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.

The thesis, titled Identifying Emerging Technologies and Techniques to Assess Indoor Environmental Quality and its Impact on Occupant Health, consists of an in-depth literature review outlining the various impacts of building factors on inhabitant health. Approximately 120 studies analyzing how environmental factors influence occupant health were reviewed and 25 were used to build this literature review. The thesis provides insight into the definitions of well-being, health, and the built environment and analyzes the relationship between the three. This complex relationship has been at the forefront of academic research in recent years, especially given the impact of the COVID-19 pandemic. Essentially, an individual’s health and well-being is encompassed by their physical, mental, and social state of being. Due to the increasing amount of time spent in indoor environments the built environment influences these measures of health and well-being through various environmental factors (Indoor Air Quality, humidity, temperature, lighting, acoustics, ergonomics) defining the overall Indoor Environmental Quality. This thesis reviewed the mentioned intervention and experimental studies conducted to determine how fluctuations in environmental factors influence reported health results of occupants in the short and long term. Questionnaires, interviews, medical tests, physical measurements, and sensors were used to track occupant health measures. Sensors are also used to record environmental factor levels and are now beginning to be incorporated into the building production process to promote occupant health in healthy and smart buildings. The goal is ultimately to develop these smart and healthy buildings using study results and advancing technologies and techniques as outlined in the thesis.