Clusters of midlife women identified by cognitive symptoms.
Clusters of midlife women identified by cognitive symptoms.
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通过认知症状识别的中年女性群体。
DOI：
10.1016/j.maturitas.2018.01.013
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发表时间：
2018
期刊：
影响因子：
4.9
通讯作者：
Chee,Wonshik
中科院分区：
文献类型：
--
作者：
Im,Eun-Ok;Hu,Yun;Cheng,Ching-Yu;Ko,Young;Chee,Eunice;Chee,Wonshik
目的通过认知症状对中年妇女进行分类，并探讨这些分类中的种族/民族差异。本研究对两项互联网研究（2005 - 2013年）中1054名多民族中年女性的数据进行二次分析。主要结局指标：仅使用来自背景特征、健康状况、更年期状况和中年妇女认知症状指数问题的数据进行二次分析。采用因子分析、分层聚类分析、卡方检验、多项逻辑分析和协方差分析对数据进行分析。结果共提取出低总症状组（49.9%）、低-中度总症状组伴高三级症状（17.3%）、高-中度总症状组伴低三级症状（21.2%）、高-中度总症状组伴低三级症状（21.2%）；高总症状组（第4组；11.7%）。在教育水平、就业状况、家庭收入、婚姻状况、社会支持、出生国家、种族/民族、体重指数、感知总体健康、诊断疾病、获得医疗保健和绝经状况等方面，组间存在显著差异（p < .01）。在聚类1中，第三次症状的总数和总严重程度评分存在显著的种族/民族差异。此外，每个群集的个体症状存在显著的种族/民族差异。结论绝经过渡期中年妇女认知症状的种族/民族差异及可能影响其认知症状的多种因素在保健中应予以考虑。
ObjectivesThe study aimed to identify clusters of midlife women by their cognitive symptoms and to examine racial/ethnic differences in the clusters.Study designThis secondary analysis was conducted on the data from 1054 midlife women of multi-ethnic groups in two Internet studies (conducted from 2005 to 2013).Main outcome measuresOnly the data from the questions on background characteristics, health status, and menopausal status and the Cognitive Symptom Index for Midlife Women were used for this secondary analysis. The data were analyzed using factor analyses, hierarchical cluster analyses, chi-square tests, multinomial logistic analyses, and analyses of covariance.ResultsFour clusters were extracted: the low total symptom group (Cluster 1; 49.9%), the low-moderate total symptom group with high tertiary symptoms (Cluster 2; 17.3%), the high-moderate total symptom group with low tertiary symptoms (Cluster 3; 21.2%); and the high total symptom group (Cluster 4; 11.7%). There were significant differences in the level of education, employment status, family income, marital status, social support, the country of birth, race/ethnicity, body mass index, perceived general health, diagnosed disease(s), access to health care, and menopausal status among the clusters (p < .01). There were significant racial/ethnic differences in the total numbers and total severity scores of tertiary symptoms in Cluster 1. Also, there were significant racial/ethnic differences in individual symptoms in each cluster.ConclusionsRacial/ethnic differences in midlife women’s cognitive symptoms and multiple factors that might differently influence their cognitive symptoms need to be considered in health care for midlife women in menopausal transition.
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影响因子：
12.7
作者：
Gold, Ellen B.;Colvin, Alicia;Matthews, Karen
通讯作者：
Matthews, Karen
背景下的绝经后功能：对阿米什人、邻近非阿米什人和伊富高家庭健康的生物文化观察
影响因子：
2.9
作者：
S. Hewner
通讯作者：
S. Hewner
影响因子：
5
作者：
Gold, EB;Sternfeld, B;Stellato, R
通讯作者：
Stellato, R
DOI：
10.1177/1043659603257160
发表时间：
2003-10-01
期刊：
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子：
--
作者：
Im, Eun-Ok
通讯作者：
Im, Eun-Ok
体征和症状
DOI：
10.1007/978-1-4612-5437-9_7
发表时间：
1983
期刊：
European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences
影响因子：
--
作者：
John L. Fox
通讯作者：
John L. Fox