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Survey study, 2011

Do Black women and white women have different rates of PMDD?

Black women were less likely to have PMDD than white women (2.9% versus 4.4%), even after accounting for smoking, weight, income, depression, and many other factors. The reason for this difference is not yet clear.

Moderate study design 2,590 American women aged 18-40 (1,672 Black, 918 white)

What they did

Researchers analyzed data from 2,590 American women aged 18-40 (1,672 Black women and 918 white women) from national surveys. They used statistical modeling to compare PMDD rates between racial groups while adjusting for many other factors.

What they found

Black women were significantly less likely than white women to experience PMDD (odds ratio 0.44, 95% CI 0.25-0.79). PMDD prevalence was 2.9% in Black women and 4.4% in white women. Black women also had lower rates of premenstrual symptoms (odds ratio 0.64). These differences remained significant after adjusting for marital status, employment, education, smoking, weight, contraceptive use, age, income, mood disorders, and social desirability.

What it means for you

Black women appear to have lower PMDD rates than white women, even after carefully accounting for other health and social factors. This is unusual for a health condition and suggests possible protective factors. The study was rigorous and used national survey data with careful statistical adjustment, but was cross-sectional. Further research is needed to understand what may protect Black women.

2.9%

PMDD prevalence in Black women

4.4%

PMDD prevalence in white women

0.44

Odds ratio comparing Black to white women

About the study

Original title
Health advantage for black women: patterns in pre-menstrual dysphoric disorder
Authors
Pilver CE, Kasl S, Desai R et al.
Journal
Psychological medicine
Year
2011
Study design
Survey study
Participants
1,672
What was tested
Multivariate analysis of PMDD and demographic factors
Open access
Yes

Topics