Director, Patient Insights and Solutions Astellas Pharma US Western Springs, Illinois, United States
Introduction: This study aimed to understand perceptions, beliefs, and stigma around menopause for African American women. Methods: An online, cross-sectional survey (September–October 2022; IRB-exempt) included African American women in the US aged 40–69, reporting menopause symptoms in the past 30 days. Results: Of 334 participants, 57% (n = 189) believed African American women experience menopausal symptoms, e.g. hot flashes, differently to women of other racial and ethnic groups, generally believing symptoms last longer, are more frequent, and more severe. Fifty-six percent (n = 186) reported menopause was a natural part of life; 19% (n = 65) a medical condition. Most reported that society views menopause as a time when women are unable to control emotions (75%, n = 252), are less attractive (74%, n = 246), a negative life change (66%, n = 219), not okay to openly talk about (72%, n =242), and shameful (59%, n = 196). Forty-one percent (n = 138) reported it important to not let menopause affect day-to-day life; 28% (n = 94) embarrassment; 87% (n = 291) experienced stigma and 64% (n = 214) had been discriminated against because of menopause. Participants (n = 303) suggested reducing discrimination by everyday women sharing experiences (87%, n = 263); educating younger women (77%, n = 233); and educating men (76%, n = 231). Conclusion/Implications: These results provide valuable insights into perceptions, beliefs, and stigma around menopause in African American women. Further efforts are needed to improve health status for African American women and overcome health disparities in menopause.
