Perceived Change in Quality of Life During the Menopause  

Oleh:

Mishra, Gita ; Kuh, Diana

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 1 (Jan. 2006), page 93-102.
Topik: quality of life; UK; quality of life; menopause; women's health; psychology; family life; leisure activities

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The directly attributable effect of menopausal transition on women's qualtiy of life (QoL) remain unclear. This study investigates the realtionship between perceived change in QoL and menopausal transition status, socio economic circumstances, lifestyles factors and life stress. Prospective data were collected from a cohort of 1525 british women followed up since their birth in 1946 and annualy from 47 to 54 years. Following factor analysis, the 10 survey items for perceived change were combined into three QoL domains : physical health (physical health, energy level and body weight), psychosomtic status (nervous and emotional state, self confidence, work life, ability to make decisions, and ability to concentrate) and personal life (family life and time for self, hobbies, and interests). In the fully, adjusted model, the most important risk factor for decline in all three domains was work of family related stress (p < 0,001). Menopausal transition status was significantly associated with change in physical health (p < 0,001) and psychosomatic (p < 0,001) domains, but not personal life. Women who were perimenopausal dfor at least a year perceived decline in physical ( p = 0,009) and psychosomatic (p = 0,05) domains compared with premenopausal women, while those on hormone replacement therapy (HRT) for at least a year reported relative improvement (physical relative decline (p = 0,03) in the physical health domain, and nulliparity with a relative decline in the personal life domain (p = 0,006). Both psychosomatic and personal life domains declined significantly with age (p < 0,0001 and p = 0,003 respectively). Women with four or more children reported a erlative improvement in the psychosomatic (p = 0,05) domain. In terms of the three QoL domains, women's experience of the menopausal transition appears complex, potentially involving a range of other factors and influences in their lives, and is by no means overwhelmingly negative.

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