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Comparison of the Menopause and Midlife Transition between Japanese American and European American Women
Authors:Marjorie Kagawa-Singer  Katherine Wu  Yuko Kawanishi  Gail A Greendale  Sue Kim  Shelley R Adler  Nancy Wongvipat
Institution:School of Public Health and Asian American Studies, University of California, Los Angeles;Metropolitan West Asset Management;Temple University, Tokyo;Division of Geriatrics, School of Medicine, University of California, Los Angeles;School of Nursing, University of California, Los Angeles;Division of Medical Anthropology, University of California, San Francisco;AIDS Project Los Angeles
Abstract:Cross-cultural differences in the meaning and experience of the universal biologic phenomenon of the menopause have been well documented. Very few studies, however, have focused on the response to the midlife transition among ethnic minority women in the United States, and even fewer exist about Asian American women. This exploratory study compared the perceptions and experiences of the midlife transition among Japanese American and European American women. The midlife transition was viewed as a time of self-assurance, maturity, and taking comfort and satisfaction in oneself. Biologically, it was a marker of mortality. Similar to menses, marriage, and motherhood, menopause was viewed as the final identity transformation, but interpreted quite differently by the two ethnic groups. The findings of this study support the cross-cultural theories that emphasize the interaction of biology, society, age, gender, and acculturation in this universal female experience and suggest additional expansion of these theories to incorporate lifestyle choices that may affect the actual health consequences of female aging. menopause, midlife transition, Japanese American women, ethnicity]
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