Prevalence, impact and management of postmenopausal symptoms among postmenopausal women in Rwanda.

IF 2.9 4区医学 Q1 OBSTETRICS & GYNECOLOGY Climacteric Pub Date : 2023-12-01 Epub Date: 2023-09-04 DOI:10.1080/13697137.2023.2246887

B Sitini, P Ntihinyurwa, D Ntirushwa, L Mafende, M Small, S Rulisa

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Abstract

Objective: This study aimed at evaluating the prevalence and management of postmenopausal symptoms among Rwandan women.

Methods: A descriptive cross-sectional study was conducted at the four largest Rwandan referral hospitals from August 2017 to March 2018 among postmenopausal women. Data on postmenopausal symptoms were collected using the Modified Blatt-Kupperman Menopausal Index and score ranges of 0-6, 7-15, 16-30 and >30 were used to rate the degree of severity as none, mild, moderate, and severe, respectively.

Results: Six hundred participants were recruited. The mean age at natural menopause was 51.7 ± 5.6 years. Common symptoms were hot flushes (82%), sexual complaints (66%) and headache (61%). The mean Blatt-Kupperman index score was 21.2 (1-58). Participants' symptoms were classified as severe (35.8%), moderate (49.0%), mild (11.3%) and none (3.8%). Among 41.2% who had sought medical care, 1.7% were given hormonal replacement and 36% were given only pain medications. Age >50 years and lack of a male partner were significantly associated with higher scores.

Conclusions: Postmenopausal symptoms remain a burden among Rwandan women and little consideration is given for optimal management. There is a need for health managers to consider this inevitable phase of life on the health policy agenda for equitable healthy aging.

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卢旺达绝经后妇女绝经后症状的流行、影响和管理。

目的:本研究旨在评估卢旺达妇女绝经后症状的患病率和管理。方法:2017年8月至2018年3月在卢旺达四家最大的转诊医院对绝经后妇女进行描述性横断面研究。使用改良的Blatt-Kupperman绝经指数收集绝经后症状的数据，并使用0-6、7-15、16-30和>30的评分范围分别将严重程度评定为无、轻度、中度和严重。结果:招募了600名参与者。自然绝经的平均年龄为51.7±5.6岁。常见症状为潮热(82%)、性不适(66%)和头痛(61%)。平均Blatt-Kupperman指数为21.2(1-58)。参与者的症状分为重度(35.8%)、中度(49.0%)、轻度(11.3%)和无症状(3.8%)。在41.2%的求医者中，1.7%的人接受了激素替代治疗，36%的人只接受了止痛药治疗。年龄>50岁和缺乏男性伴侣与较高的得分显著相关。结论:绝经后症状仍然是卢旺达妇女的负担，很少考虑最佳管理。卫生管理人员有必要将这一不可避免的生命阶段纳入卫生政策议程，以实现公平健康的老龄化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.