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印度更年期的患病率、趋势及决定因素:1992 - 1993年至2005 - 2006年全国家庭健康调查

Prevalence, trends, and determinants of menopause in India: NFHS 1992-93 to NFHS 2005-06.

作者信息

Mozumdar Arupendra, Agrawal Praween K

机构信息

Reproductive Health Program, Population Council, New Delhi, India.

出版信息

Am J Hum Biol. 2015 May-Jun;27(3):421-5. doi: 10.1002/ajhb.22648. Epub 2014 Oct 28.

DOI:10.1002/ajhb.22648
PMID:25348677
Abstract

OBJECTIVES

The purpose of this study was to estimate the prevalence of menopause in three rounds of the National Family Health Survey (NFHS), determine correlates of menopause, and estimate the age of start of menopause in Indian women.

METHODS

Three rounds of NFHS data collected during 1992-93, 1998-99, and 2005-06 were analyzed. The NFHS was carried out using a uniform sample design all over the country. Age adjusted complex sample analyses, multivariate logistic regression, and probit analysis were carried out.

RESULTS

The prevalence of menopause (natural and surgical) remained similar from 1992-93 to 2005-06 among Indian women. A higher prevalence and earlier onset of menopause was associated with farming, no education, belonging to a scheduled caste or scheduled tribe, underweight, higher parity, and motherhood before 16 years of age. The age of the start of menopause did not increase much from the first to third round of NFHS.

CONCLUSIONS

Women of poor socio-economic status have an earlier age at menopause and may be unable to utilize their full reproductive potential.

摘要

目的

本研究旨在评估三轮全国家庭健康调查(NFHS)中更年期的患病率,确定更年期的相关因素,并估算印度女性的绝经起始年龄。

方法

对1992 - 93年、1998 - 99年和2005 - 06年收集的三轮NFHS数据进行分析。NFHS在全国采用统一的样本设计进行。进行了年龄调整后的复杂样本分析、多变量逻辑回归分析和概率分析。

结果

1992 - 93年至2005 - 06年期间,印度女性中更年期(自然绝经和手术绝经)的患病率保持相似。更年期患病率较高且起始较早与从事农业、未接受教育、属于在册种姓或在册部落、体重过轻、生育次数较多以及16岁之前生育有关。从NFHS的第一轮到第三轮,绝经起始年龄没有太大增加。

结论

社会经济地位较差的女性绝经年龄较早,可能无法充分发挥其生殖潜力。

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