Sievert, Lynnette
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Professor, Department of Anthropology
Last Name
Sievert
First Name
Lynnette
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Anthropology
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Introduction
As a biological anthropologist I focus on age at menopause and symptom experience at midlife as two aspects of human variation. I am also interested in the evolution of menopause and post-reproductive aging as a human trait. Fieldwork on the topic of menopause has taken me from western Massachusetts to Mexico, Slovenia, Paraguay, Hawaii, London, and Bangladesh.
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Publication Reassurance from Seattle(2008-01) Sievert, LLPublication Ethnic and menopausal status differences in symptom reports: The Hilo Women's Health Study.(2007-01) Brown, DE; Goodloe, A; Rabach, NJM; Reza, AM; Morrison, LA; Sievert, LLPublication Qualitative vs. quantitative assessments of self-reported ovulation in London women.(2005-01) Kennedy, K; Dubois, C; McGarrigle, H; Sievert, LL; Bentley, GRPublication The use of skin conductance and body diagrams to study hot flash patterns in Puebla, Mexico.(2005-01) Sievert, LL; Zarain, JPublication Attitudes toward menopause in relation to symptom experience in Puebla, Mexico(2008-01) Sievert, Lynnette Leidy; Espinosa-Hernandez, GracielaObjective: To examine how attitudes toward menopause were associated with symptom frequencies after controlling for menopause status and level of education. Methods: Women aged 28–70 (n = 755) were interviewed from May, 1999 through August, 2000 in the city of Puebla, Mexico. Over 90% of the sample were aged 40–60. Participants were asked to select from a set of dichotomies to describe “how a woman feels during menopause.” Symptom frequencies were assessed by a checklist of everyday complaints experienced during the two weeks before interview. Symptom presence or absence was examined in relation to attitudes while controlling for menopause status and level of education using binary logistic regression analyses. Results: The majority of respondents said that a menopausal woman feels “insecure” and “unattractive” yet “complete,” “necessary,” and “successful.” Pre-menopausal women and respondents who had undergone a hysterectomy were more likely to express negative attitudes. Post-menopausal women and women with fewer years of education were significantly more likely to report symptoms such as hot flashes, joint aches, and nervous tension. A range of negative attitudes were associated with nervous tension, feeling blue, and head aches; however, only a few negative attitudes were significantly predictive of estrogen-related symptoms (e.g., hot flashes). Conclusions: There is a high value placed on both external appearance and familial responsibility among menopausal women in Puebla, Mexico, and negative characterizations of menopause reflect these values. Negative attitudes were associated with more frequently reported symptoms compared with positive attitudes. The challenge remains to separate factors related to the hormonal changes of menopause from those not associated with hormonal changes to better understand symptom experience.Publication Sources of information and HRT prescribing practices among gynecologists in Puebla, Mexico(2003-01) Mueller, KA; Sanchez, GJZ; Sievert, LLPublication Menopause as a measure of population health: An overview(2001-01) Sievert, Lynnette LeidyPublication Validating signals of ovulation: Do women who think they know, really know?(2005-01) Sievert, LL; Dubois, CAPublication Marital status and age at natural menopause: Considering pheromonal influence(2001-01) Sievert, Lynnette Leidy; Waddle, Diane; Canali, KristophorMarried women generally report a later mean age at menopause. The results reported here, from a study carried out in Greene County, New York, are no exception. Married and widowed women report a later mean age at natural menopause compared to single and divorced women (P < 0.05). To better understand the relationship between marital status and age at menopause, possible mechanistic and confounding variables are examined, in particular parity, sexual activity, smoking habits, level of education, and income. Parity and income 10 years prior to interview are significant factors, along with marital status, that explain part of the variation in age at natural menopause. An alternative explanation is the pheromonal influence of a male in the household. This would explain the consistency of results across populations. This pilot study supports further biochemical investigation.Publication Vasomotor symptoms among Japanese-American and European-American women living in Hilo, Hawaii(2007-01) Sievert, LL; Morrison, L; Brown, DE; Reza, AM