Katainen R E, Engblom J R, Siirtola T J, Erkkola R U, Polo-Kantola P
a Department of Obstetrics and Gynaecology , Turku University Hospital and University of Turku , Turku , Finland.
b Department of Mathematics and Statistics , University of Turku , Turku , Finland.
Climacteric. 2017 Feb;20(1):80-82. doi: 10.1080/13697137.2016.1264935. Epub 2017 Jan 2.
We have previously shown an association between several chronic somatic diseases and climacteric-related symptoms. This time, we investigated whether self-rated health (SRH) contributes to this association.
The Women's Health Questionnaire was used to evaluate the climacteric-related symptoms, and existence of the diseases was investigated in 3421 women (41-54 years). In our previous study, the associations were defined with multivariable analyses. In the present study, SRH (good, moderate or bad) was included as a covariate.
Most of the previously found associations between the diseases and the symptoms lost their significance. Accordingly, SRH played an important role in the association between the diseases and the symptoms related to the climacteric.
SRH seems to be of significant importance regarding the relationship between the chronic somatic diseases and the symptoms related to climacteric. Most of the diseases are not associated with the climacteric-related symptoms if the disease does not deteriorate the SRH. Thus, women's own perception of their health is crucial for their symptomatology.
我们之前已表明几种慢性躯体疾病与更年期相关症状之间存在关联。此次，我们调查了自评健康状况（SRH）是否促成了这种关联。
采用女性健康问卷来评估更年期相关症状，并对3421名年龄在41至54岁的女性的疾病存在情况进行了调查。在我们之前的研究中，通过多变量分析确定了这些关联。在本研究中，将自评健康状况（良好、中等或差）作为协变量纳入。
之前发现的大多数疾病与症状之间的关联失去了显著性。因此，自评健康状况在疾病与更年期相关症状之间的关联中起着重要作用。
自评健康状况对于慢性躯体疾病与更年期相关症状之间的关系似乎具有重要意义。如果疾病没有使自评健康状况恶化，大多数疾病与更年期相关症状无关。因此，女性自身对其健康的认知对其症状表现至关重要。
