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一项评估印度北方邦埃塔瓦农村围绝经期和绝经后妇女生活质量的横断面研究。

A Cross-Sectional Study to Assess the Quality of Life of Perimenopausal and Post menopausal Women in Rural Etawah, Uttar Pradesh, India.

作者信息

Mathew Debora J, Kumar Sandip, Jain Pankaj Kumar, Shukla Sushil Kumar, Ali Nawazish, Singh Deepali Raj

机构信息

Department of Community Medicine, U.P. University of Medical Sciences, Etawah, Uttar Pradesh, India.

出版信息

J Midlife Health. 2020 Jul-Sep;11(3):161-167. doi: 10.4103/jmh.JMH_88_19. Epub 2020 Sep 29.

DOI:10.4103/jmh.JMH_88_19
PMID:33384540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7718933/
Abstract

BACKGROUND

Perimenopause is the period in a woman's life during which she passes from the reproductive to the nonreproductive stage. According to the 2008 estimates, the number of menopausal women in India was 43 million. Projected values in 2026 depict the menopausal population at 103 million. Due to the increasing life expectancy, improved quality of life is imperative to decrease the disability and frailty of a society.

OBJECTIVES

To study the quality of life of perimenopausal women in rural areas of Etawah district, Uttar Pradesh, and the various factors associated with it.

MATERIALS AND METHODS

This is a community-based cross-sectional study conducted in 4 villages in the Saifai block of Etawah district, Uttar Pradesh, India. One hundred and ninety-nine healthy, perimenopausal women of the age group 45-55 years were included in the study. Data were collected on sociodemographic variables, and Menopause Specific Quality of Life Questionnaire - Intervention version questionnaire was used to assess the quality of life.

RESULTS

The mean age of attainment of menopause was 45.38 ± 3.58 years. Majority of the women experienced physical (100%) and psychosocial (94.5%) symptoms; the most common symptom being "decrease in physical strength" (86.4%) and being able to "accomplish less than previously" (80.4%). Women who handled stress poorly showed severe vasomotor ( = 0.047) and psychosocial ( = 0.014) symptoms. Postmenopausal women who regularly exercised were 52.6% less likely to have vasomotor symptoms (odd's ratio OR 0.474 (0.235-0.960), = 0.038).

CONCLUSION

The quality of life among the study population was affected by the physical and psychosocial problems they experienced. By taking appropriate preventive measures, these can be ameliorated, and further deterioration can be checked.

摘要

背景

围绝经期是女性从生殖阶段过渡到非生殖阶段的时期。根据2008年的估计,印度绝经女性人数为4300万。2026年的预测值显示绝经人口将达1.03亿。由于预期寿命增加,提高生活质量对于减少社会的残疾和虚弱状况至关重要。

目的

研究印度北方邦埃塔瓦区农村围绝经期女性的生活质量及其相关的各种因素。

材料与方法

这是一项基于社区的横断面研究,在印度北方邦埃塔瓦区赛法伊街区的4个村庄进行。199名年龄在45 - 55岁的健康围绝经期女性纳入研究。收集社会人口统计学变量数据,并使用《绝经特异性生活质量问卷 - 干预版》问卷评估生活质量。

结果

绝经的平均年龄为45.38 ± 3.58岁。大多数女性经历了身体症状(100%)和心理社会症状(94.5%);最常见的症状是“体力下降”(86.4%)和“完成的事情比以前少”(80.4%)。应对压力能力差的女性出现严重血管舒缩症状(P = 0.047)和心理社会症状(P = 0.014)。经常锻炼的绝经后女性出现血管舒缩症状的可能性降低52.6%(比值比OR 0.474(0.235 - 0.960),P = 0.038)。

结论

研究人群的生活质量受到她们所经历的身体和心理社会问题的影响。通过采取适当的预防措施,可以改善这些问题,并遏制进一步恶化。

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