Menopausal symptoms in the Southwest United States: A cross-sectional survey of women from areas with different socioeconomic resources

Mello, Alanna De; Chavez, Augustine; Mukarram, Mahnoor; Buras, Matthew R.; Kling, Juliana M.

doi:10.1016/j.maturitas.2021.08.110

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…We also demonstrated that the most prevalent menopausal symptoms among both urban and rural women were fatigue (68.19% vs 70.43%), vertigo (59.54% vs 68.63%), and muscle/joint pain (59.32% vs 62.84%); symptoms such as headaches (57.88% vs 61.38%), mood swings (57.42% vs 59.29%), and insomnia (57.21% vs 57.21%) were also frequently reported, which is consistent with previous reports of menopausal symptoms in Chinese women, 8,29,30 which revealed that somatic and psychological symptoms, instead of vasomotor symptoms, were the most common symptoms among Chinese menopausal women. Studies in the southwestern United States, 31 North India, 32 and Cambodia 33 also support this observation. In contrast, the most common symptoms experienced by Spanish and Peruvian urban and rural women were different.…”

Section: Discussionmentioning

confidence: 75%

“…that somatic and psychological symptoms, instead of vasomotor symptoms, were the most common symptoms among Chinese menopausal women. Studies in the southwestern United States, 31 North India, 32 and Cambodia 33 also support this observation. In contrast, the most common symptoms experienced by Spanish and Peruvian urban and rural women were different.…”

Section: Menopausal Symptoms In Urban Rural Womenmentioning

confidence: 79%

“…Similar to our results, few studies also showed that a high BMI, low income, no cohabitation partner, low education level, and chronic diseases were demonstrated to be the risk factors for MPS. 8,26,[31][32][33] Body mass index of >28 kg/m 2 is reported to be a risk factor for severe menopausal symptoms. 37,38 Obese women have increased concentrations of follicle-stimulating hormones associated with decreased estrogen levels.…”

Section: Menopausal Symptoms In Urban Rural Womenmentioning

confidence: 99%

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Urban-rural differences in epidemiology and risk factors of menopause syndrome in middle-aged Chinese women

2023

Menopause

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Objective: To compare the prevalence and severity of menopausal symptoms and investigate their associated factors among rural and urban middle-aged Chinese women.Methods: A descriptive, cross-sectional study of 4,580 urban and 2,729 rural randomly sampled participants aged 40 to 55 years in Gansu Province, China, was conducted. Questionnaires assessing the sociodemographic information and menstrual and reproductive histories of the participants were administered. The modified Kupperman scale was used to assess the presence and severity of menopausal symptoms. Binary and ordinal logistic regression analyses were performed to identify factors associated with the occurrence and severity of menopausal syndrome, respectively, according to the modified Kupperman Menopausal Index score rank.Results: The natural menopausal age of the rural women was significantly lower than that of the urban women (rural: 47.22, urban: 47.98; P < 0.05). Furthermore, rural women had a higher prevalence (rural: 56.35%, urban: 43.47%) and severity (rural: 11.40%, urban: 6.61%) of menopausal syndrome than the urban women ( P < 0.05). For both the urban and rural women, the prevalence and severity of most menopausal symptoms increased as menopause progressed. The three most prevalent symptoms in both the urban and rural women were fatigue (rural: 70.43%, urban: 68.19%), muscle/ joint pain (rural: 62.84%, urban: 59.32%), and vertigo (rural: 57.42%, urban: 47.44%). Positive associations between menopausal symptoms and age, residence, body mass index, level of education, time of pregnancy, menstrual cycle, and presence of chronic diseases were observed.Conclusions: Rural women experience more frequent and severe menopausal syndrome than do urban women.

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Section: Discussionmentioning

confidence: 75%

Section: Menopausal Symptoms In Urban Rural Womenmentioning

confidence: 79%

Section: Menopausal Symptoms In Urban Rural Womenmentioning

confidence: 99%

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Urban-rural differences in epidemiology and risk factors of menopause syndrome in middle-aged Chinese women

2023

Menopause

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“…A prospective study from the United States demonstrated that social class and psychosocial stress are important predictors of an earlier age at menopause in African American women, but did not evaluate these factors in women with POI [15]. In age-related menopause, women of lower income and educational status experience more menopausal symptoms, while another cross-sectional study found that women who are homeless or uninsured reported more severe vasomotor symptoms, depression and anxiety [16,17]. In view of the above, it was important to investigate the time to diagnosis of POI in a high risk population, such as that of our clinic, which is mostly comprised of underinsured minority women.…”

Section: Discussionmentioning

confidence: 99%

Primary Ovarian Insufficiency: Time to Diagnosis and a Review of Current Literature

Minis¹,

Pinero²,

Bhatt³

et al. 2022

Clin. Exp. Obstet. Gynecol.

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Background: Prompt recognition of symptoms and subsequent diagnosis of primary ovarian insufficiency (POI) are critical given its consequences on quality of life and long-term health. Poor access to care in underrepresented minority women and/or low-income populations may contribute to delayed diagnosis. Our group previously demonstrated a dearth of board-certified reproductive endocrinology (RE) physicians providing care for Medicaid patients in New Jersey. Given the adverse effects of prolonged hypoestrogenism, we aimed to evaluate length of time to diagnosis of POI in a low-resource/low-income population presenting to an urban university-based RE clinic, as well as provide a review of the current literature. Methods: This retrospective case series included all new patients seen at the RE clinic at University Hospital in Newark, NJ from June 2014 through June 2018. POI was diagnosed in women with oligo/amenorrhea and menopausal levels of follicle stimulating hormone. The primary outcome was time to diagnosis from onset of symptoms. Results: Of 524 new patients seen, 19 (3.6%) were diagnosed with POI. Median time to diagnosis of POI from onset of symptoms was 48 months. 57.9% of our patients identified as Black and 31.6% as Hispanic. 13/19 (68.4%) reported hypoestrogenic symptoms at time of referral. 21.1% were diagnosed with Turner mosaicism. 14 of 19 patients completed DEXA scan, of which 35.7% were diagnosed with low bone mass or osteoporosis. Of those diagnosed prior to referral to RE (9/19, 47.4%), only 4 had initiated hormone therapy. Conclusions: Our study demonstrates a need for more aggressive evaluation of oligo/amenorrhea in underrepresented minority women. Prolonged time to diagnosis of POI has adverse effects, as reflected by hypoestrogenic symptoms and decreased bone mineral density. Delayed diagnosis and management of POI may be related to health care disparities facing these women and warrants action to improve access to care.

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“…For example, African American women report significantly more vasomotor symptoms than Caucasian women, who experience more psychosomatic symptoms than other racial/ethnic groups [ 11 ]. A significant correlation between particularly higher psychosomatic symptoms and the lower socioeconomic status of women, regardless of age, race, menopause, and menopausal hormone therapy use is also observed [ 12 ]. Nevertheless, according to the literature, in the peri- and postmenopausal period, women develop a number of troublesome systemic symptoms, and among them, in particular, we can distinguish complaints from the oral cavity.…”

Section: Introductionmentioning

confidence: 99%

Changes in the Oral Cavity in Menopausal Women—A Narrative Review

Ciesielska

Kusiak

Ossowska

et al. 2021

IJERPH

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Oral health awareness during the menopausal period is essential to minimize the inevitable inconveniences which may occur due to hormonal changes. The decrease in estrogen hormone concentration impacts the oral mucosa in a similar way to the vaginal mucosa due to the presence of estrogen receptors in both of these structures. An estrogen deficiency also affects the maturation process of the oral mucosal epithelium and can lead to its thinning and atrophy, making it more susceptible to local mechanical injuries, causing a change in pain tolerance and problems in the use of removable prosthetic restorations. Mucosal epithelium during the menopausal period is more vulnerable to infections, candidiasis, burning mouth syndrome, oral lichen planus (OLP), or idiopathic neuropathy. Moreover, salivary glands are also hormone-dependent which leads to changes in saliva secretion and its consistency. In consequence, it may affect teeth and periodontal tissues, resulting in an increased risk of caries and periodontal disease in menopausal women. Due to the large variety of complaints and symptoms occurring in the oral cavity, menopausal women constitute a significant group of patients who should receive special preventive and therapeutic care from doctors and dentists in this particular period.

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Menopausal symptoms in the Southwest United States: A cross-sectional survey of women from areas with different socioeconomic resources

Cited by 10 publications

References 29 publications

Urban-rural differences in epidemiology and risk factors of menopause syndrome in middle-aged Chinese women

Urban-rural differences in epidemiology and risk factors of menopause syndrome in middle-aged Chinese women

Primary Ovarian Insufficiency: Time to Diagnosis and a Review of Current Literature

Changes in the Oral Cavity in Menopausal Women—A Narrative Review

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