Abstract
Purpose
The aim of this study is to compare climacteric symptomatology and sociodemographic conditions and their effect on quality of life in two populations: Monterrey (Mexico) and Madrid (Spain).
Methods
469 women from Monterrey (mean age 50.5 + 4.3 years) and 452 (mean age 51.7 + 3.7 years) from Madrid participated in the study. Descriptive analyses of sociodemographic and clinics characteristics of the sample were performed. A cross-sectional design and a regression analysis were performed to establish the sociodemographic and clinical variables that would be used as predictors of quality of life. Data was collected using the Menopause-Specific Quality of Life, MENQOL, the Menopause Rating Scale (MRS), the Hospital Anxiety and Depression Scale (HADS), the Quality of Life Scale for Women Aged From 45 to 64 (QLS), and a sociodemographic and clinical interview designed ad hoc.
Results
Approximately 60% of both Spanish and Mexican women present symptoms during climacteric that impairs their quality of life. Spanish women suffer more intense symptoms and for a longer period of time than Mexican women, with the exception of anxiety. Mexican women report better quality of life than Spanish women and it is moderated by educational, socioeconomical, and marital status. Women’s knowledge about menopause is also related to a better quality of life.
Conclusions
Our study confirms the differences in climacteric symptomatology between populations and the impact of educational level and knowledge about menopause as predictors of a better quality of life in climacteric women.
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References
Avis NE, Stellato R, Crawford S, Bromberger J, Ganz P, Cain V, Kagawa-Singer M (2001) Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Soc Sci Med 52(3):345–356
Avis NE, Crawford SL, Greendale G, Bromberger JT, Everson-Rose SA, Gold EB et al (2015) Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med 175(4):531–539. https://doi.org/10.1001/jamainternmed.2014.8063
Blumel JE, Castelo-Branco C, Binfa L, Gramegna G, Tacla X, Aracena B et al (2000) Quality of life after the menopause: a population study. Maturitas 34(1):17–23. https://doi.org/10.1016/S0378-5122(99)00081-X
Caruso S, Cianci S, Cariola M, Fava V, Rapisarda AMC, Cianci A (2017a) Effects of nutraceuticals on quality of life and sexual function of perimenopausal women. J Endocrinol Investig 40(1):27–32. https://doi.org/10.1007/s40618-016-0500-2
Caruso S, Cianci S, Vitale SG, Matarazzo MG, Amore FF, Cianci A (2017b) Effects of ultralow topical estriol dose on vaginal health and quality of life in postmenopausal women who underwent surgical treatment for pelvic organ prolapse. Menopause 24(8):900–907. https://doi.org/10.1097/GME.0000000000000851
Chedraui P, Blümel JE, Baron G, Belzares E, Bencosme A, Calle A et al (2008) Impaired quality of life among middle aged women: a multicentre Latin American study. Maturitas 61(4):323–329. https://doi.org/10.1016/j.maturitas.2008.09.026
Chedraui P, San Miguel G, Avila C (2009) Quality of life impairment during the female menopausal transition is related to personal and partner factors. Gynecol Endocrinol 25(2):130–135. https://doi.org/10.1080/09513590802617770
Davis SR, Lambrinoudaki I, Lumsden M, Mishra GD, Pal L, Rees M, Santoro N, Simoncini T (2015) Menopause. Nat Rev Dis Primers (January 2016):15004. https://doi.org/10.1038/nrdp.2015.4
Fecteau N (2002) Perceptions of young women regarding menopause. In: Second Annual. WELS and ELS. CHARIS Institute of Wisconsin Lutheran College, Milwaukee
Freeman EW, Sammel MD, Liu L, Gracia CR, Nelson DB, Hollander L (2004) Hormones and menopausal status as predictors of depression in women in transition to menopause. Arch Gen Psychiatry 61(1):62–70. https://doi.org/10.1001/archpsyc.61.1.62
Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW et al (2012) Executive summary of the Stages of Reproductive Aging Workshop + 10: Aaddressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab 97(4):1159–1168. https://doi.org/10.1210/jc.2011-3362
Heinemann LAJ, Potthoff P, Schneider HPG (2003) International versions of the menopause rating scale (MRS). Health Qual Life Outcomes 1(1):28. https://doi.org/10.1186/1477-7525-1-28
Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E et al (1996) A menopause-specific quality of life questionnaire: development and psychometric properties. Maturitas 24(3):161–175 Retrieved from https://doi.org/10.1016/0378-5122(96)01038-9
Hunter M, Smith M (2013) a cognitive behavioural self-help guide to the menopause. Routledge, Abingdon
Instituto Nacional de Estadística (2018) Población (españoles/extranjeros) por edad (grupos quinquenales), sexo y año Retrieved from http://www.ine.es/jaxi/Datos.htm?path=/t20/e245/p08/l0/&file=02002.px
Instituto Nacional de Estadística y Geografía (2015) Cuantificando la clase media en México: un ejercicio exploratorio. Retrieved from http://www.inegi.org.mx/inegi/contenidos/investigacion/Experimentales/Clase_media/doc/clase_media_resumen.pdf
Jiménez-López J, Pérez-Silva G (1999) Actitud de la mujer en la menopausia y su influencia en el climaterio. Ginecol Obstet Méx 67(7):319–322
Larroy C, Robles J (2016) Psychological symptoms of menopausal women in the state of Madrid: a study of prevalence. Int J Psychol 51(S1):658–712. https://doi.org/10.1002/ijop.12325
Larroy C, Vera R (2013) Cognitive-behavioral declining in menopause. In: Hollins CJ, Watson RR, Preedy VR (eds) Handbook of nutrition and diet in menopause. Springer, New York, pp 347–357. https://doi.org/10.1007/978-1-62703-373-2_26
Larroy C, Marin C, Gutierrez S (2015) The effects of Cognitive-Behavioral techniques on hot flushes, depression and anxiety related to menopause in Spanish women. Wulfenia 22(3):31–43
Legorreta D, Monta JA, Hernández I, Salinas CN, Hernández-Bueno JA (2013) Age at menopause, motives for consultation and symptoms reported by 40 – 59-year-old Mexican women. Climacteric 16:417–425. https://doi.org/10.3109/13697137.2012.696288
Li S, Ho SC, Sham A (2016) Relationship between menopause status, attitude toward menopause, and quality of life in Chinese midlife women in Hong Kong. Menopause 23(1):67–73. https://doi.org/10.1097/GME.0000000000000566
Mauas V, Kopala-Sibley DC, Zuroff DC (2014) Depressive symptoms in the transition to menopause: the roles of irritability, personality vulnerability, and self-regulation. Arch Womens Mental Health 17(4):279–289. https://doi.org/10.1007/s00737-014-0434-7
Mendoza N, Sánchez-Borrego R, Cancelo MJ, Calvo A, Checa MA, Cortés J et al (2013) Position of the Spanish Menopause Society regarding the management of perimenopause. Maturitas 74(3):283–290. https://doi.org/10.1016/j.maturitas.2012.12.010
Pan American Health Organization (2015) WHO j EpiData Software and Templates. Available from: https://www.paho.org/hq/index.php?option=com_docman&view=list&format=html&layout=default&lug=software-2529&Itemid=270&lang=en
Pelcastre-Villafuerte B, Garrido-Latorre F, de León-Reyes V (2001) Menopausia: representaciones sociales y prácticas. Salud Publica Mex 43(5):408–414
Perandones M, Larroy C (2011) Intervención grupal para la mejora de la respuesta sexual y la calidad de vida de mujeres en climaterio: un estudio piloto. Revista de Psicopatología y Psicología Clínica 16(3):159–168. https://doi.org/10.5944/rppc.vol.16.num.3.2011.10359
Quiroga A, Larroy C, González-Castro P (2017) Climacteric symptoms and their relation to feminine self-concept. Climacteric 20(3). https://doi.org/10.1080/13697137.2017.1310192
Rubinstein H (2013) The meanings of menopause: identifying the bio-psycho-social predictors of the propensity for treatment at menopause. University of Cambridge; 2013.https://www.repository.cam.ac.uk/handle/1810/245082
Sánchez-Cánovas, J. (1999). Quality of Life Scale for women aged from 45 to 64. Ministerio de Trabajo y Asuntos Sociales. Instituto de la Mujer. Expediente Nº 48/97 [Not published].Madrid.
Sharma S, Mahajan N (2015) Menopausal symptoms and its effect on quality of life in urban versus rural women: a cross-sectional study. J Mid-Life Health 6(1):16. https://doi.org/10.4103/0976-7800.153606
Sherman S (2005) Defining the menopausal transition. Am J Med 118(12):3–7. https://doi.org/10.1016/j.amjmed.2005.11.002
Shu BC, Luh WM, Li SM, Lu SY (2007) Self-concept and menopause among mid-life women: a survey in southern Taiwan. Maturitas 57(2):132–138. https://doi.org/10.1016/j.maturitas.2006.11.011
Swaminathan K (2016) Menopause as disease: how pharma profited from social constructs. Retrieved from http://www.foxhedgehog.com/2016/03/menopause-as-disease-how-pharma-profited-from-social-constructs/
Utian WH, Woods NF (2013) Impact of hormone therapy on quality of life after menopause. Menopause 20(10):1098–1105. https://doi.org/10.1097/GME.0b013e318298debe
Vitale SG, Caruso S, Rapisarda AMC, Cianci S, Cianci A (2018) Isoflavones, calcium, vitamin D and inulin improve quality of life, sexual function, body composition and metabolic parameters in menopausal women: result from a prospective, randomized, placebo-controlled, parallel-group study. Menopausal Rev 17(1):32–38. https://doi.org/10.5114/pm.2018.73791
Wilkinson R (1996) Unhealthy societies: the afflictions of inequality. Routledge, New York
World Health Organization (1981) Report of a WHO Scientific Group: Research on the Menopause. World Health Organization, Geneva WHO Technical Report Series No 670
Yanikkerem E, Koltan SO, Tamay AG, Dikayak Ş (2012) Relationship between women’s attitude towards menopause and quality of life. Climacteric 15(6):552–562. https://doi.org/10.3109/13697137.2011.637651
Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370
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The study meets the requirements of Declaration of Helsinki. All participants were volunteers and were informed about the objective of the study, anonymity of the data and about the possibility of leaving the study. All women signed an informed consent.Approval was obtained from the Research Ethic Committee of the Vice-President Office for Health Sciences (Universidad de Monterrey; Ref.: 332016-CIE) and Faculty of Psychology (Universidad Complutense de Madrid).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Research Ethic Committee of the Vice-President Office for Health Sciences (Universidad de Monterrey; Ref.: 332016-CIE) and Faculty of Psychology (Universidad Complutense de Madrid) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.”
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Larroy, C., Quiroga-Garza, A., González-Castro, P.J. et al. Symptomatology and quality of life between two populations of climacteric women. Arch Womens Ment Health 23, 517–525 (2020). https://doi.org/10.1007/s00737-019-01005-y
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DOI: https://doi.org/10.1007/s00737-019-01005-y