Predicting menopausal health in a diverse population group through a theoretical linear model——Theoretical model to predict menopausal health
Amit Sengupta, Nithya Srinivasan
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DOI: 10.4236/health.2010.211197   PDF    HTML     6,259 Downloads   10,569 Views   Citations

Abstract

With the increase in longevity and demographic shift, menopause is emerging as one of the major health issues affecting middle aged women in developing countries. In this study our aim was to define & develop useful predictive indicators to assess menopausal health status in women with diverse socio-economic & cultural backgrounds. The model was developed using the data drawn from known published works as well as our own epidemiological & clinical case records. A linear equation was derived and expected results were obtained and analysed. The outcome was measured in terms of menopausal health & wellbeing index. Wide cultural diversity, unequal socio-economic status and gender inequality are some of the sensitive multi factorial determinants that influence the menopausal health. Education and availability of optimal quality health care facilities positively influenced level of awareness and improved the health seeking behavior & health literacy. The menopausal health & wellbeing index can be used as a predictive tool to develop interventional management modalities to improve quality of life.

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Sengupta, A. and Srinivasan, N. (2010) Predicting menopausal health in a diverse population group through a theoretical linear model——Theoretical model to predict menopausal health. Health, 2, 1320-1326. doi: 10.4236/health.2010.211197.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Sengupta, A. (2003) The emergence of the menopause in India. Climacteric, 6, 92-95.
[2] WHO (2000) Women of South East Asia, a health profile. New Delhi: Regional publications SEARO, 34.
[3] Bush, T.L. (1990) The epidemiology of cardiovascular disease in post menopausal women. Annals of the New York Academy of Sciences, 592, 263-271.
[4] Flint, M. and Samil, R.S. (1990) Cultural and sub-cultural meaning of the menopause. Annals of the New York Academy of Sciences, 592, 134-148.
[5] Kaur, S., Walia, I. and Singh, A. (2004) How menopause affects the lives of women in suburban Chandigarh, India. Climacteric, 7(2), 175-180.
[6] Singh, A. and Arora, A.K. (2005) Profile of menopausal women in rural north India. Climacteric, 8(2), 177-184.
[7] Boulet, M.J., Oddens, B.J., Lehert, P., Vermer, H.M. and Visser, A. (1994) Climacteric and menopause in seven SE Asian countries. Maturitas, 19, 157-176.
[8] The World Bank (1996) Improving women’s health in India. Development in Practice Series, New York, Oxford University press for the WB.
[9] Rout, H.S. (2006) Linkages between income education and health: Case of rural Orissa. The Indian Economic Journal, Indian Economic Conference Volume, 70-79.
[10] Wise, L.A., Krieger, N., Zierler, S. and Harlow, B.L. (2002) Lifetime socioeconomic position in relation to onset of per menopause. Journal of Epidemiology and Community Health, 56, 851-860.
[11] Brzyski, R.G., Medrano, M.A., Hyatt-Santos, J.M. and Ross, J.S. (2001) Quality of life in low-income menopausal women attending primary care clinics. Fertility and Sterility, 76(1), 44-50.
[12] Mishra, G.D., Cooper, R., Tom, S.E. and Diana, Kuh. (2009) Early life circumstances and their impact on me- narche and menopause. Women’s Health, 5(2), 175-190.
[13] Parsons, M.A. and Obermeyer, C.M. (2007) Women’s midlife health across ultures: DAMES comparative ana- lysis. Menopause, 14(4), 760-768.
[14] Robin, G. and Nanette, S. (2009) Menopausal symptoms and ethnicity: The Study of women’s Health Across the Nation. Women’s Health, 5(2), 127-133.
[15] Christopher, E. and Jacqueline, S. (2003) Reproductive and sexual health of older women in developing countries. British Medical Journal, 327, 64-65.
[16] Gupta, P., Sturdee, D.W. and Hunter, M.S. (2006) Mid- age health in women from the Indian subcontinent (MA- HWIS): General health and the experience of menopause in women. Climacteric, 9(1), 13-22.
[17] Sommer, B., Avis, N., Meyer, P., Ory, M., Madden, T., Kagawa-Singer, M., Mouton, C., Rasor, N.O. and Adler, S. (1999) Attitudes toward menopause and aging across ethnic/racial groups. Psychosomatic Medicine, 61(6), 868- 875.
[18] Loutfy, I., Abdel Aziz, F., Dabbous, N.I. and Hassan, M.H. (2006) Women’s perception and experience of me- nopause: A community-based study in Alexandria, Egypt. Eastern Mediterranean Health Journal, 12(Suppl 2), S93- 106.
[19] Greene, J.G. (1998) Constructing a standard climacteric scale. Maturitas, 29(1), 25-31.
[20] Schneider, H.P.G., Heinemann, L.A.G. and Thiele, K. (2002) Menopause rating scale (MRS): Linguistic and cultural translation into English. Life and Medical Science Online, 3, 1-13.
[21] Zollner, Y.F., Acquadro, C. and Schaefer, M. (2005) Literature review of instruments to assess health-related quality of life during and after menopause. Quality of Li- fe Research, 14(2), 309-327.
[22] Gold, E.B., Block, G., Crawford, S., Lachance, L., FitzGerald, G., Miracle, H. and Sherman, S. (2004) Lifestyle and Demographic Factors in Relation to Vasomotor Sym- ptoms: Baseline Results from the Study of Women’s Health Across the Nation. American Journal of Epidemiology, 159, 1189-1199.
[23] Melby, M.K., Lock, M. and Kaufert, P. (2005) Culture and symptom reporting at menopause. Human Reproduction Update, 11(5), 495-512.
[24] Bardhan, K. and Klasen, S. (1999) UNDP Gender Related indices: A critical review. World Development Report, 27, 985-1010.
[25] United Nations Development Programme (1999) Human development report. Oxford University Press, New York.
[26] Syamala, T.S. and Sivakami, M. (2005) Menopause, an emerging issue in India. Economic and Political Weekly, 40, 4923-4930.
[27] National Family Health Survey (NFHS-2), 1998-99, under Reproductive and child health project. International Institute for Population Studies (2001, phase I&II), Mumbai, India.
[28] Gold, E.B., Bromberger, J., Crawford, S., Samuels, S., Greendale, G.A., Harlow, S.D. and Skurnick, J. (2001) Factors associated with age at natural menopause in a multiethnic sample of midlife women. American Journal of Epidemiology, 153(9), 865-874.
[29] Satoh, T. and Ohashi, K. (2005) Quality-of-life assessment in community-dwelling, middle-aged, healthy wo- men in Japan. Climacteric, 8(2), 146-153.
[30] Shea, J.L. (2006) Chinese women’s symptoms: Relation to menopause, age and related attitudes. Climacteric, 9 (1), 30-39.
[31] Sharps, P.W., Phillips, J., Oguntimalide, L., Saling, J. and Yun, S. (2003) Knowledge, attitudes, perceptions and practices of African-American women toward menopausal health. Journal of National Black Nurses’ Association, 14(2), 9-15.
[32] Gold, E.B., Stemfield, B., Kelsey, J.L., et al. (2000) Relation of demographic & life style factors to symptoms in a multiracial/ethnic population of women 40-55 years of age. American Journal of Epidemiology, 152, 463-473.
[33] Cristina, K., Haider, M.A., Junior, J.M.S., Nunes, M.G., Quadros, L.G.A., Kemp, C., et al. (2006) Randomized clinical trial comparing CEE and isoflavones in post menopausal women-apilot study. Maturitas, 53, 49-58.
[34] Kronenberg, F. (1990) Hot flushes: Epidemiology & physiology. Annals of the New York Academy of Sciences, 592, 52-86.
[35] Thompson, B., Hart, S.A. and Dumo, D. (1973) Menopause age and symptomatology in a general practice. Journal of Biosocial Science, 5, 71-82.

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