Gynecology and Obstetrics Department, School of Medical Sciences, State University of Campinas, UNICAMP, Sao Paulo, Brazil.
Menopause. 2018 Apr;25(4):415-422. doi: 10.1097/GME.0000000000001022.
To determine the factors associated with the intensity of climacteric somatovegetative, psychological, and urogenital symptoms among middle-aged women in the Metropolitan Region of Campinas, Brazil.
A cross-sectional population-based household survey was conducted with 749 women aged 45 to 60 years. The dependent variable was the intensity of menopausal symptoms assessed using the Menopause Rating Scale. The independent variables were sociodemographic data, health-related habits and problems, self-perception of health, and gynecological background.
The mean age of the women was 52.5 ± 4.4 years, and the mean age at onset of menopause was 46.5 ± 5.8 years. The intensity of menopausal symptoms was defined using the subscale scores of the median Menopause Rating Scale. Poisson multiple regression for somatovegetative, psychological, and urogenital symptoms showed several associated factors of each subscale, though some factors were common. Factors associated with moderate to severe climacteric symptoms in all the subscales of the Menopause Rating Scale were self-perception of health as "fair"/"poor"/"very poor" (P < 0.01), depression/anxiety (P < 0.01), and osteoarticular diseases (P < 0.01).
The severity of climacteric symptoms in the different Menopause Rating Scale domains was related to a broad set of factors. Each Menopause Rating Scale subscale had its own set of factors, but some were common. Presence of chronic diseases, depression or anxiety, and worst self-perception of health were highlighted. A better understanding of these factors may help to not only reduce the effect of climacteric symptoms on the quality of life of middle-aged women, but also identify groups of women who need multidisciplinary health care.
确定与巴西坎皮纳斯大都市区中年女性更年期躯体-植物神经、心理和泌尿生殖症状严重程度相关的因素。
采用横断面人群为基础的家庭调查方法，对 749 名年龄在 45 至 60 岁的女性进行调查。因变量是使用绝经评定量表评估的更年期症状严重程度。自变量为社会人口统计学数据、与健康相关的习惯和问题、自我健康感知和妇科背景。
女性的平均年龄为 52.5±4.4 岁，绝经年龄的平均年龄为 46.5±5.8 岁。采用中位数绝经评定量表的子量表评分来定义更年期症状的严重程度。躯体-植物神经、心理和泌尿生殖症状的泊松多项回归分析显示，每个子量表都有一些相关因素，但有些因素是共同的。与所有绝经评定量表子量表的中度至重度更年期症状相关的因素是自我健康感知为“一般”/“差”/“非常差”（P＜0.01）、抑郁/焦虑（P＜0.01）和骨关节炎疾病（P＜0.01）。
绝经评定量表不同领域的更年期症状严重程度与广泛的因素有关。每个绝经评定量表子量表都有其自身的一套因素，但有些是共同的。存在慢性疾病、抑郁或焦虑以及自我健康感知最差等因素突出。更好地了解这些因素不仅有助于减轻更年期症状对中年女性生活质量的影响，而且有助于确定需要多学科保健的女性群体。
