The purpose of this Internet study was to describe menopausal symptoms, perceived causes of the symptoms, and management strategies for the symptoms among five ethnic groups of Asian American women. Sixty-two university faculty and/or staff members aged 40 to 60 years who self-reported as Asian Americans and could read and write English were recruited through the Internet. An Internet survey was conducted, and the data were analyzed using descriptive statistics. The most prevalent symptoms were “worrying about body,” “aches in back of neck and skull,” and “weight gain.” Most of the women perceived “aging” as the main cause of their symptoms and chose not to manage their symptoms. The findings strongly suggest that women’s own explanation of their symptoms is frequently different from that of health care providers.
Abe, T., & Moritsuka, T. (1986). A case-control study on menopausal symptoms and complaints of Japanese women by symptomatic type for psychosocial variables. Maturitas, 8, 255-265.
2.
Adlercreutz, H., Hamalanen, E., Gorbach, S., & Goldin, B. (1992). Dietary phyto-oestrogens and the menopause in Japan. Lancet, 339, 1233.
3.
Avis, N. E., Stellato, R., Crawford, S., Bromberger, J., Ganz, P., Cain, V., et al. (2001). Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Social Science and Medicine, 52, 345-356.
4.
Bell, M. L. (1995). Attitudes toward menopause among Mexican American women. Health Care for Women International, 16(5), 425-435.
5.
Berg, J. A., & Lipson, J. G. (1999). Information sources, menopause beliefs, and health complaints of midlife Filipinas. Health Care for Women International, 20, 81-92.
6.
Berg, J. A., & Taylor, D. L. (1999). Symptom responses of midlife Filipina Americans. Menopause, 6, 115-121
7.
Blatt, M. G., Wiesbader, H., & Kupperman, H. S. (1953). Vitamin E and the climacteric syndrome. Archives of Internal Medicine, 91, 792-799.
8.
Blummel, J. E., Cruz, M. N., & Aparicio, N. J. (2002). Menopausal transition, physiopathology, clinical and treatment. Medicina (B.Aires), 62, 57-65.
9.
Brodman, K., Erdman, A. J., Jr., & Wolff, H. G. (1956). Manual of Cornell Medical Index: Health questionnaire. New York: New York Hospital and the Department of Medicine and Psychiatry, Cornell Medical College.
10.
Boulet, M. J., Oddens, B. J., Lehert, P., Vemeer, H. M., & Visser, A. (1994). Climacteric and menopause in seven southeast Asian countries. Maturitas, 19, 157-176.
11.
Burger, H. G., Dudley, E. C., Robertson, D. M., & Dennerstein, L. (2002). Hormonal changes in the menopause transition. Recent Progress in Hormone Research, 57, 257-275
12.
Chang, C., & Chang, C. H. (1996). Menopause and hormone using experiences of Chinese women in Taiwan. Health Care for Women International, 17, 307-318.
13.
Chirawatkul, S., & Manderson, L. (1994). Perceptions of menopause in northeast Thailand: Contested meaning and practice. Social Science and Medicine, 39, 1545-1554.
14.
Chompootweep, S., Tankeyoon, M., Yamarat, K., Poomsuwan, P., & Dusitsin, N. (1993). The menopausal age and climacteric complaints in Thai women in Bangkok. Maturitas, 17, 64-71.
15.
Comley, P. (1996, November). The use of Internet as a data collection method. Paper presented at the European Society for Opinion and Marketing Research, Edinburg, Scotland.
16.
Computers Scope Ltd. and others. (2002). NUA Internet surveys. Retrieved February 3, 2002, from http://www.nua.ie/surveys/.
17.
Curl, M., & Robinson, D. K. (1997). Handheld computers in clinical audit: A comparison with established pen and paper method. International Journal of Health Care Quality Assurance, 7, 16-20.
18.
Eyton, J., & Neuwirth, G. (1984). Cross-cultural validity: Ethnocentrism in health studies with special reference to the Vietnamese. Social Science and Medicine, 18, 447-453.
19.
Fawcett, J., & Buhle, E. L., Jr. (1995). Using the Internet for data collection. An innovative electronic strategy. Computers in Nursing, 13, 273-279.
20.
Foster, S., & Tyler, V. E. (1999). Tyler’s honest herbal (4th ed.). New York: Haworth.
21.
Frandsen, J. L. (1997). The use of computers in cancer pain management. Seminars in Oncology Nursing, 13, 49-56.
22.
Frankel, M. S., & Siang, S. (1999). Ethical and legal aspects of human subjects research on the Internet. Retrieved July 1, 2001, from http://www.aaas.org/spp/dspp/sfrl/projects/intres/report.pdf
23.
Georgia Tech Graphics Visualisation and Usability Centre (GTGUVC). (1999). GVU’s 10th WWW user survey. Retrieved from http://www.gvu.gatech.edu/user_surveys/survey_1998_10/tenthreport.html
24.
Gill, S., Lavoie, H. B., Bo-Abbas, Y., & Hall, J. E. (2002). Negative feedback effects of gonadal steroids are preserved with aging in postmenopausal women. Journal of Clinical Endocrinology and Metabolism, 87, 2297-2302.
25.
Grisso, J. A., Freeman, E. W., Maurin, E., Garcia-Espana, B., & Berlin, J. A. (1999). Racial differences in menopause information and the experience of hot flashes. Journal of General Internal Medicine, 14, 98-103.
26.
Hall, J. M., & Stevens, P. E. (1991). Rigor in feminist research. ANS: Advances in Nursing Science, 13, 16-29.
27.
Hirata, J. D., Swiersz, L. M., Zell, B., Small, R., & Ettinger, B. (1997). Does dong quai have estrogenic effects in postmenopausal women? A double-blind, placebo-controlled trial. Fertility and Sterility, 68, 981-986.
28.
Im, E. O. (1994). An analytical study of the relationship between menopausal symptoms and the stress of life events. Journal of Korea Community Health Nursing Academic Society, 8(2), 1-34.
29.
Im, E. O. (1997). Neglecting and ignoring menopause within a gendered multiple transitional context: Korean immigrant women. Unpublished doctoral dissertation, University of California, San Francisco.
30.
Im, E. O., Meleis, A. I., & Lee, K. A. (1999). Symptom experience during menopausal transition: Low income Korean immigrant women. Women and Health, 29(2), 53-67.
31.
Im, E. O., Meleis, A. I., & Park, Y. S. (1999). A feminist critique of research on menopausal experience of Korean women. Research in Nursing and Health, 22, 410-420.
32.
Ismael, N. N. (1994). A study on the menopause in Malaysia. Maturitas, 19, 205-209.
33.
Kim, E. (1993). The making of the modern female gender: The politics of gender in reproductive practices in Korea. Unpublished doctoral dissertation. University of California, San Francisco.
34.
Kollock, P., & Smith, M. A. (1999). Communities in cyberspace. In M. A. Smith & K. Peter (Eds.), Communities in cyberspace (pp. 3-28). London: Routledge.
35.
Laferrere, B., Zhu, S., Clarkson, J. R., Yoshioka, M. R., & Krauskopf, K. (2002). Race, menopause, health-related quality of life, and psychological wellbeing in obese women. Obesity Research, 10, 1270-1275.
36.
Lakeman, R. (1997). Using the Internet for data collection in nursing research. Computers in Nursing, 15, 269-275.
37.
Lamberts, S. W. (2002). The endocrinology of aging and the brain. Archives of Neurology, 59, 1709-1711.
38.
Lee, K. A., & Taylor, D. (1996). Is there a generic midlife woman? The health and symptom experience of employed midlife women. Menopause: The Journal of the North American Menopause Society, 3, 154-164.
39.
Lock, M. (1986). Ambiguities of aging: Japanese experience and perceptions of menopause. Culture, Medicine and Psychiatry, 10, 23-46.
40.
Lock, M. (1998). Menopause: Lessons from anthropology. Psychosomatic Medicine, 60(4), 410-419.
41.
Lock, M., Kaufert, P., & Gilbert, P. (1988). Cultural construction of the menopausal syndrome: The Japanese case. Maturitas, 10, 317-332.
42.
Lovejoy, J. C., Champagne, C. M., Smith, S. R., de Jonge, L., & Xie, H. (2001). Ethnic differences in dietary intakes, physical activity, and energy expenditure in middle-aged, premenopausal women: The Healthy Transitions Study. American Journal of Clinical Nutrition, 74, 90-95.
43.
Maartens, L., Knottnerus, J., & Pop, V. (2002). Menopausal transition and increased depressive symptomatology. A community based prospective study. Maturitas, 42, 195.
44.
McCarthy, T. (1994). The prevalence of symptoms in menopausal women in the Far East: Singapore segment. Maturitas, 19, 199-204.
45.
McCrohon, J. A., Woo, K. S., & Celermajer, D. S. (2000). A comparison of endothelial function in Caucasian and Chinese women before and after the menopause. Maturitas, 35, 31-37.
46.
McKinlay, S. M., Brambilla, D. J., & Posner, J. G. (1992). The normal menopause transition. Maturitas, 14, 103-115.
47.
National Institute of Health. (2002). NIH research and other efforts related to the menopausal transition. Bethesda, MD: Author.
48.
Neugarten, B. L., & Kraines, R. J. (1965). Menopausal symptoms in women of various ages. Psychosomatic Medicine, 27, 266-273.
49.
Oddens, B. J. (1994). The climacteric cross-culturally: The International Health Foundation South-East Asia study. Maturitas, 19, 155-156.
50.
Pafumi, C., Ciotta, L., Farina, M., Bosco, P., La Vignera, S., Leonardi, I., et al. (2002). Uterine bleeding pattern during low dosage Noretisterone acetate and 17-b-Estradiol treatment in postmenopausal patients. Minerva Ginecologica (Torino), 54, 513-518.
51.
Parfitt, A. M., Han, Z. H., Palnitkar, S., Rao, D. S., Shih, M. S., & Nelson, D. (1997). Effects of ethnicity and age or menopause on osteoblast function, bone mineralization, and osteoid accumulation in iliac bone. Journal of Bone and Mineral Research, 12, 1864-1873.
52.
Probst-Hensch, N. M., Pike, M. C., McKean-Cowdin, R., Stanczyk, F. Z., Kolonel, L. N., & Henderson, B. E. (2000). Ethnic differences in post-menopausal plasma oestrogen levels: High oestrone levels in Japanese-American women despite low weight. British Journal of Cancer, 82, 1867-1870.
53.
Ramoso-Jalbuena, J. (1994). Climacteric Filipino women: A preliminary survey in the Philippines. Maturitas, 19, 183-190.
54.
Riggs, B. L. (2002). Endocrine causes of age-related bone loss and osteoporosis. Novartis Foundation Symposium, 242, 247-259.
55.
Rosser, S. V. (1994). Women’s health—missing from U.S. medicine. Bloomington: Indiana University Press.
56.
Samil, R. S., & Wishnuwardhani, S. D. (1994). Health of Indonesian women city-dwellers of perimenopausal age. Maturitas, 19, 191-197.
57.
Sampselle, C. M., Harris, V., Harlow, S. D., & Sowers, M. F. (2002). Midlife development and menopause in African American and Caucasian women. Health Care for Women International, 23, 351-363.
58.
Sethi, K., & Pitkin, J. (2000). British-Asian women’s views on and attitudes towards menopause and hormone replacement therapy. Climacteric, 3, 248-253.
59.
Sommer, B., Avis, N., Meyer, P., Ory, M., Madden, T., Kagawa-Singer, M., et al. (1999). Attitudes toward menopause and aging across ethnic/racial groups. Psychosomatic Medicine, 61, 868-875.
60.
Stanton, J. M. (1998). An empirical assessment of data collection using the Internet. Personnel Psychology, 51, 709-725.
61.
Sukwatana, P., Meekhangvan, J., Tamrongterakul, T., Tanapat, Y., Asavarait, S., & Boonjitrpimon, P. (1991). Menopausal symptoms among Thai women in Bangkok. Maturitas, 13, 217-228.
62.
Tang, G. W. K. (1994). The climacteric of Chinese factory workers. Maturitas, 19, 177-182.
63.
Wasti, S., Robinson, S. C., Akhtar, Y., Khan, S., & Badaruddin, N. (1993). Characteristics of menopause in three socioeconomic urban groups in Karachi, Pakistan. Maturitas, 16, 61-69.
64.
Weber, R. P. (1990). Basic content analysis (2nd ed.). Newbury Park, CA: Sage.
65.
Wilbur, J., Miller, A. M., Montgomery, A., & Chandler, P. (1998). Sociodemographic characteristics, biological factors, and symptom reporting in midlife women. Menopause, 5, 43-51.
66.
Wilbush, J. (1985). Surveys of climacteric semeiology in non-Western populations: A critique. Maturitas, 7, 289-296.
67.
World Health Organization. (1998). The world health report, 1998. Geneva, Switzerland: Author.
68.
Yu, M. K., & Chi, S. A. (1986). Jungnyun yosungeui baldalhyunsange dahan taedoyoa gangnyunki jeungsang hoso, jigakdon gungang sangtaiyoaeui goangye bunsuk yongu [An analysis of the relationship between middle-aged women’s attitudes toward middle adulthood developmental changes, their self reported menopausal symptoms and perceived health status]. Chung-Ang Journal of Medicine, 11, 411-427.
