Journal of Qualitative Research in Health Sciences

Authors

Department of Sociology, School of Social Sciences, Shiraz University, Shiraz, Iran

Abstract

Introduction: Middle age is one of the most important periods in women's life, due to experiencing age-related physical changes. Women's perception of the physical changes that are socially constructed, play a crucial role in their health behaviors. According to importance of the issue, this study is part of a broader study that aimed to understand the women's experience and perception of subjective meaning of physical changes and health in the middle age.
Method: This study was conducted using qualitative approach and grounded theory method. Using theoretical and purposive sampling, 22 women aged 40 to 60 years were selected. The data were gathered by using deep and semi-structured interviews. Then, data were analyzed according to 3 procedures of open, axial, and selective coding.
Results: 7 main categories and 29 subcategories were emerged. These main categories included “changes in the quality of health”, “menopause as a sign”, “mystique body changes”, “feeling threatened midlife inhabitancy”, “natural assume of pain”, “legitimized neglecting”, and “ambivalent of resistance/passivity”.
Conclusion: In general, middle-aged women understand and experience "threatened inhabitancy". Social processes that shape this perception can be preventing to health and successful aging programs. So, to attract women's attention and their participations in the health-based programs, it is necessary first, to change the social and mental beliefs of women to make participate in projects actively and responsibly.

Keywords

  1. Zokaei MS, Amnpour M. An introduction to cultural history of the body in Iran. Tehran, Iran: Teesa Publications; 2014. [In Persian].
  2. Zokaei MS, Amnpour M. An introduction to cultural history of the body in Iran. Tehran, Iran: Teesa Publications; 2014. [In Persian].
  3. McLaren L, Kuh D. Body dissatisfaction in midlife women. J Women Aging 2004; 16(1-2): 35-54. [DOI:10.1300/J074v16n01_04]
  4. McLaren L, Kuh D. Body dissatisfaction in midlife women. J Women Aging 2004; 16(1-2): 35-54. [DOI:10.1300/J074v16n01_04]
  5. Wearing B. Leisure and resistance in an ageing society. Leisure Studies 1995; 14(4): 263-79. [DOI:10.1080/02614369500390201]
  6. Wearing B. Leisure and resistance in an ageing society. Leisure Studies 1995; 14(4): 263-79. [DOI:10.1080/02614369500390201]
  7. Arber S, Ginn J. Theorizing Age and Gender Relations. Arber S, Ginn J, editors. Connecting gender and ageing: A sociological approach. Buckingham UK: Open University Press; 1995.
  8. Arber S, Ginn J. Theorizing Age and Gender Relations. Arber S, Ginn J, editors. Connecting gender and ageing: A sociological approach. Buckingham UK: Open University Press; 1995.
  9. Slevin KF. "If I had lots of money... I'd have a body makeover:" Managing the Aging Body 2010; 88(3): 1003-20.
  10. Slevin KF. "If I had lots of money... I'd have a body makeover:" Managing the Aging Body 2010; 88(3): 1003-20.
  11. Giddens A. Modernity and self-identity: Self and society in the late modern age. Redwood City, CA: Stanford University Press; 1991.
  12. Giddens A. Modernity and self-identity: Self and society in the late modern age. Redwood City, CA: Stanford University Press; 1991.
  13. Calasanti TM, Slevin KF. Age matters: Realigning feminist thinking. London, UK: Routledge; 2006.
  14. Calasanti TM, Slevin KF. Age matters: Realigning feminist thinking. London, UK: Routledge; 2006.
  15. Hakimi S, Simbar M, Ramezani Tehrani F. Concerns of menopausal women: A phenomenological study in North West Iran. Payesh 2014; 13(3): 32-330. [In Persian].
  16. Hakimi S, Simbar M, Ramezani Tehrani F. Concerns of menopausal women: A phenomenological study in North West Iran. Payesh 2014; 13(3): 32-330. [In Persian].
  17. Barat S, Javadian Kotenaei M, Bouzari Z, Sam S, Taheri Otaghsar M. Factors affecting life process of postmenopausal women. J Babol Univ Med Sci 2013; 15(3): 30-5. [In Persian].
  18. Barat S, Javadian Kotenaei M, Bouzari Z, Sam S, Taheri Otaghsar M. Factors affecting life process of postmenopausal women. J Babol Univ Med Sci 2013; 15(3): 30-5. [In Persian].
  19. Afghari A, Ganji J, Ahmad Shirvani M. Psycho-emotional changes in menopause: a qualitative study. J Mazandaran Univ Med Sci 2012; 22(93): 27-38. [In Persian].
  20. Afghari A, Ganji J, Ahmad Shirvani M. Psycho-emotional changes in menopause: a qualitative study. J Mazandaran Univ Med Sci 2012; 22(93): 27-38. [In Persian].
  21. Nazarpour S, Simbar M, RamezaniTehrani F. Effects of the severity of menopausal symptoms on sexual function in postmenopausal women. J Qazvin Univ Med Sci. 2015; 19 (4): 54-63. [In Persian].
  22. Nazarpour S, Simbar M, RamezaniTehrani F. Effects of the severity of menopausal symptoms on sexual function in postmenopausal women. J Qazvin Univ Med Sci. 2015; 19 (4): 54-63. [In Persian].
  23. Ghandchiler N, Khamene S, Shahamfar J, Jafari-Shobieri M. Attitude of women about menopause and related factors. Med J Tabriz Univ Med Sci 2003; 37(60): 54–7. [In Persian].
  24. Ghandchiler N, Khamene S, Shahamfar J, Jafari-Shobieri M. Attitude of women about menopause and related factors. Med J Tabriz Univ Med Sci 2003; 37(60): 54–7. [In Persian].
  25. Faraji R, Asgharnia M, Hosseinzadeh F, Dalil heirati S F, Emadi A. Attitude and knowledge of women about menopause and hormone replacement therapy. J Holist Nurs Midwifery 2014; 24(1): 48-55. [In Persian].
  26. Faraji R, Asgharnia M, Hosseinzadeh F, Dalil heirati S F, Emadi A. Attitude and knowledge of women about menopause and hormone replacement therapy. J Holist Nurs Midwifery 2014; 24(1): 48-55. [In Persian].
  27. Abdi N, Solhi M. Quality of life in postmenopausal women in Tehran. Iran J Health Educ Health Promot 2014; 2(2): 87-96. [In Persian].
  28. Abdi N, Solhi M. Quality of life in postmenopausal women in Tehran. Iran J Health Educ Health Promot 2014; 2(2): 87-96. [In Persian].
  29. Ramakuela NJ. Experiences of women, menopause and aging in the rural villages of Limpopo Province, South Africa. Womens Health Gynecol 2015; 1(1): 1-5.
  30. Ramakuela NJ. Experiences of women, menopause and aging in the rural villages of Limpopo Province, South Africa. Womens Health Gynecol 2015; 1(1): 1-5.
  31. Ibraheem OM, Oyewole OE, Olaseha IO. Experiences and perceptions of menopause among women in Ibadan South East Local Government area, Nigeria. Afr J Biomed Res 2015; 18: 81-94.
  32. Ibraheem OM, Oyewole OE, Olaseha IO. Experiences and perceptions of menopause among women in Ibadan South East Local Government area, Nigeria. Afr J Biomed Res 2015; 18: 81-94.
  33. Kaulagekar A. Menopause and femininity: Qualitative enquiry into menopause of urban women from Pune, Maharashtra. The Anthropologist 2010; 12(1): 23-6. [DOI:10.1080/09720073.2010.11891127]
  34. Kaulagekar A. Menopause and femininity: Qualitative enquiry into menopause of urban women from Pune, Maharashtra. The Anthropologist 2010; 12(1): 23-6. [DOI:10.1080/09720073.2010.11891127]
  35. Stamou E. The ageing process and female identity in midlife [PhD thesis]. Huddersfield, UK: University of Huddersfield; 2010.
  36. Stamou E. The ageing process and female identity in midlife [PhD thesis]. Huddersfield, UK: University of Huddersfield; 2010.
  37. Winterich JA. Aging, femininity, and the body: What appearance changes mean to women with age. Gender Issues 2007; 24(3): 51-69. [DOI:10.1007/s12147-007-9045-1]
  38. Winterich JA. Aging, femininity, and the body: What appearance changes mean to women with age. Gender Issues 2007; 24(3): 51-69. [DOI:10.1007/s12147-007-9045-1]
  39. Hargrave D. Stories of women's midlife experience [MA Thesis]. Pretoria, South Africa: University Of South Africa; 2006.
  40. Hargrave D. Stories of women's midlife experience [MA Thesis]. Pretoria, South Africa: University Of South Africa; 2006.
  41. Bullington J. Body and self: A phenomenological study on the ageing body and identity. Med Humanit 2006; 32(1): 25-31. [DOI:10.1136/jmh.2004.000200]
  42. Bullington J. Body and self: A phenomenological study on the ageing body and identity. Med Humanit 2006; 32(1): 25-31. [DOI:10.1136/jmh.2004.000200]
  43. Ballard K, Elston MA, Gabe J. Beyond the mask: women's experiences of public and private ageing during midlife and their use of age-resisting activities. Health (London) 2005; 9(2): 169-87. [DOI:10.1177/1363459305050584]
  44. Ballard K, Elston MA, Gabe J. Beyond the mask: women's experiences of public and private ageing during midlife and their use of age-resisting activities. Health (London) 2005; 9(2): 169-87. [DOI:10.1177/1363459305050584]
  45. Corbin JM, Strauss AL. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks, CA: SAGE Publications; 2008. [DOI:10.4135/9781452230153]
  46. Corbin JM, Strauss AL. Basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks, CA: SAGE Publications; 2008. [DOI:10.4135/9781452230153]
  47. Rajaeefard A, Mohammad-Beigi A, Mohammad-Salehi N. Estimation of natural age of menopause in Iranian women: A meta-analysis study. Koomesh 2011; 13(1): 1-7. [In Persian].
  48. Rajaeefard A, Mohammad-Beigi A, Mohammad-Salehi N. Estimation of natural age of menopause in Iranian women: A meta-analysis study. Koomesh 2011; 13(1): 1-7. [In Persian].
  49. Creswell JW. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. SAGE Publications; 2012.
  50. Creswell JW. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. SAGE Publications; 2012.
  51. Patton MQ. Qualitative research and evaluation methods. Thousand Oaks, CA: SAGE Publications; 2002.
  52. Patton MQ. Qualitative research and evaluation methods. Thousand Oaks, CA: SAGE Publications; 2002.
  53. Silverman D. Doing qualitative research: A practical handbook. Thousand Oaks, CA: SAGE Publications; 2005.
  54. Silverman D. Doing qualitative research: A practical handbook. Thousand Oaks, CA: SAGE Publications; 2005.
  55. Kvale S, Brinkmann S. InterViews: Learning the craft of qualitative research interviewing. Thousand Oaks, CA: SAGE Publications; 2009.
  56. Kvale S, Brinkmann S. InterViews: Learning the craft of qualitative research interviewing. Thousand Oaks, CA: SAGE Publications; 2009.
  57. Malik HS. Knowledge and attitude towards menopause and hormone replacement therapy (HRT) among postmenopausal women. J Pak Med Assoc 2008; 58(4): 164-7.
  58. Malik HS. Knowledge and attitude towards menopause and hormone replacement therapy (HRT) among postmenopausal women. J Pak Med Assoc 2008; 58(4): 164-7.
  59. Leon P, Chedraui P, Hidalgo L, Ortiz F. Perceptions and attitudes toward the menopause among middle aged women from Guayaquil, Ecuador. Maturitas 2007; 57(3): 233-8. [DOI:10.1016/j.maturitas.2007.01.003]
  60. Leon P, Chedraui P, Hidalgo L, Ortiz F. Perceptions and attitudes toward the menopause among middle aged women from Guayaquil, Ecuador. Maturitas 2007; 57(3): 233-8. [DOI:10.1016/j.maturitas.2007.01.003]
  61. Ayranci U, Orsal O, Orsal O, Arslan G, Emeksiz DF. Menopause status and attitudes in a Turkish midlife female population: an epidemiological study. BMC Womens Health 2010; 10: 1. [DOI:10.1186/1472-6874-10-1]
  62. Ayranci U, Orsal O, Orsal O, Arslan G, Emeksiz DF. Menopause status and attitudes in a Turkish midlife female population: an epidemiological study. BMC Womens Health 2010; 10: 1. [DOI:10.1186/1472-6874-10-1]
  63. Nusrat N, Nishat Z, Gulfareen H, Aftab M, Asia N. Knowledge, attitude and experience of menopause. J Ayub Med Coll Abbottabad 2008; 20(1): 56-9.
  64. Nusrat N, Nishat Z, Gulfareen H, Aftab M, Asia N. Knowledge, attitude and experience of menopause. J Ayub Med Coll Abbottabad 2008; 20(1): 56-9.
  65. Hasan Pour Azghadi B, Abbasi Z. Effect of education on middle-aged women's knowledge and attitude towards menopause in Mashhad. J Birjand Univ Med Sci 2006; 13(2): 48-54. [In Persian].
  66. Hasan Pour Azghadi B, Abbasi Z. Effect of education on middle-aged women's knowledge and attitude towards menopause in Mashhad. J Birjand Univ Med Sci 2006; 13(2): 48-54. [In Persian].
  67. Hassanzadeh G, Yekkezare S, Vaziri S, Soroorirad B, Darki L. Knowledge of women about menopause in Qazvin. J Qazvin Univ Med Sci 2003; 7(4): 21-5. [In Persian].
  68. Hassanzadeh G, Yekkezare S, Vaziri S, Soroorirad B, Darki L. Knowledge of women about menopause in Qazvin. J Qazvin Univ Med Sci 2003; 7(4): 21-5. [In Persian].
  69. Eftekhari Tavakoli S, Valai N, Zonoobi. Knowledge and insight to menopause in 40-45 years old females referring to hospitals of Shahid Beheshti University of Medical Sciences in 1377. Feyz 1999; 3 (2): 57-63. [In Persian].
  70. Eftekhari Tavakoli S, Valai N, Zonoobi. Knowledge and insight to menopause in 40-45 years old females referring to hospitals of Shahid Beheshti University of Medical Sciences in 1377. Feyz 1999; 3 (2): 57-63. [In Persian].
  71. Mokhtari M. Women's image of their body, and the relevant expectations. Journal of Women's Studies 2011; 5(2): 49-77. [In Persian].
  72. Mokhtari M. Women's image of their body, and the relevant expectations. Journal of Women's Studies 2011; 5(2): 49-77. [In Persian].
  73. Jamshidi Manesh M, Peyrovi H, Jouybary L, Sanagoo A. Women's experience of menopause. J Sabzevar Univ Med Sci 2010; 16(4): 196-205. [In Persian].
  74. Jamshidi Manesh M, Peyrovi H, Jouybary L, Sanagoo A. Women's experience of menopause. J Sabzevar Univ Med Sci 2010; 16(4): 196-205. [In Persian].