Wang Jinyi, Lin Yezhe, Gao Limin, Li Xingjun, He Chunhua, Ran Maosheng, Zhao Xudong
School of Humanities, Tongji University, Shanghai, China.
Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine, Tongji University, Shanghai, China.
Front Psychol. 2022 Jun 10;13:763596. doi: 10.3389/fpsyg.2022.763596. eCollection 2022.
Although previous studies showed that women's menopause-related symptoms varied in different ethnic groups and countries, and were affected by specific social and cultural factors, few studies have been conducted to explore menopause-related symptoms and its influencing factors in middle-aged women among ethnic groups in China. This study aimed to explore the characteristics of menopause-related symptoms and its influencing factors among Mosuo, Yi, and Han women in Yongning area of Yunnan province, China. A cross-cultural design by snowball sampling method was used to recruit 208 women aged 40-60 from Yongning Township, Ninglang County, Yunnan province, China. The 11-item Menopause Rating Scale (MRS) was used to assess menopause-related symptoms. Compared with Yi and Han women, Mosuo women were accorded the highest family status. Multiple linear regression analyses showed that ethnicity, age, family support, and family decision-making patterns were associated with the severity of menopause-related symptoms. Yi and Han women had more severe menopause-related symptoms than Mosuo women. Among the three groups, women living in "female-dominated" and "co-deliberated" households had significantly lower scores of menopause-related symptoms than those in "male-dominated" households. This study indicates that menopause-related symptoms vary among middle-aged women in different ethnic groups. A higher level of female status in the family and family support may be protective factors of menopause-related symptoms in middle-aged women.
尽管先前的研究表明，女性与更年期相关的症状在不同种族群体和国家中存在差异，并受到特定社会和文化因素的影响，但在中国各民族中年女性中，很少有研究探讨与更年期相关的症状及其影响因素。本研究旨在探讨中国云南省永宁地区摩梭族、彝族和汉族女性与更年期相关症状的特征及其影响因素。采用雪球抽样法进行跨文化设计，从中国云南省宁蒗县永宁乡招募了208名年龄在40-60岁之间的女性。使用11项更年期评定量表（MRS）评估与更年期相关的症状。与彝族和汉族女性相比，摩梭族女性的家庭地位最高。多元线性回归分析表明，种族、年龄、家庭支持和家庭决策模式与更年期相关症状的严重程度有关。彝族和汉族女性的更年期相关症状比摩梭族女性更严重。在这三组中，生活在“女性主导”和“共同商议”家庭中的女性，其更年期相关症状得分显著低于生活在“男性主导”家庭中的女性。本研究表明，不同民族中年女性的更年期相关症状存在差异。家庭中较高的女性地位和家庭支持可能是中年女性更年期相关症状的保护因素。
