The relationship among menopausal knowledge, stress, and symptom management in southern rural African American women: A developmental perspective
Susan L. Prather, EdD, MS, RN, CNE, MAJ, Army Nurse Corp, ANC (Retired)
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More than 12.9 million African American women are between the ages of 45 and 54, which is the perimenopausal period. Regardless of the millions of African American women transitioning to menopause yearly, very little information is available about their experiences, and even less is known about how they manage their symptoms.
The purpose of this study was to examine the relationship between menopausal knowledge, stress, and symptom management among rural southern African American women. Researchers have examined menopausal experiences over the last two decades; the majority of health information about menopause is based on studies of middle-toupper-class Caucasian women. Hence, findings related to other ethnic groups of women cannot be generalized to African American women. Research findings available to health care providers lack robust research studies about how knowledge about menopause impacts the overall health status of African American women, including their symptom management behaviors.
Hertzman’s Determinants of Health Model served as the theoretical framework for this study. This descriptive correlation study used a secondary data analysis from a study that was conducted in rural central Florida, “Southern Rural African American women in mid-life.” In this parent (original) study, African American women, between the ages of 40 and 60, were invited to participate (n = 206). The study sample was recruited from churches, beauty salons, day-care centers, work sites (hospitals, public schools and small businesses) and rural community centers. Data were collected utilizing The Menopausal Health Survey, The Life Stress Questionnaire, and The People in Your Life Questionnaire. Multiple regression analysis indicated a direct relationship between menopausal knowledge and the management of menopausal symptoms. Also, another key finding suggested that a higher knowledge level was correlated with lower stress and a greater satisfaction with life. Based on these and similar findings, the following
recommendations were suggested:
1. Design studies that would support healthcare providers with approaches to impact the menopausal knowledge base among Southern Rural African American women.
2. Further exploration of innovative interventions, evidence-based methods that are helpful for managing menopausal symptoms and related stress are needed to determine best practices.
3. Systematically explore appropriate research interventions and clinical approaches that will minimize the rates of morbidity and mortality among Southern Rural perimenopausal African American women.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10188136; ProQuest document ID: 1861984315. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Quantitative Research|
Overall Health Status;
Management of Menopausal Symptoms;
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