Husna Al Asmaul, Mustafa Munmun, Prue Ely, Jahan Afsana, Rahman Nur-A-Safrina, Samiha Maisha, Tabassum Tahsin Tasneem, Shaude Syed E
Department of Community Medicine, Pabna Medical College, Pabna, BGD.
Department of Community Medicine, Bangladesh Medical College, Dhaka, BGD.
Cureus. 2024 Apr 20;16(4):e58647. doi: 10.7759/cureus.58647. eCollection 2024 Apr.
Menopause is a well-known risk factor for decreasing cognitive function in women. Postmenopausal women are increasing in number but relevant studies are very scarce. This study compared the cognitive function between urban and rural postmenopausal women and assessed the influence of socio-demographic factors on cognitive function.
The aim of the study was to assess the association between the cognitive function of urban and rural postmenopausal women.
This comparative cross-sectional study was conducted among 87 urban and 87 rural postmenopausal women who were selected by purposive sampling method from the Nakhalpara and Dhamrai area of Dhaka district during the period from January to December 2020. Data were collected with a semi-structured questionnaire based on the Bengali version of the Mini-Mental State Examination (MMSE) scale through face-to-face interviews and record reviewing with a checklist. Statistical analyses of the results were obtained using Microsoft Excel (Microsoft Corporation, Redmond, WA) and SPSS version 24 (IBM Corp., Armonk, NY).
The mean age of postmenopausal women was 58.09 ± 8.163 years in urban areas and 60.00 ± 7.562 years in rural areas. The majority (31, 35.6%) of urban women were primary school pass whereas 58 (66.7%) rural women were illiterate. The mean family income of the women was 43022.99 ± 10992.57 Bangladeshi taka (BDT) in the urban group and 14022.99 ± 5023.14 BDT in the rural group. The study revealed that 31 (35.6%) women in the urban group and 53 (60.9%) women in the rural group had abnormal cognitive function.
The percentage of abnormal cognitive function was higher in rural postmenopausal women. Cognitive function has an association with monthly family income, housing condition, family type, age at the time of marriage, lifestyle, and co-morbidities. Policymakers can take the findings as a guide to formulate policies and programs for the improvement of cognitive function of postmenopausal women.
绝经是女性认知功能下降的一个众所周知的风险因素。绝经后女性的数量在不断增加，但相关研究却非常稀少。本研究比较了城乡绝经后女性的认知功能，并评估了社会人口学因素对认知功能的影响。
本研究的目的是评估城乡绝经后女性认知功能之间的关联。
本比较性横断面研究于2020年1月至12月期间，通过目的抽样法从达卡区的纳哈尔帕拉和达姆拉伊地区选取了87名城市绝经后女性和87名农村绝经后女性。通过面对面访谈和使用清单进行记录审查，以基于孟加拉语版简易精神状态检查表（MMSE）量表的半结构化问卷收集数据。使用Microsoft Excel（微软公司，华盛顿州雷德蒙德）和SPSS 24版（IBM公司，纽约州阿蒙克）对结果进行统计分析。
城市绝经后女性的平均年龄为58.09±8.163岁,农村为60.00±7.562岁。城市女性中大多数（31人，35.6%）小学毕业，而农村女性中有58人（66.7%）为文盲。城市组女性的家庭平均收入为43022.99±10992.57孟加拉塔卡（BDT），农村组为14022.99±5023.14孟加拉塔卡。研究显示城市组中有31名（35.6%）女性和农村组中有53名（60.9%）女性认知功能异常。
农村绝经后女性认知功能异常的比例更高。认知功能与家庭月收入、住房条件、家庭类型、结婚年龄、生活方式和合并症有关。政策制定者可以将这些研究结果作为制定政策和计划的指南，以改善绝经后女性的认知功能。
