JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Individual and community-level factors associated with early marriage in Zambia: a mixed
effect analysis
Version: 1 Date: 14 Oct 2022
Reviewer's report:
Generally, the authors had a fantastic research idea and the findings of their research would have
been interesting if the correct variables and conceptualization were used within the limitation of
the dataset.  Attached are my major concerns :
Introduction
The year of reference for a factual statement made by Girls, not bride, is missing
There are a few instances of grammatical errors
Methods
the variable used for the study cannot be associated with child marriage. This is because the
decision to be a victim of child marriage does not rest on the respondent and as a result, using
their individual-level factors to associate with child marriage is an error in the conceptualisation
of issues relating to child marriage. The authors should note that marriage is a social contract
between families in the African setting, and no individual-level factors cannot be used to explain
the variability in child marriage.
Also, there are time differences between the age at marriage and when the data collection was
carried out. The Demographic and Health Survey data use a cross-sectional approach. As a result,
the variables being measured at the time of the data collection may not be the same variables
during the age of the respondent's marriage.
The parental factors which significantly influence the perpetuation of child marriage have
not been captured in the dataset. Using respondents' current socio-economic and demographic
factors to make this association is far-fetched from reality.
The study highlighted the relevance of community-level factors as contributors to child
marriage. However, the factor used at the community level is a mere aggregation of individual-
level factors
With the data being aggregated for the community-level factors, a major concern is that the
result of the different data values from many sub-units is combined into fewer values for fewer
higher-level units. As a result, much information is lost, and the statistical analysis loses power.
The second problem inherent in data aggregation is the likelihood of the researchers making an
ecological fallacy.
Title: Individual and community-level factors associated with early marriage in Zambia: a mixed
effect analysis
Version: 2 Date: 30 Nov 2022
Reviewer:  Jessica L. Schue
Reviewer's report:
Summary
This analysis explores individual and community level factors associated with childhood
marriage across Zambia using three DHS surveys. Community level factors are estimated from
the cluster unit in the sample design and the authors use a  multilevel logistical regression model
to explore the associations.
Major Comments
Introduction
• Uses both "community" and "contextual" factors, clarify these are the same thing.
Methods
• Line 161-163: The authors responses to initial peer review said that the “complete cases”  only
referred to excluding women who had missing marriage information, but the text in the article
says “all variables of interest”
• Line 227-232: sentences are hard to follow. How the contextual level variables were aggregated
remains unclear.
Results
• Paragraph beginning on line 339 describing results in table 3: rather than repeating the odds
ratios that are already in the table, it would be more helpful to describe the comparisons that were
made, most importantly, include in the text what the comparator group is for all the statistics
reported.
Discussion
• Line 435-436: the authors claim there were unobserved community level factors, this was
stated as a fact but this cannot be said with certainty
Minor Comments
Small grammar corrections throughout
Abstract
• Use of both community-level and contextual level factors, lines 26 & 35
Introduction
• Inconsistencies of where in text citations are placed in a sentence.
Methods
• Ensure that all acronyms are defined before their use (i.e. PVC)
Results
• Inconsistent use of “aOR” sometimes listed as “AOR”
Title: Investigating factors that influence the practice of exclusive breastfeeding among mothers
in an urban general hospital in Ghana: A cross-sectional study
Version: 4 Date: 04 Dec 2022
Reviewer's report:
I have a concern about the study area. What makes Tema in Ghana a peri-urban area?
Please check and reference Lines 102-104. There are studies on exclusive breastfeeding from the
health perspective in Ghana. You need to acknowledge that in your work. For instance [Enablers
and inhibitors of exclusive breastfeeding: perspectives from mothers and health workers in
Accra, Ghana].
The authors need a theory or framework to guide the study in the introduction and discussion.
Copy from lines 145 to 152 and place them under ethical issues or data collection.
They have to edit the manuscript very well
Title: Investigating factors that influence the practice of exclusive breastfeeding among mothers
in an urban general hospital in Ghana: A cross-sectional study
Version: 5 Date: 26 Dec 2022
Reviewer's report:
I commend the authors for the good work and their swift response. However, i have few
comments.
1. The authors should change all peri-urban to urban
2. The theory should be mentioned at the introduction and well explained as well as linked to
the discussion
Title: The nutritional content required to design an educational application for infertile women
Version: 1 Date: 03 May 2022
Reviewer's report:
TOPIC
Suggesting the authors can reword the topic to reflect their objectives of the study.
ABSTRACT
Abstract was well written
BACKGROUND
Background of the study well written. it however lacks some references
Background of infertility as well as the causes have been well outlined. The section however
lacks a review on the relationship between infertility and nutrition which serves as the basis for
this study. This should be reviewed briefly discussed under the infertility session.
This statement needs to be referenced.
studies have shown that men and women hold an equal share of 40% in infertility while the final
20% is attributed to other unknown factors:
Materials and methods
Authors should state the number of articles and publications they reviewed to get the data base.
Please indicate the number of individuals who refused to be part of the study
State the type of articles reviewed (eg infertility, nutrition articles)
Description of the population seems a bit confusing based on the study title. Can this be made
a bit clearer. Too much focus on the individuals who reviewed the articles.
DISCUSSIONS
Please clarify: Are tables supposed to be under results or discussion session
CONCLUSION
The study conclusion indicated the findings will be beneficial for health care institutions and
providers to design an effective application to improve the level of awareness and quality of life
in people with infertility. The latter thus “awareness and quality of life in people with infertility”
was not what the study intended to study
GENERAL COMMENT
Thank you for inviting me to review this manuscript. It is an important study and congratulations
to the authors for the great job done. However, I would say that  the manuscript  can be accepted
once the above issues are well addressed.
Title: The nutritional content required to design an educational application for infertile women
Version: 1 Date: 30 May 2022
Reviewer:  Nayeon Shin
Reviewer's report:
Thank you for submitting the manuscript. For improvement of the manuscript, it needs major
revision. Although the topic is interesting, most parts of the manuscript should be revised for
published as a scientific article.
ABSTARCT
The author needs to write on study design consistently.
Introduction
The author should add sentences on the meaning of the mobile-based nutrition education
application for women with infertility , and the reasons why the author explore the topics.
Discussion
The author needs to add the implication of  minimum data set and educational content  and
practice.  The discussion is just repetitive of the result section. By comparing previous studies
for sufficient discussion should be followed.
Title: The nutritional content required to design an educational application for infertile women
Version: 3 Date: 17 Jul 2022
Reviewer's report:
RESPONSE
1. TOPIC: Determination the nutritional educational content required to design an application-
educational for women with infertility
Authors refined the topic as suggested; however, the new topic does not read well and
still need some revision.
2. Description of the population seems a bit confusing based on the study title. Can this be made
abit clearer. Too much focus on the individuals who reviewed the articles.
This comment was made previously but authors have still not addressed it.
The current description was study site and not the population.
3. I suggest results should be separated from discussions
Title: The nutritional content required to design an educational application for infertile women
Version: 4 Date: 09 Aug 2022
Reviewer's report:
REVIEW COMMENTS
Manuscript Title:  The nutritional content required to design an educational application for
infertile women
The above manuscript has been reviewed and previous comments and concerns have been
addressed by the authors.
The manuscript can however be accepted on completion of a proof reading by the authors.
Title: Prevalence of Teenage pregnancy and its associated factors in high fertility sub-Saharan
Africa countries: A multilevel analysis
Version: 1 Date: 05 Apr 2022
Reviewer:  Temesgen Tilahun
Reviewer's report:
Dear editor,
The manuscript is well written. Here are a few comments
1. Table 1: under educational status, change the phrase no education’ to ‘no formal education
2. Consistent use of words: some words are inconsistently used throughout the document. Eg.
Respondent versus participant, no education versus no formal education, etc. Thus, use the
correct one
3. Labeling of the tables and figures: please make them standard
4. Language/grammar edition: let the manuscript be edited. Some words are not correctly
written. Eg. East Africa versus east Africa,etc
Title: Prevalence of Teenage pregnancy and its associated factors in high fertility sub-Saharan
Africa countries: A multilevel analysis
Version: 1 Date: 25 May 2022
Reviewer's report:
The study leveraged on DHS dataset from nine Sub-Saharan African countries with high
fertility rates to determine the prevalence and factors associated with teenage pregnancy in these
countries. A multilevel analysis was performed to reveal the individual and community level
factors associated with teenage pregnancy.
Major concerns
The Prevalence of adolescent pregnancy and its associated factors have been extensively
investigated across sub-Saharan African countries from the most recent DHS dataset including
the use of multilevel analysis. The present study with its associated temporality issues, therefore,
contributes nothing new to what is already known about the topic. I do not support their claim
that ''there is no available evidence for the high fertility sub-Saharan Africa countries''.
The claim of less enough studies to show the magnitude and associated factors of teenage
pregnancy in the context of high fertile sub-Sahara Africa is not sufficient grounds to warrant
the conduct of further studies when the predictors of teenage pregnancy in these countries have
been thoroughly investigated.
I was expecting to see a within-country spatial distribution and statistical analysis when the
authors mentioned that ''previous studies have tried to address the issue at the country level''.
I suggest an extensive language revision.
Minor issues
Provide references for Line 71-72
Revise sentences on Line 54-56 and 58-61
Check the font size on Line 66
Title: Prevalence of Teenage pregnancy and its associated factors in high fertility sub-Saharan
Africa countries: A multilevel analysis
Version: 2 Date: 28 Sep 2022
Reviewer's report:
The study leveraged on DHS dataset from nine sub-Saharan African countries with high fertility
rates to determine the prevalence and factors associated with teenage pregnancy in high fertility
countries in sub-Saharan Africa. A multilevel  analysis was performed to reveal the individual
and  community level factors associated with teenage  pregnancy.
Remarks
The authors have made conscious effort by reconstructing the introduction to reveal the gab that
needs to be filled.
Minor Comments
I suggest to the authors to develop a map to show the geolocation of the selected countries.
Title: Chronic Non-Communicable Disease burden among reproductive-age women in India:
evidence from recent demographic and health survey
Version: 2 Date: 09 Jul 2022
Reviewer:  Manas Pratim Roy
Reviewer's report:
A brilliant effort for understanding the national perspective.
"Though, various programs and policies are in place in India that predominantly focus on
women’s health, particularly during pregnancy". - seems to be incomplete.
"Moreover, people in reproductive age groups, particularly women, are increasingly affected
during pregnancy" - not clear. Affected by what?
"whereas 25 percent of women are never married" - may be omitted.
"Unhealthy diet" may be defined.
“multimorbidity among those belonging to the affluent families has the highest proportion,
which is due to the low proportion with zero or single morbidity.” – may not be correct. Table
4 shows that the richest suffer from NCD most frequently.
There are further scopes of enhancing the Discussion part, particularly with regard to Table 4.
Title: Chronic Non-Communicable Disease burden among reproductive-age women in India:
evidence from recent demographic and health survey
Version: 3 Date: 26 Sep 2022
Reviewer:  Manas Pratim Roy
Reviewer's report:
Most of the changes are satisfactory.
The definition of an unhealthy diet is still lacking.
If for alcohol consumption, ARRR is 0.93, how can the range be 1.001 - 1.029? Similarly, for
the Waist-Hip Ratio, if ARRR is 10.22, how can the range be 1.070 - 1.109?
Title: Chronic Non-Communicable Disease burden among reproductive-age women in India:
evidence from recent demographic and health survey
Version: 3 Date: 27 Sep 2022
Reviewer's report:
Introduction:
1. Line no. 63: "are ever-married", suggested writing, "married earlier" instead.
2. Line no. 66-67: Correction required in the English language.
Methods:
1. The last two sentences (lines 120-122): These consents were taken during the NFHS-5, not
while this study was conducted. Please mention this in the manuscript.
2. Remove the first sentence of the paragraph (Line 185-186).
Results:
1. The positiong Table 1 is confusing. The heading is there in Line No. 206-207 and again it
is there after line 225.
2. Mere Casualness: There are some other comments from one of the authors in the
"Revised_Manuscript" file. Though, there was a request for keeping the results in past tense,
there were many places where it was still in present tense.
3. Line 304: How come the upper and lower limit is same?
4. Line 304-306: OR 0.73 doesn't mean 0.73 times lesser.
OR and AOR should be interpreted with caution. I'm still not satisfied the way Table 3 & 4 have
been interpreted.
Title: Chronic Non-Communicable Disease burden among reproductive-age women in India:
evidence from recent demographic and health survey
Version: 5 Date: 13 Nov 2022
Reviewer's report:
The manuscript has been improved to a great extent. Thanks for bearing with me. All these
hustles are just for a better publication.
1. Line 66-67: Change it to “was found to be associated positively with multiple chronic diseases/
multimorbidity”
2. Line 120-121: "Above 18"  or "18 & above"?
3. Line 121-122: Correct the sentence.
“The required consent was received from their parents, if the participant was a minor (aged
between 15-17 years)”.
Should it not be 15-17, in stead of "15-18 years"?
4. Line 163-166: If those who were consuming the healthy food items less frequently/never, and
they were addressed as “unhealthy diet practitioners”, what was the use of MCA then?
Please read the 5th point carefully.
5. Interpretation of Table 3:
a. Please remove “versus single and no morbidity” from every line. This sound so basic. Without
that part also, the sentence is complete and meaningful enough.
b. Just a suggestion:
The odds ratio should be interpreted as either
i. odds of having multimorbidity was 0.73 times among the rural participants than their urban
counterparts,
OR
ii.  odds of having multimorbidity was 27% less among the rural participants than the urban
participants.
It is not conventional to write as 0.27 times lesser.
c. The “risk of multimorbidity” is in singular tense; the verb after this should be in singular
number too. Nowhere should it be “were”, rather it should be “was”.
d. Try to bring variations while writing the results. The readers must be engaged through the
writing. These interpretations are so monotonous and close reparation to each other. No need to
interpret each and every ORs. Write about only the significant findings of this study.
6. Line 306-307 & 340-341: After repeated suggestions, the result is still written in the present
tense.
7. Line 306-307: Change “5% greater” to just “1.05 times”.
8. Line 307-309: This sentence is confusing, should it not be “… lesser than urban residents”?
9. Line 340-342: Please write like this throughout the interpretation of Table 4 :
"for an increase in age by a year, the risk of multimorbidity was found to be increasing by 4%
(95% CI: 1.042-1.043), given the other variables are held constant."
10. I request the authors not to repeat the same pattern while interpreting the results.
11. Table 4:
Why do you need to write “(continuous)” after Waist-Hip Ratio?
It’s a well-known fact that the W-H ratio is a continuous data and it has been treated as a
continuous data in other tables too.
Title: Chronic Non-Communicable Disease burden among reproductive-age women in India:
evidence from recent demographic and health survey
Version: 5 Date: 23 Nov 2022
Reviewer:  Manas Pratim Roy
Reviewer's report:
Changes are satisfactory.
However,  the definition of an unhealthy diet is still not clear. If one consumes pulses/ fruits/
egg/chicken daily and aerated drinks/ fried food on alternate day, how should we label him/ her?
The term 'frequent' is also non-specific. A subjective interpretation may change the results and
conclusion.
Title: Awareness of cervical cancer and its associated socio-demographic factors among Yemeni
immigrant women in Malaysia
Version: 2 Date: 14 Dec 2022
Reviewer's report:
Thank you for submission of this article. I believe this is an essential work in highlighting an
important women's health issue among potentially  isolated sub-population in Malaysia.  There
is honesty in the methodology, for example the authors explained the switch from random
to convenient sampling due to unforeseen circumstances.  The data analysis is adequate and
acceptable, only a few minor corrections are needed.
Here are my comments / suggestions:
1. In introduction - do you have any data on CC prevalence, awareness or knowledge level
etc among Yemeni women in Yemen. This would provide some baseline for comparison with
Yemeni immigrants in Malaysia.
2.  I do not think the term 'population based' is appropriate  in this study design, unless the
majority of Yemeni women reside in Klang valley, Malaysia. It would be enough to state cross
sectional survey which represents Yemeni women in Malaysia.
3.  All tables requires tidying up in terms of formatting.
4. In Table 1, please provide data for age groups also (like in Table 5).
5. Table 4 can be removed and explained in paragraph only. This will cut down the number of
tables in this manuscript.
6. Please use MYR (Malaysian Ringgit) instead of RM.
7.  In Table 6& 7, several ANOVA analyses seem inappropriate. For example for Education,
there is only 1 respondent with no formal education.  To circumvent this,  you can combine the
'No formal education' and  'Primary and secondary'  as one category and rerun the ANOVA test.
Similarly, for  Occupational - you should combine  'Skilled' and 'Semi killed and unskilled' as
one and run t-test instead. Similar approach should also be done for Husband's educational level.
8. In discussion, please compare with findings from Yemeni population in Yemen or in other
parts of the world, where appropriate.
Title: Awareness of cervical cancer and its associated socio-demographic factors among Yemeni
immigrant women in Malaysia
Version: 2 Date: 18 Dec 2022
Reviewer:  Murallitharan Munisamy
Reviewer's report:
Dear Dr,
This is a well-planned and thought about paper  about cervical cancer awareness within a
minority, vulnerable population of migrants in Malaysia
The methodology is sound, and well described.
The results also reflect the processes outlined in the methodology and all objectives haebve been
reported on in a comprehensive manner.
The chosen statistical tests also are appropriate
The discussion also elaborates and explains the results in an appropriate manner.
I would request a reassessment of the value of the insertion of so many tables. For  example,
Table 2 and Table 3 could be combined due to its similarity in terms of shape and form.
The presentation of Table 4 in its current form needs to be relooked at as it provides little support
to the entire paper in this form.
Table 6 and 7 could be better formatted with removal of some variables and combination into 1
table - please refer standard table formats to assist with this
One other issue with this paper that it needs a round of language edits. Once this has been done,
it would the make the paper a much better read  and a notable piece of scientific discourse for all.
Title: Awareness of cervical cancer and its associated socio-demographic factors among Yemeni
immigrant women in Malaysia
Version: 3 Date: 09 Jan 2023
Reviewer's report:
Thank you for the revised article. All the comments have been addressed by the authors.
Overall, the article has improved. I am very satisfied with the revised article.
Minor comment on the numbers alignment in Table 1 (should be right align). And please add
the unit 'year' for variable age. Perhaps the editorial team can do these.
Title: Cultural beliefs, attitudes and perceptions of lactating Mothers on exclusive breastfeeding
in The Gambia: an ethnographic study
Version: 1 Date: 02 Oct 2022
Reviewer's report:
1. The paper is well constructed and detailing on what they wanted to explore but the culture
of exclusive breastfeeding defer in  many ethic group in the Gambia they  mention that in their
finding . it is good and it will give ideas to people to know how exclusive breastfeeding done
in the Gambia
Title: Cultural beliefs, attitudes and perceptions of lactating Mothers on exclusive breastfeeding
in The Gambia: an ethnographic study
Version: 3 Date: 12 Dec 2022
Reviewer's report:
Comment to the editor
Title: Cultural beliefs, attitudes, and perceptions of lactating Mothers on exclusive breastfeeding
in The Gambia
Overall
Thank you the author for your hard effort to extensively revise the manuscript. For the revision
based on a section-by-section response to the comments, the author demonstrates the clear
amendment on background, methodology, and key findings. With respect to the results, six
themes of findings demonstrate the interesting cultural beliefs, attitudes, and perceptions of the
mothers. However, if the total pages of results can be concisely illustrated (should be less than
25 pages), the readers will be easier for catching up on the main point.
Title: Obesity at age 20 and weight gain during adulthood increase risk of total and premature
all-cause mortality: Findings from women attending breast screening in Manchester
Version: 2 Date: 18 Sep 2022
Reviewer:  Fentaw Wassie Feleke
Reviewer's report:
First of all, I would like to appreciate your interest in this topic with the largest sample size.
Overall, the manuscript is good. In the analysis section better to look to use survival analysis.