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印度女性过早绝经的患病率及决定因素:未来的问题与挑战

Prevalence and Determinants of Premature Menopause among Indian Women: Issues and Challenges Ahead.

作者信息

Jungari Suresh Banayya, Chauhan Bal Govind

机构信息

Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Gandeshkhind, Pune, Maharashtra 411007, India. International Institute for Population Sciences, Mumbai, Maharashtra, India.

出版信息

Health Soc Work. 2017 May 1;42(2):79-86. doi: 10.1093/hsw/hlx010.

DOI:10.1093/hsw/hlx010
PMID:28340231
Abstract

Premature menopause refers to the occurrence of menopause in women less than 40 years of age. This heterogeneous disorder affects 1 percent and 0.1 percent of women less than 40 and 30 years of age, respectively. The study reported in this article attempts to understand the prevalence and determinants of premature menopause among Indian women by studying the effects of various socioeconomic indicators, such as age, education, wealth index, rural-urban settlement, work status, religion, and caste, on women. The study analyzed the National Family Health Survey-3, which is equivalent to the Demographic Health Survey in India. Bivariate and logistic regression analyses were performed to tease out the determinants of premature menopause. Results indicate that the percentage of premature menopause is very high (5.5 percent) among Indian women. Among Indian states, Andhra Pradesh women have the highest percentage of premature menopause (14.6 percent). Smoking and the nutritional status of women are strongly associated with early menopause. Furthermore, women living in rural areas and using tobacco are at a greater risk of premature menopause.

摘要

过早绝经是指40岁以下女性出现绝经的情况。这种异质性疾病分别影响40岁以下和30岁以下女性的比例为1%和0.1%。本文所报道的研究试图通过研究年龄、教育程度、财富指数、城乡居住地、工作状况、宗教和种姓等各种社会经济指标对印度女性的影响,来了解过早绝经在印度女性中的患病率及其决定因素。该研究分析了与印度人口健康调查相当的第三次全国家庭健康调查。进行了双变量和逻辑回归分析以梳理过早绝经的决定因素。结果表明,印度女性中过早绝经的比例非常高(5.5%)。在印度各邦中,安得拉邦女性过早绝经的比例最高(14.6%)。吸烟和女性的营养状况与过早绝经密切相关。此外,生活在农村地区且吸烟的女性过早绝经的风险更大。

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