A JAMA Cardiology study of over 10,000 women finds premature menopause raises lifetime coronary heart disease risk by 40 percent, with Black women three times more likely to be affected.
STAT News led with the racial disparity — Black women three times more likely to experience premature menopause; the NYT framed it as 40 percent more heart attacks.
Cardiologists and women's health advocates are calling the study overdue proof that menopause belongs in heart risk screening, not just reproductive health conversations.
Women who enter natural menopause before age 40 face roughly 40 percent higher lifetime risk of coronary heart disease. That is the finding of a cohort study published Tuesday in JAMA Cardiology, drawing on data from more than 10,000 women tracked over decades. [1]
The disparity is worse than the headline. Black women are three times more likely than white women to experience premature menopause — and faced a 41 percent increase in lifetime heart risk compared to 39 percent for white women. [2] The researchers, led by a team at Northwestern University, controlled for traditional cardiovascular risk factors. Premature menopause was an independent predictor. [3]
This matters because menopause has historically been siloed as a reproductive health issue, not a cardiac one. Cardiologists do not routinely ask when a patient's periods stopped. The study argues they should. STAT News noted the finding arrives as scientists still cannot fully explain why early estrogen loss accelerates arterial damage. [4] The mechanism is unclear. The math is not.
-- PRIYA SHARMA, Mumbai