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How middle-aged women in China see and cope with aging

A study · BMC public health · Oct 28, 2026

What this means

Women talked about aging in many ways, including both worries and personal growth. Their views may shape how they choose to care for their health.

Plain-English summary written by an AI model from the abstract. The original is below.

Tested inPeople
Who it was tested in
15 women aged 46 to 57 in Changsha, China
Kind of research
A study

The science

Original title
Perception and coping with aging among middle-aged women: a qualitative study.
Authors
Lei Y, Li K, Zhuo H et al.
Journal
BMC public health
Published
Oct 28, 2026
Study type
Study · in humans

Abstract

Background

Middle-aged women face distinct physiological, psychological, and social challenges during the transition from adulthood to later life. However, their perceptions of aging and the strategies they employ to cope with this process remain insufficiently understood. This qualitative study aimed to explore how middle-aged women perceive and respond to aging, with the goal of informing the development of future assessment instruments and targeted health interventions.

What they did

Semi-structured interviews were conducted with 15 middle-aged women aged 46-57 years in Changsha, Hunan Province, from April to June 2025. Participants represented diverse educational backgrounds, residential areas, and menopausal statuses. Thematic analysis was employed for data analysis, and the study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

What they found

The perceptions and coping strategies of middle-aged women regarding aging were categorized into five themes, summarized as "1H4W": (1) H- "How am I aging": A three-dimensional experience of aging; (2) W1- "What does aging bring me": The dual impact of aging; (3) W2- "Why am I aging": Multidimensional attribution of aging; (4) W3- "What can I do": Dual trajectories of coping strategies and their perceived efficacy; (5) W4- "What prevents me from acting": Barriers to aging coping actions. Middle-aged women experience complex and multifaceted perceptions of aging, encompassing physical, psychological, and social dimensions. Their perceptions reflect both threat and growth, and their attribution patterns influence their choices of coping behaviors. However, translating these perceptions into action faces significant barriers. These preliminary findings point toward the potential value of developing a validated tool to assess aging perceptions in middle-aged women, which may enhance self-awareness, promote proactive health behaviors, and support healthy aging.

The authors' abstract, grouped under plain headings from its own section labels.

Read it on PubMed ↗

Lei Y, Li K, Zhuo H et al. Perception and coping with aging among middle-aged women: a qualitative study. BMC public health. 2026. doi:10.1186/s12889-026-29009-1. PMID: 42947074. https://pubmed.ncbi.nlm.nih.gov/42947074/

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