School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Climacteric. 2021 Jun;24(3):214-228. doi: 10.1080/13697137.2020.1834529. Epub 2020 Nov 11.
Latinos comprise the fastest-growing minority group in the USA, with Hispanic women (Latinas) constituting 17% of women aged 45-54 years. The menopause transition (MT) is associated with many physiological, behavioral, and psychosocial changes that can affect disease risk in women. While several epidemiologic investigations have enhanced our understanding of the MT, to date, menopause research has mostly focused on non-Latina White women. As a consequence, there is a dearth of information on strategies for managing menopause-related issues in Latinas and important factors to consider to provide culturally appropriate care and promote lifestyles that may reduce adverse health outcomes. This narrative review summarizes existing evidence of the MT in Latinas, with a focus on hormonal alterations, menopausal symptoms, mental health, cognition, and cardiometabolic health. The clinical and research implications of the current literature will also be discussed.
拉丁裔是美国增长最快的少数族裔群体，其中西班牙裔女性（拉丁裔女性）占 45-54 岁女性的 17%。绝经期过渡（MT）与许多生理、行为和社会心理变化有关，这些变化会影响女性的疾病风险。尽管有几项流行病学研究增进了我们对 MT 的理解，但迄今为止，绝经期研究主要集中在非拉丁裔白种女性身上。因此，关于管理拉丁裔女性与绝经期相关问题的策略以及提供文化上适当的护理和促进可能降低不良健康结果的生活方式的重要因素的信息很少。本叙述性综述总结了拉丁裔女性 MT 的现有证据，重点介绍了激素变化、绝经症状、心理健康、认知和心血管代谢健康。还将讨论当前文献的临床和研究意义。
