Groeneveld F P, Bareman F P, Barentsen R, Dokter H J, Drogendijk A C, Hoes A W
Department of General Practice, Erasmus University Medical School, Rotterdam, The Netherlands.
Maturitas. 1993 Sep;17(2):77-88. doi: 10.1016/0378-5122(93)90003-z.
This study aims to answer the following questions: (i) what is the attitude of women in the climacteric years towards menopause, (ii) what is the association between attitude towards menopause and well-being and (iii) to what extent is medical attention determined by both well-being and attitude towards menopause. All 2729 women aged 45-60 years living in a suburb of Rotterdam were sent a questionnaire, of these 1947 (71.3%) were returned. Attitude was measured on a 5-point rating scale using 28 items that have been used in other studies. Well-being was measured by the Inventory of Subjective Health and three subscales of the Sickness Impact Profile. Medical attention was measured by asking the women whether they were currently being treated by a general practitioner or specialist. Results show that three clusters of attitudes towards menopause exist: two clusters encompasses items reflecting attitudes towards disadvantages and advantages of the menopause, one cluster encompasses items reflecting attitudes towards (medical) treatment of the menopause. On the whole, women answer neutrally to items relating menopause with the disadvantages and tend to agree with items relating menopause with the advantages. The women slightly agree, premenopausal women more than others, with items that are in favour of treatment of menopausal complaints. Agreement with items on the disadvantage cluster is moderately associated with a low level of well-being, whereas agreement with items on the advantage cluster is slightly associated with a high level of well-being; the treatment cluster is not associated with well-being. Both well-being and agreement with items on the treatment cluster are statistically significantly associated with medical attention. Apart from these variables, the woman's ideas about treatment are also related to medical attention.
（i）处于更年期的女性对更年期的态度是什么，（ii）对更年期的态度与幸福感之间的关联是什么，以及（iii）医疗关注在多大程度上由幸福感和对更年期的态度所决定。向居住在鹿特丹郊区的所有2729名45至60岁的女性发送了问卷，其中1947份（71.3%）被返还。态度通过使用其他研究中使用过的28个项目的5点量表来衡量。幸福感通过主观健康量表和疾病影响概况的三个子量表来衡量。医疗关注通过询问女性她们目前是否正在接受全科医生或专科医生的治疗来衡量。结果表明，存在三类对更年期的态度：两类包含反映对更年期优缺点态度的项目，一类包含反映对更年期（医疗）治疗态度的项目。总体而言，女性对将更年期与缺点相关的项目回答较为中立，而倾向于同意将更年期与优点相关的项目。女性略有同意，绝经前女性比其他人更同意支持治疗更年期症状的项目。与缺点类项目的同意程度与低幸福感适度相关，而与优点类项目的同意程度与高幸福感略有相关；治疗类项目与幸福感无关。幸福感以及与治疗类项目的同意程度在统计学上均与医疗关注显著相关。除了这些变量外，女性对治疗的看法也与医疗关注有关。
