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Racial disparities in menopausal hormone therapy acceptance: a pilot study
Anita Pershad1, Joshua M Morris1, Diane Pace
1From the Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN.
Menopause (New York, N.Y.)
|September 6, 2022
Summary
Black patients were significantly less likely to accept hormone therapy for menopausal symptom management compared to White patients in this pilot study. This highlights a potential racial disparity in treatment acceptance.
Area of Science:
- Reproductive Medicine
- Health Disparities
- Menopause Management
Background:
- Limited data exists on racial differences in hormone therapy acceptance.
- Understanding these disparities is crucial for equitable menopause care.
Purpose of the Study:
- To examine racial differences in hormone therapy acceptance among patients in a menopause clinic.
- To assess comorbidities and symptom frequency by race.
Main Methods:
- Retrospective review of 113 patients at an academic medical center's menopause clinic (2018-2021).
- Analysis included Student t tests and odds ratios.
- Focus on patients with menopausal symptoms, including vasomotor symptoms and vaginal dryness.
Main Results:
- Black patients (51%) were less likely than White patients (42%) to accept hormone therapy.
- Eligible Black patients were 24% less likely to accept systemic hormone therapy (OR 0.24, P=0.01).
- Racial disparities observed in acceptance of both systemic and local hormonal therapies.
Conclusions:
- A racial disparity exists in the acceptance of hormonal therapy for menopausal symptoms.
- Findings suggest potential differences in quality of care and treatment choices based on race.
- Further research is needed to explore these disparities and inform clinical practice.
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