Menopausal status, lifestyle, attitude towards the menopause, menopausal symptoms and the quality of life in mid-aged women in Tainan City, Taiwan

Autor: Liang-You Chen, 陳亮佑
Rok vydání: 2006
Druh dokumentu: 學位論文 ; thesis
Popis: 94
Background: Menopause is a timely issue as most women will live healthier and own better quality of life during their menopause transition. Hormone replacement therapy (HRT) is the treatment most often offered by medical practitioners; but its use remains controversial. While there is much research on HRT, little is known about the correlates of menopause experience and possible non-hormonal leverage points for treatment. Current standards of medical practice posit the use of HRT as appropriate for most women, not just for those that experience symptoms. But there is debate over the use of HRT to treat menopause symptoms; for example the side effects of HRT have been continued to be reported in the literature. And it is becoming a hot controversial issue whether the deficiency of hormone has a negative effect on the women’s health. Some empirical reports have showed that menopause has no impact on subsequent perceived physical or mental health. Therefore, the present study was designed to investigate this issue. Objective: The study was to examine the relationship among menopausal status, lifestyle and attitudes towards menopause in regards to menopausal symptoms. We further examined the impact of menopausal status, menopausal symptoms, lifestyle and attitude towards menopause on and the quality of life (QOL) in middle-aged women in Tainan city, Taiwan. Method: A 2-year prospective cohort study and community-based sample of 319 middle-aged women was enrolled in 2004. A total of 134 (42.0%) out of the initial sample completed the questionnaires in 2006. Socio-demographic data, scores in lifestyle, attitude towards menopause, menopausal symptoms and the quality of life were collected. Results: A hierarchical multiple regression analysis showed that menopausal status was positively correlated with the vasomotor symptoms. Negative attitude was positively correlated with sexual functions. Physical lifestyle was negatively related with the somatic symptoms. Psychological lifestyle was positively correlated with psychological symptoms. Psychological lifestyle predicted the 4 domains of QOL. Conclusions: The results of this research will help us to know more about the menopausal symptoms and QOL in mid-aged women in Taiwan and we may apply these findings to develop interventions for preventing women’s menopausal symptoms and promoting their QOL.
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