Natural menopause timing and menopause symptoms among lesbian, bisexual, and heterosexual women in the Nurses' Health Study II.

Autor:	VanKim NA; From the Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA., Charlton BM, Berzansky I; Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA., Fields ND; Rollins School of Public Health, Emory University, Atlanta, GA., Whitcomb BW; From the Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA., Hankinson SE; From the Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA., Sievert LL; Department of Anthropology, University of Massachusetts Amherst, Amherst, MA., Bertone-Johnson ER
Jazyk:	angličtina
Zdroj:	Menopause (New York, N.Y.) [Menopause] 2024 Dec 01; Vol. 31 (12), pp. 1049-1054.
DOI:	10.1097/GME.0000000000002442
Abstrakt:	Objective: This study aimed to examine sexual orientation differences in natural menopause timing and symptoms between lesbian and bisexual women compared with heterosexual women. Methods: We used longitudinal questionnaire data (1989-2015) from 92,314 women (858 lesbian, 375 bisexual) in the Nurses' Health Study II cohort. Women were 24-44 yr old at baseline and biennially reported their menopause status, including reasons for cessation of menstrual periods. In 2009 and 2013, women reported on their experience of hot flashes and night sweats. Covariates included age, age at menarche, body mass index, smoking, and parity. Sexual orientation was reported in 1995 and 2009. Results: Age-adjusted Cox models and logistic regression models suggest that there were no statistically significant differences in menopause timing between lesbian or bisexual women when compared with heterosexual women. When examining menopause symptoms, lesbian women consistently had a statistically significantly (P < 0.05) higher odds of experiencing hot flashes or night sweats (odds ratio range: 1.17 to 1.72) and moderate/severe symptoms (OR range: 1.26 to 1.77) than heterosexual women, even after adjusting for covariates such as smoking and obesity. There were no statistically significant differences in menopause symptoms between bisexual and heterosexual women. Conclusions: Our findings suggest no meaningful difference in menopause timing between sexual minority and heterosexual women. Additionally, menopause symptoms were more likely among lesbian women and warrants additional study. Competing Interests: Financial disclosure/conflicts of interest: N.D.F. receives funding from the National Heart, Lung, and Blood Institute. L.L.S. received past funding from NSF. The other authors have nothing to disclose. (Copyright © 2024 by The Menopause Society.)
Databáze:	MEDLINE
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