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El Cambio de Vida: Menopause Concerns of Latinas and their Families

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HT chosen by Latinas more often than other women (SWAN study) ... Educational materials may not be culturally relevant for Latinas and their families ... – PowerPoint PPT presentation

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Title: El Cambio de Vida: Menopause Concerns of Latinas and their Families


1
El Cambio de VidaMenopause Concerns of
Latinas and their Families
  • Marcia Killien, PhD, RN, FAAN
  • National Center of Excellence in Womens Health
  • Center for Womens Health Research
  • University of Washington
  • Supported by DHHS 0202014004D

2
ProjectCollaborators
  • Mariposa Community Health Center
  • JoJean ElenasCarmen Ferlan
  • University of Washington
  • Susan Reed, MD

3
COE/CCoE JOINT PROJECTEDUCATION FOR
MENOPAUSEPARTNERS
  • Mariposa Community Health Center
  • University of California, Los Angeles
  • University of California, San Francisco
  • University of Washington
  • Supported by DHHS 0202014004D

4
BACKGROUND
  • Menopausal transition is a time of life change
    for women families
  • Hormone therapy (HT) has been preferred treatment
    for symptoms health promotion
  • HT chosen by Latinas more often than other women
    (SWAN study)
  • HT recently shown to be associated with
    significant health risks
  • Educational materials may not be culturally
    relevant for Latinas and their families

5
COE/CCoE Joint Project
PURPOSE To foster collaboration among academic
and community partners to address womens health
care.
  • PROJECT AIMS
  • Develop concensus statement about menopause
    history, treatment, prevention
  • Assess educational needs
  • Needs of CCoE providers
  • Needs of target population
  • Exisiting materials
  • Develop educational materials
  • For providers
  • For patients families
  • Evaluate project outcomes

6
STUDY PURPOSE
  • Understand the health issues of importance
    related to menopause for Spanish-speaking Latina
    women and their families
  • Specific Aims
  • 1) Assess attitudes and beliefs about menopause
  • 2) Determine barriers to menopause-related care
  • 3) Identify impact of menopause on family
    relationships

7
Methods Focus Groups
  • Participants
  • Resided in Nogales, Arizona
  • Community flyers posted
  • Groups (5 groups, n38)
  • Perimenopausal women
  • Postmenopausal women
  • Male partners
  • Conducted in Spanish
  • Audiotaped, transcribed, translated

8
Research Collaboration
  • Mariposa
  • Recruited participants
  • Conducted focus groups
  • Transcribed translated tapes
  • UW
  • Reviewed tapes transcripts
  • Analyzed data using content analysis
  • Prepared and distributed report

9
CONTENT ANALYSIS
  • Knowledge, attitudes, concerns
  • Impact on family members
  • Barriers to culturally specific and sensitive and
    health care

10
Findings Knowledge, Attitudes, Concerns
  • Knowledge confusion conflict
  • Attitudes menopause aging
  • Concerns
  • Symptoms skin changes
  • Treatment options hormone therapy, CAM

11
Findings Family Impact
  • Intergenerational linkages for information
  • Changing relationships with partners
  • Fear of losing partner
  • Sensitivity of partners

12
Findings Improving Care
  • Manage conflicting information
  • Providers who listen, sensitive, respected
  • Address broad health promotion needs
  • Include family in visits
  • Provide culturally appropriate educational
    materials
  • Spanish
  • Family centered
  • Multiple formats

13
Joint Project Rewards
  • Forming new relationships
  • Mutual sharing of strengths
  • Cultural expertise
  • Scientific knowledge
  • Assist with developing IRB procedures
  • Expanding cultural horizons
  • Contributing to health care for underserved women

14
Joint Project Challenges
  • Building relationships at a distance
  • Understanding organizational climate differences
  • Realistic goals
  • Sustaining focus
  • Personnel changes
  • Timelines (IRB, Budget Issues)

15
Future Plans
  • Manuscript in preparation
  • Presentations at research meetings
  • Evaluate materials for incorporation of data
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