Sriprasert I, Pantasri T, Piyamongkol W, Suwan A, Chaikittisilpa S, Sturdee D, Gupta P, Hunter M S
a Department of Obstetrics and Gynecology, Faculty of Medicine , Chiang Mai University , Chiang Ma , Thailand.
b Department of Obstetrics and Gynecology, Faculty of Medicine , Chulalongkorn University , Bangkok , Thailand.
Climacteric. 2017 Apr;20(2):171-177. doi: 10.1080/13697137.2017.1284782. Epub 2017 Feb 10.
To examine relationships between location, demographics, lifestyle, beliefs, and experience of hot flushes and night sweats (HFNS) amongst women living in two cities in Thailand.
Cross-sectional study of peri- and postmenopausal women, aged 45-55 years, from Bangkok and Chiang Mai. Participants completed questionnaires (demographics, health, HFNS (prevalence, frequency and problem-rating) and beliefs about menopause). A sub-sample of women from each location was interviewed.
A total of 632 women (320 Bangkok and 312 Chiang Mai) aged 50.88 (standard deviation 3.06) years, took part. The prevalence of HFNS was 65%, average HFNS frequency 8.7 (10.8) per week and problem rating 4.3/10. Women from Chiang Mai had significantly more problematic HFNS, but prevalence and frequency were similar in both sites. Poor general health predicted HFNS prevalence and frequency, while Chiang Mai location, HFNS frequency, age, diet and beliefs about menopause were associated with problematic HFNS. Location remained significant after controlling for education, occupation and age; location was partially explained by beliefs. Qualitative interview responses illustrated the differences in beliefs about menopause between locations.
HFNS reports are prevalent with moderate frequency and problem-ratings in these urban centers in Thailand. The results will be included in the broader International Menopause Society study of Climate, Altitude and Temperature (IMS-CAT) of the impact of climate on HFNS.
研究泰国两个城市女性潮热盗汗（HFNS）的发生部位、人口统计学特征、生活方式、信念与经历之间的关系。
对年龄在45 - 55岁之间、来自曼谷和清迈的围绝经期及绝经后女性进行横断面研究。参与者完成问卷调查（人口统计学特征、健康状况、HFNS（患病率、频率及问题评分）以及对更年期的信念）。对每个地区的部分女性进行访谈。
共有632名年龄为50.88岁（标准差3.06）的女性参与研究，其中320名来自曼谷，312名来自清迈。HFNS的患病率为65%，平均每周发作8.7次（标准差10.8），问题评分为4.3/10。清迈的女性潮热盗汗问题更严重，但两个地区的患病率和发作频率相似。总体健康状况较差预示着HFNS的患病率和发作频率较高，而清迈、HFNS发作频率、年龄、饮食以及对更年期的信念与潮热盗汗问题严重程度相关。在控制教育程度、职业和年龄后，地区因素仍具有显著意义；地区因素部分可由信念因素解释。定性访谈结果表明不同地区对更年期的信念存在差异。
在泰国的这些城市中心，潮热盗汗报告较为普遍，发作频率及问题严重程度中等。研究结果将纳入国际绝经学会关于气候、海拔和温度对潮热盗汗影响的更广泛研究（IMS - CAT）。
