Hot Flashes in the Late Reproductive Years: Risk Factors for African American and Caucasian Women

This study examines women's experience of hot flashes in the late reproductive years, comparing African American and Caucasian women, and identifies hormonal, behavioral, and environmental risk factors for hot flashes associated with ovarian aging

Ellen W. Freeman; Mary D. Sammel; Jeane Ann Grisso; Michelle Battistini; Beatriz Garcia-Espagna; Lori Hollander

2002

Scholarcy highlights

  • Hot flashes are a primary reason that midlife women seek medical care, but there is little information about the onset or the predictors of hot flashes in the years before the menopause
  • This study examines women's experience of hot flashes in the late reproductive years, comparing African American and Caucasian women, and identifies hormonal, behavioral, and environmental risk factors for hot flashes associated with ovarian aging
  • Data are from a population-based prospective cohort study of ovarian aging in women who were ages 35-47, in general good health, and had regular menstrual cycles at study enrollment
  • Hot flashes were assessed by subject report in a structured interview at the first follow-up period and correlated highly with previous prospective daily ratings of hot flashes
  • More African American than Caucasian women reported hot flashes
  • Hot flashes commonly occur before observable menstrual irregularities in the perimenopause and are associated with both hormonal and behavioral factors
  • Relation of body mass and sex steroid hormone levels to hot flushes in a sample of mid-life women

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