Health Status and Health Care Utilization by Menopausal Women

  • Sonja M. McKinlay
  • John B. McKinlay


According to the popular view and many experts, the menopause, or so-called “change of life, ” is thought to represent a major cultural, psychological, and physiological milestone for women during the middle years. It signifies the end of reproduction in societies such as the United States, where sexuality and reproduction are considered evidence of personal success and fulfillment. It is a prominent biological marker for an aging process in cultures that extol youth-fulness. The menopause is even perceived as a major negative life event of the same magnitude as, for example, job loss or loss of a spouse. Consequently, it is thought to be accompanied by increases in morbidity and health care utilization, commensurate with the increases observed for such other negative life events.


Menopausal Status Health Care Utilization Menopausal Woman Household Composition Perimenopausal Woman 
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  1. Anderson, R., and Anderson, O. W., 1979, Trends in the use of health services, in: Handbook of Medical Sociology (H. E. Freeman, S. Levine, and L. G. Reeder, eds.), Prentice Hall, En-glewood Cliffs, pp. 371–391.Google Scholar
  2. Berkman, L. F., and Syme, S. L., 1979, Social networks, host resistance and mortality: A nine-year follow-up study of Alameda County residents, Am. J. Epidemiol. 109:186–204.PubMedGoogle Scholar
  3. Broadhead, W. E., and Kaplan, B. H, 1983, The epidemiologic evidence for a relationship between social support and health, Am. J. Epidemiol. 117:521–537.PubMedGoogle Scholar
  4. Chapman, S., 1979, Advertising and psychotropic drugs: The place of myth in ideological production, Soc. Sci. Med. 13A:751–764.Google Scholar
  5. Cochran, W. G., 1954, Some methods for strengthening the common χ2 tests, Biometrics 10:417–451.CrossRefGoogle Scholar
  6. Flint, M. P., 1975, The menopause: Reward or punishment, Psychosomatics 16:161–163.PubMedGoogle Scholar
  7. Greene, J. G., 1976, A factor analytic study of climacteric symptoms, J. Psychosom. Res. 20:425–430.PubMedCrossRefGoogle Scholar
  8. Greenblatt, R., 1974, The Menopausal Syndrome, Medcom Press, New York.Google Scholar
  9. Hallstrom, J., 1973, Mental Disorders and Sexuality in the Climacteric, Orstadius Boktrgstreu A. B., Goteberg, Sweden.Google Scholar
  10. Haynes, S. G., and Feinleib, M., 1980, Women, work and coronary heart disease: Prospective findings from the Framingham Heart Study, Am. J. Public Health 70:133–141.PubMedCrossRefGoogle Scholar
  11. Haynes, S. G., Eaker, E. D., and Feinleib, M., 1984, The effect of employment, family and job stress on coronary heart disease in women, in: The Changing Risk of Disease in Women: An Epidemiological Approach (E. B. Gold, ed.), Collamore Press, Lexington, pp. 37–48.Google Scholar
  12. Howell, M. C., 1974, What medical schools teach about women, New Engl. J. Med. 291:304–307.PubMedCrossRefGoogle Scholar
  13. Jaszmann, L., VanLith, N. D., and Zaat, J. C. A., 1969, The age at menopause in the Netherlands, Int. J. Fertil. 14:106–117.PubMedGoogle Scholar
  14. Jennings, S., Mazaik, C., and McKinlay, S., 1984, Women and work: an investigation of the association between health and employment status in middle-aged women, Soc. Sci. Med. 19:423–431.PubMedCrossRefGoogle Scholar
  15. Kuller, L. H., Meilahn, E. N., and Costello, E. J., 1984, Relationship of menopause to cardiovascular disease, Behav. Med. Update 5:35–47.Google Scholar
  16. Maddox, G. L., and Douglass, E., 1973, Self-assessment of health: A longitudinal study of elderly subjects, J. Health Soc. Behav. 14:87–93.PubMedCrossRefGoogle Scholar
  17. Magursky, V., Mesko, M., and Sokolik, L., 1975, Age at menopause and onset of the climacteric in women of Martin District, Int. J. Fertil. 20:17–23.PubMedGoogle Scholar
  18. Maoz, B., Antonovsky, A., Apter, A., Wijsenbeek, H., and Datan, N., 1977, The perception of menopause in five ethnic groups in Israel, Acta Obstet. Gynecol. Scand. Suppl. 65:69–76.PubMedCrossRefGoogle Scholar
  19. Maurana, C. A., Eichhorn, R. L., and Lonnquist, L. F., 1981, The use of Health Services: Indices and Correlates, Government Printing Office, Washington, D.C.Google Scholar
  20. McCrea, F., 1983, The politics of menopause: The discovery of a deficiency disease, Soc. Problems 31:111–123.CrossRefGoogle Scholar
  21. McKinlay, J. B., 1973, Social networks, lay consultation and help-seeking behavior, Soc. Forces 51:(3):275.CrossRefGoogle Scholar
  22. McKinlay, J. B., 1981, Social network influence on morbid episodes and help-seeking behavior, in: The Relevance of Social Science for Medicine (L. Eisenberg and A. Kleinman, eds.), D. Reidel Publishing, The Hague, Netherlands, pp. 77–107.CrossRefGoogle Scholar
  23. McKinlay, S. M, and Jefferys, M., 1974, The menopausal syndrome, Br. J. of Prev. Soc. Med. 28:108–115.Google Scholar
  24. McKinlay, S. M., and McKinlay, J. B., 1973, Selected studies of the menopause: A methodological critique, J. Biosoc. Sci. 5:533–555.PubMedCrossRefGoogle Scholar
  25. Mosteller, F., and Tukey, J. W., 1977, Data Analysis and Regression, Addison-Wesley, Reading, Massachusetts.Google Scholar
  26. Neugarten, B. L., and Kraines, R. J., 1965, Menopausal symptoms in women of various ages, Psychosom. Med. 27:266–273.PubMedGoogle Scholar
  27. Prather, J., and Fidell, L., 1975, Sex differences in the content and style of medical advertisements, Soc. Sci. Med. 9:23–26.PubMedCrossRefGoogle Scholar
  28. Reuben, D., 1969, Everything You Always Wanted to Know About Sex, But Were Afraid to Ask, David McKay, New York.Google Scholar
  29. Ruzek, S. B., 1978, The Woman’s Health Movement, Praeger Publishers, New York.Google Scholar
  30. SAS Institute, 1982, The User’s Guide, 1982 Edition, SAS Institute, Raleigh, North Carolina.Google Scholar
  31. Scully, D., and Bart, P., 1973, A funny thing happened on the way to the orifice: Women in gynecology textbooks, Am. J. Sociol. 78:1045–1051.CrossRefGoogle Scholar
  32. Shephard, M., 1966, Psychiatric Illness in General Practice, Oxford University Press, London.Google Scholar
  33. Skegg, D. C., et al., 1977, Use of medicine in general practice, Br. Med. J. 1:1561–1563.PubMedCrossRefGoogle Scholar
  34. Tennstedt, S., 1984, Informal Care of Frail Elders in the Community, Unpublished doctoral dissertation, Boston University, Boston.Google Scholar
  35. Townsend, J. M., and Carbone, C. L., 1980, Menopausal Syndrome: Illness or social role — a transcultural analysis, Culture Med. Psychiatry 4:229–248.CrossRefGoogle Scholar
  36. Treloar, A. E., 1974, Menarche, menopause and intervening fecundabiity, Human Biol. 46:89–107.PubMedGoogle Scholar
  37. Verbrugge, L. M., 1983, Multiple roles and physical health of women and men, J. Health Soc. Behav. 24:16–30.PubMedCrossRefGoogle Scholar
  38. Wilson, R., 1966, Feminine Forever, M. Evans, New York.Google Scholar
  39. Winokur, G., 1973, Depression in the menopause, Am. J. Psychiatry 130:92–93.PubMedGoogle Scholar
  40. U.S. Department of Commerce, Bureau of the Census, 1980, Statistical Abstract of the U.S.: 1980, 101st Edition, Government Printing Office, Washington, D.C.Google Scholar

Copyright information

© Plenum Press, New York 1986

Authors and Affiliations

  • Sonja M. McKinlay
    • 1
    • 2
  • John B. McKinlay
    • 1
    • 2
  1. 1.Cambridge Research CenterAmerican Institutes for ResearchCambridgeUSA
  2. 2.Boston UniversityBostonUSA

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