nach oben

Quality of Life Research

Erschienen in:

01.08.2010

Quality of life after the menopause in Iran: a population study

verfasst von: Hossien Fallahzadeh

Erschienen in: Quality of Life Research | Ausgabe 6/2010

Einloggen, um Zugang zu erhalten

Abstract

Objective

Quality of life (QoL) decreases after the menopause as it has been assessed by several designed tools. The aim of the present research was to assess QoL and determine factors related to its impairment among postmenopausal Iranian women.

Methods

This cross-sectional study was conducted through cluster sampling among 480 postmenopausal women in Yazd, Islamic Republic of Iran, in 2008. Data were collected using the menopause quality of life questionnaire (MENQOL) by interviewing. Content validity and Cronbach’s alpha were used, respectively, to ensure the validity and reliability of the questionnaires. Inferential and descriptive statistics via SPSS.15 software was used for data analysis.

Results

The results showed that the menopausal women have worse QoL scores in vasomotor dimension and higher QoL scores in physical dimension. Univariate analysis showed that there were significant differences in the MENQOL scores by age, number of children, education, postmenopausal stage, employment status, and BMI. Women aged 60–65 (P < 0.05), with a university level of education (P < 0.01), who had employment (P < 0.01), who had postmenopausal stage 5 or more years (P < 0.05), with a body mass index ≤18.5 kg m⁻² (P < 0.05), and who had significantly lower scores indicating better quality of life. Logistic regression determined that vasomotor score decreased with age. Employment and number of children decreased the risk of having psychosocial scores above the median. Postmenopausal stage ≥5 increased the risk for higher scores within the sexual domain, respectively.

Conclusion

Menopause causes a decrease in quality of life, which is dependent to work and other socio-demographic variables. Therefore, it is necessary to develop effective intervention programs to improve quality of life after menopause.

The North American Menopause Society. (2001). Internet communication: http://www.menopause.org.

Porter, M., Penney, G. C., Russell, D., Russell, E., & Templeton, A. (1996). A population based survey of women’s experience of the menopause. British Journal of Obstetrics and Gynaecology, 103, 1025–1028.PubMed

Avis, N. E., Stellato, R., Crawford, S., et al. (2001). Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Social Science and Medicine, 52, 345–356.CrossRefPubMed

Fallahzadeh, H. (2007). Age at natural menopause in Iran. Menopause, 14, 1–5.CrossRef

World Health Organization. (1994). Quality of life assessment: International perspectives. Berlin: Springer.

Bullinger, M., Anderson, R., Cella, D., & Aaronson, N. (1993). Developing and evaluating cross-cultural instruments from minimum requirements to optimal models. Quality of Life Research, 2, 451–459.CrossRefPubMed

Zollner, Y. F., Acquadro, C., & Schaefer, M. (2005). Literature review of instruments to assess health-related quality of life during and after menopause. Quality of Life Research, 14, 309–327.CrossRefPubMed

Hilditch, J. R., Lewis, J., Peter, A., et al. (1996). A menopause-specific quality of life questionnaire: Development and psychometric properties. Maturitas, 24, 161–175.PubMed

Blumel, J. E., Castelo-Branco, C., Binfa, L., et al. (2000). Quality of life after the menopause: A population study. Maturitas, 34, 17–23.CrossRefPubMed

10.

Bech, P., Munk-Jensen, N., Obel, E. B., Ulrich, L. G., Eiken, P., & Nielsen, S. P. (1998). Combined versus sequential hormonal replacement therapy: A double-blind, placebo-controlled study on quality of life-related outcome measures. Psychotherapy and Psychosomatics, 67, 259–265.CrossRefPubMed

11.

Karlberg, J., Mattsson, L. A., & Wiklund, I. (1995). A quality of life perspective on who benefits from estradiol replacement therapy. Acta Obstetricia et Gynecologica Scandinavica, 74, 367–372.CrossRefPubMed

12.

Van der Mooren, M. J., & Kenemans, P. (2004). Postmenopausal hormone therapy: Impact on menopause-related symptoms, chronic disease and quality of life. Drugs, 64, 821–836.CrossRefPubMed

13.

Binfa, L., Castelo-Branco, C., Blumel, J., et al. (2004). Influence of psycho-social factors on climacteric symptoms. Maturitas, 48, 425–431.CrossRefPubMed

14.

Limouzin-Lamothe, M. A., Mairon, N., Joyce, C. R., & Le Gal, M. (1994). Quality of life after the menopause: Influence of hormonal replacement therapy. American Journal of Obstetrics and Gynecology, 170, 618–624.PubMed

15.

Karacam, Z., & Seker, S. E. (2007). Factors associated with menopausal symptoms and their relationship with the quality of life among Turkish women. Maturitas, 58, 75–82.CrossRefPubMed

16.

Lewis, J. E., Hilditch, J. R., & Wong, C. J. (2005). Further psychometric property development of the menopause-specific quality of life questionnaire and development of a modified version. MENQOL-intervention questionnaire. Maturitas, 50, 209–221.CrossRefPubMed

17.

Gold, E. B., Sternfeld, B., Kelsey, J. L., et al. (2000). Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40–55 years of age. American Journal of Epidemiology, 152, 463–473.CrossRefPubMed

18.

Olofsson, A. S., & Collins, A. (2000). Psychosocial factors, attitude to menopause and symptoms in Swedish perimenopausal women. Climacteric, 3, 33–42.CrossRefPubMed

19.

Williams, R. E., Levine, K. B., Kaliliani, L., Lewis, J., et al. (2008). Menopause-specific questionnaire assessment in US population-based study shows negative impact on health-related quality of life. Maturitas, 62, 153–159.CrossRef

20.

Jacobs, P., Hyland, M. E., & Ley, A. (2000). Self rated menopausal status and quality of life in women aged 40–63 years. British Journal of Health Psychology, 5, 395–411.CrossRef

21.

Li, C., Borgfeldt, C., Samsioe, G., Lidfeldt, J., & Nerbrand, C. (2005). Background factors influencing somatic and psychological symptoms in middle-age women with different hormonal status. A population-based study of Swedish women. Maturitas, 52, 306–318.CrossRefPubMed

22.

Gold, E. B., Block, G., Crawford, S., et al. (2004). Lifestyle and demographic factors in relation to vasomotor symptoms: Baseline results from the Study of Women’s Health Across the Nation. American Journal of Epidemiology, 159, 1189–1199.CrossRefPubMed

23.

Freeman, E. W., Sammel, M. D., Grisso, J. A., Battistini, M., Garcia-Espagna, B., & Hollander, L. (2001). Hot flashes in the late reproductive years: Risk factors for Africa American and Caucasian women. J Womens Health Gend Based Medincine, 10, 67–76.CrossRef

24.

Gallicchio, L., Visvanathan, K., Miller, S., et al. (2005). Body mass, estrogen levels, and hot flashes in midlife women. American Journal of Obstetrics and Gynecology, 193, 1353–1360.CrossRefPubMed

25.

Olofsson, A. S., & Collins, A. (2001). Psychosocial factors, attitude to menopause and symptoms in Swedish perimenopausal women. Climacteric, 3, 33–42.CrossRef

26.

Kuh, D. L., Wadsworth, M., & Hardy, R. (1997). Women’s health in midlife: the influence of the menopause, social factors and health in earlier life. British Journal of Obstetrics and Gynaecology, 104, 923–933.PubMed

27.

Ojeda, V. M., Gestion, S., (Eds.). (1994). Zig-Zag Informe Sobre Chile: Santiago.

28.

Chedraui, P., Hidalgo, L., Chavez, D., Morocho, N., Alvarado, M., & Huc, A. (2007). Quality of life among postmenopausal Ecuadorian women participating in a metabolic syndrome screening program. Maturitas, 56, 45–53.CrossRefPubMed

Titel: Quality of life after the menopause in Iran: a population study
verfasst von: Hossien Fallahzadeh
Publikationsdatum: 01.08.2010
Verlag: Springer Netherlands
Erschienen in: Quality of Life Research / Ausgabe 6/2010
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-010-9644-2

Springer Medizin

Abstract

Objective

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2010

Feasibility, reliability, and validity of the EQ-5D-Y: results from a multinational study

Diabetes and its impact on health-related quality of life: a life table analysis

Health-related quality of life in inflammatory bowel disease measured with the generic 15D instrument

Cross-cultural adaptation and validation of a Brazilian Portuguese version of the chronic pain grade

Development of the EQ-5D-Y: a child-friendly version of the EQ-5D

Predicting physical quality of life among a multiethnic sample of breast cancer survivors