PDF(Pubmed)
Abstract：
UNASSIGNED: Few studies have examined the menopausal transition in American Indian and Alaska Native (AI/AN) women; these reports indicate they are the most likely group to report bothersome vasomotor symptoms (VMS). Evidence demonstrates VMS may be a biomarker for chronic diseases. Thus, evidence-based interventions to improve VMS and other symptoms and health-screening rates for urban midlife AI/AN women are needed.
UNASSIGNED: The objectives of this community-based project were to form a Community Advisory Board (CAB) with whom to: 1) conduct CAB meetings (similar to a focus group) with midlife AI/AN women to understand their lived health care experiences and needs during the menopausal transition; and 2) obtain guidance in creating a tailored intervention.
UNASSIGNED: Eligible participants indicated they were registered members of American Indian Tribes, self-identified as a woman, aged 35 or older, and were recruited through the Urban Indian Center of Salt Lake and community outreach. Three CAB meetings were conducted via Zoom. A qualitative-descriptive approach was used for analysis, with the aim of staying close to the data to understand AI/AN women\'s experiences and needs. Transcripts were iteratively coded using content/thematic analysis.
UNASSIGNED: Four themes emerged: 1) lack of and desire for information about the menopause transition; 2) barriers to accessing care; 3) matriarchal priorities impacting personal health outcomes; and 4) preferences for Indigenous and integrative medicine as first-line interventions, followed by conventional medicine.
UNASSIGNED: Among this sample of urban AI/AN women, there was a great need for and interest in information about menopause, both for themselves and for their daughters and family. Integrative and Indigenous approaches were preferred. Proposed next steps include developing and pilot-testing a nurse-delivered health-education intervention with Indigenous, integrative, and conventional medical content.
UNASSIGNED: The objectives of this community-based project were to form a Community Advisory Board (CAB) with whom to: 1) conduct CAB meetings (similar to a focus group) with midlife AI/AN women to understand their lived health care experiences and needs during the menopausal transition; and 2) obtain guidance in creating a tailored intervention.
UNASSIGNED: Eligible participants indicated they were registered members of American Indian Tribes, self-identified as a woman, aged 35 or older, and were recruited through the Urban Indian Center of Salt Lake and community outreach. Three CAB meetings were conducted via Zoom. A qualitative-descriptive approach was used for analysis, with the aim of staying close to the data to understand AI/AN women\'s experiences and needs. Transcripts were iteratively coded using content/thematic analysis.
UNASSIGNED: Four themes emerged: 1) lack of and desire for information about the menopause transition; 2) barriers to accessing care; 3) matriarchal priorities impacting personal health outcomes; and 4) preferences for Indigenous and integrative medicine as first-line interventions, followed by conventional medicine.
UNASSIGNED: Among this sample of urban AI/AN women, there was a great need for and interest in information about menopause, both for themselves and for their daughters and family. Integrative and Indigenous approaches were preferred. Proposed next steps include developing and pilot-testing a nurse-delivered health-education intervention with Indigenous, integrative, and conventional medical content.
摘要：
■很少有研究检查了美洲印第安人和阿拉斯加原住民（AI/AN）妇女的更年期过渡；这些报告表明，他们是最有可能报告令人烦恼的血管舒缩症状（VMS）的人群。证据表明VMS可能是慢性疾病的生物标志物。因此，需要采取循证干预措施,以改善城市中年AI/AN女性的VMS和其他症状以及健康筛查率.
■这个基于社区的项目的目标是成立一个社区咨询委员会（CAB），与他们：1）与中年AI/AN妇女举行CAB会议（类似于焦点小组），以了解她们在更年期过渡期间的生活医疗保健经验和需求；2）获得指导，以创建量身定制的干预措施。
■符合条件的参与者表示他们是美洲印第安人部落的注册成员，自我认定为女人，35岁或以上，并通过盐湖城市印第安人中心和社区外展招募。通过Zoom进行了三次CAB会议。采用了定性描述的方法进行分析，目的是接近数据，了解AI/AN女性的经历和需求。使用内容/主题分析对成绩单进行迭代编码。
■出现了四个主题：1）缺乏并渴望获得有关更年期过渡的信息；2）获得护理的障碍；3）影响个人健康结果的母系优先事项；4）偏爱土著和综合医学作为一线干预措施，其次是传统医学。
■在这个城市AI/AN女性样本中，对更年期的信息有很大的需求和兴趣，既为自己，也为女儿和家庭。综合和土著方法是首选。拟议的下一步措施包括开发和试点测试护士提供的健康教育干预措施，综合,和传统的医疗内容。
■这个基于社区的项目的目标是成立一个社区咨询委员会（CAB），与他们：1）与中年AI/AN妇女举行CAB会议（类似于焦点小组），以了解她们在更年期过渡期间的生活医疗保健经验和需求；2）获得指导，以创建量身定制的干预措施。
■符合条件的参与者表示他们是美洲印第安人部落的注册成员，自我认定为女人，35岁或以上，并通过盐湖城市印第安人中心和社区外展招募。通过Zoom进行了三次CAB会议。采用了定性描述的方法进行分析，目的是接近数据，了解AI/AN女性的经历和需求。使用内容/主题分析对成绩单进行迭代编码。
■出现了四个主题：1）缺乏并渴望获得有关更年期过渡的信息；2）获得护理的障碍；3）影响个人健康结果的母系优先事项；4）偏爱土著和综合医学作为一线干预措施，其次是传统医学。
■在这个城市AI/AN女性样本中，对更年期的信息有很大的需求和兴趣，既为自己，也为女儿和家庭。综合和土著方法是首选。拟议的下一步措施包括开发和试点测试护士提供的健康教育干预措施，综合,和传统的医疗内容。
