Waigwa Susan, Briggs Paula, Pickard Susan, Amini Elham, Wilkinson Jane
Department of Sociology, Social Policy and Criminology, University of Liverpool, Liverpool, UK.
Department of Sociology, Social Policy and Criminology, Liverpool Women's Hospital, Liverpool, UK.
Post Reprod Health. 2025 Jun;31(2):132-139. doi: 10.1177/20533691251346293. Epub 2025 May 28.
BackgroundMenopause is one of many critical life course points that may require intervention in relation to lifestyle changes, health and wellbeing. It is therefore important that menopausal women are supported especially considering possible health inequalities and inclusion issues. While there is increasing recognition for such support, little is known about the experiences of ethnic minority women living in the United Kingdom, who are thought to be less engaged and less likely to seek support, but those who try to seek support experience dissatisfaction.MethodsThis study explored menopause experiences of Black and Chinese heritage women aged over 40, living in the Northwest, England. Photovoice methodology was utilised including a four-phase process: introductory meeting with participants, taking of photos, selection of photos and discussions about the photos. Ten women participated and provided photos that conveyed their experiences with menopause. Photographs and transcripts from discussions were then analysed thematically.ResultsNine overarching themes were identified across the data: Menopause and management of symptoms including self-care, diet management, exercise, community and menopause and the life course including religion and beliefs, work, family and ageing. These themes captured the challenges and expectation of interacting with healthcare providers, alternative methods of managing menopause, significance of community and focus on the life course.
背景
更年期是众多关键的人生阶段之一,可能需要针对生活方式改变、健康和幸福进行干预。因此,尤其考虑到可能存在的健康不平等和包容问题,为更年期女性提供支持很重要。虽然对这种支持的认可度在不断提高,但对于生活在英国的少数族裔女性的经历却知之甚少,她们被认为参与度较低且寻求支持的可能性较小,而那些试图寻求支持的人则会感到不满。
方法
本研究探讨了居住在英格兰西北部、年龄超过40岁的黑人及华裔女性的更年期经历。采用了摄影叙述法,包括四个阶段的过程:与参与者进行介绍性会面、拍照、挑选照片以及对照片进行讨论。十名女性参与并提供了传达她们更年期经历的照片。然后对照片和讨论记录进行了主题分析。
结果
更年期与症状管理,包括自我护理、饮食管理、锻炼、社区与更年期,以及人生历程,包括宗教和信仰、工作、家庭和衰老。这些主题体现了与医疗保健提供者互动的挑战和期望、管理更年期的替代方法、社区的重要性以及对人生历程的关注。