Original Articles

Reproductive Health Needs Assessment in the View of Iranian Elderly Women and Elderly Men

Abstract

Objective: To assess reproductive health needs in men and women as the first and basic step in educational planning.
Materials and methods: The study was qualitative. Participants were Postmenopausal women and men over 60 years. Data gathering was done by semi structured interviews. Analysis of the qualitative data was conducted during a multi-step process according to the assessment method of Altschuld et al needs analysis.
Results: Two general themes were considered in categorizing codes extracted from interviews: 1) Problems, 2) Demands. Women’s reproductive health problems were Problems associated with menopause, Related to family planning, sexual problems, and diseases and cancers. Reproductive health problems in men were in two main subthemes Urinary-reproductive problems and sexual dysfunction. Their main demand was for establishing a health center for geriatric reproductive health.
Conclusion: Aging has severe effect on men’s and women’s reproductive health and elderly peoples need health services to cope with changes, therefore these needs should be considered in medical curriculums.

 

Lloyd-Sherlock P. Population ageing in developed and developing regions: Implications for health policy. Soc Sci Med 2000; 51:887-95.

Hatami H, Razavi M, Eftekhar- Ardebili H, Majlesi F, Seyed- Nozadi M, Parizade SMJ. The text book of public health. 3, editor. Tehran: Arjmand; 2004

WHO. Proposed working definition of an older person in Africa for the MDS Project. Available from: http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html.

Van Leuven K. Population aging: Implications for Nurse Practitioners. The Journal of Nurse Practitioners 2012; 8:554-9.

Statistical-Center-of-Iran. Selection of General Population and Housing Census. Statistical Center of Iran, 2013.

Ahmed SM, Tomson G, Petzold M, Kabir ZN. Socioeconomic status overrides age and gender in determining health-seeking behaviour in rural Bangladesh. Bull World Health Organ2005; 83:109-17.

Addis IB, Van Den Eeden SK, Wassel-Fyr CL, Vittinghoff E, Brown JS, Thom DH;Reproductive Risk Factors for Incontinence Study at Kaiser Study Group. Sexualactivity and function in middle-aged and older women. Obstet Gynecol2006; 107:755-64.

Noroozi E, Kasiri-Dolatabadi N, Eslami A, Hassanzadeh A, Davari S. Knowledge and Attitude of 40-45 Year Old WomenToward Menopause. Health System Research 2011;7:460-8.[Article In Persian]

Lundsberg LS, Pal L, Gariepy AM, Xu X, Chu MC, Illuzzi JL. Knowledge, Attitudes and practices regarding conception and fertility: a population-based Survey among reproductive-age United States women. Fertil Steril 2014; 101:767-74.

Arulkumaran S, Sivanesaratnam V, Chatterjee A, Kumar P. Essentials of Gynecology. New Delhi JAYPEE; 1st Edition, 2005.

Sanagoo A, Jouybari L. A Phenomenological Study of Turkmen Women's in Menopause Experience. Iranian Journal of Obstetrics, Gynecology and Infertility 2013; 15:1-10.[Article In Persian]

Leon P, Chedraui P, Hidalgo L, Ortiz F. Perceptions and attitudes toward the menopause among middle aged women from Guayaquil, Ecuador. Maturitas 2007; 57:233-8.

Shohani M, Rasouli F, HajiAmiry P, Hasanpoor-Dehkordi A, Mahmoudi M. Evaluation of the urogenital problems of menopausal woman referred to the health care centers of Ilam, Iran. Bimonthly Journal of Hormozgan University of Medical Sciences 2009; 13:189-96.[Article In Persian]

Ehsanpour S, Eivazi M, Davazdah-Emami S. Quality of life after the menopause and its relation with marital status. Iranian Journal of Nursing and Midwifery Research 2007; 12:130-5.

Muneer A. Prevalence and extent of sexual problems on self assessment in a population of aging men: a 4 years UK experience. Int Journal of surgery 2010; 8:501-78.

Gelfand M. Sexuality among older women. Journal of Women's Health & Gender-Based Medicine 2004; 9:15-20.

Yarmohammadian MH, Bahrami S, Foroughi Abari A A. Needs Assessment Methods For Organizational Needs of Isfahan Province Health Network Personnel. Payesh 2004; 3: 227- 35. [Article in Persian]

Yamani N, Shakour M, Ehsanpour S. Educational Needs of Reproductive Health Students: A Delphi Study. The Journal of Medical Education and Development 2013; 8:65-77. [Article in Persian]

Shakour M, Yamani N, Ehsanpour S. The suggested tasks for Master’s graduates in reproductive health by experts in Iran. Iranian journal of nursing and midwifery research 2012; 17:306-.12.

Dhami S, Sheikh A. The Muslim family: predicament and promise. West J Med2000; 173:352-6.

Altschuld J W, White JL. Needs Assessment: Analysis and Prioritization: SAGE; 2010.

Altschuld J w. Needs Assessment, phase II: Collecting data: SAGE; 2010.

Guba EG, Lincoln YS. Competing paradigms in qualitative research In: Lincoln (EDS). Handbook of Qualitative Research Thousand Oaks, CA: Sage; 1994:105-17.

Joghtaei MT. Assessment of Health Status of Elderly People in the City of Kashan .Salmand,Iranian journal of aging. 2006; 1:3-10.

25. Nappi RE, Nijland EA. Women's perception of sexuality around the menopause:outcomes of a European telephone survey. Eur J Obstet Gynecol Reprod Biol 2008; 137:10-6.

Abernethy K. The Menopause and HRT. London: MOSBY; 2nd edition, 2002.

Berek J. Berek and Novak's Gynaecology: LWW; 15th Edition, 2007.

Beckmann C, Ling F, Barzansky B, Herbert W, Laube D, Smith R. Obstetrics and Gynecology: LWW; 2010.

Beckmann CRB, Ling F, Barzansky BM, Herbert WNP, Laube D W. Obstetrics and Gynecology: LWW; edition 4, 2010.

Morgan M, Sidighi S. Obstetrics and Gynecology:Lippincott Williams & Wilkins; 2005.

Hakimi S, Mohammad Alizadeh S, Delazar A, Abbasalizadeh F, Bamdad Mogaddam R, Siiahi MR, et al. Probable effects of fenugreek seed on hot flash in menopausal women. Journal of Medicinal Plants 2006; 3:9–14.

Speroff L, Fritz M. Clinical Gynecologic Endocrinology and Infertility.: LWW; eight Edition,2005.

Salehi K, Ehsanpour S, Zolfaghari B, Salehi Z, Honarjoo M. The effects of red clover on hot flushes in post-menopausal women. Hormozgan Medical Journal 2014; 17:521-9. [Article in Persian]

Teo P, Chan A, Straughan P. Providing health care for

older persons in Singapore. Health Policy 2003; 64:

-413.

Nappi R, Lachowsky M. Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas 2009; 63:138-44.

Tulandi T, Gelfand M. Androgens and reproductive aging: Taylor and Francis Group; 2006.

Nappi R. New attitudes to sexuality in the menopause: clinical evaluation and diagnosis. Climacteric 2007; 10:105-8.

Dhami S, Sheikh A. The Muslim family. Western Journal of Medicine. 2000; 173:352–6.

Birkhauser HM, Barlow HD, Notelovitz M, Rees CM. Management handbook health plans for the adult women: Taylor and Francis Groups; 2005.

Hayes RD, Dennerstein L, Bennett CM, Koochaki PE, Leiblum SR, Graziottin A.Relationship between hypoactive sexual desire disorder and aging. Fertil Steril2007; 87:107-12.

Camacho M, Reyes- Ortiz C. Sexual dysfunction in the elderly: age or disease? Int J Impot Res 2005; 17:S52-6.

DeLamater JD, Sill M. Sexual desire in later life. J Sex Res 2005; 42:138-49.

Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems anddistress in United States women: prevalence and correlates. Obstet Gynecol. 2008; 112:970-8.

Xu J. Combined analysis of hereditary prostate cancer linkage to 1q24-25: Results from 772 hereditary prostate cancer families from the International Consortium for Prostate Cancer Genetics. Am J Hum Genet 2000;66:945-57.Erratum in: Am J Hum Genet 2000;67:541-2.

Holden C, McLachlan R, Pitts M, Cumming R, Wittert G, Agius P, et al. men in Australia telephone survey (MATeS): a national survey of the reproductive health and concerns of middle aged and older Austrailian men. Lancet 2005; 366:218-24.

Files
IssueVol 12, No 1 (March 2018) QRcode
SectionOriginal Articles
Keywords
Geriatric Sexual Health Needs Assessment

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Shakour M, Salehi K, Yamany N. Reproductive Health Needs Assessment in the View of Iranian Elderly Women and Elderly Men. J Family Reprod Health. 2018;12(1):34-41.