Comparative study of the quality of life associated with menopause in Tunisia and France
| Autor: | Selma Hajri, Virginie Ringa, Dorra Mahfoudh Draoui, Danielle Hassoun, Sarah Benzineb, Daniel Delanoë, Farida Ferrand, Marie Zins |
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| Rok vydání: | 2013 |
| Předmět: |
Tunisia
Cross-sectional study media_common.quotation_subject Culture Sexism Anxiety Social class Quality of life Surveys and Questionnaires medicine Humans Exercise media_common Middle class Depression business.industry Obstetrics and Gynecology Odds ratio Middle Aged medicine.disease Menopause Cross-Sectional Studies Socioeconomic Factors Hot Flashes Cohort Quality of Life Educational Status Female France medicine.symptom business Demography |
| Zdroj: | Menopause. 20:609-622 |
| ISSN: | 1072-3714 |
| DOI: | 10.1097/gme.0b013e318278b0ce |
| Popis: | Objective Because the experience of menopause varies by ethnic group, society, and social class, we sought to compare quality of life (QoL) at menopause between Tunisian and French women. Methods This secondary analysis of existing data collected in two independent, cross-sectional surveys (the French GAZEL cohort and a representative sample of Tunisian women) compared both samples for six dimensions of the Women's Health Questionnaire while taking into account social and demographic characteristics and menopause status with multivariate logistic models. Results Comparison of 1,040 Tunisian women aged 45 to 64 years with 774 French women aged 48 to 53 years showed that Tunisian women had a significantly lower QoL than the French women in every dimension (low QoL for Tunisian vs French, odds ratio [95% CI]: somatic symptoms, 2.1 [1.6-2.7]; depressed mood, 3.6 [2.8-4.7]; anxiety, 2.4 [1.8-3.3]; vasomotor symptoms, 1.7 [1.3-2.3]). QoL was also lower for working-class women, but associations were weaker than for country (low QoL for working class vs middle class, odds ratio [95% CI]: somatic symptoms: 1.9 [1.5-2.4]; depressed mood, 1.5 [1.2-1.8]; anxiety, 1.8 [1.5-2.3]; vasomotor symptoms, 1.7 [1.4-2.2]). Associations between country and QoL were stronger in the working class than in the middle class. Conclusions This epidemiological study comparing France and a North African country sheds light on the major role of country of residence, social class, and their interaction in the experience of menopause. Levels of national wealth, human development, cultural constraints, and social and gender inequality are likely to explain how country and class affect QoL. |
| Databáze: | OpenAIRE |
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