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目的了解上海市项目社区妇女更年期综合征的主要症状及发生比例,并探讨其影响因素,为进一步制定和实施干预方案提供科学依据。方法采取非概率抽样对符合条件的457名妇女进行结构式问卷调查。结果 Kupperman量表显示更年期综合征的发生比例为37.86%,前3位症状依次为:潮热出汗(41.36%),头痛(29.32%),关节痛(28.45%)。不同家庭收入状况、月经状况、既往体质,更年期综合征的分布,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,月经期间是否不适(OR=0.487,95%CI:0.325~0.730),是否绝经(OR=0.631,95%CI:0.418~0.952),既往体质(OR=2.626,95%CI:1.124~6.135)是更年期综合征的影响因素。结论上海市项目社区妇女更年期综合征的发生率较高,需开展有针对性地宣教活动,以提高更年期生存质量。
Objective To understand the main symptoms and incidence of climacteric syndrome among women in Shanghai community and to explore the influencing factors to provide a scientific basis for further formulation and implementation of intervention programs. Methods A non-probable sampling method was used to conduct a structured questionnaire survey among 457 eligible women. Results The Kupperman scale showed that the incidence of climacteric syndrome was 37.86%. The first three symptoms were: hot flashes sweating (41.36%), headache (29.32%) and joint pain (28.45%). Different family income status, menstrual status, previous physical fitness, climacteric syndrome distribution, the difference was statistically significant (P <0.05). Multivariate logistic regression analysis showed whether menstrual discomfort (OR = 0.487, 95% CI: 0.325-0.730), menopausal status (OR = 0.631,95% CI: 0.418-0.952) CI: 1.124 ~ 6.135) is the influencing factor of climacteric syndrome. Conclusion The prevalence of climacteric syndrome in Shanghai community is high, so it is necessary to carry out targeted education activities to improve the quality of life in menopause.