Culture, Health and Sexuality
2018

‘Age of despair’, or ‘when life starts’: migrant and refugee women negotiate constructions of menopause (Article in Press)

Ussher J.M.* , Hawkey A.J. , Perz J.
  • a Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW, Australia
  • b Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW, Australia
  • c Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW, Australia

Abstract

There has been a call for research on migrant and refugee women’s negotiation of diverse discourses and cultural constraints associated with sexual embodiment, including menopause, in order to facilitate sexual and reproductive health and understand gendered subjectivity. This study examined the construction and experience of menopause among migrant and refugee women who had settled in Australia or Canada in the last 10 years. Eighty-four individual interviews and 16 focus groups comprising 85 participants were conducted (total n = 169), with women aged 18 years and over from Afghanistan, India (Punjab), Iraq, Somalia, South Sudan, Sri-Lanka (Tamil), Sudan and various South American (Latina) backgrounds. Thematic decomposition identified three discursive themes: Menopause as the Age of Despair; a Discourse of Silence and Secrecy; and Menopause as a Life Stage–or when Life Starts. Negative constructions of menopause, associated with silence and secrecy, were evident across different cultural groups, with implications for women’s positioning and experience of menopausal change and embodiment. However, resistance to negative discourse was also evident. This was primarily associated with having received menopause education and more open communication about menopausal change, suggesting that education and health information can facilitate affirming aspects of menopause. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.

Author Keywords

Menopause Australia sexual and reproductive health migrant women Refugee women Discourse analysis

Index Keywords

education Afghanistan refugee Australia human Iraq Sri Lanka interview Young Adult Canada decomposition female Punjab (India) medical information Article South Sudan major clinical study adult human experiment Somalia Reproductive Health discourse analysis menopause

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054395875&doi=10.1080%2f13691058.2018.1514069&partnerID=40&md5=048879e889385e4a0790611fe8b16424

DOI: 10.1080/13691058.2018.1514069
ISSN: 13691058
Original Language: English