JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Association between exposure to family planning messages on different mass media
channels and the utilization of modern contraceptives among young women in Sierra Leone:
Insights from the 2019 Sierra Leone Demographic Health Survey
Version: 0 Date: 10 Jun 2022
Reviewer:  Mary H. Hodges
Reviewer's report:
A nice concise manuscript.
A few suggestions:
Whilst awareness regarding modern contraception is vital it should be matched with health-
worker capacity to provide skilled counseling to adolescents/young adults and appropriate
commodities including the skills to provide LARC. The supply chains of FP commodities,
equipment and consumables is problematic in SL with frequent stock-outs.
Is there scope to control for history of previous pregnancy?
There are several SL citations on recent mCPR that are worth considering:
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
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
Routine vitamin A supplementation and other high impact interventions in Sierra Leone. (2020)
Matern Child Nutr;16:e13041 doi: 10.1111/mcn.13041
Title: Association between exposure to family planning messages on different mass media
channels and the utilization of modern contraceptives among young women in Sierra Leone:
Insights from the 2019 Sierra Leone Demographic Health Survey
Version: 0 Date: 20 Jul 2022
Reviewer:  Peter Bai James
Reviewer's report:
Thanks to the authors for their interest in assessing the association between exposure to
family planning messages on different mass media channels and the utilization of modern
contraceptives among young women in Sierra Leone using the recent DHS data.  Certain areas
need clarification and revision.
1. It would be good for the authors to provide a theoretical framework that explains the outcome
variable, exposure variable and covariates.
2. The authors need to clearly explain how each of the covariates was measured. For example,
readers would like to know how wealth was measured and categorized.
3. The authors need to assess the fitness of the model to ensure the validity of the results.
Also, the authors need to explain how missing values were handled. Given that contraceptive
use can be a sensitive topic among married women it is possible that the data is subject to non-
random missing values.
4. The authors mentioned that they tested multicollinearity among the independent variables
using VIF. It would be good to provide the results of the multicollinearity test that was
conducted.
5. Also, the authors mentioned that independent variables associated with modern contraceptive
utilization with a p-value # 0.25 at the bivariable level and not strongly collinear with other
independent variables were considered for multivariable logistic regression.  However, there is
no sign or result showing the bivariate analysis. What is presented is a univariate analysis.
6. It would have been good to perform sub-analysis based on location (rural vs urban) to
understand what type of medium of communication could be effective for women  in rural and
urban
7.The authors need to explain the policy or practice implications of the findings regarding the
association of other covariates and modern contraceptive use, as well as their main finding.
7. Please revise the manuscript for inherent typos and grammatical mistakes.
Title: Association between exposure to family planning messages on different mass media
channels and the utilization of modern contraceptives among young women in Sierra Leone:
Insights from the 2019 Sierra Leone Demographic Health Survey
Version: 1 Date: 09 Aug 2022
Reviewer:  Peter Bai James
Reviewer's report:
Thanks to the authors for addressing my comments. However, there are some issues that need
to be further addressed.
1. The authors need to submit an additional file showing the result of the multicollinearity test
that was conducted.  Secondly, the authors mentioned that the Model fitness was assessed with
the Hosmer-Lemeshow test but failed to provide the result. It would be good to provide that to
confirm that the model was indeed appropriate to predict the outcome variable.
2. The authors also mentioned that a sensitivity analysis was conducted with rural-urban
stratification. Although the findings are presented in the text, it would be good for the authors
to provide a supplementary file for the result of the analysis?
Title: Multi-level determinants of breast cancer screening among Malay-Muslim women in
Singapore: A sequential mixed-methods study
Version: 2 Date: 06 Jun 2022
Reviewer's report:
I enjoyed reading the article and found the research insightful, deserving of publication.
However, it lacks engagement with research done on Malay Muslim women in Singapore. I find
this rather odd. This study will benefit greatly with these engagements as the findings  regarding
culture, social class, religiosity etc. reciprocate and extend some of the earlier works. Here, I am
just referencing several of the latest important work done specifically on Malay Muslim women
in Singapore that the authors will do well to discuss. There are of course other works that look
at women and piety more broadly.
Humairah Zainal, Dhiya Mahirah Masud and Kamaludeen Mohamed Nasir. 2021. “Singaporean
Malay-Muslim Women's Lifestyle Habits and Attitudes towards Health”, Contemporary Islam,
15(3): 287-305.
Satveer Kaur-Gill (2022) The meanings of heart health among low-income Malay women in
Singapore: narratives of food insecurity, caregiving stressors, and shame, Journal of Applied
Communication Research, 50:2, 111-128
Anoop Shankar, Chenlei Leng, Kee Seng Chia, David Koh, E. Shyong Tai, Seang Mei Saw, Su
Chi Lim, Tien Yin Wong, Association between body mass index and chronic kidney disease
in men and women: population-based study of Malay adults in Singapore, Nephrology Dialysis
Transplantation, Volume 23, Issue 6, June 2008, Pages 1910–1918
Janice S. H. Lam, Wan Ting Tay, Tin Aung, Seang Mei Saw & Tien Yin Wong (2014) Female
Reproductive Factors and Major Eye Diseases in Asian Women –The Singapore Malay Eye
Study, Ophthalmic Epidemiology, 21:2, 92-98
Ali, A.B., Iau, P.T., Putti, T.C. et al. BRCA1 disease-associated haplotypes in Singapore Malay
women with early-onset breast/ovarian cancer. Breast Cancer Res Treat 104, 351–353 (2007).
Title: Multi-level determinants of breast cancer screening among Malay-Muslim women in
Singapore: A sequential mixed-methods study
Version: 7 Date: 22 Aug 2022
Reviewer's report:
The authors have done an excellent job integrating the reviewer comments. My only final
comment is for the authors to be sure to use inclusive language throughout.  For example, instead
of writing "the Malays' approach to health," authors may consider writing "the approach to health
in the Malay community." or "among Malay people."  In general, the manuscript does use this
kind of phrasing, but would be good to do throughout.
Title: “I'm walking on eggshells”: Challenges faced by mothers with breast cancer in interacting
with adolescent daughters
Version: 3 Date: 29 Nov 2021
Reviewer's report:
Thank you for sharing this interesting qualitative study.
As a mental health clinician from the United States, I find your interviews with mothers and
daughters facing the challenges of maternal breast cancer interesting. My experience is that
parenting and communication about cancer each have cultural components and I am interested
in your experiences in China. There are many similarities with the clinical work I am doing in
the US, but also particular concerns that I do not hear as often among my patient population.
We have a significant immigrant population in our cancer center including Mandarin speakers
and I believe that you are identifying some particular concerns such as those about marriage that
may be in part culturally determined.
It would be helpful to know what resources are offered to mothers with breast cancer in your
institution. Is this an identified or unidentified need in your medical community?
I would be interested in any parenting , mother daughter and female adolescent development
literature that you might cite that represents research done in China that is informing your
hypotheses.
The paper needs significant editing for English publication both with a focus on word usage,
grammer and the concepts being conveyed.
There are a number of places where citations ought to be provided or statements should be
prefaced with "often" or "commonly" indicating that it is not a research supported concept, but
rather your assumptions of commonly held beliefs.
With revision, this paper could be identified as a pilot for a more comprehensive qualitative
study, impressions of common concerns to inform clinical care in a Cancer Center, or as the
beginning of a needs assessment for resources to be provided to mothers with breast cancer and
adolescent daughters in China.
Title: “I'm walking on eggshells”: Challenges faced by mothers with breast cancer in interacting
with adolescent daughters
Version: 5 Date: 04 Feb 2022
Reviewer's report:
To the authors
Thank you for the revisions made to the manuscript. These changes have improved some of the
content, however there are still significant challenges with the editing of your paper. The paper
needs professional editing, focusing on the English language. There are words and phrases that
are, at times, used incorrectly and this is evident throughout the manuscript. In my opinion, this
does not meet the language requirements of the journal as it is difficult to follow  your arguments
in its current state. The contribution the paper can make to knowledge is significant, so I am in
no way denying that. And it is because of this that I recommend additional editing to ensure that
the quality of your work is not compromised.
I also want to note again that the analysis used in your paper does not meet the standards for
PA (in my opinion) and the findings still read like thematic analysis. I would thus recommend
that the authors consider using this approach in this paper rather than PA. For example, the
authors state one extract to represent the participants’ narratives but it is unclear how these
sentiments were experienced or understood by the rest of the participants. There is very little
in-depth analyses. It is unlikely that all mothers experienced the same emotions and the same
perceptions under each themes, so how do the narratives relate to one another? And how do
these complexities contribute to how we understand the impact of maternal breast cancer on the
wellbeing of the adolescent girl? There is just so much more to be unpacked.
Additionally, representativeness or groundedness of themes is not consistently shown in the data.
In some spaces, the authors indicate how many mothers conveyed the same theme but in other
spaces they do not. While I understand that this is a qualitative piece, the groundedness of themes
is important as it tells us about which factors primarily influenced participants’ experiences or in
this case, the parent-adolescent relationship. Given the importance of this work, I would really
encourage you to push this paper a bit further and interrogate your findings a bit more.
Again, this paper offers a valuable contribution to knowledge, but it is not yet ready to be
published.
Title: Adaptability and Clinical applicability of UFS-QoL in Chinese Women with Uterine
Fibroid
Version: 3 Date: 02 Aug 2022
Reviewer's report:
Thank you for the opportunity of reviewing your manuscript.
I have read the revised manuscript and feel that all the suggestions I have made were performed.
Also, it must be aknowleged that the  review performed due to the other reviewer suggestions
have greatly  enhanced the quality of the manuscript.
Title: Adaptability and Clinical applicability of UFS-QoL in Chinese Women with Uterine
Fibroid
Version: 3 Date: 07 Aug 2022
Reviewer's report:
I appreciate the authors thorough responses to the critique that was provided. The clarity of the
manuscript's purpose and its approach are better.  There are just a few minor edits to consider.
Highlights: #1 Since you are reporting highlights from the manuscript, the tense should change
from the future "will" to "provides."
Line 14: Remove the presumptuous text, "As is well known," and just state the facts.
Regarding the description and explanation of the SF-35, thank you for clarifying the purpose
of the SF-36. This sentence should be revised to better reflect the outcome such as, "...SF-36 to
establish good concurrent validity."
The body of the manuscript should not just describe the SF-36, but its purpose in the paper
should be clearly stated at the end of the introduction and in the methods section.
Line 2, Introduction: consider replacing "performed" with "used"
Title: Adaptability and Clinical applicability of UFS-QoL in Chinese Women with Uterine
Fibroid
Version: 4 Date: 27 Aug 2022
Reviewer's report:
The manuscript, "Adaptability and Clinical applicability of UFS-QoL in Chinese Women with
Uterine Fibroid," will make a meaningful contribution to the literature. I would like to thank the
authors for fully addressing my comments.
Title: Association of Lifelines Diet Score ( LLDS) and metabolically unhealthy overweight/
obesity phenotypes in women: a cross-sectional study
Version: 0 Date: 02 Aug 2022
Reviewer's report:
Dear author. How are you I am fine? My email finds you in the best of life as it keeps me here.
Saying this I directly go to drop comments for your paper intitled :
"Association of Lifelines Diet Score ( LLDS) and metabolically unhealthy overweight/obesity
phenotypes in women: a cross-sectional study"
Your title is important for the tool you tried to measure whether LLDS will serve as the tool to
assess the relationship between MHO/MUHO and other tools that can be used as alternatives.
Comments:
1. Editorial errors which make it difficult to review your paper
.Line spacing and spelling
.No full stops/periods where it is necessary
.Capital letters after a sentences
So I strongly recommend you revise your work again
2. In the result part, it says 217 obese participants were included & MHO (31.3%) & MUHO
(68.7%) are not clear. So clearly indicates your response rate. As you wrote it is a confusing
& jargon sentence.
3. In the discussion part just try to show what you did and what you find and discuss it with
respect to the other studies. Because you explained that there has been no study as per your
knowledge which is unnecessary here in the discussion part. Omit such an explanation. Avoid
contradictory expressions/ideas. Re-write the discussion part.
4. In the conclusion part; your conclusion is shallow. Again there is no recommendation
according to your findings. Re-write it and include the recommendations.
5. Is it lists of abbreviations or acronyms? Because things are mixed. See it again and re-write
it in the appropriate section.
6. What were the benefits of the study participants? Better to send what the guidelines say about
study protocol to the journal.
7. Conflict of interest expected from all. The author & co-authors. It is difficult to conclude that
all author has no conflict of interest solely depending on the corresponding author.
Title: Association of Lifelines Diet Score ( LLDS) and metabolically unhealthy overweight/
obesity phenotypes in women: a cross-sectional study
Version: 0 Date: 08 Aug 2022
Reviewer's report:
Dear, I would like to thank you for choosing me as a reviewer. I consider the article well written
and with relevant scientific content.
I would like to know why they used the measurement of the smallest waist circumference
to identify an unhealthy profile, since the World Health Organization recommends that the
measurement be performed at the midpoint between the last rib and the iliac crest.
In case of difficulty in measuring waist circumference following the WHO recommendation, I
suggest using neck circumference as an independent predictor of cardiometabolic diseases.
Title: Association of Lifelines Diet Score ( LLDS) and metabolically unhealthy overweight/
obesity phenotypes in women: a cross-sectional study
Version: 1 Date: 31 Aug 2022
Reviewer's report:
Thank you the author(s) for revising your document as per the comment provided for you.
Almost all my concerns were covered. But still, grammatical errors were seen in your
manuscript. So either take time to revise it again or consult a language expert. Otherwise you
did it well.
Title: Probiotic effects on Sexual Function in Women with Polycystic Ovary Syndrome: a
double blinded Randomized Controlled Trial
Version: 2 Date: 10 Aug 2022
Reviewer:  Mario Palumbo
Reviewer's report:
I was pleased to review this paper “Probiotic effects on Sexual Function in Women with
Polycystic Ovary Syndrome: a double blinded Randomized Controlled Trial”
The methodology used by the Authors is appropriate for the purpose of the article description.
The English language is fluid and well understood. Nevertheless, minor revision is needed.
For the abstract I need to know immediately the number of people divided into the two groups.
Regarding the introduction you can add this paper to deepen the topic.
DOI:  10.1080/13543784.2020.1781815
As regards the paper’s structuring (methods/discussion): There is a good structure of the project.
Right choice of scores for comparisons.
Can you deepen the cultural theme on the results related to fertility and sexual satisfaction in
Muslim women?
What is the real impact of BMI on the effectiveness of therapies in your opinion? Schematize.
How does the ethnicity of the people influence the therapy on the symptoms related to hirsutimo?
Results
- The statistical structure seems to me well done;
- Good subdivision into subparagraphs.
- Excellent to mention the limitations of the study.
Conclusion
Increase the number of references;
The data obtained are good with respect to the structuring of the work.
Title: Probiotic effects on Sexual Function in Women with Polycystic Ovary Syndrome: a
double blinded Randomized Controlled Trial
Version: 2 Date: 11 Aug 2022
Reviewer's report:
The authors have tackled an important topic, sexual disfunction in polycystic ovarian syndrome
(PCOS)  is an interesting aspect not yet well considerate in literature.
However there are some points that need to be further clarified and the following revisions are
strongly advised:
-From Introduction: “ Its treatment seems that treatment based and includes insulin sensitizers,
contraceptives and progesterone(3, 4)" . This sentence needs to be rephrased.
- In the Introduction the author should provide a more detailed analysis on the treatment
available for infertility related to PCOS .  Refer to recent literature review ( eg. doi.org/10.3390/
medicina58081002 )
- The Introduction risk to result in a sequence of information. It needs to become more fluid. Try
to deepen the aspect of microbiome in PCOS, which should be the cornerstone of your research.
I advise to refer to : DOI: 10.3390/ijms22042048
- Most of the international guidelines emphasize the importance of the assumption of folic acid
intake, starting before pregnancy to prevent cases of spina bifida and anencephaly.
Have patients with a previous pregnancy affected by neural tubal defect been excluded from the
study? If yes, it should be clearly stated in the exclusion criteria.
And further statements that justify the choice to omit folic acid supplements should be included
- In the inclusion criteria it should be clearly stated that women submitted to the treatment are
infertile.
- "This manuscript is in accordance with PRISMA guidelines for observational studies."
Please correct.  This is a randomized clinical trial, and PRISMA stands for Preferred Reporting
Items for Systematic Reviews and Meta-Analyses .
Title: Factors influencing physical activity in postpartum women during the COVID-19
pandemic: a cross-sectional survey in Japan
Version: 2 Date: 16 Jun 2022
Reviewer's report:
The research question proposed by the authors is interesting, however I have some concerns
about the study.
Introduction
The Introduction is quite confused and I strongly recommend authors to re-organize their ideas.
Authors should focus on the main points/benefits of PA during pregnancy and postpartum
period, and also why this would benefit woman during covid-19. In addition, why post-partum
women were at high risk during pandemic?
Methods
Why the PA variable was considered in METs and not Min/week? Also, for what reason authors
merged two categories into one “active” category?
Results
Overall, the results section is poor and I believe did not answer authors research question. Also,
I believe that authors should re-think their analyzes plan, as I stated below.
Why authors have not classified participants based on their BMI??
Table 1 – what was the n (%) for Parity?
I strongly suggest that authors do not report missing data. Instead, you can include the final n in
each variable reported, this would inform readers that this variable has missing data.
Table 2 – I suggest the authors to report median and interquartile range of Met/hrs, instead of
mean, since PA when evaluated numerically has several issues.
Table 3 – Why authors have not included in the table the crude anaylzes? Would be interesting
for readers see the p-value for each variable, and not just the p-value of the final model.
Table 4 - I does not make any sense to compare the met/hours between active and inactive
participants. It is quite obvious that would be different.
Discussion
The overall discussion is poor and authors should try to contextualize their findings with the
moment that data was assessed. Data collections was conducted between March – October
2021, 12 to 16 months after WHO declared the pandemic. How was the situation, in Japan, of
restrictions? Cases? Deaths? How this would impact post-partum woman’s life? This should be
the focus of discussion.
Title: Factors influencing physical activity in postpartum women during the COVID-19
pandemic: a cross-sectional survey in Japan
Version: 2 Date: 20 Jun 2022
Reviewer:  Alireza Aghababa
Reviewer's report:
Dear author, congratulations
This is one of the few articles I have seen to date that does not need to be edited (in my opinion,
of course).
The article is well written in all parts of the introduction, problem statement, method and findings
and conclusions. And I think it is acceptable for printing.
Title: Factors influencing physical activity in postpartum women during the COVID-19
pandemic: a cross-sectional survey in Japan
Version: 2 Date: 06 Jul 2022
Reviewer's report:
Dear Author,
It is a well-written manuscript. I have some comments.
In table 1, I did not find any interquartile values.
In table 3, you should give the constant value for your model.
Also, you should add an explanation about how to evaluate normality assumption for differences
tests.
You can write "<0.001" instead of "0.000".
"*, p < 0.05; **, p < 0.01; ***, p < 0.001." This explanation is not necessary.
You attached a certificate. But you should check your manuscript for "a, an, the, and
propositions"
Best wishes
Title: Factors influencing physical activity in postpartum women during the COVID-19
pandemic: a cross-sectional survey in Japan
Version: 3 Date: 30 Aug 2022
Reviewer's report:
Dear Author,
I have evaluated the manuscript titled ‘Factors influencing physical activity in postpartum
women during the COVID-19 pandemic: a cross-sectional survey in Japan’. The researchers
follow my suggestions. The manuscript fulfills all the scientific standards necessary to be
published. Results and Discussion are sufficient and well-organized. The title explains the
content of the manuscript well and the abstract includes necessary and sufficient data. Further
statistical analyses are not required. In fact, the analyses made by the researchers are sufficient.
The language of the manuscript is good enough to understand and there are not any spelling or
punctuation mistakes. The manuscript has sufficient quality and originality to be published in
BMC Women's Health. I do not think that the manuscript needs further revisions. I think it can
be considered for publication in the journal.
Best wishes