Regional and geographical differences may explain variability in menopausal symptom occurrence due to development of climate-specific thermoneutral zones leading to population-specific hot flash frequencies. Limited information available regarding menopausal symptoms in underserved women living in extreme heat.

Understanding the perception of menopausal symptoms in underserved women living in extreme heat regions to identify if heat impacts perception of menopausal symptoms was the objective of this study. Women in free, low-income, and homeless clinics in Phoenix were surveyed during summer and winter months using a self-administered, written questionnaire including demographic, climate and menopause related questions, including the Green Climacteric Scale (GCS).

A total of 139 predominantly Hispanic (56 %), uninsured (53 %), menopausal (56 %), mid-aged (mean 49.9, SD 10.3) women were surveyed— 36% were homeless or in shelters. Most women were not on menopausal hormone therapy (98 %). Twenty-two percent reported hot flashes and 26% night sweats. Twenty-five percent of women reported previously becoming ill from heat. More women thought season influenced menopausal symptoms during summer than winter (41 % vs. 14 %, p = 0.0009). However, majority of women did not think temperature outside influenced their menopausal symptoms and that did not differ by season (73 % in winter vs. 60% in summer, p=0.1094). No statistically significant differences seen for vasomotor symptoms between winter and summer months.

Regional and geographical differences may be key in understanding the variability in menopausal symptoms. Regardless of season, the menopausal, underserved and homeless women living in Arizona reported few vasomotor symptoms. In the summer, they were more likely to report that the season influenced their menopausal symptoms rather than temperature suggesting an influence of the season on symptom perception.

Appearance ideals are standards of beauty imposed by a culture or society, that are unrealistic and impossible to achieve. Research documents the existence of three appearance ideals, thin, muscular and hourglass ideals. The thin ideal is the pursuit of a very thin and low body weight. The muscular ideal is the pursuit of a toned and fit body. The hourglass ideal is the pursuit of a shapely body with bigger breasts and hips/buttocks than waist. These ideals are associated with disordered eating. However, no current study has examined the prevalence of all three ideals, or how the combination of ideals relates to dietary restraint, one example of a disordered eating behavior. This study was conducted on 505 undergraduate women at Arizona State University, who were completing research credit for a psychology course. The women participated in an online survey that assessed their demographics, each ideal, and dietary restraint. Results show that all combinations of ideals exist. Specifically, 41.5% of the sample endorse high levels of all three ideals, while 12.5% report thin and muscular ideals, 9.5% report thin and hourglass ideals, 9.9% report hourglass and muscular ideals, 8.4% report low levels of all three ideals, 6.4% report muscular ideal only, 6.4% report hourglass ideal only, and 5.6% report thin ideal only. Endorsing more than one ideal significantly associated with dietary restraint. Findings fulfill an important gap in the literature, suggest future directions for research, and have important clinical implications.

Mayer-Rokitansky-Küster-Hauser (MRKH) is a rare Disorder of Sexual Development (DSD) that results in the lack of a uterus and vagina in women. Receiving this diagnosis during adolescence can cause various forms of psychological distress in patients and families.<br/>Specifically, this condition could affect a women’s gender identity, body image, romantic relationships, family relationships, and psychological wellbeing. Parents are also put in a stressful<br/>position as they now have to navigate the healthcare system, disclosure, and the relationship with their child. This study aims to expand the knowledge of psychosocial adjustment by studying body<br/>image, gender identity, and mental health in individuals living with MRKH as well as parental disclosure, parental support systems, and parental perceptions of their child’s mental health.