{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:29:39Z","timestamp":1784636979372,"version":"3.55.0"},"reference-count":70,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006942","name":"Medical University of South Carolina","doi-asserted-by":"publisher","award":["Stewart Dissertation Award"],"award-info":[{"award-number":["Stewart Dissertation Award"]}],"id":[{"id":"10.13039\/100006942","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Reproductive health research rarely involves the inclusion of women over 40, creating a large knowledge gap regarding women in midlife. Women continue to have reproductive health needs, concerns, and priorities up to the point of menopause that should be examined to improve reproductive health outcomes and provide individualized care. In-depth, individual, semi-structured interviews were conducted with 20 women between the ages of 40 and 55 who had not reached menopause and did not have a permanent method of sterilization. Using the feminist poststructuralist tenets, three major themes were identified: (a) knowledge acquisition during the perimenopause, (b) subjectivity regarding family planning, and (c) the agency of aging. Participants spoke to a need for reproductive health that listens to their lived experience, addresses menopause clinically and positively, and encourages autonomously driven health priorities. Further research on effective nonhormonal contraception, education on perimenopausal symptoms, and healthy aging is necessary.<\/jats:p>","DOI":"10.1177\/1049732320970491","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T01:44:56Z","timestamp":1605836696000},"page":"643-653","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["The Reproductive Health Priorities, Concerns, and Needs of Women in Midlife: A Feminist Poststructuralist Qualitative Analysis"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4427-4807","authenticated-orcid":false,"given":"Amy","family":"Alspaugh","sequence":"first","affiliation":[{"name":"University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun-Ok","family":"Im","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody","family":"D. Reibel","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Barroso","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, South Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,19]]},"reference":[{"key":"bibr1-1049732320970491","volume-title":"The Stanford encyclopedia of philosophy","author":"Allen A","year":"2016"},{"key":"bibr2-1049732320970491","doi-asserted-by":"crossref","unstructured":"Alspaugh A., Barroso J., Reibel M., Phillips S. (2020). Women\u2019s contraceptive perceptions, beliefs, and attitudes: An integrative review of qualitative research. Journal of Midwifery & Women\u2019s Health, 65(1), 64\u201384. https:\/\/doi.org\/10.1111\/jmwh.12992","DOI":"10.1111\/jmwh.12992"},{"key":"bibr3-1049732320970491","doi-asserted-by":"crossref","unstructured":"Aston M. (2016). Teaching feminist poststructuralism: Founding scholars still relevant today. Creative Education, 7(15), 2251\u20132267. https:\/\/doi.org\/10.4236\/ce.2016.715220","DOI":"10.4236\/ce.2016.715220"},{"key":"bibr4-1049732320970491","doi-asserted-by":"crossref","unstructured":"Baldwin M. K., Jensen J. T. (2013). Contraception during the perimenopause. Maturitas, 76(3), 235\u2013242. https:\/\/doi.org\/10.1016\/j.maturitas.2013.07.009","DOI":"10.1016\/j.maturitas.2013.07.009"},{"key":"bibr5-1049732320970491","doi-asserted-by":"crossref","unstructured":"Bergmann J. N., Stockman J. K. (2015). How does intimate partner violence affect condom and oral contraceptive use in the United States? A systematic review of the literature. Contraception, 91(6), 438\u2013455. https:\/\/doi.org\/10.1016\/j.contraception.2015.02.009","DOI":"10.1016\/j.contraception.2015.02.009"},{"key":"bibr6-1049732320970491","doi-asserted-by":"crossref","unstructured":"Bhathena R. K., Guillebaud J. (2006). Contraception for the older woman: An update. Climacteric, 9(4), 264\u2013276. https:\/\/doi.org\/10.1080\/13697130600857904","DOI":"10.1080\/13697130600857904"},{"key":"bibr7-1049732320970491","doi-asserted-by":"crossref","unstructured":"Bradshaw C., Atkinson S., Doody O. (2017). Employing a qualitative description approach in health care research. Global Qualitative Nursing Research, 4, Article 742282. https:\/\/doi.org\/10.1177\/2333393617742282","DOI":"10.1177\/2333393617742282"},{"key":"bibr8-1049732320970491","doi-asserted-by":"crossref","unstructured":"Brown L., Bryant C., Brown V., Bei B., Judd F. (2016). Self-compassion, attitudes to ageing and indicators of health and well-being among midlife women. Aging and Mental Health, 20(10), 1035\u20131043. https:\/\/doi.org\/10.1080\/13607863.2015.1060946","DOI":"10.1080\/13607863.2015.1060946"},{"key":"bibr9-1049732320970491","doi-asserted-by":"crossref","unstructured":"Chalouhi S. (2017). Menopause: A complex and controversial journey. Post Reproductive Health, 23(3), 128\u2013131. https:\/\/doi.org\/10.1177\/2053369117711346","DOI":"10.1177\/2053369117711346"},{"key":"bibr10-1049732320970491","doi-asserted-by":"crossref","unstructured":"Collins P., Webb C. M., de Villiers T. J., Stevenson J. C., Panay N., Baber R. J. (2016). Cardiovascular risk assessment in women: An update. Climacteric, 19(4), 329\u2013336. https:\/\/doi.org\/10.1080\/13697137.2016.1198574","DOI":"10.1080\/13697137.2016.1198574"},{"key":"bibr11-1049732320970491","doi-asserted-by":"crossref","unstructured":"Colorafi K. J., Evans B. (2016). Qualitative descriptive methods in health science research. Health Environments Research & Design, 9(4), 16\u201325. https:\/\/doi.org\/10.1177\/1937586715614171","DOI":"10.1177\/1937586715614171"},{"key":"bibr12-1049732320970491","doi-asserted-by":"crossref","unstructured":"Cumming G. P., Cochrane R., Currie H. D., Moncur R., Lee A. J. (2012). Web-based survey \u201ccontraception and attitudes to sexual behavior\u201d completed by women accessing a UK menopause website. Menopause International, 18(3), 106\u2013109. https:\/\/doi.org\/10.1258\/mi.2012.012020","DOI":"10.1258\/mi.2012.012020"},{"key":"bibr13-1049732320970491","doi-asserted-by":"crossref","unstructured":"de Kruif M., Spijker A. T., Molendijk M. L. (2016). Depression during the perimenopause: A meta-analysis. Journal of Affective Disorders, 206, 174\u2013180. https:\/\/doi.org\/10.1016\/j.jad.2016.07.040","DOI":"10.1016\/j.jad.2016.07.040"},{"key":"bibr14-1049732320970491","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226154534.001.0001"},{"key":"bibr15-1049732320970491","doi-asserted-by":"crossref","unstructured":"El Khoudary S. R., Greendale G., Crawford S. L., Avis N. E., Brooks M. M., Thurston R. C., Carrie K.C., Elaine W. L, Karen M. (2019). The menopause transition and women\u2019s health at midlife: A progress report from the study of women\u2019s health across the nation (SWAN). Menopause, 26(10), 1213\u20131227. https:\/\/doi.org\/10.1097\/gme.0000000000001424","DOI":"10.1097\/GME.0000000000001424"},{"key":"bibr16-1049732320970491","doi-asserted-by":"publisher","DOI":"10.1086\/448181"},{"key":"bibr17-1049732320970491","volume-title":"Ethics, Subjectivity, and Truth","author":"Foucault M.","year":"1998"},{"key":"bibr18-1049732320970491","doi-asserted-by":"crossref","unstructured":"Frost J. J., Lindberg L. D., Finer L. B. (2012). Young adults\u2019 contraceptive knowledge, norms and attitudes: Associations with risk of unintended pregnancy. Perspectives on Sexual and Reproductive Health, 44(2), 107\u2013116. https:\/\/doi.org\/10.1363\/4410712","DOI":"10.1363\/4410712"},{"key":"bibr19-1049732320970491","doi-asserted-by":"crossref","unstructured":"Godfrey E. M., Chin N. P., Fielding S. L., Fiscella K., Dozier A. (2011). Contraceptive methods and use by women aged 35 and over: A qualitative study of perspectives. BMC Women\u2019s Health, 11, Article 5. https:\/\/doi.org\/10.1186\/1472-6874-11-5","DOI":"10.1186\/1472-6874-11-5"},{"key":"bibr20-1049732320970491","doi-asserted-by":"crossref","unstructured":"Godfrey E. M., Zapata L. B., Cox C. M., Curtis K. M., Marchbanks P. A. (2016). Unintended pregnancy risk and contraceptive use among women 45-50 years old: Massachusetts, 2006, 2008, and 2010. American Journal of Obstetrics & Gynecology, 214(6), 712.e711\u2013712.e718. https:\/\/doi.org\/10.1016\/j.ajog.2015.12.006","DOI":"10.1016\/j.ajog.2015.12.006"},{"key":"bibr21-1049732320970491","doi-asserted-by":"crossref","unstructured":"Gomez A. M., Wapman M. (2017). Under (implicit) pressure: Young Black and Latina women\u2019s perceptions of contraceptive care. Contraception, 96(4), 221\u2013226. https:\/\/doi.org\/10.1016\/j.contraception.2017.07.007","DOI":"10.1016\/j.contraception.2017.07.007"},{"key":"bibr22-1049732320970491","doi-asserted-by":"crossref","unstructured":"Grace K. T., Alexander K. A., Jeffers N. K., Miller E., Decker M. R., Campbell J., Glass N. (2020). Experiences of reproductive coercion among Latina women and strategies for minimizing harm: \u201cThe path makes us strong.\u201d Journal of Midwifery & Women\u2019s Health, 65(2), 248\u2013256. https:\/\/doi.org\/10.1111\/jmwh.13061","DOI":"10.1111\/jmwh.13061"},{"key":"bibr23-1049732320970491","doi-asserted-by":"crossref","unstructured":"Gregg I. (2018). The health care experiences of lesbian women becoming mothers. Nursing for Women\u2019s Health, 22(1), 40\u201350. https:\/\/doi.org\/10.1016\/j.nwh.2017.12.003","DOI":"10.1016\/j.nwh.2017.12.003"},{"key":"bibr24-1049732320970491","doi-asserted-by":"crossref","unstructured":"Gubbels Bupp M. R. (2015). Sex, the aging immune system, and chronic disease. Cell Immunology, 294(2), 102\u2013110. https:\/\/doi.org\/10.1016\/j.cellimm.2015.02.002","DOI":"10.1016\/j.cellimm.2015.02.002"},{"key":"bibr25-1049732320970491","doi-asserted-by":"crossref","unstructured":"Harlow S. D., Dusendang J. R., Hood M. M., Woods N. F. (2017). Contraceptive preferences and unmet need for contraception in midlife women: Where are the data? Women\u2019s Midlife Health, 3, Article 6. https:\/\/doi.org\/10.1186\/s40695-017-0026-6","DOI":"10.1186\/s40695-017-0026-6"},{"key":"bibr26-1049732320970491","doi-asserted-by":"crossref","DOI":"10.4135\/9781483384740","volume-title":"The handbook of feminist research: Theory and praxis","author":"Hesse-Biber S. N.","year":"2012","edition":"2"},{"key":"bibr27-1049732320970491","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1017\/UPO9781844654734.012","volume-title":"Michel Foucault: Key concepts","author":"Heyes C. J.","year":"2010"},{"key":"bibr28-1049732320970491","doi-asserted-by":"crossref","unstructured":"Hofmeier S. M., Runfola C. D., Sala M., Gagne D. A., Brownley K. A., Bulik C. M. (2017). Body image, aging, and identity in women over 50: The Gender and Body Image (GABI) Study. Journal of Women & Aging, 29(1), 3\u201314. https:\/\/doi.org\/10.1080\/08952841.2015.1065140","DOI":"10.1080\/08952841.2015.1065140"},{"issue":"2","key":"bibr29-1049732320970491","first-page":"1","volume":"69","author":"Hoyert D. L.","year":"2020","journal-title":"National Vital Statistics Report"},{"key":"bibr30-1049732320970491","doi-asserted-by":"crossref","unstructured":"Im E. O. (2013). Practical guidelines for feminist research in nursing. Advances in Nursing Science, 36(2), 133\u2013145. https:\/\/doi.org\/10.1097\/ANS.0b013e318290204e","DOI":"10.1097\/ANS.0b013e318290204e"},{"key":"bibr31-1049732320970491","doi-asserted-by":"crossref","unstructured":"Jarrett M. E., Lethbridge D. J. (1994). Looking forward, looking back: Women\u2019s experience with waning fertility during midlife. Qualitative Health Research, 4(4), 370\u2013384. https:\/\/doi.org\/10.1177\/104973239400400403","DOI":"10.1177\/104973239400400403"},{"key":"bibr32-1049732320970491","doi-asserted-by":"crossref","unstructured":"Johnson-Mallard V., Kostas-Polston E. A., Woods N. F., Simmonds K. E., Alexander I. M., Taylor D. (2017). Unintended pregnancy: A framework for prevention and options for midlife women in the US. Women\u2019s Midlife Health, 3, Article 8. https:\/\/doi.org\/10.1186\/s40695-017-0027-5","DOI":"10.1186\/s40695-017-0027-5"},{"key":"bibr33-1049732320970491","doi-asserted-by":"crossref","unstructured":"Karlamangla A. S., Burnett-Bowie S. M., Crandall C. J. (2018). Bone health during the menopause transition and beyond. Obstetrics and Gynecology Clinics of North America, 45(4), 695\u2013708. https:\/\/doi.org\/10.1016\/j.ogc.2018.07.012","DOI":"10.1016\/j.ogc.2018.07.012"},{"key":"bibr34-1049732320970491","doi-asserted-by":"crossref","unstructured":"Kling J. M., MacLaughlin K. L., Schnatz P. F., Crandall C. J., Skinner L. J., Stuenkel C. A., Kaunitz A. M., Bitner D. L., Mara K., Fohmader Hilsaca K .S., Faubion S. S. (2019). Menopause management knowledge in postgraduate family medicine, internal medicine, and obstetrics and gynecology residents: A cross-sectional survey. Mayo Clinic Proceedings, 94(2), 242\u2013253. https:\/\/doi.org\/10.1016\/j.mayocp.2018.08.033","DOI":"10.1016\/j.mayocp.2018.08.033"},{"key":"bibr35-1049732320970491","doi-asserted-by":"crossref","unstructured":"Lee A. S. D., Burke A. E. (2019). Integration of a comprehensive contraception education program into clinical practice in a family planning clinic. Nursing for Women\u2019s Health, 23(5), 414\u2013423. https:\/\/doi.org\/10.1016\/j.nwh.2019.07.007","DOI":"10.1016\/j.nwh.2019.07.007"},{"key":"bibr36-1049732320970491","doi-asserted-by":"crossref","unstructured":"Li R. X., Ma M., Xiao X. R., Xu Y., Chen X. Y., Li B. (2016). Perimenopausal syndrome and mood disorders in perimenopause: Prevalence, severity, relationships, and risk factors. Medicine, 95(32), Article e4466. https:\/\/doi.org\/10.1097\/md.0000000000004466","DOI":"10.1097\/MD.0000000000004466"},{"key":"bibr37-1049732320970491","doi-asserted-by":"crossref","unstructured":"Long M. E., Faubion S. S., MacLaughlin K. L., Pruthi S., Casey P. M. (2015). Contraception and hormonal management in the perimenopause. Journal of Women\u2019s Health, 24(1), 3\u201310. https:\/\/doi.org\/10.1089\/jwh.2013.4544","DOI":"10.1089\/jwh.2013.4544"},{"key":"bibr38-1049732320970491","doi-asserted-by":"crossref","unstructured":"Manson J. E., Kaunitz A. M. (2016). Menopause management: Getting clinical care back on track. The New England Journal of Medicine, 374(9), 803\u2013806. https:\/\/doi.org\/10.1056\/NEJMp1514242","DOI":"10.1056\/NEJMp1514242"},{"key":"bibr39-1049732320970491","unstructured":"Martin J. A., Hamilton B. E., Osterman M. J. K. (2019). Births in the United States, 2018 [NCHS data brief]. https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db346-h.pdf"},{"issue":"8","key":"bibr40-1049732320970491","first-page":"1","volume":"67","author":"Martin J. A.","year":"2018","journal-title":"National Vital Statistics Report"},{"key":"bibr41-1049732320970491","unstructured":"Mathews T. J., Hamilton B. E. (2016). Mean age of mothers is on the rise: United States, 2000-2014 (National Center for Health Statistics data brief 232). https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db232.pdf"},{"key":"bibr42-1049732320970491","doi-asserted-by":"crossref","unstructured":"McGregor C., Riordan A., Thornton J. (2017). Estrogens and the cognitive symptoms of schizophrenia: Possible neuroprotective mechanisms. Frontiers in Neuroendocrinology, 47, 19\u201333. https:\/\/doi.org\/10.1016\/j.yfrne.2017.06.003","DOI":"10.1016\/j.yfrne.2017.06.003"},{"key":"bibr43-1049732320970491","doi-asserted-by":"crossref","unstructured":"Meadows L. M., Thurston W. E., Berenson C. A. (2001). Health promotion and preventive measures: Interpreting messages at midlife. Qualitative Health Research, 11(4), 450\u2013463. https:\/\/doi.org\/10.1177\/104973201129119244","DOI":"10.1177\/104973201129119244"},{"key":"bibr44-1049732320970491","doi-asserted-by":"crossref","unstructured":"Meyer V. F. (2001). The medicalization of menopause: Critique and consequences. International Journal of Health Services, 31(4), 769\u2013792. https:\/\/doi.org\/10.2190\/m77d-yv2y-d5nu-fxnw","DOI":"10.2190\/M77D-YV2Y-D5NU-FXNW"},{"key":"bibr45-1049732320970491","doi-asserted-by":"crossref","unstructured":"Moser A., Korstjens I. (2018). Series: Practical guidance to qualitative research\u2014Part 3: Sampling, data collection and analysis. European Journal of General Practice, 24(1), 9\u201318. https:\/\/doi.org\/10.1080\/13814788.2017.1375091","DOI":"10.1080\/13814788.2017.1375091"},{"key":"bibr46-1049732320970491","doi-asserted-by":"crossref","unstructured":"Muhammad M., Wallerstein N., Sussman A. L., Avila M., Belone L., Duran B. (2014). Reflections on researcher identity and power: The impact of positionality on community based participatory research (CBPR) processes and outcomes. Critical Sociology, 41(7\u20138), 1045\u20131063. https:\/\/doi.org\/10.1177\/0896920513516025","DOI":"10.1177\/0896920513516025"},{"key":"bibr47-1049732320970491","doi-asserted-by":"crossref","unstructured":"Oakley L. P., Harvey S. M., L\u00f3pez-Cevallos D. F. (2018). Racial and ethnic discrimination, medical mistrust, and satisfaction with birth control services among young adult Latinas. Women\u2019s Health Issues, 28(4), 313\u2013320. https:\/\/doi.org\/10.1016\/j.whi.2018.03.007","DOI":"10.1016\/j.whi.2018.03.007"},{"key":"bibr48-1049732320970491","doi-asserted-by":"crossref","unstructured":"Park J., Nordstrom S. K., Weber K. M., Irwin T. (2016). Reproductive coercion: Uncloaking an imbalance of social power. American Journal of Obstetrics & Gynecology, 214(1), 74\u201378. https:\/\/doi.org\/10.1016\/j.ajog.2015.08.045","DOI":"10.1016\/j.ajog.2015.08.045"},{"key":"bibr49-1049732320970491","doi-asserted-by":"crossref","unstructured":"Pinheiro R. L., Areia A. L., Mota Pinto A., Donato H. (2019). Advanced maternal age: Adverse outcomes of pregnancy, a meta-analysis. Acta M\u00e9dica Portuguesa, 32(3), 219\u2013226. https:\/\/doi.org\/10.20344\/amp.11057","DOI":"10.20344\/amp.11057"},{"key":"bibr50-1049732320970491","volume-title":"Nursing research: Generating and assessing evidence for nursing practice","author":"Polit D.","year":"2012","edition":"9"},{"key":"bibr51-1049732320970491","doi-asserted-by":"crossref","unstructured":"Potter J. E., Perpetuo I. H., Berquo E., Hopkins K., Leal O. F., de Carvalho Formiga M. C., Souza M. R. (2003). Frustrated demand for postpartum female sterilization in Brazil. Contraception, 67(5), 385\u2013390. https:\/\/doi.org\/10.1016\/s0010-7824(03)00039-8","DOI":"10.1016\/S0010-7824(03)00039-8"},{"key":"bibr52-1049732320970491","doi-asserted-by":"crossref","unstructured":"Potter J. E., White K., Hopkins K., McKinnon S., Shedlin M. G., Amastae J., Grossman D. (2012). Frustrated demand for sterilization among low-income Latinas in El Paso, Texas. Perspectives on Sexual and Reproductive Health, 44(4), 228\u2013235. https:\/\/doi.org\/10.1363\/4422812","DOI":"10.1363\/4422812"},{"key":"bibr53-1049732320970491","doi-asserted-by":"crossref","unstructured":"Sandelowski M. (1995). Sample size in qualitative research. Research in Nursing & Health, 18(2), 179\u2013183. https:\/\/doi.org\/10.1002\/nur.4770180211","DOI":"10.1002\/nur.4770180211"},{"key":"bibr54-1049732320970491","doi-asserted-by":"crossref","unstructured":"Sandelowski M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334\u2013340. https:\/\/doi.org\/10.1002\/1098-240x(200008)23:4<334:aid-nur9>3.0.co;2-g","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"bibr55-1049732320970491","doi-asserted-by":"publisher","DOI":"10.2307\/3177997"},{"key":"bibr56-1049732320970491","doi-asserted-by":"crossref","unstructured":"Smith-Dijulio K., Windsor C., Anderson D. (2010). The shaping of midlife women\u2019s views of health and health behaviors. Qualitative Health Research, 20(7), 966\u2013976. https:\/\/doi.org\/10.1177\/1049732310362985","DOI":"10.1177\/1049732310362985"},{"key":"bibr57-1049732320970491","doi-asserted-by":"crossref","unstructured":"Supporting healthy and normal physiologic childbirth: A consensus statement by ACNM, MANA, and NACPM. (2013). Journal of Perinatal Education, 22(1), 14\u201318. https:\/\/doi.org\/10.1891\/1058-1243.22.1.14","DOI":"10.1891\/1058-1243.22.1.14"},{"key":"bibr58-1049732320970491","first-page":"17","volume":"37","author":"Taylor D.","year":"2012","journal-title":"The Female Patient"},{"key":"bibr59-1049732320970491","doi-asserted-by":"crossref","unstructured":"Thomas A. J., Mitchell E. S., Woods N. F. (2018). The challenges of midlife women: Themes from the Seattle midlife women\u2019s health study. Women\u2019s Midlife Health, 4(1), Article 8. https:\/\/doi.org\/10.1186\/s40695-018-0039-9","DOI":"10.1186\/s40695-018-0039-9"},{"key":"bibr60-1049732320970491","doi-asserted-by":"crossref","unstructured":"Thomas H. N., Neal-Perry G. S., Hess R. (2018). Female sexual function at midlife and beyond. Obstetrics and Gynecology Clinics of North America, 45(4), 709\u2013722. https:\/\/doi.org\/10.1016\/j.ogc.2018.07.013","DOI":"10.1016\/j.ogc.2018.07.013"},{"key":"bibr61-1049732320970491","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.03.016"},{"key":"bibr62-1049732320970491","unstructured":"U.S. Census Bureau releases 2018 families and living arrangements tables. (2018). U.S. Census Bureau."},{"key":"bibr63-1049732320970491","doi-asserted-by":"crossref","unstructured":"Van Heertum K., Liu J. (2017). Contraception and conception in mid-life: A review of the current literature. Women\u2019s Midlife Health, 3, Article 3. https:\/\/doi.org\/10.1186\/s40695-017-0022-x","DOI":"10.1186\/s40695-017-0022-x"},{"key":"bibr64-1049732320970491","volume-title":"Feminist practice and poststructuralist theory","author":"Weedon C.","year":"1987","edition":"2"},{"key":"bibr65-1049732320970491","unstructured":"World Health Organization. (2020). Reproductive health. https:\/\/www.who.int\/westernpacific\/health-topics\/reproductive-health"},{"key":"bibr66-1049732320970491","doi-asserted-by":"crossref","unstructured":"Wildemeersch D. (2016). Why perimenopausal women should consider to use a levonorgestrel intrauterine system. Gynecological Endocrinology, 32(8), 659\u2013661. https:\/\/doi.org\/10.3109\/09513590.2016.1153056","DOI":"10.3109\/09513590.2016.1153056"},{"key":"bibr67-1049732320970491","doi-asserted-by":"crossref","unstructured":"Willis D. G., Sullivan-Bolyai S., Knafl K., Cohen M. Z. (2016). Distinguishing features and similarities between descriptive phenomenological and qualitative description research. Western Journal of Nursing Research, 38(9), 1185\u20131204. https:\/\/doi.org\/10.1177\/0193945916645499","DOI":"10.1177\/0193945916645499"},{"key":"bibr68-1049732320970491","doi-asserted-by":"crossref","unstructured":"Wingo E., Ingraham N., Roberts S. C. M. (2018). Reproductive health care priorities and barriers to effective care for LGBTQ people assigned female at birth: A qualitative study. Women\u2019s Health Issues, 28(4), 350\u2013357. https:\/\/doi.org\/10.1016\/j.whi.2018.03.002","DOI":"10.1016\/j.whi.2018.03.002"},{"key":"bibr69-1049732320970491","doi-asserted-by":"crossref","unstructured":"Woods N. F., Bachmann G. (2017). Contraception for midlife women: Lack of information? Lack of interest? Lack of investment? Women\u2019s Midlife Health, 3, Article 7. https:\/\/doi.org\/10.1186\/s40695-017-0025-7","DOI":"10.1186\/s40695-017-0025-7"},{"key":"bibr70-1049732320970491","doi-asserted-by":"crossref","unstructured":"Woods N. F., Mitchell E. S. (2016). The Seattle midlife women\u2019s health study: A longitudinal prospective study of women during the menopausal transition and early postmenopause. Women\u2019s Midlife Health, 2, Article 6. https:\/\/doi.org\/10.1186\/s40695-016-0019-x","DOI":"10.1186\/s40695-016-0019-x"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732320970491","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049732320970491","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732320970491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:49:31Z","timestamp":1777686571000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732320970491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,19]]},"references-count":70,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1177\/1049732320970491"],"URL":"https:\/\/doi.org\/10.1177\/1049732320970491","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,19]]}}}