JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Predictors of intention to receive cervical cancer screening among commercial sex
workers in Gondar city, northwest Ethiopia: Application of the theory of planned behavior
Version: 1 Date: 12 Jun 2022
Reviewer:  Mario Palumbo
Reviewer's report:
I was pleased to review this  article “Predictors of intention to receive cervical cancer screening
among commercial sex workers in Gondar city, northwest Ethiopia: Application of the theory
of planned behavior."
The methodology used by the Authors is appropriate for the purpose of the research article
description. The English language is fluid and well understood. Nevertheless, minor revision is
needed, but the paper is good quality.
1. Abstract: It’s great this division in Background, Methods, Results, Conclusions to outline the
parts of the paper and I appreciate the ability to synthesize.
2. Introduction. Regarding the introduction, I find this article very interesting, but I recommend
reducing the content of this but at the same time being more precise, it’s possible to integrate
this part with other material in the literature (on the psychological aspect).
DOI: 10.1007/s00404-020-05896-6
3. Materials and Methods: Good this sample number.
What are the criteria that led you to choose the rating scales you mentioned?
As you wrote, cervical cancer screening behavior should target creating positive social pressure
and attitudinal change towards cervical cancer screening, but in what ways can the religion of
the subjects influence this? would be interesting a more in-depth analysis.
4. Results/Discussion.  The way of present the results is somewhat confusing, please start with
the main results and then focus on the secondary ones;
Cite and analyze the limits of the study;
5. Conclusions. These are consistent with what is described in the literature;
Designing health communication and health promotion programs: are mentioned in the work,
in the literature you found something about it on the impact of these ?
6. Increase the number of references;
Title: Predictors of intention to receive cervical cancer screening among commercial sex
workers in Gondar city, northwest Ethiopia: Application of the theory of planned behavior
Version: 1 Date: 17 Jun 2022
Reviewer's report:
Thank you the editors for giving the chance of reviewing this manuscript. The paper is interesting
with best issues of women while it needs modification.  The detailed comments were attached
to the document of the manuscript. I recommended revision of this manuscript of the study.
Title
Interesting and focus on marginalized population which is more risk for cervical cancer.
Abstract
Gaps not clearly shown in the abstract part of the study and concise explanation of cervical
cancer screening in specific study population.
Background
Grammatical and idea follow edition is needed
Need detailed revision in parallel with the objective of the study
Methods
The tools not clear
Take nurse as data collector will introduce some bias while not clearly shown
Results
All variables in result section should be narrative section
Discussion
Implication of the finding and additional literatures should be discussed
Conclusion and recommendation  are insufficient
Title: A prospective registry analysis of psychosocial and metabolic health between women
with and without metabolic syndrome after a complicated pregnancy
Version: 1 Date: 23 Jun 2022
Reviewer's report:
The paper by Aldridge et al. aims to compare different mental health outcomes among women
with and without metabolic syndrome six months after a complicated pregnancy.
The revision of previous literature is excellent, it covers a relevant topic using sound
experimental methods and the results are timely and interesting. I only have a couple of
comments:
1. Line 58/61 - In recent years, attention has turned to preventing chronic disease in these women
who identify themselves  to be at risk of adverse future cardiovascular health, through lifestyle
and behaviour change interventions.
- Are they identifying themselves to be at risk? If so, how are they doing that? Or are they at
a higher risk?
1. Line 262 - Metabolic syndrome was defined has having 3 of the 5 risk factores mentioned
in page 9. In that order, table 4 seems redundant given the definition of metabolic syndrome,
as we should expect to see a significant difference of those risk factors among groups. If you
would like to show the baseline characteristics of the two groups in regards to those risk factors,
I would suggest not to include the column for statistical significance.
Title: A prospective registry analysis of psychosocial and metabolic health between women
with and without metabolic syndrome after a complicated pregnancy
Version: 1 Date: 19 Jul 2022
Reviewer's report:
Thank you for inviting me to review this manuscript entitled 'A prospective registry analysis of
psychosocial and metabolic health following pregnancy complications'. The topic is interesting
and overall the paper is well designed and reads well. However, I think the following revisions
might improve the manuscript.
1. Title: I recommend authors to change the title as it currently is very broad.
A prospective registry analysis of psychosocial and metabolic health between women with and
without metabolic syndrome after a complicated pregnancy.
2. Perhaps if authors use subtitles for the Results section it could help to follow the report much
better.
3. I could not see the regression results as the authors indicated that they performed multiple
linear regressions o assess the influence of metabolic syndrome and other co-variates on the
primary outcome variables. Please provide the Table.
4. At the end of the results section the authors stated that 'Pearson’s correlations were used
to assess the relationship between PHQ-9 and GAD-7 scores with the metabolic syndrome
biomarkers of glucose, triglycerides, HDL cholesterol, and insulin. None of these variables were
strongly correlated nor statistically significant.' I do not think this could show relationships.
Rather this could show correlations. Please clarify.
Title: A prospective registry analysis of psychosocial and metabolic health between women
with and without metabolic syndrome after a complicated pregnancy
Version: 3 Date: 23 Oct 2022
Reviewer's report:
Thank you for inviting me to review the revised version of the paper entitled  'A prospective
registry analysis of psychosocial and metabolic health between women with and without
metabolic syndrome after a complicated pregnancy'. The authors responded well to my earlier
comments. No further comments.
Title: Women Empowerment and Access to Maternity and Reproductive Healthcare in Pakistan:
Cross-validation of a Survey-based Index in Afghanistan (SWEI-A)
Version: 0 Date: 11 Oct 2022
Reviewer's report:
Comments:
This is a valuable contribution to the literature regarding women empowerment and their access
to maternity  and reproductive health services in Pakistan. This will also help in related research
works in futures. Following  are some comments from my end  to further improve this paper.
1. Please explain the abbreviation SWEI-A/SWEIA on page 4/21, it needs to be defined
uniformly throughout the manuscript to avoid confusion for the readers. On some instances i.e.
on page 1/21 in the title line it is “Survey-based Index in Afghanistan (SWEI-A)” and on page
4/21 it is “survey-based country-specific index for Afghanistan (SWEIA)”. Better stick to a
single variant either “SWEIA or SWEI-A”.
2. On page 6/21 “A summary of 26 variables, seven domains, and four dimensions that were
conceptualized in this study along with the details of recoded variables are in appendix 1”.
However, there are eight domains listed in appendix 1, please check.
3. In the results section on page 11/21 “It appeared that the women who scored high in access
to healthcare domain were more likely to have adequate ANC (PRR= 1.29; 95%CI: 1.08-1.53),
institutional delivery (PRR = 1.19; 95%CI: 1.08-1.30), and skilled birth attendance (PRR=
1.12; 95%CI: 1.04-1.21) as well as lower unmet need for family planning (PRR= 1.14; 95%CI:
1.07-1.23)”.
Please revisit table 4, the result values are missed placed (interchanged among the indicators)
in the text. As per table 4, for ANC [PPR= 1.19 (1.08-1.30)], Institutional delivery [1.12
(1.04-1.21)], Skilled Birth attendance [1.14 (1.07-1.23)], and for Unmet need for family planning
[1.29 (1.08-1.53)] under the domain "Access to healthcare".
4. Again in the results section on page 11/21 “Likewise, the likelihood of having adequate ANC,
institutional delivery, and skilled birth attendance were 19-54% higher among women with high
levels of literacy and decision-making abilities in comparison to the women with low literacy
and decision-making abilities”.
The results are missing for these indicators (unmet need for family planning, ANC, institutional
delivery, skilled birth attendance) with low scores in the domains; for instance for women
with low literacy and decision-making ability. Results from the low score domains may help
a comparative analysis. The results for low literacy and decision-making would help to make
the picture clear.
5. Page 11/21 “With regards to the age at critical life events domain, the women with high scores
were more likely to have institutional delivery (PRR= 1.19; 95%CI: 1.10-1.29), and skilled birth
attendance (PRR= 1.19; 95%CI: 1.09-1.29) compared to those with low scores”.
Again the PRR values are not correctly listed here in the text as per table 4. Also, the last part
of the sentence says, "compared to those with low scores", where are the results for low scores?
6. Please explain the abbreviation “SWPER” on page 15/21. Is it Survey based women
empowerment?
Title: Impact of the Momentum pilot project on male involvement in maternal health and
newborn care in Kinshasa, Democratic Republic of the Congo: a quasi-experimental study
Version: 1 Date: 04 Jul 2022
Reviewer's report:
The article is very well organized and presented. The study design is solid, and the results
clear, with appropriate data analysis procedures. Very good and thorough discussion of study
limitations. No required changes.
Title: Impact of the Momentum pilot project on male involvement in maternal health and
newborn care in Kinshasa, Democratic Republic of the Congo: a quasi-experimental study
Version: 6 Date: 25 Oct 2022
Reviewer:  Michèle Dramaix
Reviewer's report:
I am satisfied with the authors’ answers and changes made in the text. I would just like the
authors to check the % for the variable “Always lived in the locality” presented in Table 1.
For “all male partners” according to the data presented in the table, the % of “yes” should be in
the comparison group: (0.356*268+ 0.28*649)/917 =  0.302 (30.2%) and in intervention group:
(0.371*250+0.392/599)/549 = 0.386 (38.6%). I think, you can easily verify these results with
your data and I don’t need to review the article.
Title: Women with lipoedema: a national survey on their health, health-related quality of life,
and sense of coherence
Version: 0 Date: 23 Sep 2022
Reviewer's report:
I thoroughly enjoyed this well written, comprehensive article on a disabling disorder that
unfortunately remains under diagnosed.
A few minor concerns:
-What is the definition of "freezing?"  Is this an internal subjective sensation or merely a
synonymous term for cold skin? I applaud the authors for including data on cold skin or
cutaneous hypothermia as this clinical manifestations is often overlooked by many lipoedema
experts.
-on line 31 you state, "Problematically, lipoedema symptoms are often confused with lifestyle-
induced obesity.." I'd suggest using the more accurate and inclusive term "manifestations" as
opposed to the relatively  subjective term "symptoms."
-I'm assuming you did not collect data on associated  orthostatic edema and vitamin D levels?
-The 1 in 4 patients that were self-diagnosed is a definite limitation of this study and should be
stated as such in the paragraph prior to the conclusion.
-Why was bruising bundled with cold skin and freezing? Considering easy bruising is frequent
hallmark of lipedema, it would have been helpful to review the data on this manifestation
individually.
-Considering that the % of patients affected by pain was less than or equal to 50%, one could
potentially surmise that many of the patients suffered from  painless lipohypertrophy which
many European experts consider to be a forme fruste of lipedema
-The authors should be commended for documenting that lipoedema involves loose connective
tissue disease. In the conclusion section, consider emphasizing that lipoedema is a loose
connective tissue disorder
Title: Women with lipoedema: a national survey on their health, health-related quality of life,
and sense of coherence
Version: 0 Date: 29 Sep 2022
Reviewer's report:
The first comment is about editorial policy: Please notice that the review must be blinded, so
the name and origin of the authors should not be included.
To the authors I  have some minor corrections:
- The authors use a generic scale for QoL (RAND36) but non one specific for lipedema. Please,
explain why not.
- I understand that the objective is to get the largest number of responses to the survey but the
calculation of the sample size or the confidence interval is not specified.
- Line 136. In relation to the symptom severity questionnaire, pain in shoulders, back and hands
are not symptoms described in the literature associated with lipedema. Why the authors choose
those?
- Line 281. The word figure should not be capitalized
- Line 308 and 310. Please add SD to the mean data
- Line 468.  I suggest adding a bibliography. For instance, please check a similar recent
study in Spain that estimates the delay in diagnosis at 19.9 years. https://doi.org/10.1016/
j.rh.2020.12.001
- One of the limitations is related to the suggestion of previous correction. The study does not
reach the minimum sample size, which compromises the external validity. As this sample size
was not specified in "methods", the reader does not know how far the study has fallen.
- Please, do not forget to add end dot to the titles of tables and figures.
Great job. Congrats
Title: Women’s and male partners’ socio-demographic and economic characteristics associated
with contraceptive decision making in Nigeria
Version: 2 Date: 24 Aug 2022
Reviewer's report:
I think you should explore the variable, wealth index, which has unexpected  and counter-
intuitive relationship with the outcome variable. It could be re-grouped into Low, Medium and
High.  Or maybe the variable has multicollinerity relation with educational level.
Title: Women’s and male partners’ socio-demographic and economic characteristics associated
with contraceptive decision making in Nigeria
Version: 3 Date: 13 Sep 2022
Reviewer's report:
The author has undertaken an extensive review of the paper based on reviewers' comments.  On
my specific comment on wealth index, he tried to justify the inclusion of wealth index, as it
is, in the multivariate model despite its counterintuitive results. I think I am satisfied with his
explanation.
Title: Women’s and male partners’ socio-demographic and economic characteristics associated
with contraceptive decision making in Nigeria
Version: 3 Date: 24 Sep 2022
Reviewer:  Bola Lukman Solanke
Reviewer's report:
The author has adequately responded to the queries. However, the author should fix the
following:
1. Delete 'ability' in line 12 of the abstract to read decision-making
2. Delete 'About' in the result section of the abstract, and replace it with 'Findings reveal that
23%...
3. Justify the categorisation of partners age. This seems strange
4. Indicate statistical significance of the RRR values in Table 4 using asterisk
Title: The effects of self-care education based on the Health Literacy Index on self- care and
quality of life among menopausal women: a randomized clinical trial
Version: 2 Date: 07 May 2022
Reviewer:  Shirin Hasanpour
Reviewer's report:
The article is well organized and written. In some cases, my corrective comments are as follows:
-In the method section, the exclusion criteria are not correct and can be one of the causes of
attrition.
- Routine care is not described for the control group.
- In the discussion section of previous studies with opposite results are not mentioned and
discussed.
- Research strengths and suggestions for future research are not mentioned.
Title: The effects of self-care education based on the Health Literacy Index on self- care and
quality of life among menopausal women: a randomized clinical trial
Version: 2 Date: 22 May 2022
Reviewer:  Mehrsadat Mahdizadeh
Reviewer's report:
Dear author
Thanks for your valuable study, please modify and complete the following in the text of the
article.
Introduction:
-  In  a part of introduction (Ref 22-24)  is not related to the title and purpose of study.
- For important of study, you should be expressed using articles that have been performed for
self-care in the menopausal women and have had different results.
Results:
-What was the reason for using the Adult Health Literacy Questionnaire? Why are no findings
reported?
Discusstion:
There is no comprehensive discussion. It is suggested that with other articles provide a broader
and richer critique of the research findings.
Conclusion:
-The conclusion should be consistent with the findings of this study. How can non-menopausal
women apply this intervention?
Title: The effects of self-care education based on the Health Literacy Index on self- care and
quality of life among menopausal women: a randomized clinical trial
Version: 5 Date: 07 Sep 2022
Reviewer:  Shirin Hasanpour
Reviewer's report:
Please delete this sentence about exclusion criteria "Exclusion criteria were two consecutive
absences from the intervention sessions. "
You can replace it with these sentences:  "history of serious stressful events in the past month,
self-report history of mental problems,  history of hormone therapy in the last three months, and
affliction by debilitating chronic illnesses."
and delete these sentences from inclusion criteria:
"no history of serious stressful events in the past month, no self-report history of mental
problems, no history of hormone therapy in the last three months, and no affliction by debilitating
chronic illnesses".
Title: The effects of self-care education based on the Health Literacy Index on self- care and
quality of life among menopausal women: a randomized clinical trial
Version: 5 Date: 28 Sep 2022
Reviewer:  Mehrsadat Mahdizadeh
Reviewer's report:
Deare Dr
Thank you for the corrections to the text of the article.
It can be a valuable article for readers due to the completion of its various sections
Title: Impact of anticancer therapy on the quality of life of Sudanese patients with breast cancer
at Khartoum oncology hospital
Version: 2 Date: 05 Sep 2022
Reviewer:  Alessandro De Luca
Reviewer's report:
the article is very interesting, QoL is a priority in medical and surgical oncology especially when
we talk about breast cancer. I suggest to review the title: the protagonist is the QoL and you
have to  find another term instead of anticancer therapy. we also avoid repeating breast cancer
and replace it with BC
Title: Impact of anticancer therapy on the quality of life of Sudanese patients with breast cancer
at Khartoum oncology hospital
Version: 2 Date: 23 Sep 2022
Reviewer:  Christopher Pyke
Reviewer's report:
This is a cross-sectional study of a cohort of 200  Sudanese women with Early Breast cancer,
and tested with a QOL tool.
Introduction:
- there are usually 4 x subtypes of Breast Cancer based on receptors ( Luminal A, Luminal B,
Her2 enriched and  triple negative)
The authors might wish to explain why two of these groupings might be combined   -eg because
of Her2 positivity
Hypothesis /aim - not stated:
"to study the prevalence of QOL symptioms in this cohort?"
Methods
- what proportion had mastectomy ( Body Image module later)
- what proportion had less than axillary clearance  ( arm pain result)
- how long post op were the patients? ( or alternatively, what median/mean follow up?)
Results:
- well stated and tabulated
Discussion
- good discussion around the cognition and body image findings, and the international
comparisons
- the international comparisons could be expanded upon - why this cohort may be different to
Chinese or Bahrain women
- any hypotheses generated by this study?
Figures and Tables - appropriate
Title: Magnitude and attributed reasons for adult weight gain amongst women at increased risk
of breast cancer
Version: 1 Date: 25 Jul 2022
Reviewer:  Christopher Pyke
Reviewer's report:
This interesting study attempts to combine the findings of a number of weight intervention
projects carried out in one demographic over  20 years, with particular reference to Breast cancer.
Introduction and Aims
- This appears to be a "report" of data fields  collected prospectively in previous published studies
Methods:
- transparent
Results:
- largely summarized as a series of "lists" , of collected data fields
- I wonder if the answers to these "similar" questions used between the studies changed in
frequency over the 20 years of asking?
- I wonder if there could be a useful graphic to demonstrate the results, rather than tables ( pie
chart , weighted balloons graph etc
Conclusions:
- There could be an extrapolation of what proportion of cancers are attributable to this weight
gain.
- on reflection, have the investigators of the previous studies asked the right questions? is there
a more modern understanding of weight gain  during these ages
- would the authors like to speculate on interventions other than diet and exercise ( alcohol,
surgery, SGLT2 inhibitors?)
Title: Factors explaining men’s intentions to support their partner’s participation in cervical
cancer screening
Version: 2 Date: 23 Jul 2022
Reviewer's report:
Thank you for the opportunity to review this manuscript. This study investigated an issue of
importance to women’s health.  The involvement of men in cervical cancer and screening is
critical in cervical cancer prevention strategies. The paper is well-written. However, the authors
can strengthen the manuscript by addressing the comments below:
1. Line 54: Specific cancer that is fourth among women should be stated.
2. Line 167 to 169:  the information presented is already in the document under the declaration
section.
3. Lines 263 to 264: Add screening to cervical cancer to read cervical cancer screening
4. The sampling procedures are poorly described. How did the authors identify the cervical
cancer screening centres? What method did they use in selecting the two regions (accessible
and inaccessible regions)
5. The paper should be proofread to correct typographical and grammatical
Title: Factors explaining men’s intentions to support their partner’s participation in cervical
cancer screening
Version: 3 Date: 22 Sep 2022
Reviewer:  Suhailah Mohammed Ali
Reviewer's report:
Thank you for addressing the comments raised by each reviewer. The article has now improved
in coherence and clarity. However, certain significant statements need to be supported with
references, as in the following cases:
Page 3 line 74, these informative information should be supported with a reference.
Page 5 line 130 &133, please add a reference.