Black Women's Views on Menopause Different
Study: Doctors Must Communicate Better With Black Women About Menopause
April 29, 2005 -- Doctors have a lot to learn about communicating with black women about
a new study shows.
Ivy M. Alexander, PhD, of Yale University, and Coralease C. Ruff, DNSc, RN, of Howard University, conducted a series of seven focus groups for 43 generally healthy black women in two cities. All identified themselves as experiencing
All of the women had access to health care, yet most of them said their best sources of information about menopause didn't come from doctors or nurses. Instead, these women turned to other women in their communities, self-help literature, and the Internet.
It's not that the women didn't trust doctors. The doctors, it seems, simply weren't on the same page.
"As clinicians, we need to recognize that culture and life events affect how women perceive various treatment options," Alexander and Ruff write in the April issue of Menopause Management. "The women in our study put great stock in how their mothers or other older women in their communities had managed menopause symptoms."
Like white women, the black women in the study had most of the common menopause symptoms. But many women had other symptoms -- such as body odor, hot feet, and bloating -- that they associated with their menopause.
"It is critically important that we clinicians explicitly ask women experiencing menopause to describe their symptoms," Alexander and Ruff write. "The symptoms they identify as most bothersome may be different from those we think might be troubling them the most."
One of these symptoms is rage.
"The women said they had taken enough and had earned the right to be respected and treated well and not have to take 'crap' from others anymore," Alexander and Ruff note. "But frequently rude or irreverent treatment by others was experienced, and this produced a 'rage' in the women."
The researchers note that white women have described similar experiences. They suggest that rage is more a part of "coming of age" than of menopause itself.