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Assaf EA, Gharaibeh MK, Abuhammad S, AbuRuz M. Quality of life of Jordanian menopausal working and retired women and its associated factors: a cross-sectional study. F1000Res 2024; 11:1189. [PMID: 38807918 PMCID: PMC11130584 DOI: 10.12688/f1000research.125887.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/02/2024] [Indexed: 05/30/2024] Open
Abstract
Objective Life expectancy of Jordanian women has increased, indicating that the number of women entering menopause age, during the prime of their working life, will also increase. Therefore, assessments of the quality of life (QoL) of working and retired women and factors associated with overall wellbeing, are essential for the provision of quality services and care. Method A cross-sectional study was conducted with 200 Jordanian women between the ages of 45 to 60 years old. The Utian QOL tool was used to assess the quality of life among menopausal women. Multiple regressions were used to determine predictors for QoL for the whole sample and for each group of working and retired women. Results The study shows that the total QoL for women was 77.5 ±14.4, with a significant difference (p=.023) in total QoL and the occupational domain (p=.003) between working and retired women. Employed women with fewer chronic diseases and using frequent preventive measures had a higher QoL compared to others. Conclusion Working itself might be an important indicator for better a quality of life among menopausal women. Better working conditions and more attention from the health care providers for the menopausal changes and the preventive measures could enhance women's perceived QoL in addition to increasing their productivity.
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Affiliation(s)
- Enas A. Assaf
- Faculty of Nursing, Applied Science Private University, Amman, Jordan
| | - Muntaha K. Gharaibeh
- Maternal and Child Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
- Faculty of Nursing, Al Ahliyya Amman University, Amman, Jordan
| | - Sawsan Abuhammad
- Maternal and Child Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohannad AbuRuz
- Faculty of Nursing, Applied Science Private University, Amman, Jordan
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Singh P, Vyas S, Vallabh V, Nautiyal R, Srivastava A, Semwal J. A Study to Assess the Prevalence and Factors Affecting Menopausal Symptoms among Middle-Aged Females in the Garhwal Region of Uttarakhand. J Midlife Health 2023; 14:237-245. [PMID: 38504740 PMCID: PMC10946681 DOI: 10.4103/jmh.jmh_198_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 01/29/2023] [Accepted: 02/11/2023] [Indexed: 03/21/2024] Open
Abstract
Background Middle age is a link between adulthood and old age, which requires special attention. During middle age among females, changes like menopause occur, which is responsible for causing various physical, vasomotor, psychological, and social changes, which may affect overall well-being and positive mental health status. Hence, the present study has been planned to assess the prevalence of menopausal symptoms among middle-aged females. Materials and Methods The present study was a cross-sectional study carried out in rural and urban areas of district Dehradun among 400 females. A stratified systematic random sampling technique method was used. All the females fulfilling the inclusion criteria and aged 40-60 years were included in the study. The Menopause-Specific Quality of Life (MENQOL) questionnaire was used to assess the prevalence of menopausal symptoms. Results A total of 400 women were recruited in the study, 200 from rural and urban areas each. The mean age of the total study participants was 50.00 ± 0.32 years. Among 400 middle-aged women, 189 were premenopausal and 211 were postmenopausal. The frequencies of occurrence of menopausal symptoms were explored in 189 premenopausal and 211 postmenopausal women. The mean age of premenopausal women was 44.21 ± 2.35 and postmenopausal was 54.39 ± 4.21. Females experienced varying grades of MENQOL symptoms. Conclusions It was found that majority of the females' quality of life were found to be affected with different grades of menopausal symptoms. With increasing age, symptoms also increase and are significantly high among postmenopausal women.
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Affiliation(s)
- Pragya Singh
- Department of Community Medicine, RBBSU, Swami Rama Himalayan Institute, Dehradun, Uttarakhand, India
| | - Shaili Vyas
- Department of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan Institute, Dehradun, Uttarakhand, India
| | - Vidisha Vallabh
- Department of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan Institute, Dehradun, Uttarakhand, India
| | - Ruchira Nautiyal
- Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences, Swami Rama Himalayan Institute, Dehradun, Uttarakhand, India
| | - Abhay Srivastava
- Department of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan Institute, Dehradun, Uttarakhand, India
| | - Jayanti Semwal
- Department of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan Institute, Dehradun, Uttarakhand, India
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Durairaj A, Venkateshvaran S. Determinants of Menopausal Symptoms and Attitude Towards Menopause Among Midlife Women: A Cross-Sectional Study in South India. Cureus 2022; 14:e28718. [PMID: 36204018 PMCID: PMC9527632 DOI: 10.7759/cureus.28718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2022] [Indexed: 11/26/2022] Open
Abstract
Introduction Menopause is the point at which a woman's menstrual periods come to a stop. When a woman goes 12 months without having her period, menopause is diagnosed. Menopause is one stage of midlife that a woman could find simple or challenging to get through. We conducted this study to assess the attitude of women aged over 40 concerning menopause and the determinants of menopausal symptoms. Methodology The community-based cross-sectional study was conducted in the villages of Madurai, Tamil Nadu, for six months. We selected four villages and 100 samples using the multistage sampling procedure. Each hamlet had 25 households registered, and we collected the data using the face-to-face interview method. The study included all female participants between the ages of 40 and 60. Those women who had unnatural menopause and women who were on anti-depressant medication and hormone replacement therapy for the past six months were excluded. Results The study’s participants had an average age of 52.3 years, and 74% of them had experienced menopause. The menopausal rating scale revealed that around 81.1% of women had somatic symptoms, 70.3% had psychological problems, and 45.9% had urogenital symptoms. People who lived in urban areas, had class 1 socioeconomic status, and had sedentary work showed statistically significant associations with somatic symptoms. Those who lived in urban areas, were professionals by occupation, and did sedentary work showed statistically significant associations with psychological symptoms. The respondents who lived in urban areas had a statistically significant association with urogenital symptoms. We observed a statistically significant correlation between young age and psychological problems. There was a statistically significant correlation between symptoms in all three domains and increased weight. Conclusion Middle-aged women have relatively little understanding of menopause. Somatic symptoms are more common in middle-aged women than psychological or urogenital symptoms. Menopausal symptoms are present in almost half of the respondents.
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Breast cancer awareness and knowledge assessment among men and women in Malaysia. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-021-01509-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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Singh P, Vyas S, Vallabh V, Nautiyal R, Srivastava A. Age at natural menopause and factors affecting its onset: A cross-sectional study among postmenopausal females in District Dehradun. INDIAN JOURNAL OF COMMUNITY HEALTH 2022. [DOI: 10.47203/ijch.2022.v34i02.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Background: Menopause has become a popular topic of study as life expectancy rises around the world. The average age at menopause in both developed and developing countries ranges from 45 to 53 years. Factors influencing the extent of ovarian follicle reserve dwindling, such as sociodemographic, menstrual, reproductive, and dietary factors. Aim and Objective: The present study aimed to determine the mean age of menopause and to find out the various factors affecting menopause onset. Methods: A community based cross-sectional study conducted in rural and urban areas of District Dehradun for a period of 1 year starting 1st August 2020 to 31st July 2021. Data were collected using multistage stratified random sampling from 211 cases of natural menopause. Chi-square was applied as statistical test of significance and p < 0.05 was considered statistically significant. Results: According to current study, average age menopausal age is 46 years. Variables like sociodemographic characteristics, lifestyle habits, reproductive and menstrual factors were found to have a significant relationship with onset of menopause. Conclusion: Menopause, whether it occurs early or late in life, several factors are responsible for deciding its onset. As a result, it is critical to identify the factors influencing the onset of menopause.
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Yerra AK, Bala S, Yalamanchili RK, Bandaru RK, Mavoori A. Menopause-Related Quality of Life among Urban Women of Hyderabad, India. J Midlife Health 2021; 12:161-167. [PMID: 34526752 PMCID: PMC8409714 DOI: 10.4103/jmh.jmh_272_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 05/10/2021] [Accepted: 05/30/2021] [Indexed: 11/17/2022] Open
Abstract
Background: Menopause is regarded as the marker for various symptoms such as physical, psychological, vasomotor, and sexual impairing the quality of life (QOL). Objectives: To assess the menopause-related QOL and determine associated factors among postmenopausal women. Materials and Methods: A cross-sectional study was conducted among 378 postmenopausal women attending the obstetrics and gynecology department of a tertiary care hospital using a standardized menopause-specific QOL (MENQOL) questionnaire consisting of physical, vasomotor, psychosocial, and sexual domains. Results: The study included 378 women aged above 40 years, with majority belonging to the age group of 46–50 years. The total MENQOL mean score was found to be 19.35 ± 16.20, with physical domain score the highest 14.89 ± 11.85, followed by vasomotor 1.98 ± 3.83, psychosocial 1.82 ± 3.29, and the least as sexual domain with score of 0.624 ± 2.21. Post menopausal women with age less than 50 years, No formal education, High socio-economic status, Home makers and duration of menopause less than 5 years was found to have statistical significant association with higher vasomotor domain score; No formal education, higher socio economic status and duration of menopause with greater than 5 years was found to be significant with higher sexual domain scores. Conclusions: Menopause may be associated with a decrease in QOL. Certain sociodemographic variables showed a statistically significant association with the vasomotor and sexual domains. Awareness and interventions that affect the modifiable factors may help in increasing the QOL at menopause.
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Affiliation(s)
- Aruna Kumari Yerra
- Department of Obstetrics and Gynaecology, ESIC Medical College, Hyderabad, Telangana, India
| | - Sudha Bala
- Department of Community Medicine, ESIC Medical College, Hyderabad, Telangana, India
| | | | - Rajiv Kumar Bandaru
- Department of General Medicine, ESIC Medical College, Hyderabad, Telangana, India
| | - Archana Mavoori
- Department of Dermatology, ESIC Medical College, Hyderabad, Telangana, India
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Postmenopausal Symptoms and Their Correlates among Saudi Women Attending Different Primary Health Centers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136831. [PMID: 34202185 PMCID: PMC8296999 DOI: 10.3390/ijerph18136831] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 06/19/2021] [Accepted: 06/21/2021] [Indexed: 11/16/2022]
Abstract
(1) Background and objectives: Due to increasing life expectancy, more than one-third of women’s life can be spent in the postmenopausal period. In this period, women have different somatic, psychological, and urogenital symptoms. The present study was done to evaluate postmenopausal symptoms and their correlations among Saudi women attending different primary health centers. (2) Methods: adopting a cross-sectional study was done among 845 postmenopausal women attending different primary health centers. The menopause rating scale (MRS) was utilized to investigate the prevalence and severity of different menopausal manifestations. Data collection was done using a structured anonymous questionnaire disseminated during face-to-face interviews. Analysis of data was done utilizing the SPSS program, version 24. (3) Results: The total MRS score was 15.68 ± 6.85. The mean score of the subscales were: 5.56 ± 2.78 for the somatic domain, 6.04 ± 2.89 for the psychological domain, and 4.08 ± 2.32 for the urogenital domain. Joint and muscle pain (25.2%) and sleep problems (18.6%) were the most prevalent severe/very severe somatic symptoms. The most severe/very severe symptoms of the psychological domain were mental and physical exhaustion (20.2%) and depressed mode (19.2%), while that of the urogenital domain were sexual problems (20.1%) and bladder problems (16.3%). Significant predictors of the subscales of MRS were sociodemographic characteristics such as age, residence, marital status, educational level, and occupation. Furthermore, history of chronic diseases, parity, and menopause duration were significant predictors of the subscales of MRS. (4) Conclusion: women in the present study experience different postmenopausal symptoms. Health care providers should consider this crucial stage of women’s life to help elderly women manage these different postmenopausal manifestations.
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Kang HK, Kaur A, Dhiman A. Menopause-Specific Quality of Life of Rural Women. Indian J Community Med 2021; 46:273-276. [PMID: 34321740 PMCID: PMC8281871 DOI: 10.4103/ijcm.ijcm_665_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 01/20/2021] [Indexed: 11/10/2022] Open
Abstract
Background: Menopause is a natural process, but it causes hormonal and biological changes in the body, which can result in drastic effects on quality of life (QOL) of women. Objective: The study was conducted to assess the menopause-specific QOL (MENQOL) of rural women. Subjects and Methods: A descriptive cross-sectional design was used to assess MENQOL of rural women of the selected villages of Punjab. A total of 150 menopausal women were selected using simple random sampling technique. The MENQOL questionnaire was administered to assess the QOL in relation to menopausal symptoms. Results: The mean score of overall QOL was 3.4274 ± 0.99, which revealed a moderate impact of menopausal symptoms on the QOL. Stepwise linear regression revealed the significant impact of 16 out of 29 menopausal symptoms on QOL. Furthermore, MENQOL was found to be significantly associated with education, marital status, and sleep pattern of women. Conclusions: There is a significant effect of menopausal symptoms on QOL of women which emphasizes the need to create awareness among menopausal women regarding menopausal symptoms and management to improve their QOL.
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Affiliation(s)
- Harmeet Kaur Kang
- Chitkara School of Health Sciences, Chitkara University, Punjab, India
| | - Arshdeep Kaur
- Chitkara School of Health Sciences, Chitkara University, Punjab, India
| | - Aarti Dhiman
- Chitkara School of Health Sciences, Chitkara University, Punjab, India
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Singh N, Kumar D, Yadav G, Srivastava MK, Mishra SR, Gupta AK, Jauhari S, Roy MS. Comparison of Quality of Life and Bone Mass Density among Postmenopausal Women: A Cross-sectional Study. J Midlife Health 2021; 11:224-230. [PMID: 33767563 PMCID: PMC7978055 DOI: 10.4103/jmh.jmh_107_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 07/17/2020] [Accepted: 10/01/2020] [Indexed: 11/04/2022] Open
Abstract
Background Postmenopausal women are at highest risk of developing osteoporosis, since their bone mineral density is reduced due to decrease in estrogen level. Various other physiological, emotional, and psychological changes jeopardize the health of these vulnerable females in total and reduce their quality of life (QoL). Aims and Objectives To compare the QoL and bone mass density (BMD) among normal BMD, osteopenic, and osteoporotic postmenopausal women. Setting and Design A cross-sectional observational study was conducted in the outpatient department of physical medicine and rehabilitation at a tertiary care center of northern India from August 2019 to February 2020. Materials and Methods Baseline sociodemographic characteristics of all postmenopausal women were collected using a quantitative tool. Assessment of QoL was done by pretested and validated QUALEFFO-41 scale. For all the women, a bone mineral densitometry test was performed on the L1-L4 lumbar spine, femoral neck, and forearm by the dual-energy X-ray absorptiometry method. Statistical Analysis One-way ANOVA test was used to compare the mean BMD values across the three groups. Determination of predictive factors for QoL was performed using stepwise logistic regression analysis. Results Significant differences were noted for the mean values of the three domains, i.e., pain, physical, and social function (P < 0.01). Women with osteoporosis had significantly higher pain scores as compared to others. Among those with osteoporosis, the pain scores have significantly increased gradually as age increases. Conclusion Postmenopausal women with osteopenia and osteoporosis have poor QoL as compared to those with normal BMD.
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Affiliation(s)
- Neetu Singh
- Department of Obstetrics and Gynaecology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Dileep Kumar
- Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Ganesh Yadav
- Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Mohit Kishore Srivastava
- Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Sudhir Ramkishore Mishra
- Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Anil Kumar Gupta
- Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Sugandha Jauhari
- Department of Community Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | - Madhumita Singha Roy
- Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, Uttar Pradesh, India
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Sivapragasam R, Rajini S, Rajalakshmi S, Priyanga K, Rajesh V, Priyadharshini R. A Community-Based Cross-Sectional Study about the Quality of Life in Postmenopausal Women in Rural Puducherry. Indian J Community Med 2020; 45:96-99. [PMID: 32029993 PMCID: PMC6985953 DOI: 10.4103/ijcm.ijcm_91_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 10/10/2019] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The aim of this study was to assess the quality of life (QOL) of postmenopausal women, in the rural areas of Puducherry and to find the associated factors. MATERIALS AND METHODS A cross-sectional study was done in the rural field practicing area of SLIMS, Puducherry. The sample size was 172 based on the previous study, and simple random sampling technique was used. The women who were receiving hormonal treatment, having chronic illness and those who refused to participate were excluded from the study. The sociodemographic information and menopause-specific QOL questionnaire were used, and data were analyzed using the SPSS 21. RESULTS In this study, mean age of the postmenopausal women was 61 ± 7.5 years, 42.4% belonged to socioeconomic status (SES) Class IV. The prevalence of one or more symptoms of vasomotor, psychological, and sexual domains were 23.8%, 87%, and 68%, respectively. We found an association between SES and both vasomotor and psychological symptoms. Furthermore, age and psychological symptoms were associated. CONCLUSION The menopause-related symptoms had a negative effect on the QOL of postmenopausal women. The study can help in creating awareness and also in helping in educating women for early identification of the frequent menopausal symptoms.
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Affiliation(s)
- R. Sivapragasam
- Department of Community Medicine, Sri Lakshmi Narayana Institue of Medical Sciences, Puducherry, India
| | - S. Rajini
- Department of Community Medicine, Sri Lakshmi Narayana Institue of Medical Sciences, Puducherry, India
| | - S. Rajalakshmi
- Department of Community Medicine, Sri Lakshmi Narayana Institue of Medical Sciences, Puducherry, India
| | - K. Priyanga
- Department of Community Medicine, Sri Lakshmi Narayana Institue of Medical Sciences, Puducherry, India
| | - V. Rajesh
- Department of Community Medicine, Sri Lakshmi Narayana Institue of Medical Sciences, Puducherry, India
| | - R. Priyadharshini
- Department of Community Medicine, Sri Lakshmi Narayana Institue of Medical Sciences, Puducherry, India
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