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“他们视我为精神病患者”:家庭中处于更年期的中国女性所经历的污名化。

"They see me as mentally ill": the stigmatization experiences of Chinese menopausal women in the family.

机构信息

School of Public Administration, Hohai University, Nanjing, 211100, China.

Department of Sociology, Hohai University, Nanjing, China.

出版信息

BMC Womens Health. 2023 Apr 19;23(1):185. doi: 10.1186/s12905-023-02350-y.

Abstract

BACKGROUND

Menopausal women are regarded as "abnormal people" in China and are often discriminated against and ostracized, especially in the privacy of their homes. However, research on the stigmatization of menopausal women in China is limited. The aim of this study is to explore and describe the stigmatization experiences of Chinese menopausal women in the family and their feelings about these experiences.

METHODS

A phenomenological qualitative research design involving in-depth semi-structured interviews was selected. Our data analysis adopted Colaizzi's methodology.

RESULTS

Fourteen menopausal women participated in this study. Four themes and 12 subthemes emerged: (1) violent treatment (verbal and physical violence); (2) lack of attention and companionship (lack of understanding of physical and psychological suffering, neglect of the value of labour and difficulty finding someone to talk to and accompany them); (3) coping struggles (keeping quiet, fighting back, changing inappropriate perceptions and developing a menopausal transition management plan); and (4) despair (deep-rooted perceptions, restrictions on travel and consumption, and unknown "healing" times).

CONCLUSION

Our results suggest that Chinese menopausal women suffer physically and mentally within their families. The stigma of menopause is both a symptom of the broad societal lack of knowledge regarding menopause and a reflection of the patriarchal oppression of women in a specific cultural context. Accordingly, this study can help menopausal women and society in general better understand the former's stigmatization experiences and amplify their inner voices. Moreover, it can serve as a reference for the formulation of menopause-related health policies in China and for advocating and promoting humanistic care for menopausal women.

摘要

背景

在中国,更年期女性被视为“非正常的人”,常常受到歧视和排斥,尤其是在家庭隐私方面。然而,针对中国更年期女性污名化的研究却十分有限。本研究旨在探索和描述中国更年期女性在家庭中所经历的污名化体验及其感受。

方法

采用现象学质性研究设计,选择深入的半结构式访谈。我们的数据采用科拉兹(Colaizzi)的方法进行分析。

结果

共有 14 名更年期女性参与了本研究。出现了 4 个主题和 12 个次主题:(1)暴力对待(言语和身体暴力);(2)缺乏关注和陪伴(缺乏对身体和心理痛苦的理解、忽视劳动价值,难以找到倾诉和陪伴的人);(3)应对挣扎(保持沉默、反击、改变不当认知和制定更年期过渡管理计划);(4)绝望(根深蒂固的观念、旅行和消费受限,以及未知的“治愈”时间)。

结论

我们的研究结果表明,中国更年期女性在家庭中身心都受到了伤害。更年期污名既是社会对更年期缺乏了解的一种表现,也是特定文化背景下女性父权压迫的反映。因此,本研究可以帮助更年期女性和整个社会更好地了解她们的污名化体验,并放大她们的内心声音。此外,本研究还可以为中国制定与更年期相关的健康政策以及倡导和促进对更年期女性的人文关怀提供参考。

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