Evidence map›Paper›PMID 37869541›Full record

ArticlePreventive medicine reports2023

Understanding factors related to healthcare avoidance for menstrual disorders and menopausal symptoms: A cross-sectional study among women in Japan.

Manae Uchibori, Akifumi Eguchi, Cyrus Ghaznavi, Yuta Tanoue, Mami Ueta, Miho Sassa, Shu Suzuki, Sayaka Honda, Yukiko Kawata, Miho Iida and 2 more

Open access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Manae UchiboriDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Akifumi EguchiDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Cyrus GhaznaviDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Yuta TanoueDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Mami UetaDepartment of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Miho SassaDepartment of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shu SuzukiHealth and Global Policy Institute, Tokyo, Japan.
Sayaka HondaHealth and Global Policy Institute, Tokyo, Japan.
Yukiko KawataHealth and Global Policy Institute, Tokyo, Japan.
Miho IidaDepartment of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan.
Haruka SakamotoTokyo Foundation for Policy Research, Tokyo, Japan.
Shuhei NomuraDepartment of Health Policy and Management, School of Medicine, Keio University, Tokyo, Japan.
Keio University · JPHealth and Global Policy Institute · JPThe University of Tokyo · JPChiba University · JPSt. Luke's International Hospital · JPUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study explored the factors associated with healthcare avoidance behavior for menstrual disorders and menopausal symptoms among women in Japan. Using data from a nationally representative cross-sectional online survey conducted in September 2022, responses from 4,950 women aged 25-59 were analyzed. This study applied binomial logistic regression models specifically to participants who reported having ever felt the need to seek healthcare assistance due to health issues related to menstruation and menopause. We computed adjusted odds ratios for key sociodemographic traits, work environment factors, health literacy, menstrual and menopausal symptoms, and attitudes and understanding regarding women's health, associated with healthcare avoidance behavior in the past 12 months. As a sensitivity analysis, a regression was performed limited to those who are working. The results showed that 50.6% of respondents recognized the need for healthcare support for menstrual or menopausal health issues, but 22.8% exhibited healthcare avoidance in the past year. Younger and high-income individuals showed higher avoidance rates. Those with diagnosed gynecological conditions and those perceiving menstrual pain as something to endure also displayed increased avoidance tendencies. Women experiencing significant health effects beyond work and those lacking understanding of the purpose of health check-ups were more prone to healthcare avoidance. Our results underscore the importance of implementing strategically tailored health education initiatives, and re-examining societal attitudes concerning women's health, in order to cultivate enhanced healthcare-seeking behaviors among women.

Indexed as

Healthcare avoidance behaviorHealthcare seeking behaviorMenopausal symptomsMenstrual disordersWomen’s health

Identifiers

PMID37869541
PMCPMC10587707
OpenAlexW4387532018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.