Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age
Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age
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DOI：
10.1093/aje/152.5.463
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发表时间：
2000-09-01
影响因子：
5
通讯作者：
Stellato, R
中科院分区：
文献类型：
--
作者：
Gold, EB;Sternfeld, B;Stellato, R
1995-1997年期间，对16 065名年龄在40-55岁之间的多种族/民族妇女进行了一次以社区为基础的调查，了解与绝经和其他症状有关的因素。组成全国妇女健康研究（SWAN）的七个地点中的每一个都调查了四个少数民族人口中的一个和一个高加索人口。所有症状，特别是潮热或盗汗（比值比= 2.06-4.32）的最大校正患病率比值比，是绝经前或绝经后妇女。大多数症状在日本和中国女性中报告频率最低（与白人相比，比值比= 0.47-0.67）。与白人相比，非裔美国妇女报告的血管扩张症状和阴道干燥更多（比值比= 1.17-1.63），但漏尿和睡眠困难较少（比值比= 0.64-0.72）。西班牙裔女性报告更多的尿漏、阴道干燥、心跳加速和健忘（优势比= 1.22-1.85）。潮热或盗汗、漏尿、僵硬或疼痛与高体重指数相关（体重指数大于或等于27的女性与体重指数19-26.9 kg/m2的女性的比值比= 1.15-2.18）。大多数症状在那些难以支付基本费用（比值比= 1.15-2.05）、吸烟（比值比= 1.21-1.78）和认为自己比同龄女性身体活动少（比值比= 1.24-2.33）的女性中最常见。这些结果表明，生活方式，月经状况，种族/民族和社会经济地位影响该年龄组的症状。
A community-based survey was conducted during 1995-1997 of factors related to menopausal and other symptoms in a multi-racial/ethnic sample of 16,065 women aged 40-55 years. Each of seven sites comprising the Study of Women's Health across the Nation (SWAN) surveyed one of four minority populations and a Caucasian population. The largest adjusted prevalence odds ratios for all symptoms, particularly hot flashes or night sweats (odds ratios = 2.06-4.32), were for women who were peri- or postmenopausal. Most symptoms were reported least frequently by Japanese and Chinese (odds ratios = 0.47-0.67 compared with Caucasian) women. African-American women reported vasomotor symptoms and vaginal dryness more (odds ratios = 1.17-1.63) but urine leakage and difficulty sleeping less (odds ratios = 0.64-0.72) than Caucasians. Hispanic women reported urine leakage, vaginal dryness, heart pounding, and forgetfulness more (odds ratios = 1.22-1.85). Hot flashes or night sweats, urine leakage, and stiffness or soreness were associated with a high body mass index (odds ratios = 1.15-2.18 for women with a body mass index greater than or equal to 27 vs. 19-26.9 kg/m(2)). Most symptoms were reported most frequently among women who had difficulty paying for basics (odds ratios = 1.15-2.05), who smoked (odds ratios = 1.21-1.78), and who rated themselves less physically active than other women their age (odds ratios = 1.24-2.33). These results suggest that lifestyle, menstrual status, race/ethnicity, and socioeconomic status affect symptoms in this age group.