years were recruited at a cancer clinic. Physical activity levels were assessed by using the International Physical Activity Questionnaire (IPAQ), fatigue levels by using the revised Piper scale, and QOL by means of EORTC QLQ-C30 and WHOQOL-Bref. Statistical analysis was performed using Minitab statistical software, version 16. Results: the mean age of subjects was 52.66 years (SD=8.6); patients were mostly white (58.14%) and overweight (55.81%). Most women were fatigued (72.09%) while physically active women showed lower symptoms of fatigue (p<0.001). Mean scores for QOL were significantly lower among fatigued women (p<0.001). More active women scored higher on all scales of QOL (EORTC), especially for functional capacity (p<0.001), compared with the sedentary patients. A significant association was found between level of physical activity and overall QOL (WHOQOL-Bref) for all domains (p<0.001). Climacteric symptoms ranged from mild to strong and did not show any statistically significant results; however, the most active women had the fewest symptoms. Conclusion: physical activity appears to positively influence fatigue and QOL in women diagnosed with breast cancer.

Objective: To investigate the relationship between physical activity level and sexual function in middle-aged women. Methods: A cross-sectional study with a sample of 370 middle-aged women (40-65 years old), treated at public health care facilities in a Brazilian city. A questionnaire was used containing enquiries on sociodemographic, clinical and behavioral characteristics: the International Physical Activity Questionnaire (IPAQ), short form, and the Female Sexual Function Index (FSFI). Results:The average age of the women studied was 49.8 years (± 8.1), 67% of whom exhibited sexual dysfunction (FSFI ≤ 26.55). Sedentary women had a higher prevalence (78.9%) of sexual dysfunction when compared to active (57.6%) and moderately active (66.7%) females (p = 0.002). Physically active women obtained higher score in all FSFI domains (desire, arousal, lubrication, orgasm, satisfaction and pain) and total FSFI score (20.9), indicating better sexual function than their moderately active (18.8) and sedentary (15.6) counterparts (p <0.05). Conclusion: Physical activity appears to influence sexual function positively in middle-aged women.

Physical activity improved climacteric symptoms among middle-aged women in Brazil.

ResumoOBJETIVO: Avaliar o impacto da prática de atividade física na qualidade de vida de mulheres de meia idade. MÉTODOS: Estudo de base populacional e corte transversal, que incluiu uma amostra estratificada de 370 mulheres de meia idade entre 40 a 65 anos, recrutadas a partir de uma população de 20.801 mulheres atendidas no período de um ano nas redes básicas de saúde, inseridas nos quatro distritos (Norte, Sul, Leste e Oeste) que compõem o sistema de saúde da cidade de Natal, Rio Grande do Norte, de junho a setembro de 2011. O cálculo da amostra teve por base um nível de confiança de 95%, com poder do teste de 80%, erro de estimativa de 5% e considerou-se a proporção de pacientes classificadas com qualidade de vida adequada (indicador ≥26) da amostra piloto. Os dados foram coletados enquanto as mulheres aguardavam na sala de espera para a consulta de rotina. Para avaliar a qualidade de vida geral, utilizou-se a versão abreviada do WHOQOL (WHOQOL-Bref-WHO Quality of Life -BREF), e sua relação com os sintomas do climatério foi avaliada por meio do Menopause Rating Scale (MRS). O nível de atividade física foi avaliado pelo questionário International Physical Activity Questionnaire (IPAQ), versão curta, semana usual. Para obter-se a classificação dos níveis de atividade física, utilizaram-se três categorias: sedentária, moderadamente ativa e muito ativa. A análise estatística foi realizada utilizando o programa estatístico Minitab, versão 16. RESULTADOS: A média de idade das mulheres foi de 49,8 anos (±8.1), foram predominantemente caucasianas (72,7%), casadas (61,6%), não fumantes (93,5%) e com o Ensino Médio completo (47,8%). Considerando os domínios presentes no WHOQOL-Bref para avaliar qualidade de vida, os escores foram significativamente diferentes entre os grupos de mulheres sedentárias, moderadamente ativas e muito ativas (p<0,01). Em relação à atividade física e aos sintomas do climatério, foram observadas diferenças significativas para todos os domínios: psicológico (p<0,01), somático-vegetativo (p<0,01) e urogenital (p<0,01). CONCLUSÃO: A prática de atividade física melhora significativamente a qualidade de vida das mulheres de meia idade. Abstract PURPOSE:To evaluate the influence of physical activity on the quality of life of middle-aged women. METHODS: A population-based cross-sectional study was conducted on 370 women aged 40 to 65 years-old recruited from a population-based sample. Enrollment took place in Basic Health Units in each health district of the city (North, South, East, and West) from June to September 2011. According to the Municipal Health Department of the City, 20,801 women were assisted at the Basic Health Units during a one-year period. The sample size calculation was stratified by district and based on a 95% confidence level with a power of 80%, as well as an error estimate of 5% and it was considered proportional to the number of patients classified as having adequate quality of life (indicator ≥26) in the general population. Data were collected while women waited for their rout...

To identify pregnancy as a causative factor of sexual dysfunction among expectant women. A prospective study with 225 expectant mothers seen in the prenatal clinic of a federal university. Sexual function was evaluated by means of the Female Sexual Function Index (FSFI), and all domains were analyzed (desire, arousal, lubrication, orgasm, satisfaction, and pain). Initially, a univariate analysis of the sample was done. The averages for each domain according to the risk of sexual dysfunction (FSFI ≤ 26.5) were compared using the Student's-test for independent samples. The strength of the correlation between sexual dysfunction and all sociodemographic, clinical and behavioral variables was measured by the Chi-Square (χ) test. Then, odds ratios (ORs) and their confidence intervals were assigned to perform a bivariate analysis. Any values less than 0.05 were considered significant. Approximately two-thirds of the women (66.7%) showed signs of risk of sexual dysfunction (FSFI ≤ 26.5). Within these cases, all sexual dysfunction domains (desire, arousal, lubrication, orgasm, satisfaction, and pain) were found to be statistically significant ( < 0.001). The domains most affected were desire (2.67), satisfaction (2.71) and arousal (2.78). Pregnancy appears to be an important causative factor of sexual dysfunction among pregnant women.

An estimated 5.1 million children under the age of 18 live with at least one unauthorized parent (Zong et al., 2019). Of these children over 4.5 million are U.S. citizens with at least one unauthorized parent, and about 959,000 children under the age of 18 do not have citizenship, permanent-resident status, refugee status, or any of the temporary statuses provided by the United States for long-term residence and work (Capps et al., 2016;Zong et al., 2019). In short, they are unauthorized migrants. As such, over a quarter (28%) of the 18.7 million first-and second-generation children and youth in the United States (Child Trends, 2013) are growing up directly affected by unauthorized status-either their own or their parents'. While they originate in multiple countries, those of Mexican and Central American origin represent the largest groups (Krogstad & Passel, 2015). Historically most crossed over the borders without inspection and the proper authorization. Indeed, recently, visa overstayers (immigrants who arrive with visas and become unauthorized as the visas expire) have surpassed those crossing the border without inspection (Warren & Kerwin, 2017).A growing body of evidence has demonstrated that on average, relative to their authorized peers, children and youth with unauthorized status reveal less positive educational outcomes (Bean et al., 2011) as well as less positive mental health outcomes (Potochnick & Perreira, 2010) after adjusting for indicators of socioeconomic status. Moreover, the developmental issues associated with unauthorized status are not limited to youth who are unauthorized themselves. Research has indicated that having an unauthorized parent is associated with several concerning developmental and educational vulnerabilities in U.S.-born children and youth (Yoshikawa et al., 2017).Like all immigrants, many children and youth with unauthorized status demonstrate an array of strengths including hope (Bahena, 2014), optimism (Kao & Tienda, 1995), motivation, and resilience (Perez et al., 2009). Nonetheless, the conferred societal disadvantage imposed upon these youths suggests clear increased risks (Yoshikawa et al., 2017). Children growing up in unauthorized families show higher levels of internalizing (e.g., depression, anxiety, withdrawal) as well as externalizing (aggression and acting out) behavioral problems relative to their counterparts with authorized or citizen status (Potochnick & Perreira, 2010;Yoshikawa et al., 2017). These domains of compromise include lower levels of cognitive development, academic achievement, and educational progress across early and middle childhood (Ortega et al., 2007) and into young adulthood (Yoshikawa et al., 2017). With the recent intensification of explicitly anti-immigrant federal policies (Kulish et al., 2017) as well as a postelection anti-immigration climate (Saldaña et al., 2018), these issues are of pressing concern (Rogers et al., 2019).This chapter is grounded upon an application of stress theories (including traumatic, toxic, acculturative, and...