TY - JOUR
T1 - Menopausal symptoms within a Hispanic cohort
T2 - SWAN, the Study of Women's Health Across the Nation
AU - Green, R.
AU - Polotsky, A. J.
AU - Wildman, R. P.
AU - Mcginn, A. P.
AU - Lin, J.
AU - Derby, C.
AU - Johnston, J.
AU - Ram, K. T.
AU - Crandall, C. J.
AU - Thurston, R.
AU - Gold, E.
AU - Weiss, G.
AU - Santoro, N.
N1 - Funding Information:
Source of funding The Study of Women’s Health Across the Nation (SWAN) has grant support from the National Institutes of Health (NIH), DHHS, through the National Institute on Aging (NIA), the National Institute of Nursing Research (NINR) and the NIH Office of Research on Women’s Health (ORWH) (Grants NR004061; AG012505, AG012535, AG012531, AG012539, AG012546, AG012553, AG012554, AG012495). N.S. was supported by HD041978. The content of this manuscript is solely the responsibility of the authors and does not necessarily
PY - 2010/8
Y1 - 2010/8
N2 - IntroductionSince the designation of people as Hispanic involves the amalgamation of a number of different cultures and languages, we sought to test the hypothesis that menopausal symptoms would differ among Hispanic women, based upon country of origin and degree of acculturation. MethodsA total of 419 women, aged 4252 years at baseline, were categorized as: Central American (CA, n29) or South American (SA, n106), Puerto Rican (PR, n56), Dominican (D, n42), Cuban (Cu, n44) and non-Hispanic Caucasian (n142). We assessed vasomotor symptoms, vaginal dryness and trouble in sleeping. Hispanics and non-Hispanic Caucasians were compared using the χ2 test, t test or non-parametric alternatives; ANOVA or KruskalWallis testing examined differences among the five Hispanic sub-groups. Multivariable regression models used PR women as the reference group. ResultsHispanic women were overall less educated, less acculturated (p<0.001 for both) than non-Hispanic Caucasians and more of them reported vasomotor symptoms (34.172.4 vs. 38.3 among non-Hispanic Caucasians; p0.0293) and vaginal dryness (17.958.6 vs. 21.1 among non-Hispanic Caucasians, p0.0287). Among Hispanics, more CA women reported vasomotor symptoms than D, Cu, SA, or PR women (72.4 vs. 45.2, 34.1, 50.9, and 51.8, respectively). More CA (58.6) and D women (38.1) reported vaginal dryness than PR (17.9), Cu (25.0) and SA (31.4) women. More PR and D women reported trouble in sleeping (66.1 and 64.3, respectively) compared to CA (51.7), Cu (36.4), and SA (45.3) women. ConclusionSymptoms associated with menopause among Hispanic women differed by country of origin but not acculturation. Central American women appear to be at greatest risk for both vasomotor symptoms and vaginal dryness.
AB - IntroductionSince the designation of people as Hispanic involves the amalgamation of a number of different cultures and languages, we sought to test the hypothesis that menopausal symptoms would differ among Hispanic women, based upon country of origin and degree of acculturation. MethodsA total of 419 women, aged 4252 years at baseline, were categorized as: Central American (CA, n29) or South American (SA, n106), Puerto Rican (PR, n56), Dominican (D, n42), Cuban (Cu, n44) and non-Hispanic Caucasian (n142). We assessed vasomotor symptoms, vaginal dryness and trouble in sleeping. Hispanics and non-Hispanic Caucasians were compared using the χ2 test, t test or non-parametric alternatives; ANOVA or KruskalWallis testing examined differences among the five Hispanic sub-groups. Multivariable regression models used PR women as the reference group. ResultsHispanic women were overall less educated, less acculturated (p<0.001 for both) than non-Hispanic Caucasians and more of them reported vasomotor symptoms (34.172.4 vs. 38.3 among non-Hispanic Caucasians; p0.0293) and vaginal dryness (17.958.6 vs. 21.1 among non-Hispanic Caucasians, p0.0287). Among Hispanics, more CA women reported vasomotor symptoms than D, Cu, SA, or PR women (72.4 vs. 45.2, 34.1, 50.9, and 51.8, respectively). More CA (58.6) and D women (38.1) reported vaginal dryness than PR (17.9), Cu (25.0) and SA (31.4) women. More PR and D women reported trouble in sleeping (66.1 and 64.3, respectively) compared to CA (51.7), Cu (36.4), and SA (45.3) women. ConclusionSymptoms associated with menopause among Hispanic women differed by country of origin but not acculturation. Central American women appear to be at greatest risk for both vasomotor symptoms and vaginal dryness.
KW - Hispanic
KW - Hot flushes
KW - Menopause
KW - Vaginal dryness
KW - Vasomotor symptoms
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U2 - 10.3109/13697130903528272
DO - 10.3109/13697130903528272
M3 - Article
C2 - 20136411
AN - SCOPUS:77953607632
SN - 1369-7137
VL - 13
SP - 376
EP - 384
JO - Climacteric
JF - Climacteric
IS - 4
ER -