Klimakteriet är en naturlig process i kvinnanslivscykel där kroppen genomgår fysiologiska förändringar på grund av omställningari hormonnivån. Samtidigt är klimakteriet en utvecklingsrelaterad transition. Enligttransitionsteorin sker övergångsprocesserna inom en bestämd tidsram, följer enriktning och leder till förändringar i identitet, roll, relationer ellerbeteendemönster. Kunskap om dessa skeenden ochvad som påverkar kvinnors beteende under transitionen är en förut-sättning föratt sjuksköterskan skall kunna hjälpa dem att nå en hälsosam transition. Syftet med litteraturstudien var att belysa faktorer som påverkar val avkvinnors copingstrategier. Till resultatet användes 12 artiklar som granskadesoch analyserades utifrån syftet. Resultatet visade att det finns fem grupper avfaktorer som påverkar kvinnors val av copingstrategi: sociokulturella och socioekonomiska,typ och svårighetsgrad av klimakteriesymptom, tillgång till stödjande socialtnätverk, personlighetsrelaterade samt aktuell livssituation. Kvinnor som har etablerade nätverk kan söka hjälp och stöd i sin familjoch bland vänner. När nätverk saknas kan sjukvården bli den enda kontakten attdiskutera sina klimakteriebesvär med. Med beaktande av faktorerna som ligger till grund förolika copingstrategier bör sjukvården skapa utbildningsformer och modeller somkan hjälpa kvinnor medklimakteriesymtom att utveckla en effektiv copingstrategi. / Menopause is a natural process during a woman’slifecycle when her body goes through physiological changes due to hormonalalterations. Also, menopause is a development-related tran-sition.According to the theory of transition it will appear within a certain timeframe, follows a clear route and leads to alterations in identity, role,relations or behavioral patterns. Knowledge of these stages of change and whataffects women’s behavior during transition is a vital qualification requiredfor nurses to succeed in providing healthy transition. Thepurpose of this literature study was to high-light factors that affect thechoice of coping strategies. Twelve articles were studied and analyzed based onthe purpose of the study. The result showed that there are five groups offactors that can affect women’s choice of coping strategies; socio-cultural andsocio-economical, type and severity of menopause symptoms, availability ofsupportive social networks, personality related factors and the current lifesituation. Women with established networks can seek help and support withintheir family and amongst their friends. When there is a lack of these types ofnetworks, healthcare personnel can become the only resource for discussingmenopause-related issues. Keeping these factors in mind, which serve the basisfor different coping strategies, healthcare-institutions should createeducation and models to assist women with menopause symptoms and develop aneffective coping-strategy.

Objective: This study aimed to evaluate the association between the intensity of menopausal symptoms and highly active antiretroviral therapy (HAART) adherence in middle-aged women with human immunodeficiency virus (HIV) infection. Methods: In this cross-sectional study, 313 Peruvian women with HIV infection (age 40-59 years) were surveyed and classified as adherent or non-adherent to HAART based on the Antiretroviral Treatment Adherence Evaluation Questionnaire. The intensity of menopausal symptoms was assessed with the Menopause Rating Scale, and categorized as none, mild, moderate, and/or severe. Age, sexual orientation, used HAART scheme, time since HIV diagnosis, menopausal status, risk of depression, and presence of comorbidities were also assessed. Poisson generalized linear models with robust variance were performed in order to estimate crude prevalence ratios (PRs) and adjusted PRs using statistical (a1PR) and epidemiological criteria (a2PR). Results: A total of 19.9%, 32.6%, and 15.0% of all women presented mild, moderate, and severe menopausal symptoms, respectively. Overall, 70.6% women were non-adherent to HAART. The probability of non-adherence was higher in women with mild, moderate, and severe symptoms as compared to asymptomatic women in the non-adjusted model (PR: 1.79, 95% confidence interval [CI]: 1.39–2.29; PR: 1.76, 95% CI: 1.38–2.23; and PR: 2.07, 95% CI: 1.64–2.61, respectively) and the adjusted model. Conclusion: The severity of menopausal symptoms was associated with HAART non-adherence in HIV-infected middle-aged women. / Revisión por pares