Kulkarni Praveen, Savitha Rani B B, Kumar D Sunil, Manjunath Renuka
Department of Community Medicine, JSS Medical College, JSS University, Mysore, Karnataka, India.
J Midlife Health. 2016 Apr-Jun;7(2):83-7. doi: 10.4103/0976-7800.185329.
Demographic and epidemiological transitions have increased the life expectancy of people in India. This has resulted in higher burden of morbidities related to aging. The National Health programmes have focused mainly on the health of women in reproductive age groups and neglected their health thereafter. Thus, there is a need to explore the bio-social correlates of menopausal symptoms among women, which can influence their quality of life.
This cross-sectional community-based study was conducted in the urban slum of Mysore for 3 months. A total of 100 postmenopausal women in the age group of 40-65 years residing in the field practice area of Urban Health Training Centre were selected by simple random sampling method from the database of households. Details regarding socio-demographic characteristics, postmenopausal symptoms, and factors associated with them were collected in a pretested structured pro forma by interview technique.
Among 100 women included in the present study, mean age at menarche and menopause was 13.45 ± 1.72 and 46.7 ± 5.2 years, respectively. The most common postmenopausal symptom was joint pain (92%) followed by physical and mental exhaustion (84%), depression (76%), irritability (73%), hot flushes, and night sweats (65%). There was a significant positive correlation between age of the women, duration of life after menopause, and postmenopausal symptoms.
There is a high burden of postmenopausal symptoms which have shown an increasing trend with advancement of age. This calls for establishment of specific health interventions for postmenopausal women in the health-care settings.
人口结构和流行病学转变提高了印度人民的预期寿命。这导致了与衰老相关的发病率负担加重。国家卫生计划主要关注育龄妇女的健康,而此后忽视了她们的健康。因此,有必要探索女性绝经症状的生物社会关联因素,这些因素会影响她们的生活质量。
这项基于社区的横断面研究在迈索尔的城市贫民窟进行了3个月。通过简单随机抽样方法,从城市健康培训中心现场实践区域的家庭数据库中选取了100名年龄在40 - 65岁的绝经后妇女。通过访谈技术,在预先测试的结构化表格中收集了有关社会人口学特征、绝经后症状及其相关因素的详细信息。
在本研究纳入的100名女性中,初潮和绝经的平均年龄分别为13.45±1.72岁和46.7±5.2岁。最常见的绝经后症状是关节疼痛(92%),其次是身心疲惫(84%)、抑郁(76%)、易怒(73%)、潮热和盗汗(65%)。女性年龄、绝经后生活时长与绝经后症状之间存在显著正相关。
绝经后症状负担较高,且随着年龄增长呈上升趋势。这就要求在医疗保健环境中为绝经后妇女建立特定干预措施。