The authors examine the modernist underpinnings of traditional adult learning and development theories and evaluate elements of those theories through more contemporary lenses. Drawing on recent literature focused on "public pedagogy," the authors argue that much learning takes place outside of formal educational institutions. They look beyond modernist narratives of adult development and consider the possible implications for critical adult learning occurring in and through contemporary fragmented, digital, media-saturated culture.
Objective
To describe the prevalence of insomnia symptoms in women with perimenopause and to examine differences in self-reported insomnia symptoms at different stages of perimenopause over 10 years.
Design
A secondary analysis of self-reported sleep symptoms and clinical variables using 10 years of publicly available data from the Study of Women Across the Nation (SWAN).
Setting
The dataset of women’s insomnia symptoms was obtained from the publicly available data from the SWAN. The parent study settings included Detroit, Michigan, Northern New Jersey, Los Angeles, California, Boston, Massachusetts, Chicago, Illinois, and Pittsburgh, Pennsylvania.
Participants
Multiethnic midlife women with a mean age of 46 (N=3302) categorized as pre-and perimenopausal at baseline.
Methods
Dependent variables included self-reported insomnia symptoms: difficulty falling asleep (sleep latency), wake after sleep onset, early morning awakenings, and sleep quality. Descriptive analysis was completed for each 1-year study interval. Repeated measures logistic regression was used to identify if insomnia symptoms changed over time by stage of perimenopause.
Results
Insomnia symptoms were present in 31%-42% of perimenopausal women at any 1-year study interval. Insomnia symptoms were more prevalent in the late stage of perimenopause than the early stage (p<0.001). The odds of having any insomnia symptoms were 1.3 times greater for women in the late stage of perimenopause than in early stage of perimenopause (95% CI [1.2, 1.5]; p<0.001).
Conclusions
Insomnia symptoms are prevalent in women who are transitioning to menopause, and stage of perimenopause may heighten the risk of developing symptoms of insomnia disorder, which is associated with negative cardiometabolic outcomes.
This chapter discusses the long-term impact on British women of the popular 1960s television show TheAvengers and explores strategies for utilizing popular culture to facilitate learning in the classroom.
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