JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Polycystic Ovarian Syndrome Awareness among Females in the UAE: A Cross-Sectional
Study
Version: 1 Date: 01 Feb 2023
Reviewer:  Aboubakr Elnashar
Reviewer's report:
well done but
1. discussion is inadequate
explaining the etiology of every result is required
comparing results with others is required
2. conclusion should be separate from the future direction or recommendation
Title: “I stretch them out as long as possible:” U.S. women’s experiences of menstrual product
insecurity during the COVID-19 pandemic
Version: 4 Date: 07 Mar 2023
Reviewer:  Rebecca A. Szabo
Reviewer's report:
Thank you for your considered responses and changes.
I find it really interesting to know the background that over the time of this research language and
legislation changed such that sanitary pads in the interview would now not be used in place of
menstrual products. My inner trivia nerd would love if you could include this detail in a footnote
or similar under the interview question box. Mainly because it's interesting and fascinating -
certainly not essential.
Thank you again for this important work and your contribution to the literature.
Title: “I stretch them out as long as possible:” U.S. women’s experiences of menstrual product
insecurity during the COVID-19 pandemic
Version: 4 Date: 07 Mar 2023
Reviewer's report:
Review2: “I stretch them out as long as possible:” U.S. women’s experiences of menstrual
product insecurity during the COVID-19 pandemic
As I mentioned in my first review, this is important and timely research with many excellent
aspects, primarily the importance of the topic (also including these excellent sections:
Background/Introduction, Discussion/Conclusion).  My reservation about the shortcomings of
the data analysis section still stands.  While I understand the need to be mindful of  manuscript
length, I wish the authors had added details about the coding and theme derivation that they
constructed instead of adding more about Malterud's systematic text condensation.  Both
reviewers mention the need for more information about coding and theme derivation in the
original submission.  In addition, from my perspective, since in this revision, the authors mention
that aprioiri codes were part of the process, it would be important to mention what these were
and why they were selected, including some mention of previous work in which these were
identified.  In terms of their own coding and theme derivation, in this revision commentary about
know how disagreements were handled is welcome, but this revision still lacks a description of
how coding and theme derivation was carried out.
I should add that I have seen in recent manuscripts describing qualitative methods that other
qualitative researchers also cite the source of the method they use but do not detail their coding
and theme derivation. I confess that is not my training and certainly will leave it to the journal
editor(s) to decide what is best.  I am certainly not familiar with the many ways that have been
suggested in the broader literature conducting coding and theme derivation, but to me, that makes
it all the more important for researchers to describe their process, regardless of which method
has been undertaken and described only in the most general terms.  I have no reason to doubt that
any of these methods are fine.  And while I do appreciate the added detail about the Malterud
method, I wish the authors had spent time (and words) describing how they derived their codes
and themes from this data.   This in no way implies any misgiving on my part about the authors’
process.  I completely respect their process – I just want to know more about it.
That said, I would still recommend a major revision to include more information about coding
and theme derivation, but am more than willing for the journal editor(s) to determine what is
or isn’t needed.
Title: More than Blood: App-tracking Reveals Variability in Heavy Menstrual Bleeding
Construct
Version: 2 Date: 16 Nov 2022
Reviewer's report:
This is an excellent manuscript!  Very interesting subject matter for those of us whose clinical
and research focus is menstrual health, and overall very well written.
I have a few comments and suggested edits, listed here by section:
Background:
-1st paragraph: Given that FIGO has, more than 10 years ago, recommended against the use of
the term "menorrhagia" (and ACOG has generally followed suit) , I would discourage using it in
your paper, as referring to that term at all perpetuates its use.  I would recommend using "heavy
menstrual bleeding" as a stand-alone term.
-page 4, line 13:  typo needs to be corrected, says "HBM" instead of "HMB"
Results:
-Cycle Attributes section -- page 10, line 20, and repeated thereafter:  you compare "hormonal
contraceptive users" to "non-users"; does "non-users" mean non-hormonal contraceptive users?
Or does it mean non-contraceptive users overall?  I would suggest defining the term on its first
use.
-Period Length Recall Bias section -- was the difference between reported vs app-tracked period
length statistically significant?  I see mean/mode/SD for each, but I don't see whether or not the
difference was tested statistically.
Discussion:
-p.20, second paragraph: I find that for my patients, there are some culturally mediated behaviors
about whether or not it is appropriate/acceptable to have sex during menses -- in addition to
"aversions," I would recommend acknowledging that this may be culturally mediated and also
may be independent of heaviness or malaise associated with menses.
Limitations and advantages
-this section could use some clarification -- for some paragraphs it was unclear if what was being
described was being interpreted as a strength or a weakness.  Would recommend that you call
those out explicitly.
--I would suggest adding age as a limitation -- we know that for teens < 18 yo, HMB is a
significant reason for medical visits and decreased QOL. It was not explained in the methods
why this population of app users was excluded.
--I also noted that physical activities/sports/exercise participation was not specifically queried
in the QOL impairment section; in my patients this is a frequently reported area of life that is
impacted by HMB -- I would suggest adding this omission to your limitations, or if you feel it
was implied in the "hobbies or leisure activities" question, then I would recommend stating that
--Lastly, as has been documented in the lay and academic press,  "app fatigue" may also limit
the accuracy, completeness, and/or precision of app-tracked data.  Would recommend including
this either in the discussion or as a possible limitation
Title: More than Blood: App-tracking Reveals Variability in Heavy Menstrual Bleeding
Construct
Version: 2 Date: 11 Dec 2022
Reviewer's report:
Interesting topic and future forward thinking; thank you for putting effort into an important
aspect on menstrual health care.
I do have some comments:
Objective - page 4, line 2, 3: this is quite broad, not specific; what is the more concrete goal
of this study?
Methods - page 7 and onwards
how would you describe this study, what type of study is this?
Is a link to Clue website an idea? I personally have no insight as to what users see, what
information is given; also on the four bleeding volumes: is there some explanation/guidance for
users? please clarify
page 9 - line 18 onwards - 23 and 1,2 on next page: should this information not be reported
under results?
Results -
page 15 line 12: figure; %of those with given heaviness who had given number of period days
with each tracked daily flow volume --> I do not understand this description I'm afraid
page 18 , 19; all these hyopothesis spontaneously pop up in results; should be reported in
methods, as hypothesis that are going to be tested with this study
Discussion: in general can be shortened; I;m missing the link to treatment options for menstrual
problems and decision making for these options to tracking the menstruation with an app; any
suggestions for what is neccessary to go forward? research wise, adjusting CLue app wise,
decision making process for patients and hcp's?
Conclusion: too long, not concise and  not very strong; what is the message/actual conclusion?
Title: More than Blood: App-tracking Reveals Variability in Heavy Menstrual Bleeding
Construct
Version: 3 Date: 11 Mar 2023
Reviewer's report:
Thank you for your revision, and reviewer 1 for their very supportive feedback and the authors
for impelmenting this feedback.
Line 3-6; phrasing is not easy to follow, bleeding attributes, what is meant? this sentence can
probably be less complex - More specifically, this study investigates whether bleeding attributes
in addition to, or other than, bleeding volume (for example, bleeding duration) and/or the impacts
of bleeding on daily life contribute to an individual’s characterization of their own bleeding as
“heavy.”
Page 12 – it only now occurs to me: period duration and cycle duration are discussed and
given , alsfo for hormonal contraception users: for coc this is not the case, there is no cyclus
nor period, unless the withdrawal bleed is labeled period. Possibly define these semantics early
one, e.g. by stating that also with hormonal contraception, bleeding will be called a period and
cycle to determine timing of this bleeding. ; I would think continuous use just as implanon for
example would influence these outcomes  ; however, the consistency of whether or not the in
app registration of a period of vaginal bleeding is reliable when compared to a prospective but
recent recall of that prospectively registered bleed.
Title: Husband’s migration status and contraceptive behaviours of women: Evidence from
Middle-Ganga Plain of India
Version: 1 Date: 10 Feb 2023
Reviewer:  Bhaskar Tiwary
Reviewer's report:
Though the paper utilizes a unique data set, authors have failed to present their findings uniquely.
Please find below certain queries.
Background
1. There are repitions of words which can be avoided. For example, the sentence after reference
1 uses the word "maternal" twice. It can be avoided by sentence alterations. Kindly re-check
such sentences throughout the manuscript.
Methods:
1. Could the authors elaborate on sampling strategy of Middle Ganga Plain Survey?
2. Adding a short highlight on reasons that led to high male migration in gangetic plains would
be interesting for the readers across the globe.
3. Was the Survey planned only for two states? Why West Bengal was left out?
4. In statistical analysis what it means when you talk about "A number of analyses were
conducted to analyze "?
Results
1. I am not surprised by few findings like female sterilization was most common method used
by women, most common reason for not using any contraceptive methods was the needs of
children , etc. It is very clearly evident from prior studies in the region.
2. I would like to see the results aggregated for districts in two states. Also, using a GIS if authors
can present a map/clusters where out-migration is high.
Conclusion
1. The first sentence of conclusion reads to me as a question rather than conclusion.
2. The second sentence of the conclusion is a thing which I would prefer to be in discussion
section.
I would recommend to reconsider the analysis based on district wise aggregations and come up
with conclusion with customized interventions.
Title: Husband’s migration status and contraceptive behaviours of women: Evidence from
Middle-Ganga Plain of India
Version: 2 Date: 06 Mar 2023
Reviewer:  Bhaskar Tiwary
Reviewer's report:
Thanks to the authors for considering the revisions. The manuscript reflects most of the changes.
However, I have few more questions/suggestions that has emerged after your inputs in revision.
1. Cite this study in background where you talk about the factors influencing reproductive and
contraceptive behavior of women in 2nd paragraph:  Tiwary B, Nilima N, Kumar A, Kaushik
S, Khan MA, Pandey PK. Spatial evaluation of pregnancy loss among child-bearing women in
India. GeoJournal. 2022 Oct;87(5):3815-26.
2. During the first review, I had wished to see the results aggregated for district. Now I see
that authors have aggregated for division.  Any specific reason for that? Don’t we have enough
individuals for district aggregation.
3. Cite this study as importance of documenting reasons for male migration as there is lack of
adequate documentation for evidences in public health Khan MA, Nilima N, Prathibha J, Tiwary
B, Singh M. Documentation compliance of in-patient files: a cross sectional study from an east
India state. Clinical Epidemiology and Global Health. 2020 Dec 1;8(4):994-7.
4. Authors mention in conclusion that “these results strengthen the existing literature that
explains how migration affects women’s health”. This is not clear from results. You may say
“how migration affects women’s’ health”.
5. I don’t see any description of maps, its purpose in the manuscript. Kindly mark if I am missing
it.
6. There are already many comprehensive education programs and policy on contraception use.
It’s now the need to develop customized and targeted modules or organize behavior change
programs for such populations. I would like to see the conclusion in these lines.
7. Also, when you talk that “there is no policy and program related to migrants….” Its bit
contradicting as there are several drafts under consideration by NITI Ayog. I recommend shifting
this to discussion and add citations.
Title: A Comprehensive Health-promoting Neighborhood Intervention to Improve Health Care
Seeking Behavior Among Reproductive age Iranian Women
Version: 1 Date: 23 Nov 2022
Reviewer:  Ban Hadi Hameed
Reviewer's report:
Dear authors thanks for your work, please consider the following points:
Introduction instead of background
Spelling and grammar editing
Methods: revise this section: . Finally, 40 women of reproductive age were randomly selected
from health centers according to inclusion criteria and randomly allocated to one control (n=
80) group and one intervention (n= 80) group
Title: A Comprehensive Health-promoting Neighborhood Intervention to Improve Health Care
Seeking Behavior Among Reproductive age Iranian Women
Version: 3 Date: 25 Jan 2023
Reviewer:  Lamya A Alkarem Darwish
Reviewer's report:
Thank you for sending me  this article  to review.
I have reviewed the article and all the  questions and notes that have been raised by the reviewers
have been answered by the authors.
In fact  this  article follow the appropriate reporting guidelines and community standards for data
availability.  In addition, It provide sufficient in-depth discussion of the  one of the important
approach in health promotion .
In summary,  the article contain material that is new or adds knowledge to the existing published
information in this part of the world. The outcome of this research can be used as a model in
health promoting programmes in the neighbouring countries as they  have a lot in common in
terms of their lifestyle , culture, values and  believes
Dr Lamya  A  Alkarem Darwish
MBChB, MRCP(UK)
Member of Royal College of Physicians  ( United Kingdom)
Assistant Professor in Internal Medicine , Department of Medicine
Member of Curriculum Development and accreditation Committee
Member of Medical Education and Continuous Development Committee
Al-Ameed College of Medicine, Al-Ameed University
Title: Process of developing a cervical cancer education program for female university students
in a Health and Physical Education teacher training course: an action research
Version: 3 Date: 06 Feb 2023
Reviewer's report:
Estimated authors, the work titled "Process of developing a cervical cancer education program
for female university students in a health and physical education teacher training course: an
action research" has been reviewed.
First of all, I would like to congratulate the authors for the excellent work they have done. I
consider that the manuscript respects an appropriate structure in all its parts.
The introduction offers a very precise background on previous literature, in fact, it is broad and
updated. However, I think it is important to further develop the research gap that this work aims
to fill.
It could be interesting to introduce the previous hypotheses that justified the need for this
research. Only if the authors so consider.
The objectives should also be clarified.
The method is, in my opinion, very appropriate. However, some data related to the sample should
be developed, as they do in the abstract.
We should also know more information about the 35 subjects.
The statistical tests are adequate. Now, is it possible to calculate the statistical power?
Finally, some ideas should be more developed in the discussion, in my opinion, the section "The
value of this program for health and physical education teacher training" can be deepened.
Finally, it is suggested to look for the relationship of these findings with their contribution to
the SDGs if there is one. Some authors to cite have developed ideas of how PE teachers could
contribute to this fact. That concern is optional as it is a global trend but the authors do not have
to complete it if they do not wish.
For all these reasons, my recommendation for the work will be a major revision. But I really
think they are easily implementable problems.
Thank you very much for your well-developed work. Congratulations
Title: Relationship between health literacy level and sexual function in women in the Northwest
of Iran in 2020- A cross sectional study
Version: 2 Date: 19 Feb 2023
Reviewer's report:
For author:
Revision should be done based on the line number of the manuscript text:
2-in north west of Iran
76-Is there a formula used for sample size?
77- Explain more whether the sample size is based on the population covered by each health
center?
78-city or village?
86-Meaning of residence status?
180-182- insert Reference
189-Explain in this case, can this sample size be generalized to the women of Qazvin?
220-224- This part needs more explanation and revision
233-235- The purpose of this study is to investigate the relationship between health literacy and
sexual performance. More explanations are needed in this case
242-This is in contrast to conducting sampling which was from 26 health  centers?
Title: Associations with Physical Activity, Sedentary Behavior, and Premenstrual Syndrome
among Chinese Female College students
Version: 2 Date: 04 Jan 2023
Reviewer's report:
Overall, a well-written draft. Some minor suggestions and questions for clarification:
1. The title could be revised to "Associations with Physical Activity, Sedentary Behavior, and
Premenstrual Syndrome among Chinese Female College students"
2. The Abstract background section needs a bit of background and not just purpose of the paper.
3. Line 89: use reference for the statement.
4. Line 112, check punctuation
5. Line 165-167: the author mentions that they excluded days with 10 hours or less of wear
time. I wonder why they were excluded. Wouldn’t their data lower than 10 hours would also be
analyzed in  PMDD? Were there any follow up on the reasons for the short duration of the wear?
6. Line 195: Avoid using numbers and write in letters for all numbers under ten
7. Line 201: The author mentions 'and participants were smokers'. Were all participants smokers
in the study? Was smoking status in the inclusion criteria? A bit more detail would be helpful.
Overall, I think a illustration of the devices used would give a clearer picture. The author does
not mention any limitation regarding the usage of the device or non-compliance among the users.
They have mentioned that incomplete data were deleted, but there needs to be more exploration
on the reasons behind the lack of complete data.
Title: Associations with Physical Activity, Sedentary Behavior, and Premenstrual Syndrome
among Chinese Female College students
Version: 2 Date: 15 Jan 2023
Reviewer:  Neda Mohammadinia
Reviewer's report:
-Dear author(s),
The study is interesting and valuable but it is very long (6605words) and usually the original
articles are 3000-5000words.
pay attention to the following points, please.
ABSTRACT:
1- Write a few lines for Background and then mention aim of study.
2- Correct conclusion according same part in article
INTRODUCTION:
it is good but very long.
METHODS:
The method is not clear, please, write more complete and mention carefully:
- Sampling method and sample size calculation method.
-write in line 6, oral contra captive instead of birth control pills
-write in line 8, childbirth instead of history of giving birth
-write validity and reliability of assessment tools
- What day of the menstrual cycle should device be used and for how long (how many menstrual
cycles)?
-It is better write demographic tool instead of anthropometry.
-How was the quality of sleep achieved?
-write Freedson Adult algorithm in this form:
Freedson cutoffs were applied as follows:
SB, defined as <100 counts per minute (cpm); light physical activity (LPA, 100-1951
cpm; moderate physical activity (MPA, 1952-5724 cpm; vigorous physical activity
(VPA), ,5725-9498 cpm; and moderate to vigorous physical activity (MVPA), >1951 cpm.
RESULTS:
211 participants were included in the analysis or 221??
Title: Trends and factors associated with HIV testing among women aged 15–49 years in Belize:
An analysis using the Multiple Indicator Cluster Survey 2006, 2011, and 2015–2016
Version: 1 Date: 20 Nov 2022
Reviewer's report:
Overall, this manuscript addresses a critical knowledge gap on HIV testing and knowledge in
Belize. It utilizes a robust dataset with national representation and highlights potential subsets
of the population that may need further targeted education and/or health promotion to achieve
health equity in HIV testing and care.
My critiques would be that 1) it should include Belizean counterparts as co-authors (e.g.
members of the Statistical Institute of Belize or Belize Ministry of Health and Wellness that were
instrumental in data collection or analysis) 2) some of the points made during the discussion are
too generalized (e.g. the majority of Belizean physicians and nurses in country are Belizean and
often bilingual while the manuscript suggests most of the healthcare workers are from Cuba,
which is incorrect).
Title: Trends and factors associated with HIV testing among women aged 15–49 years in Belize:
An analysis using the Multiple Indicator Cluster Survey 2006, 2011, and 2015–2016
Version: 5 Date: 27 Jan 2023
Reviewer's report:
This manuscript examines the factors associated with HIV testing in women of reproductive age
in Belize and trends in HIV testing in 2006, 2011, and 2015-2016. As the authors note, Belize
has one of the highest HIV prevalence rates in Central America and women account for nearly
half of new diagnoses. Understanding the factors associated with testing can inform populations
in need of additional resources or interventions to improve testing. This manuscript provides
insight into the factors associated with testing among women of reproductive age in Belize. The
manuscript is well organized, has a clear study objective and uses an appropriate data source to
address the objectives. In addition, the authors have addressed the statistical modeling concerns
and removed the pooled, unweighted results in this revised version. The authors have also
provided additional information and discussion regarding the policy interventions implemented
prior to and during this analysis providing critical information for interpreting these results. I
have no major comments or concerns remaining. Recommend copyediting throughout before
publication.
Title: Trends and factors associated with HIV testing among women aged 15–49 years in Belize:
An analysis using the Multiple Indicator Cluster Survey 2006, 2011, and 2015–2016
Version: 7 Date: 06 Mar 2023
Reviewer's report:
Nicely edited manuscript. Comments addressed. The only suggestion I had would be to keep
the original MSM definition at line 96. The revision may be grammatically correct, but may
also be stigmatizing.