Stanzel Dr Karin A, Hammarberg Dr Karin, Fisher Professor Jane
School of Public Health and Preventive Medicine, Monash University, Level 4/553St Kilda Road, Melbourne, VIC 3004, Australia.
Maturitas. 2021 Aug;150:49-60. doi: 10.1016/j.maturitas.2021.05.008. Epub 2021 May 30.
This systematic review summarises the available evidence about how migrant women perceive and manage their menopausal and postmenopausal health and their experiences with healthcare services; and healthcare providers' views about delivering menopause-related healthcare to migrant women. Medline, PsychInfo, Embase and Cinahl were searched for peer-reviewed papers published in English. Thirty-one papers were identified reporting on 25 studies. Twenty-three studies reported on investigations examining migrant women's perceptions about menopause, their self-care strategies and their experiences with menopause-related healthcare. Only two papers reported on healthcare providers' views about providing menopause-related healthcare to migrant women. Most studies with migrant women found that their experiences of menopause and self-care strategies were culturally informed; that migrant women are unlikely to seek out menopause-related healthcare or to initiate conversations about menopause with their healthcare providers; and that most of those who seek menopause-related healthcare are disappointed with the care they receive. Studies assessing menopause-related knowledge found that many migrant women have limited knowledge about menopause and postmenopausal health, and that family and friends are their most common sources of information about menopause. Although healthcare providers were aware that migrant women use traditional remedies to manage their menopausal health and are likely to source menopause-related information from within their communities, they were reluctant to actively promote menopause-related health information due to consultation time constraints and lack of confidence in culturally competent communication. More research with healthcare providers is needed to improve understanding about barriers and facilitators to provide comprehensive menopause-related care to migrant women.
本系统综述总结了现有证据，内容涉及移民女性如何看待和管理自己的更年期及绝经后健康状况，以及她们在医疗服务方面的经历；还包括医疗服务提供者对于为移民女性提供更年期相关医疗服务的看法。通过检索Medline、PsychInfo、Embase和Cinahl数据库，查找以英文发表的同行评审论文。共识别出31篇论文，报道了25项研究。其中23项研究报告了关于调查移民女性对更年期的看法、自我护理策略以及她们在更年期相关医疗服务方面经历的情况。仅有两篇论文报道了医疗服务提供者对于为移民女性提供更年期相关医疗服务的看法。大多数针对移民女性的研究发现，她们更年期的经历和自我护理策略受文化影响；移民女性不太可能主动寻求更年期相关医疗服务，或与医疗服务提供者展开关于更年期的对话；而且大多数寻求更年期相关医疗服务的人对所接受的护理感到失望。评估更年期相关知识的研究发现，许多移民女性对更年期和绝经后健康的了解有限，家人和朋友是她们关于更年期最常见的信息来源。尽管医疗服务提供者意识到移民女性会使用传统疗法来管理更年期健康，并且可能会从其社区内获取更年期相关信息，但由于咨询时间有限以及对跨文化沟通缺乏信心，他们不愿积极推广更年期相关健康信息。需要对医疗服务提供者开展更多研究，以更好地理解为移民女性提供全面更年期相关护理的障碍和促进因素。
