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Peer-Reviewed Publication
Climacteric2026;1-8.June 29, 2026Journal Article

Impact of social determinants of health on perimenopause symptom burden: insights from the Flo app.

Yella Hewings-Martin1, Jana Karam2,3, Adam C Cunningham1, Mary S Hedges3, Regina Castaneda2,3, Liudmila Zhaunova1, Stephanie S Faubion2,3, Chrisandra L Shufelt2,3
1Flo Health UK Limited, International House, London, UK.
2Center for Women's Health, Mayo Clinic, Rochester, MN, USA.
3Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.

Abstract

OBJECTIVE: Perimenopause is the time leading up to and including the first 12 months after the final menstrual period. This study examined how social determinants of health (SDOH) including race/ethnicity, income, education and healthcare access influence perimenopause symptom burden. METHOD: A cross-sectional survey was distributed to English, Spanish, Portuguese and French-speaking Flo app user…

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