Menopause in Australia and Japan: effects of country of residence on menopausal status and menopausal symptoms
Menopause in Australia and Japan: effects of country of residence on menopausal status and menopausal symptoms
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DOI：
10.1080/13697130410001713760
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发表时间：
2004-06-01
期刊：
影响因子：
2.8
通讯作者：
Courtney, M
中科院分区：
文献类型：
--
作者：
Anderson, D;Yoshizawa, T;Courtney, M
目的本研究的目的是探讨居住国对澳大利亚和日本妇女绝经状态和绝经症状的影响。研究目标包括探索居住国的影响（澳大利亚和日本）和绝经状态对绝经症状的影响，并确定居住国是否（澳大利亚和日本）缓和绝经状态和绝经症状之间的关系。方法分析是基于1743名年龄在40和60岁之间的妇女参加了多种族，多地点，2001年至2002年，对中年妇女进行了一项名为“澳大利亚和日本中年妇女健康研究”（AJMWHS）的横断面研究。研究参与者完成了一份邮寄的调查问卷，其中包含有关各种健康相关主题的问题。结果在两种文化中，围绝经期抑郁症（p < 0.001）、躯体症状（p < 0.001）和血管舒缩症状（p < 0.001）的患病率增加相似。澳大利亚女性比日本女性经历了更多的盗汗，但潮热的患病率没有统计学差异。绝经后的日本妇女有更多的躯体，心理和性症状。绝经状态和居住国的交互作用的主要影响是显着的躯体症状（p < 0.001），但不是在任何其他areas.Conclusions血管，心理和躯体症状减少绝经后的澳大利亚妇女，只有性症状继续。在日本女性中，身体，心理和性症状在绝经后仍然很高。西化可能对日本女性的老龄化产生重大影响，因此通过研究了解这种影响是很重要的。
Objectives The aim of the study was to explore the effects of country of residence on menopausal status and menopausal symptoms in Australian and Japanese women. The study objectives included exploring the impact of country of residence (Australia and Japan) and menopausal status on menopausal symptoms, and identifying whether country of residence (Australia and Japan) moderates the relationship between menopausal status and menopausal symptoms.Methods Analyses are based on 1743 women aged between 40 and 60 years who participated in the multi-race, multi-site, cross-sectional study of mid-aged women called the Australian and Japanese Midlife Women's Health Study (AJMWHS) in 2001-2002. Study participants completed a mailed questionnaire that contained questions on a variety of health-related topics.Results In both cultures there was a similar increase in prevalence of depression (p < 0.001), somatic symptoms (p < 0.001) and vasomotor symptoms (p < 0.001) at perimenopause. Australian women experienced more night sweats than Japanese women but the prevalence of hot flushes was not statistically different. Postmenopausal Japanese women had more somatic, psychological and sexual symptoms. The main effect for menopausal status and the interaction effect of country of residence was significant in the somatic symptoms (p < 0.001), but not in any of the other areas.Conclusions Vasomotor, psychological and somatic symptoms decrease after menopause in Australian women, with only sexual symptoms continuing. In Japanese women, somatic, psychological and sexual symptoms remain high after menopause. It is possible that westernization may be having a significant impact on the aging of women in Japan and it is, therefore important to capture through research just what this impact may be.