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Identifying Variables Associated with Menopause-Related Shame and Stigma: Results from a National Survey Study
Mary Kathryn Dahlgren1,2,3, Deniz Kosereisoglu1,2, Rosemary T Smith1,2
1Cognitive and Clinical Neuroimaging Core, McLean Imaging Center, McLean Hospital, Belmont, Massachusetts, USA.
Menopause shame and stigma are common, particularly among younger, more educated individuals with severe symptoms. Understanding these factors is key to improving health outcomes and clinical care for menopausal women.
Area of Science:
- Reproductive Health
- Social Sciences
- Psychology
Background:
- Menopause is a natural biological transition affecting half the population.
- Shame and stigma surrounding menopause are understudied but linked to negative health outcomes.
- Identifying factors associated with menopause-related shame and stigma is crucial for intervention.
Purpose of the Study:
- To evaluate factors associated with shame and stigma experienced by perimenopausal and postmenopausal individuals.
- To understand the prevalence of menopause-related shame and stigma in a national sample.
Main Methods:
- A national survey included 214 perimenopausal and postmenopausal individuals.
- Self-report questionnaires assessed demographics, menopause symptoms, shame, and stigma.
- Regression analyses identified predictors of shame and stigma.
Main Results:
- Over a third reported menopause-related shame (37.4%); the majority reported stigma (82.7%).
- Severe psychosocial and urogenital symptoms, higher education, and younger age were associated with increased shame and stigma.
- Most participants discussed symptoms and believed peers experienced similar issues.
Conclusions:
- Shame and stigma are significantly associated with menopause symptoms, influenced by severity and socioeconomic factors.
- Younger, more educated individuals entering perimenopause may experience higher levels of shame and stigma.
- Findings can inform interventions to improve clinical outcomes and reduce negative impacts of menopause-related shame and stigma.
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