湘西少数民族围绝经期妇女健康状况和需求调查

Investigation on health status and demand of peri-menopause woman of the national minority in the west of Hunan province

目的:了解湘西少数民族妇女围绝经期的健康状况和保健需求,探索出适合少数民族围绝经妇女保健模式。方法:通过对湘西自治州吉首市城镇社区和7个县农村社区1380名围绝经妇女(40～60岁)入户面谈的方式进行卷调查和分析。结果:1380名围绝经期妇女中,其中围绝经综合征发生率为76.73%,明显高于北京(50.5%)和广东(68.1%)经济发达地区,但和湖南省内湘潭地区(74%)相接近。高脂血症的发生率26.7%,低于北京市(34.0%)。冠心病发生率为7.3%,略低于北京(8.7%)。高血压的发生率为18.32%,略低于北京(22.6%)。糖尿病的发生率为7.86%,低于北京(10.08%)。骨质疏松发生率为36.27%,略高于广东(23.5%),低于北京(63.7%)。结论:湘西少数民族地区围绝经妇女健康状况不容忽视,应加强围绝经妇女健康保健的宣传力度,提高其认知,促进她们身心健康。

ObjectiveTo know the health status and health care needs and to investigate care mode for the peri-menopause woman who inhabited in the national minority in the west of Hunan province.MethodTo take question-survey and analysis to 1 380 peri-menopause women aged 40~60 years by using the mode of home interview.These women inhabited in 1 urban community in Jishou city and 7 rural community in the counties.ResultsThe mean age of menopause was peri-menopausal syndrome morbidity rate was 76.73%,more obviously higher than Beijing region （50.5%） and Guangdong（68.1%）,but was close to Xiangtang region （74%）.Hyperlipoproteinemia incidence rate was 26.7%,lower than Beijing region （34.0%）.The incidence rate of the coronary disease was 7.3%,slightly lower than Beijing （8.7%）.The incidence rate of the high blood pressure was 18.32%,slightly lower than Beijing （22.6%）.The incidence rate of the diabetes was 7.86%,lower than Beijing （10.08%）.The incidence rate of postmenopausal was 36.27%,more slightly higher than Guangdong （23.5%）,but lower than in Beijing （63.7%）.ConclusionHealth status of peri-menopause women in the national minority region of the west of Hunan province can not be neglected.Publicity of health care to peri-menopause women should be strengthened to raise their cognition and promote their healthy of mind and body.