Racial and Ethnic Differences in the Physiology and Clinical Symptoms of Menopause

Racial and Ethnic Differences in the Physiology and Clinical Symptoms of Menopause
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更年期生理和临床症状的种族和民族差异

DOI:
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发表时间:
2013
影响因子:
2.7
通讯作者:
M. Wellons
M. Wellons
中科院分区:
医学4区
文献类型:
--
作者:
G. Richard;M. Wellons

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摘要400多万绝经妇女来自少数民族群体。在过去的25年里,人们逐渐认识到中年的社会、情感和身体变化对妇女长期健康和福祉的重要性。多种因素影响女性如何感知更年期变化以及她所处理的相关症状。诸如教育水平、社会经济地位、健康相关因素、压力和婚姻状况等因素都会影响这些选择。越来越多的研究人员报道了种族和民族对更年期症状的影响。了解妇女对更年期的看法、态度和期望之间的异同,可以改善文化上适当的护理,促进可能减少症状和提高生活质量的生活方式。从历史上看,这一领域的大多数研究都是在西方国家进行的,临床样本主要来自欧洲背景的妇女。因此,这一人群形成了中年绝经过渡期的临床表现。最近,在美国和国际上对非欧洲妇女进行的研究表明,她们在这一过渡时期的经历存在重大差异,但这些文化差异并没有扩大对这一普遍经历的意义的理解。到目前为止,在更年期健康方面的种族、民族和文化差异仍然存在很大的知识差距。这篇综述的内容总结了目前的知识体系的种族差异在更年期的经验。
Abstract More than 4 million menopausal women are from ethnic minority groups. Over the past 25 years, recognition of the importance of social, emotional, and physical changes of midlife to women's long-term health and well-being has emerged. Multiple factors influence how a woman perceives menopausal changes and what she addresses as associated symptoms. Factors such as educational level to socioeconomic status, health-related factors, stress, and marital status influence these choices. Increasingly, researchers are reporting on the impact of race and ethnicity on menopausal symptoms. Understanding similarities and differences among women's perceptions, attitudes, and expectations surrounding menopause improves delivery of culturally appropriate care and promotes lifestyles that may decrease symptoms and increase quality of life. Historically, the majority of the research in this area has been conducted in Western countries with clinical samples of women predominantly from European backgrounds. Thus, this population has shaped the emerging clinical picture of the midlife menopausal transition. Recently, studies of non-European women, both in the United States and internationally, indicate significant variations in their experiences during this transition, but these cultural differences have not broadened the understanding of the meaning of this universal experience. To date, there are still large knowledge gaps in race, ethnic, and cultural differences in menopausal health. The content of this review summarizes the current body of knowledge on racial differences in the menopause experience.
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