Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups
Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups
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DOI：
10.1016/s0277-9536(00)00147-7
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发表时间：
2001-02-01
影响因子：
5.4
通讯作者：
Kagawa-Singer, M
中科院分区：
文献类型：
--
作者：
Avis, NE;Stellato, R;Kagawa-Singer, M
近年来，对绝经后症状的研究集中在确定妇女从绝经前到绝经后状态的进展所经历的症状分组。然而，这些研究大多是在西方文化的高加索妇女中进行的。这就留下了一个问题，即这些研究的结果是否可以推广到其他种族/族裔群体或文化的妇女。此外，以前的许多研究都是在相对较小的样本上进行的。本文通过对美国40-55岁女性种族/族裔群体（高加索人、非洲裔美国人、中国人、日本人和西班牙裔）进行的一项大型横断面调查中的症状报告进行比较，阐述了绝经经历的多样性。在这五个样本中，对症状组合在一起并始终与绝经状态相关的程度进行评估，为普遍性绝经综合征提供了支持或反对的证据。本研究的具体问题是：（1）中年妇女的症状的因素结构如何在种族/民族群体之间进行比较？(2)症状报告是否与人种/种族或绝经状态相关？和（3）绝经状态和症状之间的关系是否因种族/民族而异？分析是基于14,906名妇女谁参加了多民族，多种族，多地点的中年妇女研究称为妇女的健康研究全国（SWAN）。研究参与者完成了一个15分钟的电话或面对面的采访，其中包括各种健康相关主题的问题。这些分析的关注项目包括症状，月经史（以评估绝经状态），健康状况，和sociodemographics.Factor分析结果显示，在所有五个种族/民族组，出现了两个一致的因素;一个由明显的更年期症状-潮热和盗汗-和其他心理和心身症状组成。回归分析的结果显示，种族/民族的差异，症状报告，以及绝经状态的差异。控制年龄，教育，健康和经济压力，高加索妇女报告显着更多的心身症状比其他种族/民族群体。非裔美国妇女报告的血管扩张症状明显更多。围绝经期妇女、激素使用者和手术绝经的妇女报告的血管扩张症状明显更多。所有这些组，加上绝经后妇女，比绝经前妇女有更多的血管扩张症状。结果的模式反对普遍的更年期综合征包括各种血管和心理症状。(C)2001爱思唯尔科技有限公司版权所有。
In recent years, research on menopausal symptomalogy has focused on identifying symptom groupings experienced by women as they progress from premenopausal to postmenopausal status. However, most of these studies have been conducted among Caucasian women from western cultures. This leaves open the question of whether the findings from these studies can be extended to women of other racial/ethnic groups or cultures. Furthermore, many of the previous studies have been conducted on relatively small samples. This paper addresses the diversity of the menopause experience by comparing symptom reporting in a large cross-sectional survey of women aged 40-55 years among racial/ethnic groups of women in the United States (Caucasian, African-American, Chinese, Japanese, and Hispanic). Evaluation of the extent to which symptoms group together and consistently relate to menopausal status across these five samples provides evidence for or against a universal menopausal syndrome. The specific research questions addressed in this paper are: (1) How does the factor structure of symptoms among mid-aged women compare across racial/ethnic groups? (2) Is symptom reporting related to race/ethnicity or menopausal status? and (3) Does the relation between menopausal status and symptoms vary across racial/ethnic groups?Analyses are based on 14,906 women who participated in the multi-ethnic, multi-race, multi-site study of mid-aged women called the Study of Women's Health Across the Nation (SWAN). Study participants completed a 15-min telephone or in-person interview that contained questions on a variety of health-related topics. Items of interest for these analyses include symptoms, menstrual history (to assess menopausal status), health status, and sociodemographics.Factor analysis results showed that across all five racial/ethnic groups, two consistent factors emerged; one consisting of clearly menopausal symptoms - hot flashes and night sweats - and the other consisting of psychological and psychosomatic symptoms. Results of regression analyses showed racial/ethnic differences in symptom reporting, as well as differences by menopausal status. Controlling for age, education, health, and economic strain, Caucasian women reported significantly more psychosomatic symptoms than other racial/ethnic groups. African-American women reported significantly more vasomotor symptoms. Perimenopausal women, hormone users, and women who had a surgical menopause reported significantly more vasomotor symptoms. All of these groups, plus postmenopausal women, reported significantly more vasomotor symptoms than premenopausal women. The pattern of results argues against a universal menopausal syndrome consisting of a variety of vasomotor and psychological symptoms. (C) 2001 Elsevier Science Ltd. All rights reserved.