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The challenges of midlife women: themes from the Seattle midlife Women’s health study

机译:中产妇妇女的挑战:来自西雅图中期女性妇女健康研究的主题

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Midlife, the period of the lifespan between younger and older adulthood, has been described as a period of transition in women's lives. Investigators studying midlife have focused on women 40 to 65?years of age, who typically experience multiple social, psychological and biological challenges, among them the menopausal transition. Investigators have reported a diverse array of stressful events, for example, health concerns, family problems, work-related issues, deaths, frustrated goal attainment, and financial worries; however, none have identified which life events midlife women experience as the most salient. The purpose of this study was to understand the meaning behind the experiences that midlife women identify as the most challenging. Participants were enrolled in The Seattle Midlife Women's Health Study, a longitudinal study spanning up to 23?years. Summative content analysis, incorporating manifest and latent analysis approaches, was used to identify life experiences that women described as the most challenging looking back over 15?years of being in the study. Eighty-one women responded to the question, "Since you have been in our study (since 1990 or 1991), what has been the most challenging part of life for you?" Women identified the most challenging aspects of midlife as changing family relationships, re-balancing work/personal life, re-discovering self, securing enough resources, and coping with multiple co-occurring stressors. Within these themes the most frequently reported challenges were: multiple co-occurring stressors, divorce/breaking up with a partner, health problems of self, and death of parents. Few women mentioned menopause as the most challenging aspect of their lives. Women found themselves searching for balance in the midst of multiple co-occurring stressors while coping with losses and transitions, for some in a context of limited resources. Menopause was infrequently mentioned. Future research to identify the challenges experienced by more diverse populations of women and further understanding of the dynamics among multiple co-occurring stressors is needed to provide individualized health care appropriately to midlife women.
机译:中年,年龄较大的成年期之间的寿命期被描述为女性生活中的过渡时期。研究中期的调查人员专注于妇女40至65岁?岁月,他们通常会经历多种社会,心理和生物挑战,其中包括更年期的过渡。调查人员报告了各种各样的压力事件,例如健康问题,家庭问题,与工作相关的问题,死亡,沮丧的目标达成和财务担忧;然而,没有人确定了中草生妇女作为最突出的生命事件。本研究的目的是了解中期女性识别最具挑战性的经验背后的意义。参与者参加了西雅图中期女性的健康研究,纵向研究跨越了23岁的纵向研究。总结内容分析,纳入清单和潜在的分析方法,用于识别女性被描述为最具挑战性的生活经历,回顾了15多年的研究。八十一名妇女回应了这个问题,“由于你一直在研究(自1990年或1991年以来),对你来说最具挑战性的部分是什么?”妇女确定了中期地区最具挑战性的方面,因为改变家庭关系,重新平衡工作/个人生活,重新发现自己,确保足够的资源,并应对多种共同发生的压力。在这些主题中,最常见的挑战是:多个共同发生的压力,离婚/分手与伴侣,自我的健康问题和父母的死亡。很少有女性提到更年期作为他们生活中最具挑战性的方面。妇女发现自己在多个共同发生的压力源中寻找平衡,同时应对损失和过渡,在有限资源的背景下。更年期很少提到。未来的研究,以确定更多样化的妇女群体所经历的挑战以及对多种共同发生的压力源之间的动态进行进一步了解,以适当地向中期女性提供个性化的保健。

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