JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Spatial distribution and factors influencing modern contraceptive practice among tribal
married women in India: Evidence from National Family Health Survey 5 (2019-2021)
Version: 3 Date: 26 Apr 2023
Reviewer's report:
The authors revised the original manuscript as much as possible. There are however a few minor
corrections to be made.
i. In line 144, the authors stated that the ages were from 15 to 59, however, in lines 162-163,
the upper limit age was 49 years. Does that mean that no person aged  beyond 49 years enrolled
in the study?
ii. Statement in line 216 should read 'Variation Inflation Factor (VIF) was checked in the
regression model to detect multicollinearity among the explanatory variables'
iii. In your response to my previous comment on Knowledge of Contracceptives, you claim to
have rectified that but it is still missing in the manuscript. Please if there is a data on 'Knowledge
of Contraceptives', provide it.
iv. In line 387, the word 'personal' should be 'personnel'
v. I do not know the journal's policy on presentation of tables and figures but tables without
inside borders are preferred.
Title: Residential inequalities in Health-related quality of life among women of reproductive
age in four regions of Ethiopia: A Decomposition analysis
Version: 2 Date: 20 Feb 2023
Reviewer:  Adera Debela
Reviewer's report:
Inequalities in Health-related quality of life among women of reproductive age in urban and
rural four regions of Ethiopia: A Decomposition analysis
Thank you for inviting me to review this manuscript. It is a crystal clear that the problems
under the study is nitty-gritty. Hence, the impotency of the topic both locally and globally
unquestionable. As the result, I take this opportunity to say thanks for their unreserved effort
and dedication.
I do have some comments that I put below.
Abstract
1. Line 11: I suggest you to add the specific date and months when the study was conducted.
Where are the four regions? you are expected to mention them clearly. What sorts of sampling
procedures you used. Why data from the four regions only? When you declared the statical
significance? Clearly put the predictors of outcome variables.
2. Line 22: what mean by substantial inequalities? what were your criterion to state the finding
as substantial?
3. Line 25-26: You stated that ….” narrow down the gap in wealth in a rural and urban? how
do you think that the concerned entities achieve this recommendation? Are there any means?
would you suggest that?
Introduction: well written!
1. Line 41: Do not begin the sentence with Abbreviations such as HRQoL
2. Line 43-44: You stated that ….” Of increasing concern is the growing disparities in health-
related quality of life of population groups such as poor vs rich and rural vs urban …. You should
avoid the shortened form such as  and etc.> as this is a formal academic writing …this should
be done throughout the documents
Methods and Materials
1. Expected to mention setting (at least in relation to the study population) and study period
2. I suggest to move Ethical consideration immediately after conclusions
3. How many people from rural area and urban area?
Results and discussions
1. I am not clear with a paragraph 3 of discussion section
Title: Residential inequalities in Health-related quality of life among women of reproductive
age in four regions of Ethiopia: A Decomposition analysis
Version: 2 Date: 27 Mar 2023
Reviewer's report:
Thank you for invitation to review this paper. The title is interesting and need some
modifications.
# In the title
• Residence and region are the factors that affect inequalities in health related quality of life
among women of reproductive age. Why you include these two factors in the title?
# Method
• The study used data from four regions. What is your reason to use data for only four regions?
Why not the other regions?
• The outcome variable in the study was Health-Related Quality of Life (HRQol) is continuous
variable. What is your measurement to say the continuous?
# Exposure variable
• Add more explanatory variable (e.g. if household head is the husband, women’s age is
important variable)
# Statistical analysis
• “Given that the outcome variable had a continuous nature, Ordinary Least Square (OLS)
regression models were run to examine the associations between covariates and the outcome
variable”. It is better; the method of analysis is multiple linear regression models. OLS is not
method of analysis, OLS is parameter estimation method.
• Also in statistical analysis the last sentence “(i.e., urban adults with a higher average QoL)”.
What is the magnitude to say higher average QoL?
# Results
• The scatter plot is important to show linearity of the outcome and covariates
• In the table most p-values are zero. Is the p-value exactly zero?
Title: Persistent Cornual Pregnancy Mimicking Uterine Arteriovenous Malformation: A Case
Report
Version: 0 Date: 12 Mar 2023
Reviewer's report:
Thank you for sharing your experience. The case described is very interesting, and the images
are good too. However, I would have included a wider differential diagnosis analysis in the
discussion. The inefficacy of medical treatment after miscarriage may be due to a peripheral
location of the pregnancy, named subserosal pregnancy, as described in a few studies found
recently in literature (https://doi.org/10.1016/j.jmig.2023.02.022). The images remind me a lot
of that condition, An inclusion of this possibility may be relevant.
Title: Persistent Cornual Pregnancy Mimicking Uterine Arteriovenous Malformation: A Case
Report
Version: 0 Date: 04 Apr 2023
Reviewer's report:
1. This case is not novel.
2. The discussion section is insufficient.
3. The EP type is not mentioned in the title.
4. The EP which has been mentioned in the article was in the Cornual area and not the tube.
5. There is a controversy in the text, the cornual EP has been confirmed in an ultrasound and
rejected in another.
6. According to the text, there were no retained pregnancy products in the ultrasound, while its
presence is mentioned in the diagnosis and treatment. It is the second controversy of this article.
7. In addition to ectopic pregnancy, AVM also occurs in cases of abortion and natural
pregnancies..
8. Angiography has not been performed for a definitive diagnosis of AVM.
Title: Perceived health facility-related barriers and post-abortion care-seeking intention among
women of reproductive age in Osun state, Nigeria
Version: 2 Date: 08 May 2023
Reviewer's report:
Dear authors,
Thank you for the revised version and detailed response to my comments and suggestion.
Thank you for the explanation/justification of your measures of PACSI; it makes some sense.
However, you may want to show in your methods ("measures" sub-section) how your indicators
of the outcome variables are motivated by the "spirit of TPB".  By so doing, readers can see the
connection between your chosen theoretical explanation and research methods.
You may also want to sort the barriers in Figure 1 in ascending/descending order so that readers
can see the order of importance of the obstacles.
Thanks for the explanation in the discussion section (especially the change from emphasis on
virginity to focus on abortion history).
Well done for the good work.
Title: Development of a Predictive Model for Identifying Women Vulnerable to HIV in Chicago
Version: 2 Date: 16 Nov 2022
Reviewer:  Rosanna Roberta Incandela
Reviewer's report:
I read with great interest the Manuscript titled  "Development of a Predictive Model for
Identifying Women Vulnerable to HIV in Chicago", which falls within the aim of this Journal.
- Inclusion/exclusion criteria should be better clarified.
- What are the actual clinical implications of this study? it is important to report the results
obtained by the authors in the context of clinical practice and to adequately highlight what
contribution this study adds to the literature already existing on the topic and to future study
perspectives.
- Does this manuscript conform the Enhancing the QUAlity and Transparency Of health
Research (EQUATOR) network guidelines? It would be mandatory to declare about this
element.
- Was this study registered? I could not find any information about this point.
- I recommend to highlight the higher risk of STIs in migrant woman (PMID: 25444613) and that
HIV-infection women have higher risk of severe HPV co-infection (PMID: 32552158; PMID:
33152105).
Title: Development of a Predictive Model for Identifying Women Vulnerable to HIV in Chicago
Version: 2 Date: 04 Dec 2022
Reviewer's report:
This is a well-written manuscript addressing an important clinical and public health issue: how
better to define women at risk of acquiring HIV, in order to implement prevention measures,
especially offering PrEP.  The manuscript is written with great clarity; the methods are valid,
and the findings potentially helpful in the development of services.  The paper has several
strengths including the importance of the topic, the rigorous approach , and the verification of
new diagnoses of HIV infection as incident with the Chicago Public Health Department. There
are a few concerns, delineated below.
Specific comments:
1. Why limit to the OBGyn practices and the EDs? Do these institutions have general primary
care practices that perform substantial HIV testing? There is likely some bias present because of
using OBGyn practices, in which there is routine testing during pregnancy, and the likelihood
that women included in this analysis do not represent the entirety of women being newly
diagnosed with HIV infection.
2. In addition, since HIV testing is routinely done during pregnancy, the pregnancy may be a
risk not (only) for acquiring HIV but for being diagnosed with HIV because of routine testing.
Can the authors address this, perhaps in limitations discussion.
3. The proportion of included women whose test was in the different service delivery sites
(OBGyn, ED) should be provided.
4. Can the authors provide more information on “medical encounters”? This is usually
interpreted as an interaction with a provider. However, both the median (47) and the range
(5-602) over a two-year period are extraordinarily high for outpatients being tested for HIV: The
median suggests a visit with a provider once every two weeks, and the high end would mean a
daily visit.  Do these “encounters” represent something other than actual visits (e.g. lab results)?
5. STIs occurred in 2 people among the entire population; there are two implications here-- the
authors should acknowledge that this is a limitation, and in line 242 it is misleading to say “all
the women with STI”, as it is only two women—at least change this to “both” and acknowledge
the low numbers—if one were different, the finding disappears.
6. An additional consideration in the discussion of why is HCV predictive: it may also be a proxy
for having a sexual partner with IDU (PMCID: PMC2823487)
7. A minor point: Line 213: there should be no possessive on participants
Title: “I don’t know what I’m feeling for”: Young women’s beliefs about breast cancer risk and
experiences of breast awareness
Version: 1 Date: 01 Mar 2023
Reviewer's report:
Whilst this is an interesting topic, I feel that the emphasis of the paper about misconception
about risk is flawed.  Women aged 30-39 are at a lower absolute risk of breast cancer and the
perception of the participants that breast cancer is a disease of older women is epidemiologically
correct, as well as the understanding that screening starts at age 50 for a reason.
The paper also fails to contextualise the  constraints of a publicly funded healthcare system and
the risks that targeted campaigns to increase awareness in certain groups can simply increase
referral rates (and burden on secondary care), without any increase in the number of cancers
diagnosed.
The background literature provided is largely drawn from older papers and in other countries and
I am not sure of the relevance to the current paper.   There is little understanding shown of how
current referral pathways work, and in fact women aged 30-39 have the highest referral rates
from primary to secondary care for assessment of symptoms, with one of the lowest subsequent
cancer diagnostic rates.
Overall, I am not convinced that the paper adds meaningfully to the literature, and draws heavy
conclusions from a small sample of women in one small area of the country.
Title: “I don’t know what I’m feeling for”: Young women’s beliefs about breast cancer risk and
experiences of breast awareness
Version: 1 Date: 09 Mar 2023
Reviewer's report:
This qualitative study contributes to the body of knowledge regarding confusion women have
with current recommendations for breast health and risk assessment. Although women who
are younger develop breast cancer at a lower rate, they do in fact develop breast cancer, many
without familial risk.
A few comments that might strengthen this manuscript:
Abstract - would reword conclusion to include breast self-checking behaviors - comment after
comma seems awkward. Would also include a statement about risk since that was one of your
objectives.
Page  3 - please reword the sentence that includes the Cochrane review
In the same paragraph I would include the current recommendations or a statement about the
recommendations for SBE - maybe in England as well as other countries.
Page 4 - would expand on paragraph that presents info on risk perceptions - what does the
literature say about breast cancer risk?
Page 6 - provide a definition for Index of Multiple Deprivation decile since this is an international
journal.
Page 6 - Black or African women?
Page 7 - I am not sure about the need for Research Positioning in a manuscript?
Reporting of themes and explanation was well done.
Conclusion should be fairly similar to abstract.
Title: “I don’t know what I’m feeling for”: Young women’s beliefs about breast cancer risk and
experiences of breast awareness
Version: 3 Date: 04 May 2023
Reviewer's report:
Thank you for your responses to comments which somewhat improves the paper.
I agree that outcomes in younger women with breast cancer are poorer compared to older women
but how much that is due to intrinisic tumour differences rather than extrinsic factors such as
delays in diagnosis is not clear.  The biology of breast cancer varies with age - and again, there
is lack of a context for this particular approach of managing a problem that the authors are
advocating that does not take into account the other factors that impact on survival.  I agree that
risk prediction modelling in younger women is an area of considerable research interest  - and
yes, some women would benefit from targeted screening,  but I am not sure how this is relevant
to the central themes of this paper as the current approaches are based on risk factor assessment,
rather than clinical self examination.
Regarding referral rates and conversion rates to a cancer diagnosis - the national data are in the
public domain and available by age.
Overall, I still feel that the messages of the paper are not clear, and that there is considerable
conflation between risk prediction and being breast aware.  It would seem to me that given the
focus on risk prediction modelling, it would be more effective to assess women's perceptions
about risk factors, and in particular modifiable risk factors, as a way to encourage health seeking
behaviour.
Title: “I don’t know what I’m feeling for”: Young women’s beliefs about breast cancer risk and
experiences of breast awareness
Version: 3 Date: 12 May 2023
Reviewer's report:
I appreciate the time and energy the authors put into this revised manuscript. I believe this
revision is more succinct and includes information that is important to share with journal readers.
The only comment I have is related to the insertion of Dotplot as a technological advancement.
If included, I would like to see a sentence or two added about the data to support this product.
Best of luck!
Title: Estimation of global rating changes in quality of life and marital satisfaction among
reproductive-age women in Iran and Afghanistan before and after the COVID-19 pandemic
Version: 3 Date: 30 Jan 2023
Reviewer's report:
Thank you for the invitation and for the opportunity to review this study. The study is very
important and relevant to women's health.
Introduction
- Second paragraph: define the virus, initially reports on COVID-19 and then on the virus. Decide
if you want to talk about the disease or the virus, both in this way the information is incomplete.
- Still in the second paragraph, it cites "recent studies..." however, it only cites one study. Tweak
and enlarge quotes further.
- Third paragraph: superficially reports on quarantine, restriction, increased depression, anxiety
and reduced quality of life. It is important to relate these concepts to COVID-19, for example:
"The quarantine and restriction imposed by COVID-19, although they had the impact of reducing
contagion, increased the...".
Objective: differs from the title and outcome of the study (before and after the COVID-19
pandemic). The target is too wide, please adjust.
Methods
- It says that the questionnaire was completed through an interview, was this interview
scheduled? Describe a little about how the data collection was.
Results
- The tables are well described.
- The description of the results is objective and clear.
Discussion
- In the penultimate paragraph: "...preventive policies for COVID-19 in different countries can
also be effective in terms of effect or not on marital satisfaction...", briefly report on how these
measures were taken to combat COVID-19 in the scenario of study.
Abstract: conclusion: "during the pandemic" did the study investigate before and after the
COVID-19 pandemic? Please explain.
General:
-It is important to note that COVID-19 is an acronym and therefore must be capitalized
throughout the text, please adjust the text.
-Perform an English language review.
-Insert the link (DOI) in the references for online access.
Title: Estimation of global rating changes in quality of life and marital satisfaction among
reproductive-age women in Iran and Afghanistan before and after the COVID-19 pandemic
Version: 3 Date: 26 Apr 2023
Reviewer's report:
Abstract and Introduction:
-Please provide in the abstract an informative and balanced summary of what was done and
what was found.
- The problem was not clearly defined and it required more facts to establish why the author
felt this study needed to be done
-The problem statement should be explained more.  The literature review is needed for clarifying
the objectives
-Please State specific objectives, including any pre-specified hypotheses
Methods:
- Explain how the study size was arrived at
- Clearly define all outcomes, exposures, predictors, potential confounders, and effect modifiers.
- Describe any efforts to address potential sources of bias
- Give the eligibility criteria, and the sources and methods of selection of participants
- Describe clearly comparability of assessment methods (GRC)
- Describe clearly all statistical methods, including those used to control for confounding
- Describe any methods used to examine subgroups and interactions
- Explain how missing data were addressed
Results:
- Give unadjusted estimates, confounder-adjusted estimates and their precision (eg, 95%
confidence interval). Make clear which confounders were adjusted for and why they were
included
- Report other analyses done—eg analyses of subgroups and interactions, and sensitivity
analyses
Discussion
- Summaries key results with reference to study objectives
- Please provide clearly the explanation of how findings and conclusions connect to, support,
elaborate on, or challenge conclusions of earlier literature.
- Discuss limitations of the study, taking into account sources of potential bias or imprecision.
Discuss both direction and magnitude of any potential bias
- Discuss the generalizability (external validity) of the study results
Title: The Association of Intimate Partner Violence and Decision Making Power on Nutritional
Status of Married Women in Ethiopia: A Multilevel Mixed-Effect Analysis
Version: 0 Date: 26 Sep 2022
Reviewer's report:
Method section
Community-level explanatory Variables are not clear, need more explanation, why you need
to include community level explanatory variable as the sample was collected in the household
level.
How the control variables are selection, there are many variables but it includes certain variable
and the reason for selecting key socio-economic and demographic variables need to explained.
Developing decision making autonomy is not clear, what was the reason for including these
variables only?
Result and discussion
Interpretation of odd ratio is not correct in multiple places so I would like to request to review
the analysis and make the correct interpretation of odd ratio
The discussion section is poor specially for decision making autonomy and nutritional status so
that need to be update with including relevant literature.
The concept of Sustainable Development Goal (SDG) 5 (gender equality) comes only in
conclusion section, I would like to request to include this concept clearly in background section.
Title: The effect of mobile app-based self-care training on the quality of marital relations and
the severity of menopausal symptoms in postmenopausal women: A clinical trial study in Iran
Version: 1 Date: 17 Feb 2023
Reviewer's report:
It is a  randomized, controlled, single-blind trial, with methodological rigor, meets the
requirements of the Equator, based on appropriate and pertinent references.
Title: Suggested: The effect of self-care training on the quality of marital relationships and the
severity of symptoms in postmenopausal women: a clinical trial study in Iran
Abstract: Describes clearly and presents the essential elements for understanding the study.
Keywords: appropriate to the study proposal
Introduction: It contemplates the essential contents and describes with ownership and foundation
the state of the art.
Objective: consistent with the study proposal
Method: Accurately describes all stages of the randomized controlled trial, as well as inclusion
and exclusion criteria. One of the criteria adopted was given attention: they had not experienced
any unfortunate incidents in life in the last 6 months. How were the authors able to evaluate
this criterion?
Results: They comply with the objective with appropriate statistical tests.
Discussion: Based on relevant and current reference.
Conclusion: It presents internal coherence and supported by the main findings of the study.
It is the opinion of this ad hoc consultant to accept the article for publication.
Title: The effect of mobile app-based self-care training on the quality of marital relations and
the severity of menopausal symptoms in postmenopausal women: A clinical trial study in Iran
Version: 1 Date: 07 Mar 2023
Reviewer:  Patrícia Scotini Freitas
Reviewer's report:
The manuscript presents a relevant theme and brings contributions to the health area, and
especially to Nursing, advancing in the construction of scientific knowledge about women's
health after menopause and the care provided to this population, which is growing worldwide.
The manuscript is described in accordance with CONSORT and duly registered and with a
favorable opinion from the Ethics Committee of the University of origin of the main authors.
The method details the sample population, how these women were selected, with detailed
inclusion and exclusion criteria and how the data analysis was performed.
Although the text does not emphasize the specific role of nurses in this context, it is understood
that this professional also works in health education, which can be emphasized, including as a
descriptor.
Again, I reaffirm that the manuscript has the potential to contribute to the quality of life of
postmenopausal women and their partners.