温州市2965例围绝经期女性相关症状调查及影响因素分析

Investigation on related symptoms of 2965 perimenopausal women in Wenzhou and analysis of the influencing factors

目的:了解浙江省温州市围绝经期女性绝经相关症状及其影响因素,为加强围绝经期健康管理工作提供参考。方法:采用整群随机抽样方法,选择温州市2965例40~65岁女性进行问卷调查,以改良Kupperman评分量表评估其绝经相关症状发生情况。结果:40~65岁女性围绝经期综合征检出率为68.20%;围绝经期综合征的主要症状报告率居前五位的依次为疲乏乏力1948例(65.70%)、焦躁激动1785例(60.20%)、失眠1638例(55.24%)、骨关节痛1506例(50.79%)、性欲下降1466例(49.44%)。多因素Logistic回归分析显示,年龄<45岁、已婚状态、医务及教育工作者、未绝经、对绝经持不期待态度者为围绝经期综合征的保护因素。70.22%被调查女性表示对围绝经期健康管理服务有需求。结论:温州市40~65岁女性围绝经期综合征检出率较高,围绝经期女性健康管理服务需求也较高,因此需普及围绝经期保健知识,加强围绝经期健康管理,改善女性健康水平。

Objective:To understand the menopause related symptoms and their influencing factors of perimenopausal women,and to provide reference basis for strengthening perimenopausal health management.Methods:An investigation was made on 2965 women aged 40-65 in Wenzhou by cluster random sampling.The incidence of menopause related symptoms was evaluated by the modified Kupperman score scale.Results:The detection rate of perimenopausal syndrome in women aged 40-65 was 68.20%.The top five reporting rates of main symptoms of perimenopausal syndrome were fatigue in 1948 cases(65.70%),anxiety in 1785 cases(60.20%),insomnia in 1638 cases of(55.24%),bone and joint pain in 1506 cases(50.79%)and decreased sexual desire in 1466 cases of(49.44%).Multivariate Logistic regression analysis showed the incidence of perimenopausal syndrome was relatively low among those who were younger than 45 years old,married,medical and educational workers,non-postmenopausal,and those who did not expect menopause,and 70.22%of the surveyed women said they had a demand for perimenopausal health management services.Conclusion:The detection rate of perimenopausal syndrome among women aged 40-65 in Wenzhou is high,and so is the demand for perimenopausal women health management.Therefore,it is necessary to popularize perimenopausal health care knowledge and improve perimenopausal health management so as to promote women’s health level.