Mehta, Alisha; (2025) Menopause in the Workplace: Exploring Ethnicity in Context. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

This thesis explores the psychological impact of the menopause transition (MT) and the influence of ethnicity on menopause experiences in the workplace. Part One presents a systematic review and meta-analysis assessing the risk of anxiety across pre-, peri-, and post-menopausal stages. Drawing on global data from over 26,000 women, the findings reveal significantly elevated anxiety risk during peri- and post-menopause compared to pre-menopause. Part Two is an empirical study investigating how ethnicity intersects with menopause symptoms, workplace disclosure, and perceived career impact among 424 women working in UK-based organisations. The study highlights distinct patterns between ethnic groups, but also demonstrates the influence of other demographic, health and workplace factors on outcomes. These findings underscore the importance of using intersectional frameworks in menopause research. Part Three offers a critical appraisal of the research process and findings. It reflects on methodological limitations, the importance of culturally responsive approaches, and implications for clinical practice, workplace policy, and further academic inquiry. Together, the three parts provide a comprehensive, biopsychosocial account of menopause, advancing understanding of psychological symptoms and diverse workplace experiences during the MT.

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