S. Jejeebhoy, M. Koenig and C. Elias, “Community Interaction in Studies of Gynaecological Morbidity Experiences in Egypt, India and Uganda,” In S. Jejeebhoy, M. Koenig and C. Elias, Eds., Reproductive Tract Infections and Other Gynaecological Disorders, Cambridge Univer- sity Press, Cambridge, 2003. doi10.1017/CBO9780511545627.008 - References

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S. Jejeebhoy, M. Koenig and C. Elias, “Community Interaction in Studies of Gynaecological Morbidity: Experiences in Egypt, India and Uganda,” In: S. Jejeebhoy, M. Koenig and C. Elias, Eds., Reproductive Tract Infections and Other Gynaecological Disorders, Cambridge Univer- sity Press, Cambridge, 2003. doi:10.1017/CBO9780511545627.008

has been cited by the following article:

TITLE: Menopausal Perceptions and Experiences of Older Women from Selected Sites in Botswana

AUTHORS: Njoku Ola Ama, Enock Ngome

KEYWORDS: Older Women; Menopause; Knowledge; Perceptions; Logistic Regression; Factor Analysis

JOURNAL NAME: Advances in Sexual Medicine, Vol.3 No.3, July 9, 2013

ABSTRACT: Objective: To assess the menopausal perceptions and experiences of older women from selected sites in Botswana. Design: This study used snowball sampling to recruit 444 older women in four health districts of Botswana. Trained research assistants administered a structured questionnaire to determine respondents’ menopausal symptoms, perceptions and knowledge of menopause and sexual experiences. Multiple logistic regression procedures were used to evaluate the association of socio-demographic characteristics with knowledge of menopause and factor analysis was used to cluster menopausal symptoms. Results: Participants had low levels of knowledge and awareness of menopause. The three most common changes identified were weakening of bones (78%), changes in sex drive (69.6%), and difficulty working (56.2%). The majority of respondents perceived menopause as freedom from menstrual cycles (85%) and cost saving (65%). Employment status was significantly associated with knowledge of menopause. The mean age at menopause was 48.9 years. With an average life expectancy of 54.5 years, there remains about 6 years of postmenopausal life. Recommendation: Public health care systems in and beyond Botswana should mobilize resources and take measures to improve older women’s awareness and knowledge about menopause-related changes through educational training and guidance to maintain active, healthy lives.