Women's experiences and expectations during the menopause transition: a systematic qualitative narrative review.

IF 2.3 4区 医学 Q2 HEALTH POLICY & SERVICES
Katrina Wood, Simone McCarthy, Hannah Pitt, Melanie Randle, Samantha L Thomas
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引用次数: 0

Abstract

There is an increased research focus on the menopause transition. However, this literature is still largely focused on quantitatively surveying women about their menopause symptoms, with less qualitative focus on women's lived experiences of menopause. This includes the impact of menopause on women's daily lives, how they seek information and support, and their perceptions of societal attitudes towards menopause. This article presents a narrative review of qualitative studies (2014-24) conducted with women aged 45-60 years that focused on the lived experience of menopause. Four themes were constructed from 12 papers using reflexive thematic analysis. Menopause was considered a natural and normal part of the ageing process, with many positives, including new beginnings and elevating women's status as elders in their communities. However, some women found menopause challenging in the context of other factors occurring in midlife. This included a lack of access to information about their symptoms and what they were experiencing. Specific challenges related to mood changes also impacted women's identity and social connections with others. Women's negative experiences were influenced by stigma and gendered social stereotypes about ageing. Improving the theoretical and methodological quality and coherence of qualitative research, with independent funding for these studies, would strengthen the literature relating to women's lived experience of menopause. As well as the individual and social determinants of women's experiences, it is important that research also considers the impact of the framing of menopause, and how economic, commercial, and political determinants may intersect to influence women's experiences of the menopause transition.

妇女的经验和期望在更年期过渡:一个系统的定性叙事回顾。
对更年期过渡的研究越来越多。然而,这些文献仍然主要集中在对女性更年期症状的定量调查上,对女性更年期生活经历的定性关注较少。这包括更年期对妇女日常生活的影响,她们如何寻求信息和支持,以及她们对社会对更年期的态度的看法。本文对定性研究(2014-24)进行了叙述性回顾,研究对象为45-60岁的女性,主要关注更年期的生活经历。利用反身性主位分析从12篇论文中构建了4个主位。更年期被认为是衰老过程中自然和正常的一部分,有许多积极因素,包括新的开始和提高妇女在其社区中作为老年人的地位。然而,一些女性发现更年期在中年时发生的其他因素的背景下具有挑战性。这包括无法获得有关其症状和正在经历的情况的信息。与情绪变化有关的具体挑战也影响了女性的身份和与他人的社会联系。妇女的消极经历受到关于老龄化的耻辱和性别社会陈规定型观念的影响。提高定性研究的理论和方法的质量和一致性,并为这些研究提供独立经费,将加强有关妇女更年期生活经验的文献。除了女性经历的个人和社会决定因素外,重要的是,研究还应考虑更年期框架的影响,以及经济、商业和政治决定因素如何交叉影响女性的更年期过渡经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Promotion International
Health Promotion International Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.70
自引率
7.40%
发文量
146
期刊介绍: Health Promotion International contains refereed original articles, reviews, and debate articles on major themes and innovations in the health promotion field. In line with the remits of the series of global conferences on health promotion the journal expressly invites contributions from sectors beyond health. These may include education, employment, government, the media, industry, environmental agencies, and community networks. As the thought journal of the international health promotion movement we seek in particular theoretical, methodological and activist advances to the field. Thus, the journal provides a unique focal point for articles of high quality that describe not only theories and concepts, research projects and policy formulation, but also planned and spontaneous activities, organizational change, as well as social and environmental development.
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