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更年期血管舒缩症状与自我评估的工作能力差有关。

Menopausal vasomotor symptoms are associated with poor self-assessed work ability.

作者信息

Gartoulla Pragya, Bell Robin J, Worsley Roisin, Davis Susan R

机构信息

Women's Health Research Program, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria 3004, Australia.

Women's Health Research Program, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria 3004, Australia.

出版信息

Maturitas. 2016 May;87:33-9. doi: 10.1016/j.maturitas.2016.02.003. Epub 2016 Feb 8.

Abstract

OBJECTIVES

It has been hypothesised that vasomotor symptoms (VMS), the hallmark of menopause, may affect women's workplace performance. The aim of this study was to investigate the association between VMS and self-reported work ability, taking into account socio-demographic characteristics. Study design/Main Outcome measures: A national cross-sectional survey of women, aged 40-65 years, was conducted between October 2013 and March 2014. Participants provided socio-demographic and lifestyle factors and completed the Menopause Specific Quality of Life Questionnaire (MENQOL) and the Work Ability Index (WAI).

RESULTS

Of 2020 women who comprised the study sample, 1274 were in paid employment and 1263 completed the WAI. The WAI score was good-excellent for 81.5% of women and poor-moderate for 18.5%. After adjustment for socio-demographic characteristics, having any VMS was associated with greater likelihood of poor-moderate work ability [odds ratio (OR)=2.45, 95% CI 1.69-3.54]. Poorer work ability was significantly and independently associated with being un-partnered, obese or overweight, smoking, being carer and having insecure housing finance, but not with age.

CONCLUSIONS

Overall, most women functioned well at work. We observed an association suggesting a relationship not only between menopausal VMS and personal wellbeing, but also between VMS and self-assessed work ability. Although 4 in 5 women functioned well at work, recognition of the association with VMS may improve wellbeing and work performance of working women at midlife.

摘要

目的

有假设认为血管舒缩症状(VMS)作为绝经的标志,可能会影响女性的职场表现。本研究的目的是在考虑社会人口学特征的情况下,调查VMS与自我报告的工作能力之间的关联。研究设计/主要结局指标:在2013年10月至2014年3月期间,对40 - 65岁的女性进行了一项全国性横断面调查。参与者提供了社会人口学和生活方式因素,并完成了绝经特异性生活质量问卷(MENQOL)和工作能力指数(WAI)。

结果

在构成研究样本的2020名女性中,1274人有带薪工作,1263人完成了WAI。81.5%的女性WAI得分良好 - 优秀,18.5%的女性得分较差 - 中等。在对社会人口学特征进行调整后,出现任何VMS与较差 - 中等工作能力的可能性增加相关[比值比(OR)=2.45,95%置信区间1.69 - 3.54]。较差的工作能力与未婚、肥胖或超重、吸烟、担任照顾者以及住房财务不安全显著且独立相关,但与年龄无关。

结论

总体而言,大多数女性在工作中表现良好。我们观察到一种关联,表明不仅绝经后的VMS与个人幸福之间存在关系,而且VMS与自我评估的工作能力之间也存在关系。尽管五分之四的女性在工作中表现良好,但认识到与VMS的关联可能会改善中年职业女性的幸福感和工作表现。

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