在美国人口中,农村,郊区和城市环境中的更年期症状负担和管理
Erin R Dwyer1, Pauline M Maki2, Ronit Katz1
1From the Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, WA.
概括
与城市和郊区的同行相比,农村妇女报告的心理和体质更年期症状更多. 低荷尔蒙疗法使用强调需要针对健康衰老资源进行量身定制的教育.
科学领域:
- 生殖健康 生殖健康
- 社会医学科学 社会医学科学
- 妇女健康 妇女健康
背景情况:
- 更年期对女性的生活质量产生重大影响.
- 了解更年期经历的地理差异对于有针对性的干预措施至关重要.
研究的目的:
- 为了比较农村,郊区和城市地区的妇女的更年期经历,包括症状和治疗方法.
- 根据地理位置确定症状流行和资源利用的差异.
主要方法:
- 2019年的一项在线调查收集了来自45岁以上的美国女性的数据,这些女性处于更年期过渡或更年期后.
- 受访者按农村,郊区和城市居住区分层.
- 症状和治疗方法的年龄加权比例使用奇平方测试进行了比较.
主要成果:
- 农村妇女在更年期过渡后报告了较高的肌肉疼痛,疼痛和恐慌发作.
- 农村的绝经后妇女经历了更频繁的情绪波动,尿失禁和阴道干燥.
- 血管运动症状的患病率很高,但所有住院组的激素治疗使用率都很低.
结论:
- 农村妇女可能面临更大的心理和体质绝经症状负担.
- 更年期荷尔蒙疗法使用率低,表明需要改善教育.
- 教育举措应针对不同的住宅群体和他们喜欢的健康老龄化资源进行调整.
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