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Research Article | DOI: https://doi.org/10.31579/2578-8965/267
Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
*Corresponding Author: Anthony Edward Boakye, Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
Citation: Anthony E. Boakye, (2025), History of Cervical Cancer and Pregnancy Losses as predictors of Abstinence from Sexual Activity among Women in Ghana, J. Obstetrics Gynecology and Reproductive Sciences, 9(4) DOI:10.31579/2578-8965/267
Copyright: © 2025, Anthony Edward Boakye. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 25 April 2025 | Accepted: 05 May 2025 | Published: 12 May 2025
Keywords: knowledge; emergency contraceptives; females; adolescents; bole sub-city
Background: Among the numerous reproductive health conditions that affect women; cervical cancer and pregnancy losses stand out due to their significant medical, psychological, and social consequences. These experiences may not only affect a woman’s reproductive capacity but can also alter her perception of sexuality, intimacy, and bodily autonomy.
Objective: Given these challenges, the study aimed to investigate whether a history of cervical cancer and pregnancy losses can be considered significant predictors of sexual abstinence among Ghanaian women.
Methods: Data for the study were extracted from the 2022 GDHS. It was provided by Measure DHS Program through the link https://dhsprogram.com/data. Frequency distribution, Pearson’s chi-squared test of independence, and binary logistic regression were used to add value to the data. The binary logistic regression was used to determine the effects of history of cervical cancer, and pregnancy losses on women’s abstinence from sexual activity in Ghana.
Results: Ever tested for cervical cancer was less significant related to abstinence from sexual activity. Pregnancy Losses was less significant to abstinence from sexual activity. It was revealed that 32889 (94.9%) of women had never been tested for cervical cancer. It emerged that 24876 (71.8%) of the women never experienced pregnancy losses.
Conclusion: The findings indicate that these reproductive health experiences could not lead exclusively to sexual withdrawal. The women resumed sexual activity as part of emotional healing and relationship maintenance. Based on this, the study recommends that healthcare providers should make it a priority to strengthen positive post-reproductive health messaging to reassure women that intimacy is not harmful and that it can be part of emotional recovery and may empower them to maintain healthy sexual relationships.
Sexual activity is a complete natural and normal part of human life [1,2]. Therefore, becoming sexually active with a partner is a deeply personal decision that may be influenced by one’s family values [3,4]. Sexuality is an important part of being human and living a full life [5]. Affectionate intimate relationships are an important part of the well-being of many individuals and contribute to health and quality of life [6]. Sexuality is about our sexual feelings and thoughts, who we are attracted to, and our sexual behaviours [7]. Exploring and expressing sexuality over time might include things like sexual dreams, fantasising about someone or about a sexual act, kissing, touching, masturbating, being naked with someone, oral sex or having penetrative sexual intercourse [8]. Women’s sexuality can change over time, like anyone else’s. At different times in life women may feel very sexual and at other times sex might be the furthest thing from their mind [9].
Sexual health is an important component of overall well-being, especially for women whose reproductive histories often influence their physical, emotional, and relational health trajectories [10-12]. Among the numerous reproductive health conditions that affect women; cervical cancer and pregnancy losses stand out due to their significant medical, psychological, and social consequences [13,14]. These experiences may not only affect a woman’s reproductive capacity but can also alter her perception of sexuality, intimacy, and bodily autonomy [15-17]. However, in Ghana, despite ongoing national efforts to promote women’s health through cervical cancer screening and maternal care programs, many women continue to experience adverse reproductive events, including late-stage cervical cancer diagnoses and recurrent pregnancy losses [18-21].
Sexual abstinence among women with a history of cervical cancer or pregnancy loss may stem from a range of factors, including pain, fear of recurrence, emotional trauma, body image issues, and relationship strain [22-26]. However, in the Ghanaian context, where discussions around female sexuality are often constrained by cultural and religious norms, such behavioural shifts are rarely openly discussed or adequately addressed in clinical settings [27-29]. This gap in understanding not only limits the scope of holistic post-treatment care but may also leave women without the psychosocial support needed to recover and re-engage in healthy sexual lives [30,31].
Moreover, existing reproductive health research in Ghana tends to focus on fertility [32-37], and contraceptive use [38-40]. These studies fail to look at the intersection between these reproductive events (cervical cancer and pregnancy losses) and women’s sexual behaviour patterns together. Other researchers also attempted to advance evidence on how a history of cervical cancer and pregnancy losses serve as predictors of sexual abstinence among women in Ghana but did so by exploring the variables in isolation. For instance, Appiah, Amertil, Oti-Boadi, Lavoe and Siedu [41] looked at the experiences of women living with cervical cancer; Adanu [42] studied sexuality and gynecologic health of women; Donkor and Lariba [43] explored coping strategies of women undergoing cervical cancer treatment; Anarfi [44] examined vulnerability to sexually transmitted disease; Agbemenu, Hagan and Leung [45] studied psychological and social impact of cervical cancer diagnosis and treatment; Anaman-Torgbor, Angmorterh, Dordunoo and Ofori [46] explored cervical cancer screening behaviours and challenges while Gyimah, Adjei and Takyi [47] also examined health care decision-making and sexual abstinence behaviour.
In view of this, it is difficult to predict how reproductive trauma influences sexual behaviours among women. Without clear evidence, healthcare providers may overlook abstinence as a coping response or symptom of unresolved psychological distress, further marginalising affected women and impeding the development of effective, culturally appropriate interventions. Given these challenges, the study aimed to investigate whether a history of cervical cancer and pregnancy losses can be considered significant predictors of sexual abstinence among Ghanaian women.
Specifically, the study seeks to:
1) Analyse if a history of cervical cancer predicts abstinence from sexual activity among women in Ghana;
2) Examine whether pregnancy losses influence abstinence from sexual activity among women in Ghana.
The study further hypothesized that there is no statistically significant relationship between a history of cervical cancer, pregnancy losses and abstinence from sexual activity among women in Ghana
Data Source
Data for the study were extracted from the 2022 GDHS. It was provided by Measure DHS Program through the link https://dhsprogram.com/data. The DHS data were preferred because it is nationally representative, provides a wealth of information on population, and can guarantee generalization (can be used to make broad statements about the entire population) [48,49].
Measures
In the study, the independent variables (IVs) are history of cervical cancer, and pregnancy losses. The variables were carefully chosen because the researcher wants to ascertain how they interplay to influence sexual abstinence among women in Ghana. Hence, previous studies did not provide a direct causal link between the history of cervical cancer, pregnancy losses, and sexual abstinence [50-54]. The dependent variable (DV) in the study was abstinence from sexual activity.
Data Processing and Analysis
Data were processed with SPSS version 27. Frequency distribution, Pearson’s chi-squared test of independence, and binary logistic regression were used to add value to the data. For instance, the frequency distribution was used to summarise participants’ responses into proportions. The Pearson’s chi-squared test of independence was used to test the hypotheses postulated in the study to either accept or reject the null hypotheses. The binary logistic regression was used to determine the effects of history of cervical cancer, and pregnancy losses on women’s abstinence from sexual activity in Ghana.
To ascertain the proportion of women who were abstaining from sexual activity prior to the study instigated data extraction on a single item thus “currently abstaining” for analysis. After the analysis, the results revealed that 30445(88%) of the women were not abstaining from sexual activity while 4218(12%) of the women were abstaining from sexual activity prior to the study.
To ascertain the proportion of women with cervical cancer history in Ghana triggered data extraction on a single item (ever tested for cervical cancer) from the 2022 GDHS for analysis. After the analysis, the results revealed that 94.9% of women had never been tested for cervical cancer while 0.3% of the women do not even know whether they had been tested for cervical cancer or not (see Table 1).
| Variable | Frequency | Percentage |
| Ever tested for cervical cancer | ||
| No | 32889 | 94.9 |
| Yes | 1683 | 4.9 |
| Don’t know | 91 | 0.3 |
| Total | 34663 | 100.0 |
Source: GDHS (2022).
Table 1: History of Cervical Cancer among Women in Ghana
Table 2 has Pearson’s chi-square test of independence on history of cervical cancer and abstinence from sexual activity among women in Ghana. This analysis was conducted to test the hypothesis there is no statistically significant relationship between history of cervical cancer and abstinence from sexual activity among women in Ghana. Statistically significant relationship was found between history of cervical cancer[x2=6.215, p=0.045] and abstinence from sexual activity among women in Ghana.
| Variable | No (%) | Yes (%) | Total n (%) | x2 | P-value |
| Ever tested for cervical cancer | 6.215 | 0.045 | |||
| No | 87.7 | 12.3 | 32889(100.0) | ||
| Yes | 89.6 | 10.4 | 1683(100.0) | ||
| Don’t know | 91.2 | 8.8 | 91(100.0) |
Table 2: Relationship between History of Cervical Cancer and Abstinence from Sexual Activity among Women in Ghana
Note: Row percentages in parenthesis, Chi-square significant at (0.001), (0.05), (0.10)
No: do not engage child in labor Yes: engage child in labor
Source: Fieldwork (2025).
Further analysis was conducted with binary logistic regression on history of cervical cancer and abstinence from sexual activity among women in Ghana. This analysis was conducted to determine the influence history of cervical cancer exert on women’s abstinence from sexual activity in Ghana. The results are presented in Table 3.
| Variable | B | Wald | Sig. | Exp(B) | 95CI | |
| Ever tested for cervical cancer (No=1.0) | ||||||
| Yes | -0.187 | 5.223 | 0.022 | 0.830 | 0.707 | 0.974 |
| Don’t know | -0.372 | 1.009 | 0.315 | 0.689 | 0.333 | 1.425 |
| Constant | -1.967 | 13699.812 | 0.000 | 0.140 | ||
Source: GDHS (2022). Significant at 0.05.
Table 3: Binary Logistic Regression Results on History of Cervical Cancer and Abstinence from Sexual Activity among Women in Ghana
After processing the data, the logistic regression model was significant at -2LogL = 25662.860; Nagelkerke R2 of 0.000; x2=6.528; p=0.038 with correct prediction rate of 87.8%. More importantly, the Model Summary which shows a Nagelkerke R2 of 0.000 suggests that the model explains 0.0% of variance in the likelihood of women’s abstinence from sexual activity in Ghana. With this percentage contribution to the entire model, the results confirmed the whole model significantly predict women’s abstinence from sexual activity in Ghana.
Table 3 revealed that ever tested for cervical cancer was statistically significant related to abstinence from sexual activity at p=0.022, (OR=0.830,
95%CI ([0.707-0.974]). This variable identifies those women to have 0.8times less likely to abstain from sexual activity compared with their counterparts that had not tested for cervical cancer (see Table 3).
To unravel the proportion of women who were experiencing pregnancy losses trigger data extraction on a single item (pregnancy losses) for analysis. After the analysis, the results revealed that 71.8% of the women never experienced pregnancy losses while 0.0% recorded either six, eight or eleven pregnancy losses (see Table 4).
| Variable | Frequency | Percentage |
| 0 | 24876 | 71.8 |
| 1 | 6934 | 20.0 |
| 2 | 1970 | 5.7 |
| 3 | 596 | 1.7 |
| 4 | 186 | 0.5 |
| 5 | 60 | 0.2 |
| 6 | 16 | 0.0 |
| 7 | 18 | 0.1 |
| 8 | 4 | 0.0 |
| 11 | 3 | 0.0 |
| Total | 34663 | 100.0 |
Table 4: Pregnancy Losses among Women in Ghana
Source: GDHS (2022).
Table 5 has outcome of Pearson’s chi-square test of independence on pregnancy losses and abstinence from sexual activity among women in Ghana. This analysis was conducted to test the hypothesis there is no statistically significant relationship between pregnancy losses and abstinence from sexual activity among women in Ghana. Statistically significant relationship was found between pregnancy losses [x2=95.395, p<0.001] and abstinence from sexual activity among women in Ghana.
| Variable | No (%) | Yes (%) | Total n (%) | x2 | P-value |
| Pregnancy losses | 95.395 | <0> | |||
| 0 | 86.8 | 13.2 | 24876(100.0) | ||
| 1 | 89.9 | 10.1 | 6934(100.0) | ||
| 2 | 91.5 | 8.5 | 1970(100.0) | ||
| 3 | 90.9 | 9.1 | 596(100.0) | ||
| 4 | 91.4 | 8.6 | 186(100.0) | ||
| 5 | 98.3 | 1.7 | 60(100.0) | ||
| 6 | 100.0 | 0.0 | 16(100.0) | ||
| 7 | 100.0 | 0.0 | 18(100.0) | ||
| 8 | 100.0 | 0.0 | 4(100.0) | ||
| 11 | 100.0 | 0.0 | 3(100.0) |
Table 5: Relationship between Pregnancy Losses and Sexual Abstinence among Women in Ghana
Note: Row percentages in parenthesis, Chi-square significant at (0.001), (0.05), (0.10)
No: do not engage child in labor Yes: engage child in labor
Source: Fieldwork (2025).
Further analysis was conducted with binary logistic regression on pregnancy losses and abstinence from sexual activity among women in Ghana. This analysis was conducted to determine the effect of pregnancy losses on abstinence from sexual activity among women in Ghana. The results are presented in Table 6
| Variable | B | Wald | Sig. | Exp(B) | 95CI | |
| Pregnancy losses (0=1.0) | ||||||
| 1 | -0.298 | 45.909 | 0.000 | 0.742 | 0.681 | 0.809 |
| 2 | -0.494 | 35.376 | 0.000 | 0.610 | 0.519 | 0.718 |
| 3 | -0.421 | 8.553 | 0.003 | 0.656 | 0.495 | 0.870 |
| 4 | -0.478 | 3.322 | 0.068 | 0.620 | 0.371 | 1.037 |
| 5 | -2.192 | 4.724 | 0.030 | 0.112 | 0.015 | 0.806 |
| 6 | -19.318 | 0.000 | 0.998 | 0.000 | 0.000 | 0.000 |
| 7 | -19.318 | 0.000 | 0.998 | 0.000 | 0.000 | 0.000 |
| 8 | -19.318 | 0.000 | 0.999 | 0.000 | 0.000 | 0.000 |
| 11 | -19.318 | 0.000 | 0.999 | 0.000 | 0.000 | 0.000 |
| Constant | -1.885 | 10116.583 | 0.000 | 0.152 | ||
Table 6: Binary Logistic Regression on Pregnancy Losses and Abstinence from Sexual Activity among Women in Ghana
Source: GDHS (2022). Significant at 0.05
After processing the data, the logistic regression model was significant at -2LogL = 25561.700; Nagelkerke R2 of 0.006; x2=107.688; p<0.001 with correct prediction rate of 87.8%. More importantly, the Model Summary which shows a Nagelkerke R2 of 0.006 suggests that the model explains 0.6% of variance in the likelihood of women’s abstinence from sexual activity. With this percentage contribution to the entire model, the results confirmed the whole model significantly predict women’s abstinence from sexual activity in Ghana.
Table 6 revealed that losing just a pregnancy was statistically significant related to abstinence from sexual activity at p<0.001, (OR=0.742, 95%CI ([0.681-0.809]). This variable identifies those women to have 0.7times less likely to abstain from sexual activity compared with their counterparts that had never lost a pregnancy (see Table 6). Further, losing pregnancy twice was statistically significant related to abstinence from sexual activity at p<0.001, (OR=0.610, 95%CI ([0.519-0.718]). This factor labels those women to have 0.6times less likely to abstain from sexual activity compared with their counterparts that had never lost a pregnancy (see Table 6). Furthermore, losing pregnancy three times was statistically significant related to abstinence from sexual activity at p=0.003, (OR=0.656, 95%CI ([0.495-0.870]). This variable revealed those women to have 0.7times less likely to abstain from sex compared with their counterparts that had never lost a pregnancy (see Table 6). Then, losing pregnancy five times was statistically significant related to abstinence from sexual activity at p=0.030, (OR=0.112, 95%CI ([0.015-0.806]). This variable revealed those women to have 0.1time less likely to abstain from sexual activity compared with their counterparts that had never lost a pregnancy (see Table 6).
The study attempted to investigate the influence of history of cervical cancer and pregnancy losses on sexual abstinence among women in Ghana. The results revealed that ever tested for cervical cancer had lower odds of abstinence from sexual activity. This finding refuted previous studies which found that cervical cancer patients experienced low libido due to the cervical cancer symptoms and the side effects of chemotherapy [41,45]. Further, the authors asserted that women who have been treated for cervical cancer have persistent vaginal changes that compromise sexual activity and result in considerable distress. This outcome suggests that women who have been tested for cervical cancer are more likely to engage in some form of sexual activity than women who have never been tested. The plausible explanation to this finding could be that several factors play a role such as the timing of testing (usually after a woman becomes sexually active) and the increased awareness of sexual health among those who have been tested [56,57].
The study found that pregnancy losses are associated with lower odds of abstinence from sexual activity. This finding corroborated with a previous study which found that compared with multiparous women, those with one or no surviving child had a lower likelihood of being abstinent and having a met need [58]. On the contrary, the finding refuted previous studies which found that half of the women with recurrent pregnancy loss had impaired sexual function. Further, women with recurrent pregnancy loss predominantly experienced decreased sexual desire, while they did not have much problem in terms of vaginal lubrication [59,60]. This finding suggests that experiencing a pregnancy loss might lead individuals to be less likely to abstain from sexual activity in the future [61,62]. The plausible explanation to this finding could be due to a variety of factors including emotional distress, altered beliefs about fertility, or a desire to try again quickly [61,62].
The study found that relationship exists between history of cervical cancer and abstinence from sexual activity. Therefore, the null hypothesis was ignored. This outcome refuted previous studies which found no significant association between early sexual activity and cervical cancer [63,64] On the contrary, this outcome corroborated with a previous study which found that a significant association (p-value = 0.0007) exists between cervical cancer screening behaviours and sexual activity among women [65]. The relationship found indicates that the variables are not independent of each other. A p-value of 0.045 found explains that the cervical cancer history might be less likely to predict women’s abstinence from sexual activity.
The study found that relationship exists between pregnancy losses and abstinence from sexual activity due to this, the null hypothesis was not confirmed. This finding refuted a previous study which found that although research is sparse on first trimester miscarriages, numerous studies have found no association between sexual activity and preterm birth [66]. On the contrary, the finding aligns with a previous study that previous pregnancy termination is related to lower odds of being abstinent among all and single women [58]. A p-value of <0>
The study found that 94.9% of women in Ghana had never been tested for cervical cancer. This finding agrees with previous studies which found that a large proportion of Ghanaian women report never having been screened for cervical cancer [18,67-69]. On the contrary, the finding refuted previous study by Tchounga, Boni, Koffi et al. [70] in Côte d’Ivoire which found that (72.5%) had been offered cervical cancer screening. This finding suggests that there is a significant lack of cervical cancer screening and prevention efforts in the country. Further, this outcome indicates low awareness and uptake of available preventative measures like Pap smears and human papillomavirus (HPV) vaccines [71-74].
The study found that only 4.9% of the women had been tested for cervical cancer. This outcome is almost similar to a previous study by Twinomujuni, Nuwaha and Babirye [75] in Central Uganda which found that only 7% of women had ever been screened for cervical cancer. On the contrary, the finding refuted previous studies which found that 70% had ever screened for cervical cancer [76]. 8.9% of the female students in Ghana reported having been screened for cervical cancer, even after being aware of the screening services [77,78]. This finding is an indication of a very low rate of cervical cancer screening among women in Ghana. This therefore, explains that a significant proportion of women in Ghana are not actively participating in preventative measures to detect cervical cancer [18,19].
The study found that 71.8% of the women never recorded pregnancy losses. This finding is almost similar to a previous study which found that more than 75% of pregnant women are never recorded with a pregnancy loss [79]. This outcome indicates that a significant portion of the women experienced no pregnancy loss or had their losses unreported. The plausible explanation to this finding could be that these women endeavour to observe practices that could lower risk of miscarriage including: not smoking during pregnancy, not drinking alcohol or using illegal drugs during pregnancy, and eating a healthy or balanced diet with at least 5 portions of fruit and vegetables a day [80].
This study investigated the influence of a history of cervical cancer and pregnancy losses on abstinence from sexual activity among women in Ghana. The findings indicate that these reproductive health experiences could not lead exclusively to sexual withdrawal. The women resumed sexual activity as part of emotional healing and relationship maintenance. Based on this, the study recommends that healthcare providers should make it a priority to strengthen positive post-reproductive health messaging to reassure women that intimacy is not harmful and that it can be part of emotional recovery and may empower them to maintain healthy sexual relationships.
The study was limited to make a causal inference; hence, the DHS data used are a cross-sectional in nature meaning it captures information at one point in time. Therefore, it made it difficult to infer causality or determine the direction of relationships (e.g., whether pregnancy loss leads to sexual abstinence or vice versa).
Abbreviations
AIDS Acquired immunodeficiency syndrome
DHS Demographic and Health Survey
DV Dependent Variable
GDHS Ghana Demographic and Health Survey
GSS Ghana Statistical Service
HIV Human Immunodeficiency Virus
IVs Independent Variables
SPSS Statistical Package for the Social Sciences
Ethics Approval and Consent to Participate
The GDHS Program obtained ethical approval from both The Ghana Health Service’s Ethics Review Committee (ERC) and The ICF The Institutional Review Board (IRB) for ethical review. This dual approval process assure that the survey adheres to ethical guidelines and protects the rights of participants.
Consent for publication
Not Applicable
Availability of Data and Materials
The datasets used is the 2022 GDHS data. Therefore, it is publicly available online at https://dhsprogram.com/data. This is Measure DHS Initiative or Program.
Competing Interests
Author did not register any conflict of interest.
Funding
No fund was received.
Author’s Contributions
Anthony Edward Boakye is the sole author of the Manuscript
Acknowledgements
I acknowledge measure DHS program for making the datasets available to me.
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Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
