OBJECTIVE:To review evidence of cultural differences in both biologic and nonbiologic factors as possible explanations for variation across cultures in self-reported vasomotor symptoms from surveys. DESIGN:Literature review and cross-sectional and longitudinal comparisons of ethnic groups with respect to patterns of symptom reporting from the Study of Women's Health Across the Nation (SWAN). RESULTS:The evidence to date indicates that cultural differences in vasomotor symptom reporting on surveys reflect both differences in the underlying biology, which ar likely to influence vasomotor symptom occurrence, and differences in nonbiologic sociocultural factors such as attitudes toward menopause, which are likely to be related to vasomotor symptom perception and reporting, CONCLUSIONS:It is important to consider interactions of culture and biology in studies of vasomotor symptoms. Recommendations for future studies include using both open- and closed-ended questions, including measurements of objective indicators such as reproductive hormone concentrations, measuring both culturally related biologic and nonbiologic factors related to vasomotor symptom occurrence or reporting, and using the same general study protocol for multiple cultural groups being compared.

译文

目的:回顾生物学和非生物学因素中文化差异的证据,作为调查中自我报告的血管舒缩症状中不同文化差异的可能解释。
设计:根据《全国妇女健康研究》(SWAN),就症状报告模式对族裔群体进行文献综述以及横断面和纵向比较。
结果:迄今为止的证据表明,调查中报告的血管舒缩症状的文化差异既反映了可能影响血管舒缩症状发生的基础生物学差异,也反映了非生物社会文化因素(例如对更年期的态度)的差异。与血管舒缩症状的感知和报告有关,
结论:在研究血管舒缩症状时,考虑文化与生物学的相互作用非常重要。对未来研究的建议包括使用开放式和封闭式问题,包括测量客观指标(例如生殖激素浓度),测量与血管舒缩症状发生或报告相关的与文化相关的生物学和非生物学因素,以及使用相同的通用研究方案比较了多个文化群体。

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