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Evidence base used to inform and develop MIPO

Below is a range of published resources used to inform the design, development and delivery of MIPO.


Ariyoshi, H. (2009). Evaluation of menopausal interventions at a Japanese company, AAOHN Journal, 57(3): 106-111.

Bariola, E., Jack, G., Pitts, M., Riach, K., & Sarrel, P. (2017). Employment conditions and work-related stressors are associated with menopausal symptom reporting among perimenopausal and postmenopausal women. Menopause. 24(3): 247-251.


BOHRF - British Occupational Health Research Foundation (2010) Work and the Menopause: A Guide for Managers.


Brewis, J., Beck, V., Davies, A., & Matheson, J. (2017) The effects of menopause transition on women’s economic participation in the UK. Research report prepared for the UK Department of Education. July, 2017.


Brown, N. (2012) Dismissal without taking account of menopause symptoms – discriminatory and unfair.


Burton, W.N., Pransky, G., Conti D.J., Chen, C.Y., & Edington, D.W. (2004). The association of medical conditions and presenteeism. Journal of Occupational and Environmental Medicine. 46(6): S38-S45.


Cassou, B., Derriennic, F., Monfort, C., Dell’Accio, P., & Touranchet, A. (1997). Risk factors of early menopause in two generations of gainfully employed French women. Maturitas. 26(3): 165-174.


DiBonaventura, M.D., Wagner, J-S., Alvir, J., & Whiteley, J., (2012). Depression, quality of life, work productivity, resource use, and costs among women experiencing menopause and hot flashes: A cross-sectional study. Prim Care Companion CNS Disord, 14(6). DOI: 10.488/PCC.12m01410.


Evolahti, A., Hultcrantz, M., & Collins, A. (2009). Psychosocial work environment and lifestyle as related to lipid profiles in perimenopausal women. Climacteric. 12: 131-145.


Faculty of Occupational Medicine of the Royal College of Physicians (2016) Guidance on menopause and the workplace.

Fenton, A., & Panay, N. (2014) Menopause and the workplace. Climacteric. 17:34.


Fleming, L.E., Levis, S., LeBlanc, W.G., Dietz, N.A., Arheart, K.L., Wilkinson, J.D., Clark, J., Serdar, B., Davila, E.P., & Lee, D.J. (2008). Earlier age at menopause, work, and tobacco smoke exposure. Menopause. 15(6): 1103-1108.


Gartoulla, P., Bell, R.J., Worsley, R., & Davies, S.R. (2016) Menopausal vasomotor symptoms are associated with poor self-assessed work ability. Maturitas. 87: 33-39.


Geukes, M., van Aalst, M.P., Nauta, M.C.E., & Oosterhof, H. (2012). The impact of menopausal symptoms on work ability. Menopause. 19(3): 278-282.


Geukes, M., van Aalst, M.P., Robroek, S.J.W., Laven, J.S.E., & Oosterhof, H. (2016) The impact of menopause on work ability in women with severe menopausal symptoms. Maturitas. 90: 3-8.


Geukes, M., Anema, J.R., van Aalst, M.P., & de Menezes, R.X., & Oosterhof, H. (2019) Improvement of menopausal symptoms and the impact on work ability: A retrospective cohort pilot study. Maturitas. 120: 23-28.


Goldman, N. (2010). Managing the menopause in the workplace environment. Occupational Health. 62(5): p. 13.


Griffiths, A., Cox, S., Griffiths, R., & Wong, V. (2006). Women police officers: ageing, work & health – a research report on the experience of ageing at work, with particular reference to the menopause, and its impact on the well-being of women police officers aged 40+. Gravesend: British Association of Women in Policing.


Griffiths, A., MacLennan, S.J., & Hassard, J. (2013). Menopause and work: An electronic survey of employees’ attitudes in the UK. Maturitas. 76(2): 155-159.


Griffiths, A., Ceausu, I., Depypere, H., Lambrinoudaki, I., Mueck, A., Perez-Lopez, F.R., van der Schouw, Y.T., Senturk, L.M., Simoncini, T., Stevenson, J.C., Stute, P., & Rees, M. (2016) EMAS recommendations for conditions in the workplace for menopausal women Maturitas. 85: 79-81.


Griffiths, A. & Hunter, M.S. (2014). Psychosocial factors and the menopause: the impact of the menopause on personal and working life. Annual Report of the Chief Medical Officer, UK. 109-119.


Hammam, R.A., Abbas, R.A., & Hunter, M.S. (2012). Menopause and work – the experience of middle-aged female teaching staff in an Egyptian governmental faculty of medicine. Maturitas. 71(3): 294-300.


Hardy, C., Griffiths, A., & Hunter, M.S. (2017a) What are workplaces and key stakeholders being advised to do about menopause at work? A review of guidance in the UK. Maturitas. 100: 132-133.


Hardy, C., Griffiths, A., & Hunter, M.S. (2017b) What do working menopausal women want? A qualitative investigation into women’s perspectives on employer and line manager support. Maturitas. 101: 37-41.


Hardy, C., Hunter, M.S., & Griffiths, A. (2018) Menopause and work: an overview of UK guidance. Occupational Medicine. 68: 580-586.

Hardy, C., Griffiths, A., & Hunter, M.S. (2019) Development and evaluation of online menopause awareness training for line managers in UK organizations. Maturitas. 120: 83-89.


Hardy, C., Griffiths, A., & Hunter, M.S. (2019) Tackling the taboo: talking menopause-related problems at work. International Journal of Workplace Health Management. 12(1): 28-38.


Harlow, S.D. (1986). Function and dysfunction: A historical critique of the literature on menstruation and work. Health Care for Women International. 7(1-2): 39-50.


Hickey, M., Riach, K., Kachouie, R., & Jack, G. (2017). No sweat: managing menopausal symptoms at work. Journal of Psychosomatic Obstetrics & Gynecology. 38(3): 202-209.


High, R.V., & Marcellino, P.A. (1994). Menopausal women and the work environment. Social Behavior & Personality. 22(4): 347-354.

Hunter, M., Battersby, R., & Whitehead, M.I. (1986). Relationships between psychological symptoms, somatic complaints and menopausal status. Maturitas. 8: 217-228.


Hunter, M.S., Hardy, C., Norton, S., & Griffiths, A. (2016) Study protocol of a multicentre randomised controlled trial of self-help cognitive behaviour therapy for working women with menopausal symptoms (MENOS@Work). Maturitas. 92: 186-192.


Huseth-Zosel, A., Strand, M., & Perry, J. (2014). Socioeconomic differences in the menopausal experience of Chinese women. Post Reprod Health. 20(3): 98-103.


Jack, G., Riach, K., & Bariola, E. (2019). Temporality and gendered agency: Menopausal subjectivities in women’s work. Human Relations. 72(1): 122-143.


Jack, G., Riach, K., Bariola, E., Pitts, M., Schapper, J., & Sarrel, P. (2016). Menopause in the workplace: what employers should be doing. Maturitas. 85: 88-95.


Jennings, S., Mazaik, C., & McKinlay, S. (1984). Women and work: An investigation of the association between health and employment status in middle-aged women. Social Science & Medicine. 19(4): 423-431.


Kakkar, V., Kaur, D., Chopra, K., Kaur, A., & Kaur, I.P. (2007). Assessment of the variation in menopausal symptoms with age, education and working/non-working status in north-Indian sub population using menopause rating scale (MRS). Maturitas. 57: 306-314.

Kelloway, E.K., Teed, M., & Kelley, E. (2008) The psychosocial environment: towards an agenda for research. International Journal of Workplace Health Management. 1(1): 50-64.


Kittell, L.A., Mansfield, P.K., & Voda, A.M. (1998). Keeping up appearances: the basic social process of the menopausal transition. Qualitative Health Research. 8(5): 618-633.


Kleinman, N.L., Rohrbacker, N.J., Bushmakin, A.G., Whiteley, J., Lynch, W.D., & Shah, S.N. (2013). Direct and indirect costs of women diagnosed with menopause symptoms. J Occup Environ Med. 55(4): 465-470.


Kopenhager, T. & Guidozzi, F. (2015) Working women and the menopause. Climacteric. 18(3): 372-375.


Lawlor, D.A., Ebrahim, S., & Smith, G.D. (2003). The association of socio-economic position across the life course and age at menopause: the British Women’s Heart and Health Study. BJOG: an International Journal of Obstetrics and Gynaecology. 110: 1078-1087.


Matsuzaki, K., Uemura, H., & Yasui, T. (2014) Association of menopausal symptoms with job-related stress factors in Japan. Maturitas. 79: 77-85.


Matsuzaki, K., Uemura, H., & Yasui, T. (2016) Differences in coping with menopausal symptoms in nurses and general workers in Japan. Maturitas. 86: 45-52.


Mishra, G. & Kuh, D. (2006). Perceived change in quality of life during the menopause. Social Science & Medicine. 62(1): 93-102.

Moaz, B., Antonovsky, A., Apter, A., Datan, N., Hochberg, J., & Salomon, Y. (1978). The effect of outside work on the menopausal woman. Maturitas. 1(1): 43-53.

Mishra, G.D., & Kuh, D. (2012) Health symptoms during midlife in relation to menopausal transition: British prospective cohort study. British Medical Journal (Clinical research edition). 344 :doi: 10.1136/bmj.e402.


Morris, M.E., & Symonds, A. (2004). ‘We’ve been trained to put up with it’: real women and the menopause. Critical Public Health. 14(3): 311-323.


Mvundura, M. (2007). Menopause Transition and Labor Market Outcomes. Dissertation, Georgia State University.


Northern Ireland Public Service Alliance (NIPSA) (2018) Guidance on Menopause and the Workplace.


National Union of Teachers (NUT; UK) (2014). Valuing Women: Teachers Working Through the Menopause.


Netz, Y., Zach, S., Dennerstein, L., & Guthrie, J.R. (2005). The menopausal transition: does it induce women’s worries about aging? Climacteric. 8(4): 333-341.


Ogurlu, N., Kucuk, M., & Aksu, H. (2011). Influence of employment status on menopausal symptoms. Int J Gynaecol Obstet. 112(3): 204-207.


Paul, J. (2003). Health and Safety and The Menopause: Working through the Change. London: Trades Union Congress [TUC]. [Subsequently developed into a guide by the TUC in 2011, called “Supporting women through the menopause: Guide for union representatives on dealing with issues around the menopause”.


Reynolds, F. (1999). Distress and coping with hot flushes at work: implications for counsellors in occupational settings. Counselling Psychology Quarterly. 12(4): 353-361.


Royal College of Nursing (UK) (2017) Menopause: RCN guidance for nurses, midwives and health visitors.


Royal College of Nursing (UK) (2016) The Menopause and Work: Guidance for RCN Representatives.


Rutanen, R., Nygard, C-H, Moilanen, J., Mikkola, T., Raitanen, J., Tomas, E., & Luoto, R. (2014). Effect of physical exercise on work ability and daily strain in symptomatic menopausal women: A randomized controlled trial. Work. 47: 281-286.


Salazar, A., & Paravic, T. (2005). Job performance and climacteric in female workers. Revista Médica de Chile. 133(3): 315-322.


Sarac, F., Oztekin, K., & Celebi, G. (2011). Early menopause association with employment, smoking, divorced marital status and low leptin levels. Gynecol Endocrinol. 27(4): 273-278.


Sarrel, P., Rousseau, M., Mazure, C. & Glazer, W. (1991). Ovarian steroids and the capacity to function at home and in the workplace. Annals New York Academy of Sciences. 592(1): 156-161.


Sarrel, P., Portman, D., Lefebvre, P., Lafeuille, M-H., Grittner, A.M., Fortier, J., Gravel, J., Duh, M.S., & Aupperle, P.M. (2015). Incremental direct and indirect costs of untreated vasomotor symptoms. Menopause. 22(3): 260-266.


Sasser, A.C., Rousculp, M.D., Birnbaum, H.G., Oster, E.F., Lufkin, E., & Mallet, D. (2005). Economic burden of osteoporosis, breast cancer, and cardiovascular disease among postmenopausal women in an employed population. Women’s Health Issues. 15: 97-108.


Simon, J.A., & Reape, K.Z. (2009). Understanding the menopausal experiences of professional women. Menopause. 16(1): 73-76.

Tang, G.W. (1994). The climacteric of Chinese factory workers. Maturitas. 19(3): 177-182.


UNISON (UK) (2011) The menopause and work: A guide for UNISON safety reps.


Union of Shop, Distributive and Allied Workers (Usdaw; UK) (2016) Women’s Equality Women’s Health – The Menopause.


Utian, W.H. (2005). Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: a comprehensive review. Health Qual Life Outcomes. 3: 47.


Venn, K., & Trowse, J. (2018) Everyone Matters Guide to Menopause. Network Rail Menopause Project.


Vilija, M., & Abdonas, T. (2010). Menopause and myocardial infarction risk among employed women in relation to work and family psychosocial factors in Lithuania. Maturitas. 66: 94-98.


Wales TUC Cymru (2017) The menopause: A workplace issue. A report of the Wales TUC survey investigating the menopause in the workplace.

Whiteley, J., DiBonaventura, M., Wagner, J-S., Alvir, J., & Shah, S. (2013a). The impact of menopausal symptoms on quality of life, productivity, and economic outcomes. Journal of Women’s Health. 22(11): 983-990.


Whiteley, J., Wagner, J.S., Bushmakin, A., Kopenhafer, L., DiBonaventura, M., & Racketa, J. (2013b) The impact of the severity of vasomotor symptoms on health status, resource use, and productivity. Menopause. 20(5): 518-524.

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