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The association between recent abuse and menopausal symptom bother: results from the Data Registry on Experiences of Aging, Menopause, and Sexuality (DREAMS)

Vegunta, Suneela MD, FACP, NCMP; Kuhle, Carol DO; Kling, Juliana M. MD; Files, Julia A. MD; Kapoor, Ekta MBBS; David, Paru S. MD; Rullo, Jordan PhD, LP; Sood, Richa MD; Thielen, Jacqueline M. MD; Jatoi, Aminah MD; Schroeder, Darrell R. MSc; Faubion, Stephanie S. MD

doi: 10.1097/GME.0000000000000578
Original Articles
Editorial

Objective: The aim of the study was to determine whether there is an association between current menopausal symptom bother and a history of abuse (physical, sexual, or emotional/verbal) in the last year.

Methods: A cross-sectional survey was completed using the Data Registry on Experiences of Aging, Menopause, and Sexuality and the Menopause Health Questionnaire. Data from the Menopause Health Questionnaire were collected from 4,956 women seen consecutively for menopause consultation in the Women's Health Clinic at Mayo Clinic (Rochester, MN) from January 1, 2006 through October 7, 2014. Data from 3,740 women were included in the analysis. Menopausal symptom ratings were compared between women reporting a history of abuse (physical, sexual, or emotional/verbal) in the last year and those not using a two-sample t test. Analysis of covariance was used to assess whether abuse was associated with menopausal symptom bother after adjusting for baseline participant characteristics.

Results: Of the 3,740 women, 253 (6.8%) reported experiencing one or more forms of abuse in the last year, the majority (96%) of which was verbal/emotional abuse. Those reporting abuse in the last year had higher (P < 0.001) mean total menopausal symptom bother scores. Consistent findings were obtained from multivariable analyses adjusting for all demographic and substance use characteristics.

Conclusions: In the present study from the Data Registry on Experiences of Aging, Menopause, and Sexuality, menopausal symptom bother scores were directly associated with recent self-reported abuse.

1Women's Health Internal Medicine, Mayo Clinic, Scottsdale, AZ

2Women's Health Clinic, Division of General Internal Medicine, Mayo Clinic, Rochester, MN

3Division of Medical Oncology, Department of Oncology, Mayo Clinic, Rochester, MN

4Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN.

Address correspondence to: Suneela Vegunta, MD, FACP, NCMP, Women's Health Internal Medicine, Mayo Clinic, 13737 N. 92nd Street, Scottsdale, AZ 85260. E-mail: vegunta.suneela@mayo.edu

Received 17 August, 2015

Revised 14 October, 2015

Accepted 14 October, 2015

Funding/support: None reported.

Financial disclosure/conflicts of interest: None reported.

© 2016 by The North American Menopause Society.