Ishimaru T, Okawara M, Tateishi S, Yasui T, Horie S, Fujino Y
Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Disaster Occupational Health Center, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.
Occup Med (Lond). 2023 Oct 20;73(7):404-409. doi: 10.1093/occmed/kqad087.
Menopausal symptoms are common among middle-aged women. Working women with severe menopausal symptoms are more likely to experience presenteeism-a condition where employees continue to work despite feeling unwell. However, it remains unclear as to which specific symptoms women experience during the menopausal transition and postmenopausal periods that primarily contribute to presenteeism.
To evaluate the associations between types of menopausal symptoms and presenteeism among Japanese women.
A cross-sectional study of 4000 women aged 40-59 years who were currently working was conducted in Japan in September 2022. We used an online self-administered questionnaire that included items on demographic characteristics, the Menopause Rating Scale for measuring menopausal symptoms and the Work Functioning Impairment Scale for measuring presenteeism. Logistic regression analysis was performed.
Women with severe overall menopausal symptoms had 12.18-fold (95% confidence interval [CI] 9.09-16.33, P < 0.001) increased odds of presenteeism compared with those without symptoms. Participants with psychological symptoms also had significantly higher presenteeism (severe: odds ratio: 9.18, 95% CI 6.60-12.78, P < 0.001). However, after controlling for psychological symptoms, there were no significant associations between somatic and urogenital symptoms and presenteeism.
The results indicate that menopausal symptoms, especially psychological symptoms, have a significant impact on presenteeism among Japanese women. Organizations need to address menopausal symptoms in the workplace, with an emphasis on reducing work-related stress for women with menopausal symptoms.
更年期症状在中年女性中很常见。有严重更年期症状的职业女性更有可能出现出勤主义——即员工尽管感觉不适仍继续工作的情况。然而，目前尚不清楚女性在更年期过渡和绝经后时期经历的哪些具体症状是导致出勤主义的主要原因。
评估日本女性更年期症状类型与出勤主义之间的关联。
2022年9月在日本对4000名年龄在40 - 59岁且目前在职的女性进行了一项横断面研究。我们使用了一份在线自填问卷，其中包括人口统计学特征、用于测量更年期症状的更年期评分量表以及用于测量出勤主义的工作功能损害量表。进行了逻辑回归分析。
与没有症状的女性相比，有严重总体更年期症状的女性出现出勤主义的几率增加了12.18倍（95%置信区间[CI] 9.09 - 16.33，P < 0.001）。有心理症状的参与者的出勤主义也显著更高（严重：比值比：9.18，95% CI 6.60 - 12.78，P < 0.001）。然而，在控制心理症状后，躯体症状和泌尿生殖系统症状与出勤主义之间没有显著关联。
结果表明，更年期症状，尤其是心理症状，对日本女性的出勤主义有显著影响。各组织需要在工作场所解决更年期症状问题，重点是减轻有更年期症状女性的工作相关压力。
