Survey-based exploration of menopause transition experiences of female staff employed in UK ambulance services (CESSATION Phase 2).

Abstract

Introduction: Often women will experience the menopause and its associated symptoms during their working lives, and there is now an increased focus on improving menopause support offerings in the workplace. The main aim of this study was to explore the menopause transition experiences of ambulance staff and identify workplace interventions that may offer improved support to menopausal staff within the ambulance sector.

Methods: A purpose-designed, online survey was disseminated to UK ambulance services for voluntary completion between December 2021 and February 2022. Topics that were covered included participant age and role, menopause transition phase, symptoms experienced and their severity, expectation and effect of symptoms, work pattern, need for work leave and policy awareness. An opportunity for additional menopause-related comments was included. Quantitative data analysis was performed using descriptive and exploratory statistics; qualitative data were analysed using content analysis.

Results: A convenience sample of 1896 survey responses was obtained; the majority of participants self-reported to be in the menopause transition. Pre- and peri-menopausal participants were more likely to undertake shift-based work; menopausal and post-menopausal participants were more prevalent in office-based roles. Shift-working participants reported more severe tiredness or low energy levels, hot flushes, night sweats and gastric problems; office-working staff reported more severe issues with vaginal health, weight, skin changes and oral health. There were significant associations between role type, severity of symptom impact and need for leave from work. Recommended areas for organisational improvement to support menopausal women in the ambulance workplace are alternative work opportunities, menopause education and training, appropriate menopause policies and guidance, expert resources and support and access to improved physical work environments.

Conclusion: Women can experience menopausal symptoms that impact their working lives; their work role and setting can influence their menopause experiences. Workplace interventions for improved menopause awareness, support and staff well-being are warranted.