|
|
|
| Prevalence of menopausal syndrome among postmenopausal women in Pan'an County |
| YING Huizhen, JI Li, KONG Wenjuan, WANG Yuan, CHEN Xiaoxia, HU Caihong, FU Haiying, LU Yuanyuan, CHE Xiuli
|
| Pan'an County Maternal and Child Health Care Hospital, Pan'an, Zhejiang 322300, China |
|
|
|
|
Abstract Objective To investigate the prevalence and influencing factors of menopausal syndrome among postmenopausal women in Pan'an County, Zhejiang Province, so as to provide the basis for guiding the health management of postmenopausal women. Methods From May 2023 to April 2024, the postmenopausal women aged 40 to 69 years in Pan'an County were selected using the random cluster sampling method. Demographic information, lifestyle and prevalence of gynecological diseases were collected through questionnaire surveys. The prevalence of menopausal syndrome was assessed by modified Kupperman Score Scale. Factors affecting menopausal syndrome were analyzed by a multivariable logistic regression model. Results A total of 816 postmenopausal women were surveyed, with an mean age of (57.63±2.92) years and a mean natural menopause age of (49.85±2.13) years. There were 574 cases with menopausal syndrome, with a prevalence of 70.34%. Flashes and sweating, insomnia and irritability were common symptoms, accounting for 62.87%, 47.43% and 41.18%, respectively. Multivariable logistic regression analysis showed that monthly personal income of ≤5 000 yuan (<3 000 yuan, OR=3.124, 95%CI: 1.829-5.335; 3 000-5 000 yuan, OR=2.399, 95%CI: 1.370-4.201) and having gynecological diseases (OR=1.970, 95%CI: 1.292-3.004) were associated with a higher risk of menopausal syndrome, while average (OR=0.141, 95%CI: 0.072-0.276) or sufficient sleep quality (OR=0.095, 95%CI: 0.049-0.185) were associated with a lower risk of menopausal syndrome. Conclusion The prevalence of menopausal syndrome among postmenopausal women in Pan'an County is relatively high, and is mainly influenced by personal economic status, sleep quality and the presence of gynecological diseases.
|
|
Received: 29 October 2024
Revised: 03 February 2025
Published: 17 March 2025
|
|
|
|
|
|
[1] 陈蓉. 《中国绝经管理与绝经激素治疗指南2023版》解读[J].协和医学杂志,2023,14(3):514-519.
CHEN R.Interpretation on the 2023 Chinese Menopause Symptom Management and Menopausal Hormone Therapy Guidelines[J].Medical J Peking Medical Coll Hosp,2023,14(3):514-519.(in Chinese)
[2] 中华医学会妇产科学分会绝经学组.中国绝经管理和绝经激素治疗指南2023版[J].中华妇产科杂志,2023,58(1):4-21.
Menopause Subgroup,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association.The 2023 Chinese menopause symptom management and menopausal hormone therapy guidelines[J].Chin J Obstet Gynecol,2023,58(1):4-21.(in Chinese)
[3] 孔北华,马丁,段涛.妇产科学(第10版)[M].北京:人民卫生出版社,2024.
KONG B H,MA D,DUAN T.Obstetrics and gynecology(10th edition)[M].Beijing:People's Medical Publishing House,2024.(in Chinese)
[4] 胡颖敏,蓝坚华,王佩英,等.女性围绝经期综合征危险因素分析[J].预防医学,2017,29(10):1051-1053.
HU Y M,LAN J H,WANG P Y,et al.Analysis of risk factors for female perimenopausal syndrome[J].China Prev Med J,2017,29(10):1051-1053.(in Chinese)
[5] 叶康丽. 围绝经期综合征的文献计量分析和社会生物影响因素的研究[D].杭州:浙江大学,2021.
YE K L.The bibliometric analysis of perimenopausal syndrome and its socialand biological influence[D].Hangzhou:Zhejiang University,2021.(in Chinese)
[6] 李建明,尹素凤,段建勋,等.SRSS对13 273名正常人睡眠状态的评定分析[J].健康心理学杂志,2000,8(3):351-353.
LI J M,YIN S F,DUAN J X,et al.Analysis of sleep state of 13 273 normal persons by Self-Rating Scale of Sleep[J].Health Psychology J,2000,8(3):351-353.(in Chinese)
[7] 曹泽毅. 中华妇产科学(第二版)(下册)[M].北京:人民卫生出版社,2005.
CAO Z Y.Chinese obstetrics and gynecology(2nd edition)(volume 2)[M].Beijing:People's Medical Publishing House,2005.(in Chinese)
[8] 严翔,计国平,杜杰.围绝经期教职人员更年期综合征患病情况及相关因素分析[J].中国妇幼保健,2020,35(13):2457-2460.
YAN X,JI G P,DU J.Analysis of the incidence and related factors of climacteric syndrome among perimenopausal educators[J].Maternl Child Health Care China,2020,35(13):2457-2460.(in Chinese)
[9] 李卫珍,王永英,李跃红,等.海盐县女性围绝经期症状及相关知识调查[J].预防医学,2017,29(9):946-949.
LI W Z,WANG Y Y,LI Y H,et al.Survey on perimenopausal symptoms and related knowledge among women in Haiyan County[J].China Prev Med J,2017,29(9):946-949.(in Chinese)
[10] 马麟娟,朱帅,许正芬,等.围绝经综合征患者绝经相关症状与激素治疗认知调查[J].预防医学,2019,31(11):1172-1175.
MA L J,ZHU S,XU Z F,et al.Survey on menopause-related symptoms and awareness of hormone therapy among patients with perimenopausal syndrome[J].China Prev Med J,2019,31(11):1172-1175.(in Chinese)
[11] 田进方,徐凤英,张锋英,等.金山区更年期女性睡眠障碍及其相关因素研究[J].贵州医药,2021,45(12):1982-1983.
TIAN J F,XU F Y,ZHANG F Y,et al.Study on sleep disorders and related factors among menopausal women in Jinshan District[J].Guizhou Medical J,2021,45(12):1982-1983.(in Chinese)
[12] 董沈怡. 绝经激素治疗绝经期睡眠障碍的临床疗效及其对维生素D的影响[D].杭州:杭州师范大学,2023.
DONG S Y.Clinical efficacy of menopausal hormone therapy in menopausal sleep disorders and its effect on vitamin D[D].Hangzhou:Hangzhou Normal University,2023.(in Chinese)
[13] 聂敏,罗阳,孟艳婷,等.湖南省绝经后期早期女性绝经综合征现状及影响因素分析[J].中国妇幼保健,2023,38(12):4932-4937.
NIE M,LUO Y,MENG Y T,et al.Analysis on prevalence and influencing factors of menopausal syndrome among the women during early postmenopause in Hunan Province[J].Maternl Child Health Care China,2023,38(12):4932-4937.(in Chinese) |
|
|
|
