JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 1 Date: 10 Mar 2023
Reviewer:  Tullio Golia D'auge
Reviewer's report:
In my opinion, this topic analyzed is interesting enough to attract readers’ attention. The goal of
this study is to review and synthesize the existing evidence on the healthcare-seeking behavior
among women with pelvic organ prolapse. I think that the abstract of this article is very clear
and well structured.
I suggest another round of language revision, in order to correct few typos and improve
readability.
In my opinion, the discussion could be studied in deep and extended. Maybe, it could be useful
the evaluation of the state of the art of surgical approaches and new treatment strategies for
prolapse In particular, I suggest these articles to get deeper in the topic: PMID: 33103408, PMID:
28786873.
Tables are clear and interesting.
Considered all this points, I think it could be of interest for the readers and, in my
opinion, it deserves the priority to be published after minor revisions.
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 2 Date: 29 Mar 2023
Reviewer:  Delena Caagbay
Reviewer's report:
The revised manuscript is much improved - well done!
General comment: the first time using the term pelvic organ prolapse, put in brackets (POP) then
the abbreviation can continue to be used throughout the paper.
Introduction:
Line 45 - not all POP extends through the vaginal opening
Line 54 - 'may' cause direct pelvic floor muscles...
Methods:
Were studies included where women sought advice from family members, traditional healers
or non-health professionals? For example, in some cultures women are taught the traditional
customs and become traditional birth attendants but have no formal training.
Discussion/Conclusion:
The discussion around comparing developed countries is weak because UAE could be
considered a wealthy country but rates lower than Nepal in health-care seeking behaviour.  The
only Western country included in the data is the USA so the results cannot be used to conclude
all Western/Developed countries have higher health-care seeking behaviour.  The results of this
study shows the inconsistencies in how data is collected and reported highlighting that more
robust studies are necessary.
The paper is well written but there are some minor grammatical mistakes throughout.
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 2 Date: 01 Apr 2023
Reviewer:  Ilaria Cuccu
Reviewer's report:
I read with great interest the Manuscript titled " Inequality in healthcare-seeking behavior among
women with pelvic organ prolapse: A systematic review and narrative synthesis”.
In my honest opinion, the topic is interesting. This is an analysis of the differences in healthcare-
seeking considering data from different countries in the world. It could be a good starting point
to try to spread maximum well-being, recovery, and rehabilitation even in these states that from
your analysis have more limitations. I think it would be of interest for the readers and, in my
opinion, it deserves the priority to be published.
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 2 Date: 01 Apr 2023
Reviewer:  Tullio Golia D'auge
Reviewer's report:
I renew the suggestions of the previous revision.
English must be corrected by a native speaker to make the text more readable.
I advise you to emphasize the strengths of the study.
Only after making these changes and incorporating these suggestions the work will be eligible
for publication.
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 4 Date: 12 Apr 2023
Reviewer:  Tullio Golia D'auge
Reviewer's report:
In my honest opinion, the authors have responded satisfactorily to the reviewers’ criticisms.
The manuscript is well written and falls within the aim of this Journal, however, it does not add
innovative elements to the existing literature.
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 4 Date: 14 Apr 2023
Reviewer's report:
Thank you for the opportunity to review this manuscript. The authors present “ Inequality in
healthcare-seeking behavior among women with pelvic organ prolapse: A systematic review
and narrative synthesis”. This is an important topic and has the potential to inform health
professionals and researchers about this risk in general. After minor revision, the manuscript
can consider for publication.
I have included detailed comments below for the authors to look at.
Has there ever been another review article in this field? Please mention the importance.
Title: Inequality in healthcare-seeking behavior among women with pelvic organ prolapse: A
systematic review and narrative synthesis
Version: 4 Date: 15 Apr 2023
Reviewer:  Ilaria Cuccu
Reviewer's report:
I read with great interest the Manuscript titled " Inequality in healthcare-seeking behavior among
women with pelvic organ prolapse: A systematic review and narrative synthesis”.
In my honest opinion, the topic is interesting, and it could be of interest to the readers. In my
opinion, it deserves the priority to be published.
Title: Reassessing the Level and Implications of Male Involvement in Family Planning in
Indonesia
Version: 1 Date: 29 Aug 2022
Reviewer's report:
Overall, this is a well-written and high-quality manuscript with implications for the theoretical
basis, development, and maintenance of the family planning program. The introduction is
relevant and theory-based. The methods are generally appropriate, although clarification of a few
details should be provided. The authors make a systematic contribution to the research literature
in this area of investigation. The study has been a good discussion, even if some issues could
be further clarified.
Abstract
Any interpretations should be omitted from the results. For qualitative data, authors should only
make general observations about the findings.
Introduction
The significance of conducting this research has been well-elaborated. References are somewhat
outdated. References published within 5 years should be cited throughout the paper.
Methods and materials
Construction of variables has been explained well. A description of the procedure for data
collection and data analysis needs to be mentioned in detail. Also, other covariates included in
the analysis need to be described.
Results
Overall, the table is clear, and findings are well-written. Please arrange the direct quotations
from the qualitative data with italics as mentioned in the Methods section.
Discussion
It is interesting to note that the authors highlight two standpoints on the importance of male
involvement in the FP program. Please add the reference for the first reason you have mentioned
in the paper (the high levels of unmet need for family planning at female or couples’ levels,
contraceptive discontinuation, and rates of induced abortion)
Conclusion
No comment
References
All references except classical and primary sources should be up to date within 5 years of
publication.
Title: Reassessing the Level and Implications of Male Involvement in Family Planning in
Indonesia
Version: 3 Date: 08 Mar 2023
Reviewer:  Karen Hardee
Reviewer's report:
It was a pleasure to read this revised version of the paper, Reassessing the Level and Implications
of Male Involvement in Family Planning in Indonesia.  As it now stands, I think this manuscript
makes an important contribution to the literature on male involvement, beyond its relevance for
Indonesia.The reanalysis of male involvement using factor analysis makes the findings linked
to the 4 factors much clearer.  I have only a few minor comments.
Line 135 – shouldn’t it be “attributed” rather than “attributes”?
Line 234 – it looks like some wording was not deleted that should be – at the beginning of that
line
Line 319 – it looks like a word is missing “been contraception” – do you mean “been
contracepting”
Line 331 – shouldn’t it be “prior TO the survey”
Line 411 – “With regard to age, older men had scores on Factors 1”  - should there be a word
between “had” and “scores”?
Line 526 – “Village apparatus" is not clear
Line 604 - There is a new article on vasectomy that might be of interest to cite- by Roy
Jacobstein and colleagues in Global Health Science and Practice https://www.ghspjournal.org/
content/11/1/e2200369
Line 639 - This would benefit women too - who also have "opportunity costs" - here it reads as
though the authors are advocating this for men only
Title: Comparison of Serum Metabolomics in Women with Breast Cancer Prior to
Chemotherapy and at 1 Year: Cardiometabolic Implications
Version: 3 Date: 19 Jan 2023
Reviewer's report:
The article is interesting and very well-planned. However, some considerations need to be
corrected.
Not all denominations referring to "Black" and "White" need to be standardized, whether
uppercase or lowercase. There is a need to correct some words that are misspelled, for example,
"Analysi" in the Results section.
In the Procedures section, put the "degree" symbol when referring to temperature in Celsius.
In addition, the text as a whole and the table need to be standardized according to the journal's
spacing requirements.
I worried about getting to the end of the reading and realizing that the manuscript only had 1
figure and 3 tables. Statistical analyses need to be better explored, and I missed the results being
better explored; for example, performing a pathway enrichment would be interesting.
I really liked the Discussion, but they could have better explored the clinical part of the results
and, in addition, developed in more detail the mTORC1 activation that was just mentioned.
This submission is interesting while the authors should add some works to this submission: (1)
some wet lab works should be added to judge the liable of their prediction; (2) The presentation
can be enhanced to show their novelty; (3) All other considerations listed above.
Title: Comparison of Serum Metabolomics in Women with Breast Cancer Prior to
Chemotherapy and at 1 Year: Cardiometabolic Implications
Version: 3 Date: 28 Feb 2023
Reviewer's report:
Thank you very much for sharing this article with me. This study is interesting and important.
I have several minor comments.
1. It was not clear if results are adjusted for demographic and lifestyle factors in Tables 2 and 3.
Can you clarify this? If not, I think it would be useful to account for these possible confounders.
2. The authors state the following: This research involving human subjects was approved by
the Virginia Commonwealth University Human Subjects’ Institutional Review Board (IRB #
HM13194 CR4) and University of Florida RB201400083. I think it is important to describe
information on where and what type of health care institution this study was conducted at.
Was this conducted in low- and middle-income countries? The quality of health care may be
endogeneity linked to the outcome. I would suggest the authors to briefly reflect this information
as part of the title and abstract.
3. Similarly, the authors should discuss the limitation that can be derived from selection bias.
Sample may be biased because some respondents may not be selected into health care system.
What would be possible biases linked to this mechanism?
Title: Prevalence, knowledge, attitude, motivators and intentional practice of female genital
mutilation among women of reproductive age: A community-based analytical cross-sectional
study in Tanzania
Version: 1 Date: 14 Mar 2023
Reviewer:  Kongmany Chaleunvong
Reviewer's report:
1. The proportional distribution of perceived intentional practice of female genital mutilation
are not match with figure 8
2. The table 3-5, factors associated with knowledge attitude and intentional practice   about
female genital mutilation are not correct, especially AOR & 95%CI
3. The proportional distribution of perceived intentional practice on female genital mutilation
were divide into three groups, but logistic regression, dependent variable must be binary
variable. How author run logistic regression?
Title: Prevalence, knowledge, attitude, motivators and intentional practice of female genital
mutilation among women of reproductive age: A community-based analytical cross-sectional
study in Tanzania
Version: 1 Date: 15 Mar 2023
Reviewer:  Filippo Alberto Ferrari
Reviewer's report:
Dear respectable Editor,
I am grateful to have the opportunity to review this paper entitled “Characterization, knowledge,
attitude, intentional practice and motivators of genital mutilation among women of reproductive
age: a community-based analytical cross-sectional study in Tanzania” by Hermann et al.
- I appreciate the structured abstract that reported all the relevant information but I advice
to report relevant results with p value and AOR and reformulate the conclusion in order to
summarize them.
- I suggest to shorten the introduction and move the extensive analysis into the discussion.
Moreover, the aim of the study is not totally clear and it is not evident what the study adds to
the previous literature.
- In the study setting I advice to add information about the urban or rural features of the two
included districts.
- The method used in the data collection is well described but it could be helpful to upload
and English version of the questionnaires in supplementary material. The statistical analysis is
adequate and reproducible.
- Report each study in the paper as “ Author et al” instead of “Author&Author”
- I suggest to improve the discussion analyzing the government project to improve the female
knowledge and awareness or conversely propose possible solution to fill the gap.
- Please report under each Table the abbreviations list. Figures are adequate in quality and
description.
Title: Mother’s perceptions and concerns over sharing sexual and reproductive health
information with their adolescent daughters- A qualitative study among mothers of adolescent
girls aged 14-19 years in the developing world, Sri Lanka
Version: 1 Date: 13 Mar 2023
Reviewer's report:
This is an interesting and timely study. However, the quality of the manuscript can be improved.
The manuscript is very long, which may make the reader lose interest. Therefore, suggest making
the manuscript more concise by making it brief but comprehensive.
The terms SRH and ASRH needs to be defined at the first instance that they are being used.
References need to be uniform. Although the authors have numbered most references, one
reference in the introduction, (Senaratne B.C.V, 2003), is in APA format.
In the introduction section, the authors state "Parental prevent unhealthy SRH practices among
adolescents and promote their health ". This sentence needs to be revised as it is not clear.
Please rephrase this sentence in the introduction as it is not clear. "A qualitative study carried
out in Sri Lanka in 2008 suggested that although Sri Lankan parents are keen on providing SRH
information to their adolescents. It was found that social taboos and embarrassment are the main
barriers that prevented Sri Lankan parents communicating with their adolescents about sexual
health matters (17)".
In the methods, the authors state that "mothers with severe psychological impairment were
excluded. How did the authors define "severe psychological impairment"? Did this include who
were having a diagnosis of psychiatric disorder, acutely unwell...etc?
Need more details of the methods carried out - e.g. how many semi-structured questions were
there? How were the participants recruited?  Where did the discussions take place?
In the discussion section the authors state that, "Even though many mothers had recognized
the importance of mother-daughter sexuality communication and had taken the first steps
already, there were exceptions in the society who had not realized the need to provide sexual
health information to adolescents.". Should it be "there were many exceptions among the study
participants'?
Title: Association between serum uric acid and female infertility: a cross-sectional study of
National Health and Nutrition Examination Survey (NHANES) 2013-2018
Version: 0 Date: 27 Mar 2023
Reviewer's report:
A good topic for research has been chosen. But the authors should explain the following.
1. Infertility was stated as one of the inclusion criteria, while cases such as pregnancy, women
with no sexual experience, were stated as exclusion criteria. It seems that these cases are not
exclusion criteria and should not be included in the study from the beginning. Besides, in
Table 1, the participants were divided into two groups of infertility and non-infertility, while all
participants had to be infertile according to the entry criteria. In addition to these cases, image
1 is inconsistent with the entry criteria. please be clearly stated.
Title: Association between serum uric acid and female infertility: a cross-sectional study of
National Health and Nutrition Examination Survey (NHANES) 2013-2018
Version: 0 Date: 31 Mar 2023
Reviewer's report:
First of all, thank you for the opportunity to review and share my thoughts on this study. This
study conducted a cross-sectional analysis to investigate the associations between serum uric
acid and female infertility. This is an association-based study, and causal relationships cannot
be completely established. As presented, the data are overinterpreted. I recommend further
analyses. Below are some revisions:
1) In this study, the uric acid concentrations were analyzed as continuous and quartiles,
respectively. However, uric acid concentration as a continuous variable has limited practical
significance.
2) Multivariable logistic regression model 2 and model 3 adjusted for sex, please explain the
reasons.
3) Publication of some results, such lines 35-38, may mislead the readers. As you describe,
obesity was important factors in female infertility. Although the authors may state potential
reasons, still there might be some readers who just take the OR values without reading the
discussion section carefully.
4) There must be revision to the discussion, such as comparing it with other studies, and
providing more information about mechanisms.
5) Some sentences are not rigorous, such as lines 132-133, lines 186-187.
6) Spelling and grammar need to be checked carefully.
Title: The assessment of risk factors and risk perception status of breast cancer in Northern Iran
Version: 0 Date: 10 Oct 2022
Reviewer's report:
Many thanks for submitting your manuscript to BMC womens health.As your manuscript has
been reviewed and as follow you can find the comments:
1. Abstract: What age range does old age mean?
2. The Introduction is too long and it does not add anything new
3. The manuscript needs English editing
4. Reference 14: The topic of the article has nothing to do with reducing death and increasing
survival in early detection
5. This study is local and may be better to publish in local journals
6. Is only time included in the inclusion criteria?
7. The Job classification is not correct
8. The income table based on dollars is wrong
9. What is the novelty of the manuscript ?
10. In the study, it is not mentioned how many years the patients have taken contraceptives, as
we know the duration of contraceptive pills is an important issue
11. Discussion is too long
12. References are very old
Title: Determinants of quality contraceptive counselling information among young women in
Sierra Leone: Insights from the 2019 Sierra Leone Demographic Health Survey
Version: 2 Date: 08 Apr 2022
Reviewer:  Mary H. Hodges
Reviewer's report:
A commendable appraisal for quality of FP counseling in Sierra Leone.  I am concerned that
you list determinant of quality of FP counseling to include the southern region in the abstract-
conclusion and results but go on to discuss it from the opposite perspective in the narrative.
None of the authors come from the RCH sector which would have contributed substantially to
the depth of this article.
No reference has been made to the substantial effort and resources that have been made since
Ebola to integrate routine quality FP into routine CH services as mass VAS campaigns have
been phased out. I have suggested three publications on the topic and the impact.  the End Term
Evaluation report is another prevalent document that could be obtained from the DFN, MoHS
or from Helen Keller International/Irish Aid.
Koroma AS, Ghatahora, SK, Ellie M, et al. Integrating reproductive and child health services
enables access to modern contraception in Sierra Leone. Int J Health Plann Mgmt. 2019;1–13.
Doi 10.1002.hpm.2728
Koroma AS, Conteh SG, Bah M, et al. Routine vitamin A supplementation and other high impact
interventions in Sierra Leone. (2020) Matern Child Nutr;16:e13041 doi: 10.1111/mcn.13041
Koroma AS, Kamara HI, Moses F, et al. (2021) The impact on key indicators of reproductive and
child health after changes in program modalities in Sierra Leone. Health Sci Rep. 2021;4:e297.
doi.org/10.1002/ hsr2.297
Title: The role of community healthcare professionals in discussing sexual assault experiences
during obstetrics and gynecological healthcare appointments
Version: 1 Date: 14 Mar 2023
Reviewer:  Jacki Witt
Reviewer's report:
Timely and highly relevant topic.  There were grammatical errors, which distracted me. Methods,
analysis, and discussion were appropriate, but I got lost between birthing and non-birthing
people. Not sure if there would be benefit from separating those.  I recommend acceptance after
revisions.
Title: The role of community healthcare professionals in discussing sexual assault experiences
during obstetrics and gynecological healthcare appointments
Version: 1 Date: 29 Mar 2023
Reviewer's report:
This is a qualitative study examining the role of health care professionals in assessing patients
for sexual assault.
Introduction
1) Page 1, line 94: a few words are missing. The authors might consider,"...and many cases of
reporting occur....."
2) Were the authors referring to a lack of access to referral resources or a lack of knowledge
of those resources?
3) Did the authors consider resources from the American College of Obstetricians and
Gynecologists regarding trauma informed care?
4) This history is important for all types of physicians.
5) COVID19 increased the episodes of sexual and physical assault and child abuse.
Methods
1) Page 8, line 211: Would there have been a change in the openness of participants if the
interviews were by phone vs in person?
2) Does a change in the protocol to either phone or in person lead to a different data capture or
information obtained among participants?
Results
1)  This section is very dense in the information presented from the focus groups. Perhaps the
authors may present this in another way (tables summarizing the themes and not necessarily all
of the quotes)
2) Are these generalizations of the experiences of patients with male health care professionals?
Can the authors safely assume that these trauma informed approaches are not relevant for women
health care professionals?
Discussion
1) Great summary of previous research and relevance of this paper within that context.
2) It is important for authors to review implications, limitations and future research planned.