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Menopause Symptoms in Underserved and Homeless Women living in the Extreme Temperatures of Arizona

Description

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.

ContributorsMukarram, Mahnoor (Author) / Hondula, David M. (Thesis director) / Kling, Juliana (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)

Created2018-05

Heat Mitigation Planning and Governance in Increasingly Vulnerable Cities A Case Study of Vienna, Austria

Description

The continued rise of temperatures and extreme heat events globally is contributing to increases in mortality and morbidity in every region of the world. Urban areas are experiencing the combined effects of anthropogenic climate change and the urban heat island effect, exacerbating the risks associated with heat for urban residents. In response, cities must make every effort to adapt, pursuing engagement in high-quality planning processes and implementing robust sets of strategies to mitigate and manage the heat. Cities are shaped by networks of plans, however, the process of systematically evaluating these plans has focused on individual plans or plan types when assessing their quality. This study combines qualitative plan quality evaluation and semi-structured interviews to assess how Vienna’s network of plans addresses heat. Two clear divides emerge when analyzing the plan network; direction-setting principles are included more often than others, and mitigation strategies are more prevalent than management strategies. These results, which are consistent across the broader plan quality evaluation literature, illuminate a clear path for Vienna to continuously improve their planning process and effectively respond to heat.

ContributorsLeyba, Bryan (Author) / Meerow, Sara (Thesis advisor) / Damyanovic, Doris (Committee member) / Hondula, David (Committee member) / Arizona State University (Publisher)

Created2023