JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Socio-demographic predictors of obesity among women in Mukono Central Division in
Central Uganda: A cross-sectional study
Version: 2 Date: 28 Feb 2023
Reviewer:  Ronald Ssenyonga
Reviewer's report:
The article is well written.
Abstract
- Instead of recent, can you provide a time frame i.e "In 2018, ..."
Methods
- Two stage sampling would introduce sampling error. There is not adjustment in sample for this
design effect. May be mentioned this in the limitations. It does affect the estimates you present
in your results.
- It is not clear how simple random sampling was conducted without a clear sampling frame.
More details need to be added.
- It would be good to reference the studies (since you use it in this study) that have validated
TANITA gadgets for body percentage in the setting of the study.
- Where there participants that were excluded from the study?
Results
- I  could not find the results from the open ended questions of the semi-structured  questionnaire.
Table 2: Is a woman's tribe important in understanding weight. If so, what were the three or four
other categories? And what were the percentages of obesity
- P=.000 should be changed to p<0.001.
- There is need to format the results better, some sentences are not well alighted see under
"Factors associated with obesity"
- can the authors remove the percent's on each result (see table 4). You can have it at the top
of the table.
-It is also not clear whether these are column, row or cell percentages (table 4). I would suggest
use of row percentages.
- Table 6, when you say predictors of body composition of women, does this mean after adjusting
for other factors, or these are independent predictors. This is not clear
Discussion
- Some parts in the discussion need to be well reflected upon. "a study in Kenya indicated that
married and cohabiting respondents showed signi#cant increased risk for obesity compared to
unmarried respondents". Could this mean, they are also more likely to have children and thus
unlimited evidence of body fat during and often after child birth. These need to come out more
clearly in the discussion
- In the conclusion, the authors mention non modifiable factors such as life cycle of women,
these might not be actionable for policy makers if they are to use this evidence.
- Could you add some strength and limitations to this research.
Otherwise, this was a good undertaking. on a lighter note. Why submit for ethical review in
Mbale, if this study is in Mukono.
Title: Socio-demographic predictors of obesity among women in Mukono Central Division in
Central Uganda: A cross-sectional study
Version: 6 Date: 28 Aug 2023
Reviewer's report:
Introduction: Include a statement to indicate why body fat% is preferred to in this study than
BMI.
Results: Focus on the results of the regression analysis as the key results. Avoid discussion of
the results.
Discussion. Discuss the key results. i.e. relationship of employment status and obesity.
Title: Socio-demographic predictors of obesity among women in Mukono Central Division in
Central Uganda: A cross-sectional study
Version: 6 Date: 04 Sep 2023
Reviewer's report:
I wish to congratulate the authors for improving the manuscript.
Line 20 and 25: Shouldn’t socio demographic be written as “socio-demographic”
Lie 136, 404: in this line it is written as sociodemographic, you need to be consistent in writing.
Line 150-153; I don’t believe the DHS report is the right reference for this paragraph
Line 180-183: It is not right to state that all households were visited without indicating the limit.
Did you have a target number of households/women? You may probably need to indicate that
households were visited/women were interviewed until the target sample was achieved.
I am imagining a scenario where the village has very few households with women that are willing
to participate versus one in which households/women are too many beyond what the researcher
is interested in! Kindly make this clear to the reader
Line 208,210,214, 218, 222, 226, 229, and 232: The references seem to have been misplaced.
Shouldn’t they appear at the end of the sentences or include names of authors if cited within
the sentences. These is something about the references in the whole manuscript which needs
attention.
For example for line 380
“However Mukabutera et al., [38] also based on a nationally representative sample of the NISR
[39]  found that there was no relationship between employment status and obesity.”
Line 415, 416: the use of socioeconomic vs socio-economic. These may all be right but you
need to be consistent in writing your manuscript
Title: Dynamics of Usage of Menstrual Hygiene and Unhygienic Methods among Young
Women in India: A Spatial Analysis
Version: 2 Date: 07 Mar 2023
Reviewer's report:
Title: Dynamics of Menstrual Hygiene Practices among Young Women in India: A Spatial
Analysis
Journal: BMC Women's Health
Reference: Submission ID e771ba84-9a9e-45bf-82ba-982548e4a04d
The study topic entitled “Dynamics of Menstrual Hygiene Practices among Young Women in
India: A Spatial Analysis” is a serious issue in present day context. This manuscript examines
a very serious issue of public health as the authors indicate that there is an extensive range
of social-economic and demographic characteristics that determine the Menstrual Hygiene
Practices among Young Women in India. The manuscript finding and its relating suggestions
would be helpful for policy makers, government and Non government Organization to minimize
its burning flames. Authors are suggested a minor corrections in their manuscript which are
pointed below—
1. Grammar, syntax, and punctuation should be corrected properly of the manuscript.
2. Manuscripts alignment should be checked properly once.
3. Reviewer thinks that the study would be more analytical and much more relevance if it reflects
partners attitude toward menstrual practices. Need citation from some recent research if possible.
4. “In addition, menstruating girls frequently face unnecessary restrictions in their daily lives as
a result of inadequate and inaccurate knowledge about menstruation, which can lead to a range
of psychological problems”. Needs citation.
5. If possible, the some recent research may cite on “partners attitude toward menstrual
practices”.
The manuscript is well-written on the contemporary issue and its structure is adequate. The
authors have pointed out the very emerging and relevant issue related to young women in India.
I recommend for the acceptance of this article due to its wider coverage and relevance.
Title: Dynamics of Usage of Menstrual Hygiene and Unhygienic Methods among Young
Women in India: A Spatial Analysis
Version: 2 Date: 29 Apr 2023
Reviewer's report:
Although the manuscript covers an important topic (menstrual hygiene practices in India) and
provided state-level differences in these practices; the paper is weak because the authors fail
to present new information. The paper has a number of flaws that would need to be addressed
before it is suitable for publication.  Below, I outline ways to improve the paper.
1. Please replace the as ‘Methods’ instead of ‘Practices’ in manuscript title. However, number of
paper already published as menstrual practices from NFHS data. As per my knowledge, NFHS
data could not provide any menstrual practice related data i.e. changing time of pads, washing
practices, solution used etc. So it would be more meaningful. Because sanitary pads also become
unhygienic if it used for more than 4/6 hrs in one time.
2. Give your rationality. You have mentioned “research focusing on the spatial patterns of
menstrual hygiene practices in the country is rare”. This statement is quite general. If you look
at Google scholar you can found more than 20 articles on spatial analysis from NFHS-5. So
make it clear.
3. The introduction is not new.
4. I am quite confused why author considered ‘both’ as an outcome  (hygienic and unhygienic)
is there specific impact on health. If so please address in your discussion part.
5. The results are not surprising that more educated and richer women are more likely
to use hygienic practices than their less educated and poorer counterparts. It seems that
programmatically, a more in-depth analysis could be useful perhaps at the state level.
6. Author used LISA, this is very good. But provide more view in your discussion part on how
different factors varied by region for unhygienic use of menstrual methods.
7. RRR model shows likelihood of unhygienic practice. But your title is hygienic. I know why
you used. But it would be confusing to the reader.  I would recommend use multivariable model
and show the likelihood of hygienic methods
8. The discussion also not new for me. And a bucket of literature already in same line. Revise
your discussion
9. Furthermore, due to the fact that it is a descriptive study the authors also fail to provide any
programmatic useful recommendations by state or location.
Title: Dynamics of Usage of Menstrual Hygiene and Unhygienic Methods among Young
Women in India: A Spatial Analysis
Version: 4 Date: 29 Jun 2023
Reviewer's report:
The study topic entitled "Dynamics of Usage of Menstrual Hygiene and Unhygienic Methods
among Young Women in India: A Spatial Analysis" is a serious concern in present day as
a developing country in India. The manuscript finding and its relating suggestions would be
helpful for policy makers, government to improve menstrual hygiene practices among young
women in India. Authors are suggested a minor corrections in their manuscript which are pointed
below—
1. In Introduction part the line “Even today, in many families, menstruation is a secret between
mother and daughter” if this kind of fact is found in previous work then cite.
2. In discussion part “Most of the tribal groups have historically been relegated to isolated and
remote areas without proper access to markets or healthcare facilities. They are more likely
to practice unsanitary measures of menstrual protection because of their isolation, restricted
availability of disposable sanitary pads, and lack of awareness.” If possible cites previous work
for more strengthening the manuscripts.
3. Add Separate section with strength and limitation of the study.
4. Grammatical errors, tenses and syntax should be checked throughout the text.
Title: Characteristics and survival of patients with gynecological cancers who refuse
radiotherapy: a retrospective cohort study
Version: 0 Date: 12 Sep 2023
Reviewer:  Li-Nien Chien
Reviewer's report:
Some comments are provided, which might help readers to understand the study.
Major comment:
1. For me, the number of refused radiation was very small, only 0.6% of the total sample,
although Figure 2 showed an increased trend across 30 years. Evidence regarding the benefit
of radiation therapy was shown in many studies. The authors should provide strong statements
regarding the significance of their research.
2. Since the data is over 30 years old, it is good to know whether there were guideline changes
regarding radiation therapy in patients with GC cancers.
Minors:
1. Inclusion criteria 4) is not clear. The authors included the patients for radiation was
recommended and then divided the patients into performed and not performed. The authors
might clarify it.
2. Two-stage test: The authors mentioned the KM curve crossover in Figure 3C; therefore, they
used a two-stage test. I am not familiar with the two-stage test, the authors might provide more
information regarding the analysis. Additionally, in the Cox regression, a proportional hazard
assumption is suggested to be performed to ensure the HR is not time-dependent.
3. The authors mentioned that patients who refused radiation therapy also refused surgery.
Although multiple regression analysis adjusted the effect of surgery on survival, authors should
provide some subgroup analysis, by year or by surgery, to ensure the effect of radiation therapy
on survival.
4. Comorbidities are associated with overall survival that were not measured in this current
study. Authors should notice the potential limitation.
Title: Characteristics and survival of patients with gynecological cancers who refuse
radiotherapy: a retrospective cohort study
Version: 0 Date: 15 Sep 2023
Reviewer's report:
The current study used SEER data to present differences in treatment outcomes when
gynecological cancer patients refused radiation therapy and analyzed the reasons for treatment
refusal. Overall, I think it is a well-written manuscript, but there are some parts that could benefit
from several revisions.
Major points
Method and result
It is necessary to describe the Cox   &  logistic regression analysis process in detail. Please
describe which variables were included and what method (ex. backward elimination, forward
selection) was used. Also, please present the results of multivariate Cox regression analysis of
the included variables.
Discussion
Because SEER data reflects the U.S. healthcare environment, reasons for refusing radiation
therapy are unlikely to be uniform across the world. Nevertheless, what should hospitals do
to ensure that gynecological cancer patients receive appropriate radiation therapy using factors
other than economic reasons such as medical insurance?
The reason for the analysis is to use this data. Please suggest how the authors can use the results
of this analysis to solve the problem of refusal of radiation therapy.
Availability of data and materials
You must present the data on which you actually performed the analysis.
Minor point
Please abbreviate repeated words (ex. radiation therapy)
Title: Characteristics and survival of patients with gynecological cancers who refuse
radiotherapy: a retrospective cohort study
Version: 0 Date: 16 Sep 2023
Reviewer's report:
I read with great interest the Manuscript titled " Characteristics and survival of patients
with gynecological cancers who refuse radiation therapy: a retrospective cohort study." topic
interesting enough to attract readers' attention.
Although the manuscript can be considered already of good quality, I would suggest to take into
account the following recommendations:
- I suggest round of language revision, in order to correct few typos and improve readability;
- I suggest that authors to add a reference to highlight the importance of precise management
in gynecological cancer patients and, considering results of this study,  to discuss how each
patient's tailored-treatment could be perfected based on their characteristics and willingness. I
would be glad if the authors discuss this important point, referring to:  Tullio Golia D'Augè,
Andrea Giannini,  Giorgio Bogani,  Camilla Di Dio,  Antonio Simone Laganà,  Violante Di
Donato,  Maria Giovanna Salerno,  Donatella Caserta,  Vito Chiantera,  Enrico Vizza,  Ludovico
Muzii,  Ottavia D’Oria. Prevention, Screening, Treatment and Follow-Up of Gynecological
Cancers: State of Art and Future Perspectives. Clin. Exp. Obstet. Gynecol. 2023, 50(8), 160.
https://doi.org/10.31083/j.ceog5008160.
Because of these reasons, the article should be revised and completed. Considering all these
points, I think it could be of interest to the readers and, in my opinion, it deserves the priority
to be published after minor revisions.
Title: Knowledge, perceptions, beliefs, and opinions of the employees about GBV: a national
online study in South Africa
Version: 2 Date: 11 Dec 2022
Reviewer's report:
Knowledge, perceptions, beliefs, and opinions of the employees about GBV: a national study
in South Africa
The article is well written and clear. The introduction and background demonstrate how the work
fits into the broader body of work on GBV. The knowledge gap being investigated is clearly
identified.
The methods are clearly explained. The findings are laid out well. Three points  of consideration
for the authors
1) Can the authors comment on the method of recruitment (mainly using LinkedIn) and how
that may have impacted the on the greater proportion of private sector participants?
2) It would be helpful to the reader to understanding how the categories of the sectors were
conceptualised – for example public health and legal can fall within public sector as well as
private sector, but in the study these are standalone categories, can the authors comment on that
when describing the methods.
3) It would also be interesting to see provincial distribution of participants as well as age
especially since LinkedIn was used and consdering the title of the paper ' a national study in
South Africa'
The findings are presented and adequately discussed.
Title: Knowledge, perceptions, beliefs, and opinions of the employees about GBV: a national
online study in South Africa
Version: 4 Date: 04 Feb 2023
Reviewer:  Refiloe L. Thokoa
Reviewer's report:
Reviewer: Dr Refiloe Thokoa
Article: Knowledge, perceptions, beliefs, and opinions of the employees about GBV: a national
study in South Africa
The changes requested in the first-round review process were duly noted and have been
adequately addressed.  Despite the somewhat simplistic research design, this study contributes to
knowledge on GBV beliefs and opinions, particularly given notable private sector participation.
Final recommendation: Accept manuscript for publication.
Title: Knowledge, perceptions, beliefs, and opinions of the employees about GBV: a national
online study in South Africa
Version: 6 Date: 19 Jun 2023
Reviewer's report:
The feedback from my initial report has been considered partially.
I have further feedback on the sector categorisation; it is still not clear how these were
catergorised and why certain sectors where stand alone categories. An explanation on what
constituted government, private and non-government  would be helpful. It is confusing to a
reader to see these categories and then later on on the same table see 'legal (public and private)'
etc. Can the authors  add examples of the sectors for all three i.e. government, private and non-
government and as well as a rationale for why legal, education  and public health were standalone
categories  while all others were subsumed under the three broader categories?
Also for the public health sector is that categories both public and private -it is missing from
the manuscript.
Overall the method section lacks a description of the sample and categorisation of sectors
I wonder how the legal and education category  composition affects the larger proportion of
government (n=186) and private(n=1356) … how many of the 146 participants are government
and how many private; is this calculated in the larger proportions of private and government ?
The same goes for the education category.
The first paragraph of the results does not include a narrative about the provincial distribution.
Please include a narrative /sentence, as the discussion makes reference to provincial distribution
while it is not  presented in the findings.
Title: Challenges in diagnosis and health care in Polycystic Ovary Syndrome in Canada: a
patient view to improve health care
Version: 0 Date: 22 Sep 2023
Reviewer's report:
This is a well written manuscript scrutinizing issues related to the management of women with
PCOS.  I have to comments, first, it appears that most women included had average to high BMI
could this mean that lean women with PCOS not included so we should restrict the findings
to non lean women with pcos or at least mention this as a limitation?. Second issue related to
how PCOS is diagnosed in adolescent and which criteria were used ? . The figures and tables
are too much.
Title: Challenges in diagnosis and health care in Polycystic Ovary Syndrome in Canada: a
patient view to improve health care
Version: 0 Date: 25 Sep 2023
Reviewer's report:
Congratulations to the authors on this significant study. The objectives, methods, results, and
conclusions are appropriately structured and well-executed. The study makes a vital contribution
by highlighting the lived experiences of those with PCOS and the shortcomings within the
healthcare system to address their needs both promptly and based on evidence.
I observed that an older version of the International Guideline on the Assessment and
Management of PCOS has been referenced. I recommend that the authors familiarize themselves
with the recently released 2023 version, which includes comprehensive evidence-based
resources and introduces the first free evidence-based app. This updated guideline presents more
robust evidence for PCOS morbidity, and such insights should be incorporated. This would
further underscore the importance of early diagnosis and provide clarity on the revised diagnostic
criteria.
While the study does recognize the limitations of its cohort, this acknowledgment raises concerns
about the generalizability of the findings. In future discussions or implications, I encourage
a stronger emphasis on the allocation of resources towards educating health professionals.
Additionally, the narrative should stress the importance of effective resources to enhance
awareness and PCOS health literacy among those affected.
Furthermore, the use of gendered language throughout the study is concerning, as many with
PCOS do not identify strictly as women. Addressing this would make the paper more inclusive.
Despite these points, this is a significant contribution to the literature. I recommend its
publication with minor adjustments.
Title: A cross-sectional study of symptoms and health-related quality of life in menopausal-
aged women in China
Version: 4 Date: 10 Jul 2023
Reviewer:  Xingyue Song
Reviewer's report:
This study aimed to measure symptoms and health state utility values in a cross-sectional
cohort of menopausal-aged women in the general population of China, with the purpose of
parameterising a cost utility model and informing healthcare services in China.
There are several concerns related to this manuscript.
1. Did the study collect information about the income of the respondents? I notice that
respondents received 1.4 USD each via digital wallets of WeChat or Alipay for completing the
questionnaire, so are the participants in this study more likely to be lower income groups? I am
concerned that there may be selection bias in this study.
2. This is a study conducted during the COVID-19 pandemic, and the status of the subjects may
have been affected by the pandemic.
3.  On what criteria were the first round of 30,000 45-year-old women invited? Does it involve
personal privacy?
4. Please use a standard three-wire meter.
5. The ‘P’ in the article needs to be italicized. Proportional values can be kept to one decimal
place.
6. The discussion section is too simple. Are there any mechanistic studies that can explain the
results of this study?
Title: A cross-sectional study of symptoms and health-related quality of life in menopausal-
aged women in China
Version: 4 Date: 12 Jul 2023
Reviewer:  Minfang Tao
Reviewer's report:
The original research article entitled “A cross-sectional study of symptoms and health-related
quality of life in menopausal-aged women in China”  is  very interesting for me ,because of the
researchers are from Australia.
Although chinese reserchers have had the similiar results ,but the results are still very important
for the chinese.Most of chinese perimenopausal women don’t pay more attention to the change
of menopause.The reserch maybe help for them.
Although the sample size is not too much ,but coverd much of china.The characteristics of
the study is to used the Chinese version of the EuroQol-5D five level (EQ5D5L) to evaluate
menopausal symptoms of chinese women.The results maybe inform cost utility models and
inform treatment decisions in China.