Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women

ObjectiveThis study explores the differences in menopausal symptoms, illness conception, and health-seeking behaviors among Mosuo, Yi, and Han women in China, analyzes the key factors behind these differences, and conducts a longitudinal comparison.MethodsThis study collected data from Mosuo, Yi, an...

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Main Authors: Limin Gao, Jinyi Wang, Ying Zhang, Xudong Zhao, Haojie Fu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1496889/full
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author Limin Gao
Limin Gao
Jinyi Wang
Ying Zhang
Xudong Zhao
Xudong Zhao
Haojie Fu
Haojie Fu
author_facet Limin Gao
Limin Gao
Jinyi Wang
Ying Zhang
Xudong Zhao
Xudong Zhao
Haojie Fu
Haojie Fu
author_sort Limin Gao
collection DOAJ
description ObjectiveThis study explores the differences in menopausal symptoms, illness conception, and health-seeking behaviors among Mosuo, Yi, and Han women in China, analyzes the key factors behind these differences, and conducts a longitudinal comparison.MethodsThis study collected data from Mosuo, Yi, and Han women in Yongning Township, Ninglang County, Yunnan Province, through a questionnaire survey. The instruments included the Kupperman Menopause Index (KMI), Depression-Anxiety-Stress Scale (DASS), Self-Rating Scale of Illness Conception and Health Seeking Behavior (SSICHSB) and General Self-Efficacy Scale (GSES). First, descriptive statistical analysis was conducted on the demographic characteristics and various indicators of the sample. Chi-square tests and one-way ANOVA were used to examine the differences in KMI and SSICHSB among the different ethnic groups. The KMI was used to assess menopausal symptoms, and multiple linear regression analysis was employed to identify the main factors influencing menopausal symptoms. A longitudinal comparison of data from 2012 and 2020 was performed to analyze the dynamic changes in KMI and SSICHSB of Mosuo and Han women.ResultsThe regression analysis identified stress, anxiety, and dysmenorrhea experience as risk factors, while self-efficacy served as a protective factor influencing menopausal symptoms. Both the menopausal symptoms and the scores for concerns and fears about illness among Mosuo women significantly decreased in 2020 compared to 2012 (p = 0.040, p = 0.010).ConclusionThe results provide an important basis for the development of culturally sensitive health interventions. Future public health strategies should consider cultural, social, and physiological factors to provide more effective health support and interventions for women from different ethnic groups.
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spelling doaj-art-c068b0d984254c03b45b59edd5c6562f2025-08-20T02:41:20ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-03-011610.3389/fpsyt.2025.14968891496889Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han womenLimin Gao0Limin Gao1Jinyi Wang2Ying Zhang3Xudong Zhao4Xudong Zhao5Haojie Fu6Haojie Fu7Clinical Research Center for Mental Disorders, Chinese-German Institute of Mental Health, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, ChinaClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, Tongji University, Shanghai, ChinaMental Health Education Center, Sichuan University, Chengdu, Sichuan, ChinaDepartment of General Internal Medicine and Psychosomatics, Medical Hospital, University of Heidelberg, Heidelberg, GermanyClinical Research Center for Mental Disorders, Chinese-German Institute of Mental Health, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, ChinaClinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, Tongji University, Shanghai, ChinaShanghai Research Institute for Intelligent Autonomous Systems, Tongji University, Shanghai, ChinaShanghai Institute of Intelligent Science and Technology. Tongji University, Shanghai, ChinaObjectiveThis study explores the differences in menopausal symptoms, illness conception, and health-seeking behaviors among Mosuo, Yi, and Han women in China, analyzes the key factors behind these differences, and conducts a longitudinal comparison.MethodsThis study collected data from Mosuo, Yi, and Han women in Yongning Township, Ninglang County, Yunnan Province, through a questionnaire survey. The instruments included the Kupperman Menopause Index (KMI), Depression-Anxiety-Stress Scale (DASS), Self-Rating Scale of Illness Conception and Health Seeking Behavior (SSICHSB) and General Self-Efficacy Scale (GSES). First, descriptive statistical analysis was conducted on the demographic characteristics and various indicators of the sample. Chi-square tests and one-way ANOVA were used to examine the differences in KMI and SSICHSB among the different ethnic groups. The KMI was used to assess menopausal symptoms, and multiple linear regression analysis was employed to identify the main factors influencing menopausal symptoms. A longitudinal comparison of data from 2012 and 2020 was performed to analyze the dynamic changes in KMI and SSICHSB of Mosuo and Han women.ResultsThe regression analysis identified stress, anxiety, and dysmenorrhea experience as risk factors, while self-efficacy served as a protective factor influencing menopausal symptoms. Both the menopausal symptoms and the scores for concerns and fears about illness among Mosuo women significantly decreased in 2020 compared to 2012 (p = 0.040, p = 0.010).ConclusionThe results provide an important basis for the development of culturally sensitive health interventions. Future public health strategies should consider cultural, social, and physiological factors to provide more effective health support and interventions for women from different ethnic groups.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1496889/fullmenopausal symptomshealth beliefsillness conceptionMosuolongitudinal comparison
spellingShingle Limin Gao
Limin Gao
Jinyi Wang
Ying Zhang
Xudong Zhao
Xudong Zhao
Haojie Fu
Haojie Fu
Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women
Frontiers in Psychiatry
menopausal symptoms
health beliefs
illness conception
Mosuo
longitudinal comparison
title Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women
title_full Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women
title_fullStr Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women
title_full_unstemmed Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women
title_short Psychological and cultural correlates of illness conception and menopausal symptoms: a cross-sectional and longitudinal comparative study of Mosuo, Yi, and Han women
title_sort psychological and cultural correlates of illness conception and menopausal symptoms a cross sectional and longitudinal comparative study of mosuo yi and han women
topic menopausal symptoms
health beliefs
illness conception
Mosuo
longitudinal comparison
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1496889/full
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