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Objectives: This cross-sectional study investigated menopause status in relation to hand grip strength, standing balance, and rapid foot tapping. A secondary aim was to examine the relationship between physical performance andurban/rural residence with a focus on habitual daily tasks. Methods: Maya and non-Maya women (40–60 years) were drawn from urbanand rural sites in Campeche, Mexico (n=543). Demographic, reproductive, and lifestyle information was collected in face-to-face interviews along with anthropometric and physical function measures. Linear regression was used to evaluate menopause status in relation to strength, balance, and foot tappingspeed while adjusting for residence, ethnicity, and other variables. Results: Hand grip strength was 22.5, 21.6, and 20.0 kg in pre-, peri-, and post-menopausal women, respectively, but menopause status was not significantly related to grip strength in models adjusted for age. Grip strength was negatively associated with age and socioeconomic index, and positively associated with height and weight, self-reported health, and hours/week spent grindingcorn/making tortillas. Postural stability was 9.4, 6.9, and 5.6 s across meno-pause categories; and menopause status remained significant in adjustedmodels. The number of foot taps in 10 s was 35.7, 33.4, and 33.9 taps in pre-,peri-, and postmenopausal women. Parity was negatively associated with foottapping in adjusted models. Conclusions: While age is a key predictor of physical function in women aged 40–60 years, menopausal status appears to have additional influences on postural control beyond age alone. Hours spent grinding corn/making tortillas were significantly associated with grip strength among rural women. Inglés