Symptom experience during the late reproductive stage versus the menopausal transition in the Spanish-language Women Living Better survey.
Symptom experience during the late reproductive stage versus the menopausal transition in the Spanish-language Women Living Better survey.
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西班牙语“女性生活更好”调查中生育后期与绝经过渡期的症状体验。
DOI：
10.1097/gme.0000000000002132
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Woods,NancyFugate
中科院分区：
文献类型：
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作者：
Cortés,YamniaI;Coslov,Nina;Richardson,MarcieK;Woods,NancyFugate
目的本研究的目的是表征和比较妇女自我报告的症状在生殖晚期和绝经过渡期。方法横断面分析使用西班牙语女性生活更好调查的数据。年龄在35岁至55岁之间的女性完成了一项82项的在线调查，以评估月经周期模式、变化和61种与更年期有关的症状。妇女的月经模式被分类为晚期生殖阶段或更年期过渡使用阶段生殖老化车间。收集了人口统计和健康相关数据，包括年龄、居住国、种族/民族、教育、平等、吸烟和饮酒情况。描述性统计描述了报告的症状，逻辑回归模型检验了生殖阶段和症状之间的关系。结果在853名受访者中，有358名女性被纳入分析样本。参与者的平均年龄为40±4.1岁，46%的人表示支付基本费用有困难，34%的人住在西班牙，20%的人住在墨西哥。在18个症状组中，有8个处于生殖后期和绝经过渡期的妇女报告了相似的比例。处于生育后期的女性患肌肉骨骼疼痛的年龄调整几率较低（优势比，0.35;95% CI, 0.19-0.66），对性兴趣降低的几率较低（优势比，0.49;95% CI, 0.25-0.92）。两组女性都报告了类似的人际关系受到干扰的情况。结论晚期生殖期妇女常出现与更年期相关的多种症状。更好地了解西班牙语妇女所经历的症状可能会导致更个性化的医疗保健，并促进对更年期的预期指导。未来有必要对生殖后期症状进行跨文化研究。
ObjectivesThe aim of this study was to characterize and compare the symptoms women self-report during the late reproductive stage and the menopausal transition.MethodsThis cross-sectional analysis used data from the Spanish-language Women Living Better survey. Women aged 35 to 55 years completed an 82-item online survey to assess menstrual cycle patterns, changes, and 61 symptoms sometimes associated with menopause. Women's menstrual patterns were classified as late reproductive stage or menopausal transition using the Stages of Reproductive Aging Workshop. Demographic and health-related data were collected, including age, country of residence, race/ethnicity, education, parity, smoking, and alcohol use. Descriptive statistics characterized reported symptoms, and logistic regression models examined associations between reproductive stage and symptoms.ResultsOf 853 respondents, 358 women were included in the sample analyzed. Participants were on average 40±4.1 years old, 46% reported difficulty paying for basics, 34% lived in Spain, and 20% lived in Mexico. A similar proportion of women in the late reproductive stage and menopausal transition reported 8 of 18 symptom groups. Women in the late reproductive stage had a lower age-adjusted odds of musculoskeletal pain (odds ratio, 0.35; 95% CI, 0.19-0.66) and lower odds of decreased interest in sex (odds ratio, 0.49; 95% CI, 0.25-0.92). Both groups of women reported a similar interference with personal relationships.ConclusionsLate–reproductive-stage women experience multiple symptoms often associated with menopause. A better understanding of symptoms experienced among Spanish-speaking women may lead to more personalized health care and facilitate anticipatory guidance about menopause. Future cross-cultural studies focusing on symptoms during the late reproductive stage are necessary.