导航新加坡的更年期:从一个定性研究 (MARIE-新加坡) 的社会文化,临床和政策影响
Ieera Madan Aggarwal1, Raksha Aiyappan1, Farah Safdar Husain1
1KK Women's and Children's Hospital, Singapore.
Annals of the Academy of Medicine, Singapore
|February 6, 2026
概括
新加坡的更年期经历受到生物,心理和社会文化因素的影响,许多女性因错误信息和卫生系统缺陷而面临延迟护理. 解决这些问题需要具有文化能力的护理和支持性的工作场所政策.
科学领域:
- 妇女健康 妇女健康
- 卫生社会学 卫生社会学
- 中年健康 中年健康
背景情况:
- 更年期是一个普遍的过渡,受各种因素的影响.
- 在新加坡,文化规范和专业压力对更年期经历的相互作用是研究不足的.
- 了解这些影响对于有效的症状管理和护理至关重要.
研究的目的:
- 探索生物,心理,社会文化和系统因素如何影响新加坡的更年期症状识别,应对和护理.
- 识别在多元文化,高压环境中的更年期导航中的挑战和促进者.
- 为文化敏感的医疗保健策略和政策提供信息.
主要方法:
- 使用半结构面试对18名参与者进行定性研究,这些参与者处于更年期的各个阶段.
- 有目的的抽样确保了年龄,种族,社会经济地位和健康状况的多样性.
- 分析采用了Delanerolle和Phiri框架,整合了多个领域.
主要成果:
- 突出的症状包括血管运动,尿生殖和认知问题;多病症和手术更年期加重负担.
- 工作场所的支持至关重要,因为焦虑,情绪低落和脑雾会影响职业生活.
- 社会文化上的沉默和错误信息导致延迟寻求护理;恢复力得到同行/家庭网络的支持.
- 医疗保健缺口包括不一致的全科医生知识,对激素治疗的不情愿以及高昂的私人护理费用.
- 研究参与本身促使症状识别,突出显示更年期在常规护理中的隐形性.
结论:
- 新加坡的更年期受临床,文化和结构因素的交叉影响.
- 解决不平等问题需要将妇女的观点纳入临床实践.
- 文化上有能力的临床医师培训和支持性的工作场所/公共卫生政策对于将更年期作为健康和职业问题的合法化至关重要.
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