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...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.展开更多
BACKGROUND Changes in China's fertility policy have led to a significant increase in older pregnant women.At present,there is a lack of analysis of influencing factors and research on predictive models for postpar...BACKGROUND Changes in China's fertility policy have led to a significant increase in older pregnant women.At present,there is a lack of analysis of influencing factors and research on predictive models for postpartum depression(PPD)in older pregnant women.AIM To analysis the influencing factors and the construction of predictive models for PPD in older pregnant women.METHODS By adopting a cross-sectional survey research design,239 older pregnant women(≥35 years old)who underwent obstetric examinations and gave birth at Suzhou Ninth People's Hospital from February 2022 to July 2023 were selected as the research subjects.When postpartum women of advanced maternal age came to the hospital for follow-up 42 d after birth,the Edinburgh PPD Scale(EPDS)was used to assess the presence of PPD symptoms.The women were divided into a PPD group and a no-PPD group.Two sets of data were collected for analysis,and a prediction model was constructed.The performance of the predictive model was evaluated using receiver operating characteristic(ROC)analysis and the Hosmer-Lemeshow goodness-of-fit test.RESULTS On the 42nd day after delivery,51 of 239 older pregnant women were evaluated with the EPDS scale and found to have depressive symptoms.The incidence rate was 21.34%(51/239).There were statistically significant differences between the PPD group and the no-PPD group in terms of education level(P=0.004),family relationships(P=0.001),pregnancy complications(P=0.019),and mother–infant separation after birth(P=0.002).Multivariate logistic regression analysis showed that a high school education and below,poor family relationships,pregnancy complications,and the separation of the mother and baby after birth were influencing factors for PPD in older pregnant women(P<0.05).Based on the influencing factors,the following model equation was developed:Logit(P)=0.729×education level+0.942×family relationship+1.137×pregnancy complications+1.285×separation of the mother and infant after birth-6.671.The area under the ROC curve of this prediction model was 0.873(95%CI:0.821-0.924),the sensitivity was 0.871,and the specificity was 0.815.The deviation between the value predicted by the model and the actual value through the Hosmer-Lemeshow goodness-of-fit test was not statistically significant(χ^(2)=2.749,P=0.638),indicating that the model did not show an overfitting phenomenon.CONCLUSION The risk of PPD among older pregnant women is influenced by educational level,family relationships,pregnancy complications,and the separation of the mother and baby after birth.A prediction model based on these factors can effectively predict the risk of PPD in older pregnant women.展开更多
IN the early mornings people can be found exercising all over Shuangyushu Park. Some practice qi gong; some walk their caged songbirds; others come to perfect their ballroom dancing skills. Of all of these early riser...IN the early mornings people can be found exercising all over Shuangyushu Park. Some practice qi gong; some walk their caged songbirds; others come to perfect their ballroom dancing skills. Of all of these early risers, the groups of elderly and middle-aged women dancing with fans and swords immediately catch the eye. The sword dancers display a beautiful combination of rigidity and flexibility. The fan dancers perform with展开更多
Background: In Brazil between 1960 and 1990 there established the hegemony of young people between 15 and 24 years old, a phenomenon known worldwide as “youth wave”. Forty years later, with continued declining level...Background: In Brazil between 1960 and 1990 there established the hegemony of young people between 15 and 24 years old, a phenomenon known worldwide as “youth wave”. Forty years later, with continued declining levels of fertility and mortality, in the first decade of this century, the young country came to bear white hair with the continued growth of the aging rate. Official census data show the growth of the elderly population, above sixty years, predominantly female, and population growth increasingly urbanized [1, 2]. This article reports the findings from a recent study of elderly women, in the contexts of “rurality”. Objectives: The aim of this study was to analyze the social construction of gender division of work and retirement of older rural women. Comprehending through historically dialectical materialism, the process of exclusion of rural elderly women, some public policies and programs aimed at elderly populace. Ethnographic Method: fieldwork and interviews (one-to-one and in groups), field notes, participant observation, photography, and archival review. Sample: 27 women aged between 68 to 92 years. Findings: Only four receive retirement as peasant, three owners of land and a former employee;the other receive her husband’s pension or are included in the Provision of Continued Benefit (PBC). Conclusion: Non-receipt of retirement for these women, as citizen’s peasant, it is a violation of her rights recognized under the Federal Constitution of 1988, and reveals how the Aristotelian paradigm persists in their activities: That sweat of her bodies and the work of her hands, it is not considered as work;it is labor.展开更多
文摘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.
基金This study was reviewed and approved by the Ethics Committee of Suzhou Ninth People's Hospital.
文摘BACKGROUND Changes in China's fertility policy have led to a significant increase in older pregnant women.At present,there is a lack of analysis of influencing factors and research on predictive models for postpartum depression(PPD)in older pregnant women.AIM To analysis the influencing factors and the construction of predictive models for PPD in older pregnant women.METHODS By adopting a cross-sectional survey research design,239 older pregnant women(≥35 years old)who underwent obstetric examinations and gave birth at Suzhou Ninth People's Hospital from February 2022 to July 2023 were selected as the research subjects.When postpartum women of advanced maternal age came to the hospital for follow-up 42 d after birth,the Edinburgh PPD Scale(EPDS)was used to assess the presence of PPD symptoms.The women were divided into a PPD group and a no-PPD group.Two sets of data were collected for analysis,and a prediction model was constructed.The performance of the predictive model was evaluated using receiver operating characteristic(ROC)analysis and the Hosmer-Lemeshow goodness-of-fit test.RESULTS On the 42nd day after delivery,51 of 239 older pregnant women were evaluated with the EPDS scale and found to have depressive symptoms.The incidence rate was 21.34%(51/239).There were statistically significant differences between the PPD group and the no-PPD group in terms of education level(P=0.004),family relationships(P=0.001),pregnancy complications(P=0.019),and mother–infant separation after birth(P=0.002).Multivariate logistic regression analysis showed that a high school education and below,poor family relationships,pregnancy complications,and the separation of the mother and baby after birth were influencing factors for PPD in older pregnant women(P<0.05).Based on the influencing factors,the following model equation was developed:Logit(P)=0.729×education level+0.942×family relationship+1.137×pregnancy complications+1.285×separation of the mother and infant after birth-6.671.The area under the ROC curve of this prediction model was 0.873(95%CI:0.821-0.924),the sensitivity was 0.871,and the specificity was 0.815.The deviation between the value predicted by the model and the actual value through the Hosmer-Lemeshow goodness-of-fit test was not statistically significant(χ^(2)=2.749,P=0.638),indicating that the model did not show an overfitting phenomenon.CONCLUSION The risk of PPD among older pregnant women is influenced by educational level,family relationships,pregnancy complications,and the separation of the mother and baby after birth.A prediction model based on these factors can effectively predict the risk of PPD in older pregnant women.
文摘IN the early mornings people can be found exercising all over Shuangyushu Park. Some practice qi gong; some walk their caged songbirds; others come to perfect their ballroom dancing skills. Of all of these early risers, the groups of elderly and middle-aged women dancing with fans and swords immediately catch the eye. The sword dancers display a beautiful combination of rigidity and flexibility. The fan dancers perform with
文摘Background: In Brazil between 1960 and 1990 there established the hegemony of young people between 15 and 24 years old, a phenomenon known worldwide as “youth wave”. Forty years later, with continued declining levels of fertility and mortality, in the first decade of this century, the young country came to bear white hair with the continued growth of the aging rate. Official census data show the growth of the elderly population, above sixty years, predominantly female, and population growth increasingly urbanized [1, 2]. This article reports the findings from a recent study of elderly women, in the contexts of “rurality”. Objectives: The aim of this study was to analyze the social construction of gender division of work and retirement of older rural women. Comprehending through historically dialectical materialism, the process of exclusion of rural elderly women, some public policies and programs aimed at elderly populace. Ethnographic Method: fieldwork and interviews (one-to-one and in groups), field notes, participant observation, photography, and archival review. Sample: 27 women aged between 68 to 92 years. Findings: Only four receive retirement as peasant, three owners of land and a former employee;the other receive her husband’s pension or are included in the Provision of Continued Benefit (PBC). Conclusion: Non-receipt of retirement for these women, as citizen’s peasant, it is a violation of her rights recognized under the Federal Constitution of 1988, and reveals how the Aristotelian paradigm persists in their activities: That sweat of her bodies and the work of her hands, it is not considered as work;it is labor.
