同等性与更年期的时间和类型的关联:一个纵向队列研究
Natalie V Scime, Beili Huang1, Hilary K Brown2,3
1Department of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta, Canada.
American journal of epidemiology
|August 28, 2024
概括
出生影响更年期和切除子宫的时间. 较少的分娩增加了早期自然更年期的风险,而更多的分娩与晚期的手术更年期和子宫切除术有关. 需要进一步的研究.
科学领域:
- 生殖健康 生殖健康
- 妇科瘤学 妇科瘤学
- 流行病学 流行病学
背景情况:
- 平等性,定义为一个女人生下活生生的孩子的数量,是妇女健康的一个重要因素.
- 自然更年期,手术更年期和子宫切除术的时间可能会对长期健康产生影响.
- 了解平价与这些妇科事件之间的关系对于生殖健康研究至关重要.
研究的目的:
- 调查平价与自然更年期,手术更年期和更年期前切除子宫之间的时间变化的关联.
- 分析分娩数量如何影响妇女经历这些妇科事件的年龄.
主要方法:
- 利用阿尔伯塔省明天项目队列研究数据的灵活参数生存分析.
- 包括23,728名在入学时年龄在40-65岁的女性 (2000-2022).
- 检查了平价 (0,1,2,和≥3个出生) 与更年期和子宫切除术的时间之间的关联.
主要成果:
- 在50岁之前的自然更年期在0或1次分娩的女性中比2次分娩更为常见.
- 45岁前手术更年期的风险在0个或1个分娩时升高,但随着时间的推移,风险在≥3个分娩时降低.
- 绝经前的子宫切除风险在50岁前较低,为0个分娩,但在40岁后增加,为≥3个分娩.
结论:
- 均等性与自然更年期,手术更年期和子宫切除术的时间有复杂的,时间变化的关联.
- 出生的数量显著影响更年期过渡和子宫切除的年龄.
- 进一步研究生育对妇科健康的社会生物学影响是有必要的.
关键词:
阿尔伯塔省的明天项目孩子的出生,就是分娩.切除子宫术 (hysterectomy) 是一种切除子宫的方法.纵向研究是一种纵向研究.更年期 绝经 绝经卵巢切除术 (Oophorectomy) 是一种切除卵巢的方法.的平价性.更多相关视频
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