摘要
目的:了解广州地区妇女更年期症状的发生情况及其影响因素;方法:从2001年9月-2002年8月,根据广州市人口构成比进行分层整群抽样40岁以上妇女1 090名,问卷调查询问一般情况、更年期症状、进行体格检查。结果:绝经前妇女440例,绝经后妇女650例,其中自然绝经妇女647例,自然绝经年龄平均为48.1±4.8岁,中位数为49岁。更年期症状的发生率由高而低依次为关节痛、腰痛、健忘、疲劳、心悸、易怒、失眠、尿失禁、头痛、多汗、潮热、压抑、阴道干痛、蚁行感。其中关节痛和腰痛的发生率超过50.0%,尿失禁的发生率为24.4%,潮热的发生率为19.8%。高中及以上文化程度者的更年期症状发生率大于初中及以下文化程度者,办公室工作人员高于工人及服务员,脑力劳动者高于体力劳动者,P<0.05。结论:本组妇女的更年期症状分布不同于西方妇女的更年期症状,但与其他文献所报道的亚洲妇女相似,其发生率与其文化教育程度和职业的不同有关。
Objective: To describe the prevalence of climacteric symptoms experienced by women older than 40 years old in Guangzhou City, and elucidate social and occupational factors associated with these symptoms. Methods: A population based prevalence survey was carried out on a representative sample (stratified clustering sampling) of 1090 women (≥40 years old) from Sept. 1998 to Aug. 1999. The symptoms, past histories and physical examination of them were recorded. Results: The mean and median age at menopause was 48. 1±4. 8 and 49, respectively. The most common symptoms were muscle and / or joint and /or bone pain (>50%). Urinary incontinence was recalled by about one fourth (24. 4%) and hot flashes by about one fifth (19. 8%). Frequency of climacteric symptoms is more common in the women with higher level of education, occupation of office work or light physical work than those of whom with lower level of education, occupation of heavy work. Conclusion: The classical climacteric symptoms in these Chinese women are associated with their cultural background, education level, and occupation. The prevalence of the symptoms is different from the results as previously reported in other Western Countries, but it is consistent with findings of other Asian studies.
出处
《中国妇幼保健》
CAS
2004年第11期95-98,共4页
Maternal and Child Health Care of China
基金
本课题为广东省卫生厅五个一科教兴医工程重点项目资助
关键词
绝经
更年期症状
调查
<Keyword>Menopause
Climacteric symptoms
Prevalence