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Menopausal Perceptions and Experiences of Older Women from Selected Sites in Botswana

机译：博茨瓦纳某些地区的更年期女性感知和经验

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Objective: To assess the menopausal perceptions and experiences of older women from selected sites in Botswana. Design: This study used snowball sampling to recruit 444 older women in four health districts of Botswana. Trained research assistants administered a structured questionnaire to determine respondents’ menopausal symptoms, perceptions and knowledge of menopause and sexual experiences. Multiple logistic regression procedures were used to evaluate the association of socio-demographic characteristics with knowledge of menopause and factor analysis was used to cluster menopausal symptoms. Results: Participants had low levels of knowledge and awareness of menopause. The three most common changes identified were weakening of bones (78%), changes in sex drive (69.6%), and difficulty working (56.2%). The majority of respondents perceived menopause as freedom from menstrual cycles (85%) and cost saving (65%). Employment status was significantly associated with knowledge of menopause. The mean age at menopause was 48.9 years. With an average life expectancy of 54.5 years, there remains about 6 years of postmenopausal life. Recommendation: Public health care systems in and beyond Botswana should mobilize resources and take measures to improve older women’s awareness and knowledge about menopause-related changes through educational training and guidance to maintain active, healthy lives.
机译：目的：评估来自博茨瓦纳某些地点的老年妇女的更年期观念和经历。设计：本研究使用雪球采样法在博茨瓦纳的四个卫生区招募了444名老年妇女。受过训练的研究助理管理了结构化的问卷，以确定受访者的绝经症状，对绝经和性经历的认知和知识。使用多种逻辑回归程序评估社会人口统计学特征与更年期知识之间的关联，并使用因子分析对更年期症状进行聚类。结果：参与者对更年期的知识和意识水平较低。确定的三个最常见的变化是骨骼变弱（78％），性欲变化（69.6％）和工作困难（56.2％）。大多数受访者认为更年期是摆脱月经周期（85％）和节省成本（65％）。就业状况与更年期知识显着相关。更年期的平均年龄为48.9岁。平均寿命为54.5岁，绝经后的寿命大约为6年。建议：博茨瓦纳内外的公共卫生保健系统应调动资源并采取措施，通过教育培训和指导来维持活跃，健康的生活，提高老年妇女对与绝经相关的变化的认识和知识。

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