Women, weight, poverty and menopause: understanding health practices in a context of chronic disease prevention

Audet, Mélisa; Dumas, Alex; Binette, Rachelle; Dionne, Isabelle J.

doi:10.1111/1467-9566.12593

Cited by 17 publications

(23 citation statements)

References 33 publications

(48 reference statements)

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“…7,9,19 A low level of education is associated with a low socio-economic level, which reduces the likelihood that a person will have private health insurance, which may be a factor related to less access to health care, lower adherence to the treatments for their co-morbidities, and guidelines for changes in lifestyle, which are associated with nocturia. 27 Concerning the association between drugs and nocturia, only CCB increased the risk of nocturia in women in the multivariate analysis. This finding agrees with that of the BACH study, and the mechanism for this relationship seems to be due to direct blockage of the re-absorption of sodium in the proximal tube of the kidneys, to an increase in the levels of the atrial natriuretic peptide, or even to peripheral edema in the lower members.…”

Section: Discussionmentioning

confidence: 97%

Prevalence and associated factors in community-dwelling subjects - a population-based study

Cruz

Garcia-Rosa

Faria

2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVES To assess the prevalence of nocturia and identify factors associated with it in a community-dwelling population. METHODS A cross-sectional study was conducted in subjects aged 45 years or more and registered with a Family Doctor Program. Information was collected about nocturia, other urinary symptoms, physical examination, co-morbidities, demographics, socio-economic, and lifestyle factors. Multiple logistics regression models were developed to analyze associated factors for nocturia according to gender and the number of nocturnal micturitions(≥1 and ≥2). RESULTS Out of the 661 individuals included in the study, 62.3% were women. Among the women, the prevalence rates for nocturia ≥1 time and ≥2 times were, respectively, 68.4% and 49%, whereas, among the men, they were 64.3% and 43.8%. Among the women, nocturia ≥1 time was associated with brown skin, a higher BMI, lower schooling, and calcium channel blockers(CCB) use, while nocturia ≥2 times showed association with higher BMI, lower schooling, obstructive sleep apnea (OSA), and the use of CCB. Among the men, nocturia ≥1 time was associated positively with age, alcohol intake, and OSA, and negatively with angiotensin receptor blockers and beta-blockers use. Besides, nocturia ≥2 times was associated with age, not having health insurance, and OSA. CONCLUSIONS Nocturia is a condition highly prevalent in the studied population. For the female subjects, a higher BMI, lower schooling, and the use of CCB were associated with nocturia regardless of the definition used, whereas, among the men, that same association was found with age, not having health insurance, and OSA.

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Section: Discussionmentioning

confidence: 97%

Prevalence and associated factors in community-dwelling subjects - a population-based study

Cruz

Garcia-Rosa

Faria

2020

Rev. Assoc. Med. Bras.

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“…Menopausal women in casual work with a strong manual or menial component reported these musculoskeletal symptoms as having a markedly detrimental effect on their work performance [ 22 ], in many cases causing them to leave their jobs in order to seek less physically-demanding work elsewhere [ 23 ]. These women found musculoskeletal pain particularly difficult to manage, feeling as though nothing they could do would relieve their symptoms [ 21 , 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…We included all qualitative studies which provided sufficient demographic information to suggest all or most menopausal women participants were in casual work (Group I, n =3 [ 21 – 23 ]).…”

Section: Methodsmentioning

confidence: 99%

Menopausal symptoms and work: A narrative review of women's experiences in casual, informal, or precarious jobs

2021

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Governments, employers, and trade unions are increasingly developing “menopause at work” policies for female staff. Many of the world’s most marginalised women work, however, in more informal or insecure jobs, beyond the scope of such employment protections. This narrative review focuses upon the health impact of such casual work upon menopausal women, and specifically upon the menopausal symptoms they experience. Casual work, even in less-then-ideal conditions, is not inherently detrimental to the wellbeing of menopausal women; for many, work helps manage the social and emotional challenges of the menopause transition. Whereas women in higher status work tend to regard vasomotor symptoms as their main physical symptom, women in casual work report musculoskeletal pain as more problematic. Menopausal women in casual work describe high levels of anxiety, though tend to attribute this not to their work as much as their broader life stresses of lifelong poverty and ill-health, increasing caring responsibilities, and the intersectionally gendered ageism of the social gaze. Health and wellbeing at menopause is determined less by current working conditions than by the early life experiences (adverse childhood experiences, poor educational opportunities) predisposing women to poverty and casual work in adulthood. Approaches to supporting menopausal women in casual work must therefore also address the lifelong structural and systemic inequalities such women will have faced. In the era of COVID-19, with its devastating economic, social and health effects upon women and vulnerable groups, menopausal women in casual work are likely to face increased marginalisation and stress. Further research is need.

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“…Critiques of fatalism fall into two camps (Ramondt and Ramírez, 2017). The first critique specifies that “fatalism” reflects an accurate appraisal of the opportunities available for medical treatment and lower survival rates among the usually low-income, un- or under-insured, structurally vulnerable populations, which have exhibited high rates of “fatalism” (Abraído-Lanza et al, 2007; Audet et al, 2017; De Jesus and Miller, 2015; Straughan and Seow, 1998). The second critique is methodological: Researchers have argued that typical operationalizations of fatalism have confounded feelings of being overwhelmed is associated with exposure to too much information (Jensen et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Beyond fatalism: Information overload as a mechanism to understand health disparities

Ramírez

Carmona

2018

Social Science & Medicine

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Background: Fatalism – beliefs about the causes and controllability of disease – has been negatively associated with prevention behaviors. Fatalism has been suggested as a mechanism for health disparities because ethnic minorities are especially likely to hold fatalistic beliefs. However, the construct has been criticized: Fatalism fails to account for structural barriers to health faced by vulnerable populations that also score highly on measures of fatalism. Another critique suggests that operationalizations of fatalism expose communication failures: “Fatalism” rather reflects information overload from an environment riddled with misinformation and contradictions. This study aimed to expand understanding of one mechanism through which communication may contribute to disparities by considering the context of nutrition among bicultural Latinas, who face increased risk from dietary acculturation. Method: Mixed-methods (semi-structured in-depth interview, survey) with Mexican-American women ages 18–29 (n=24) in rural California. Results: Contrary to previous studies, the majority of this sample of Mexican-American women did not endorse fatalistic beliefs; most demonstrated clear understanding of the link between diet and risk of diseases: Diabetes and heart disease were understood to result from behaviors within one’s control. Yet despite articulating links between diet and disease, participants felt overloaded and confused about conflicting information from public and interpersonal sources. Moreover, despite reporting feeling inundated with information, participants noted critical information gaps, distinguishing between information available and information needed. Conclusions: We found minimal support for fatalistic beliefs among a sample of Mexican-American women, but considerable information overload and confusion, together with a desire for specific knowledge and skills. Results extend understanding of how communication may influence disparities: Information overload may be conflated with fatalism, challenging the notion that fatalism is a cultural belief. Moreover, inequalities in access to and ability to process information compound overload effects. We discuss opportunities to improve the clarity of communication about nutrition science and dietary recommendations.

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Women, weight, poverty and menopause: understanding health practices in a context of chronic disease prevention

Cited by 17 publications

References 33 publications

Prevalence and associated factors in community-dwelling subjects - a population-based study

Prevalence and associated factors in community-dwelling subjects - a population-based study

Menopausal symptoms and work: A narrative review of women's experiences in casual, informal, or precarious jobs

Beyond fatalism: Information overload as a mechanism to understand health disparities

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