Background: Little is known about menopausal symptoms in underserved women. Aim: To better understand self-reported menopausal symptoms in underserved and homeless women living in extreme heat during different seasons. Methods: A cross-sectional study, including the Greene Climacteric Scale (GCS), climate-related questions, and demographics was administered June to August of 2017 and December to February 2018 to women 40–65 years of age. Results: In 104 predominantly Hispanic (56%), uninsured (53%), menopausal (56%), and mid-aged (50 ± 9.5) women, 57% reported any bother, while 20% of these women reported “quite a bit” or “extreme” bother from hot flushes. The total GCS score was a mean of 41 ± 15.0; out of 63 indicating significant symptoms, the psychological and somatic clusters were highest. Women did not think temperature outside influenced their menopausal symptoms at either time point (69% in winter vs. 57% in summer, p = 0.23). In multivariable analyses after adjusting for race, body mass index, and living situation neither season nor temperature was associated with self-reported hot flush bother. While one-third of women reported becoming ill from the heat, 90% of women reported not seeking care from a doctor for their illness. Conclusion: Menopausal, underserved, homeless women living in Arizona reported few vasomotor symptoms regardless of season, and endorsed psychological and somatic complaints. Socioeconomic factors may influence types of bothersome menopausal symptoms in this population of women.
Hypertension is considered to be a major health concern and a threat for mortality and morbidity in individuals caused due to myocardial infarction, stroke and other cardiovascular diseases. Our study comprises of 200 randomly chosen nuclear families from five different South Indian states during the period of June, 2016 to December, 2017. A total of 750 individuals (both parents and off spring) are studied. About 103 families are selected from Telangana State, 25 families from Andhra Pradesh State, 13 families from Tamil Nadu State, 35 families from Karnataka State and 24 families from Kerala State. Information is gathered from each member of the family and Blood Pressure is measured. A linear fit is tried and regression coefficients are estimated and found to be significant using student's t F-test. The linear equation Y = a + bx is taken where x is mid parental value and Y is average of offspring and regression of offspring on mid parental value is equal to heritability. The regression coefficient and R2 values (0.271, t and F; P < 0.05 and 0.074) for diastolic blood pressure are higher than those values (0.083, t and F; P<0.05 and 0.031) for systolic blood pressure indicating that Diastolic blood pressure is more genetically determined than Systolic blood pressure.
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