A study on the occurrence and influencing factors of perimenopausal syndrome among Han, Hui and Tibetan women in Gansu Province
10.3760/cma.j.cn101441-20200507-00264
- VernacularTitle:甘肃省汉、回、藏族女性围绝经期综合征发生及其影响因素研究
- Author:
Rui ZHANG
1
;
Lirong WANG
1
;
Yue YUAN
1
;
Lin LIU
1
;
Liyan WANG
1
;
Panpan JIN
1
;
Xiaoling MA
1
;
Jinzhu ZHAO
1
;
Xuehong ZHANG
1
;
Junping HU
1
Author Information
1. 兰州大学第一医院，甘肃省生殖医学与胚胎重点实验室，兰州 730000
- Publication Type:Journal Article
- Keywords:
Ethnicitye;
Menopause;
Age of natural menopause;
Menopausal syndrome
- From:
Chinese Journal of Reproduction and Contraception
2022;42(1):72-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the occurrence and influencing factors of perimenopausal syndrome among Han, Hui and Tibetan women in Gansu Province.Methods:A stratified cluster sampling method was used to select 7290 women aged 40-55 years as the research subjects for cross-sectional survey. The questionnaire was used to investigate demographic characteristics, marriage and childbearing menstrual history, and the modified Kupperman score was used to investigate the symptoms related to perimenopausal syndrome. The data were statistically analyzed using SPSS20.0 software.Results:The natural menopausal age of women in Gansu Province was (47.43±3.99) years old, Hui women had the earliest age of menopause (47.08±4.29). There were statistically significant differences in occupation, education level and residence among the three ethnic groups ( P<0.001, P=0.001, P=0.005). The incidence of perimenopausal syndrome was 58.85% (246/418) for Hui, 44.16% (136/308) for Tibetans, and 41.06% (2695/6564) for Hans. The incidence of perimenopausal syndrome and the grade of related symptoms were significantly different among the three ethnic groups (all P<0.001). Han women had the highest proportion of mild symptoms, while Hui women and Tibetan women had the highest proportion of moderate symptoms. The differences of the incidence of mild and severe symptoms among the three ethnic groups were statistically significant (all P<0.001). Logistic regression analysis showed that engaging in heavy physical labor is a common risk factor for the incidence of perimenopausal syndrome in the three ethnic groups. Conclusion:The prevention and treatment of perimenopausal syndrome can be carried out from the following aspects: promoting economic development, improving living conditions, changing life and work patterns, increasing investment in education, medical and health care, and strengthening knowledge popularization.
