Determinants of mid-life Health Among Rural Women of Central India: A Cross-Sectional Study
Authors/Creators
Description
India has about 130 million women in menopausal age of which nearly half reside in rural locations. With the
concentration of health care facilities in and around urban areas, attaining adequate mid-life health care in rural settings
poses a distinct challenge. The role of primary care providers thus gains paramount significance in rural settings. An
observational, cross-sectional study conducted at the rural district health centre of central India. All women above 40 years
of age were offered voluntary participation. All health care providers were interviewed using a set questionnaire. Data
recorded and analyzed to assess the awareness and attitudes towards menopausal health. Descriptive statistical analysis
methods were used. Results: The mean age for all women was 56years.Lack of education (56%), long distance from the
facility (55%), poor economic conditions (95%) and late reporting (70%) were common challenges. Overall, menopausal
awareness among nursing and medical officers was good but the practices of screening for other medical conditions lacked
in many (70% and 40%respectively). Conclusions: Promoting education, regular training of medical and paramedical staff
at the periphery, the building of health care facilities close to community levels, health promotional activities and policy
amendments are key to improve mid-life health in rural settings.
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References
- 1. Khan S, Shukla M, Priya N, Ansari M A. Health seeking behaviour among post-menopausal women: a knowledge, attitude and practices study. IJCHPH. 2016;3(7):1777-1782. 2. Meeta M, Digumarti L, Agarwal N, Vaze N, Shah R, Malik S. Clinical practice guidelines on menopause: An executive summary and recommendations: Indian menopause society 2019–2020. J Mid-life Health. 2020;11(2):55-95. 3. Ahuja M. Age of menopause and determinants of menopause age: A PAN India survey. IMS J Midlife Health. 2016;7(3):126–131. 4. Namazi M, Sadeghi R, Moghadam Z B. Social Determinants of Health in Menopause: An Integrative Review. Int J Women's Health. 2019;11:637–647. 5. Government of India. 2011. Provisional Population Total; Census. Available at: http://censusindia.gov. in/2011-provresults/ india atglance.html.
- 6. Alizadeh M, Sayyah-Melli M, Ebrahimi H, Shishavan MK, Rahmani F. Social determinants and reproductive factors of the menopausal symptoms among women in Tabriz-Iran. Soc Determ Health. 2015; 1(1): 2–8. 7. World Health Organization. Social Determinants of H e a l t h i n M e n o p a u s e . Av a i l a b l e f r o m : http://www.who.int/social_determinants/en/. Accessed March 1, 2018. 8. Karmakar N, Majumdar S, Dasgupta A, Das S. Quality of life among menopausal women: A community-based study in a rural area of West Bengal. J Mid-life Health. 2017;8(1):21-7. 9. Valvekar U, Viswanathan S. Knowledge of qualified paramedical staffs in understanding the sympto- matology and hormonal replacement therapy in menopause. IJCRR. 2016;8(7):8-12. 10. Sengupta A. The emergence of the menopause in India. Climacteric 2003; 6(2):92-5.