Reviewer’s report
Title: 
Factors influencing Healthy Menopause among Immigrant Women: A
Scoping Review
Version: 
2 
Date: 
07 Mar 2021
Reviewer's report:
This is a comprehensive review of the menopausal transition specifically in
immigrant women. It is a complex situation, but the authors did a very good
analysis in demonstrating factors that may affect menopause among immigrant
women. There is no clear quality method in the evaluation of scoping review
currently. Therefore, several aspects regarding the method used, results or
conclusions drawn need to be addressed more clearly.
1. In the section of introduction, the authors wrote the following: "The review
strives to examine both menopausal and migration transitions concurrently
through a holistic lens. Both macro and micro factors will be discussed and
examined...", "A multi-level approach to studying…". Please define more
specifically how exactly the "scooping" method used in the analysis. What
would be the term "holistic lens" mean in correlation with macro and micro
factors examined? In addition, what would be a multi-level approach used in the
current review. 
2. The word "holistically" has been mentioned throughout the review. The
following phases have been shown in the section of Conclusion: "Thus, it is
necessary to understand this transition holistically." and "It is important that
interventions addressing the menopausal transition for immigrant women are
holistically." Were them same meaning? 
3. Three categories: (a) personal factors, (b) familial factors, and (c) community
and societal factors were grouped to studying the impact of menopausal
transition for immigrant women in the current study. Although these factors in
each categories may have significant impact as identified in this review, how
about the interaction or correlation of them as the major impact of menopause
transition in immigrant women. 
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