School of Nursing, Nipissing University, Toronto, ON, Canada.
Faculty of Nursing, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi, P. R. China.
Menopause. 2022 Feb 14;29(3):360-371. doi: 10.1097/GME.0000000000001919.
South Asians make up a significant portion of global immigration. Immigrants often face challenges when navigating the healthcare system, which can influence their experience during the menopausal transition. The purpose of this scoping review is to summarize the existing literature on South Asian immigrant women's menopausal experience.
Various electronic databases were systematically searched to identify research articles. The menopausal experiences of South Asian immigrant women were examined.
A total of 11 studies were included in this scoping review. A variety of physical symptoms were reported, including vasomotor symptoms, musculoskeletal symptoms, somatic symptoms, and early onset of menopause. Psychosocial symptoms included anxiety, depression, and decreased memory/concentration. Cultural experiences were both positive and negative, depending on the connotations surrounding menopause. Individual facilitators for a healthy transition included education and employment. Familial barriers included a lack of knowledge and support. Community and societal factors were both positive and negative, depending on the level of acculturation. Self-management was the most widely used intervention.
Findings of this scoping review can help guide the development and evaluation of menopause interventions for South Asian immigrant women. Culturally sensitive care, increased discussion on sexual health, support networks, and reduction of socioeconomic barriers are needed to address the health needs of South Asian immigrant women. Further research is needed to better understand South Asian immigrant women's menopausal needs and help guide intervention design.
南亚人在全球移民中占很大比例。移民在使用医疗保健系统时经常面临挑战，这可能会影响他们在更年期过渡期间的体验。本范围综述的目的是总结南亚移民妇女更年期经历的现有文献。
系统地搜索了各种电子数据库以识别研究文章。检查了南亚移民妇女的更年期经历。
本范围综述共纳入了 11 项研究。报告了各种身体症状，包括血管舒缩症状、肌肉骨骼症状、躯体症状和绝经提前。心理社会症状包括焦虑、抑郁和记忆力/注意力下降。文化体验既有积极的，也有消极的，这取决于与更年期相关的内涵。健康过渡的个体促进因素包括教育和就业。家庭障碍包括缺乏知识和支持。社区和社会因素既有积极的，也有消极的，这取决于同化程度。自我管理是最广泛使用的干预措施。
本范围综述的结果可以帮助指导为南亚移民妇女制定和评估更年期干预措施。需要提供文化上敏感的护理、增加对性健康的讨论、支持网络以及减少社会经济障碍，以满足南亚移民妇女的健康需求。需要进一步研究，以更好地了解南亚移民妇女的更年期需求，并帮助指导干预措施的设计。
