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Menopause matters: The implications of menopause research for studies of midlife health

Abstract Menopause is an important health transition for women, but health-related research has largely failed to account for menopause in a meaningful way, especially when making group comparisons. Age often stands in for menopausal status; at times, it is treated as a dichotomy; however, these are clearly oversimplifications. Menopause is a process that takes place over several years, and varies in onset, length, and expression through symptoms. Defining menopause dichotomously or linking it with age obscures variability in women’s experiences and overlooks patterns in physical health, mental health, and quality of life. This paper reviews research to highlight menopausal differences by age, race, and life-style factors in the United States. It suggests ways to incorporate a life course-based view of menopause in health research, improving our understanding of women’s health outcomes on multiple dimensions.