(121) Redefining the Menopause Experience: The Role of Social Determinants of Health in Symptom Burden, Access, and Equity

Introduction Menopause is a universal biological transition, yet experiences vary widely due to social determinants of health (SDOH) the conditions in which individuals are born, live, work, and age. While biological changes are well described, less attention has been paid to the ways economic, social, and cultural factors shape symptom burden, access to care, and long-term outcomes. Objective To examine how SDOH influence menopause experiences, highlight disparities across populations, and propose strategies to promote inclusive, equitable care. Methods A narrative review of peer-reviewed studies (2018–2024) and public health frameworks (WHO, CDC, Healthy People 2030) was conducted. Findings were synthesized across five SDOH domains using health equity and life course perspectives. Results Economic Stability: Women with limited income or high occupational strain report greater symptom burden and reduced access to treatment. Education & Health Literacy: Gaps in menopause knowledge and culturally relevant resources delay care and perpetuate stigma. Healthcare Access & Quality: Insurance limitations, provider bias, and racial/ethnic disparities in prescribing hormone therapy persist; transgender and non-binary patients face additional barriers. Neighborhood/Built Environment: Food insecurity, unsafe housing, and limited green space contribute to chronic disease risk and symptom severity. Social & Community Context: Caregiving stress, social isolation, and structural racism amplify symptoms, consistent with the weathering hypothesis. Across populations, including women of color, immigrants, and LGBTQ+ individuals menopause is both a biological and social experience. Conclusions Addressing SDOH in midlife health care is essential for equity. Clinicians should integrate culturally informed and trauma-aware approaches, screen for SDOH, and collaborate across disciplines. Research must include diverse populations, and policies should reduce systemic barriers such as workplace protections and insurance coverage. Reframing menopause through an equity lens promotes healthier aging for all. Disclosure No.