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Survey study, 2011

Does being more exposed to American culture raise the risk of PMDD in ethnic minority women?

Yes, women born in the US, those who immigrated at a young age, and those who had lived longer in the US were more likely to have had PMDD, but this is based on a one-time survey so cause and effect cannot be proven.

Early or limited evidence 3856 premenopausal Asian, Latina, and Black women living in the US.

What they did

Researchers analyzed survey data from 3856 English-speaking, premenopausal Asian, Latina, and Black women in the US, drawn from two national surveys. They compared PMDD rates against measures of acculturation: whether born in the US, age at immigration, and length of time living in the US.

What they found

Lifetime PMDD prevalence was 3.3%. Foreign-born women were less likely to have PMDD than US-born women (OR=0.38, 95% CI 0.21-0.68), and immigrants who arrived after age six were less likely than those who arrived before age six (OR=0.33, 95% CI 0.18-0.62). The likelihood of PMDD increased the longer a woman had lived in the US.

What it means for you

More exposure to American culture was linked to a higher chance of PMDD in these women, possibly due to stresses tied to minority life such as discrimination or pressure to assimilate. The PMDD diagnosis was provisional and based on people recalling past symptoms, and because the study only looked at one point in time, it cannot prove that culture causes PMDD.

3.3%

Lifetime PMDD prevalence

OR=0.38

Odds ratio for foreign-born women

OR=0.33

Odds ratio for immigrating after age six

About the study

Original title
Exposure to American culture is associated with premenstrual dysphoric disorder among ethnic minority women
Authors
Pilver CE, Kasl S, Desai R et al.
Journal
Journal of affective disorders
Year
2011
Study design
Survey study
What was tested
None, acculturation was studied as an exposure, not a treatment.
Open access
Yes

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