摘要
目的 了解北京地区围绝经期妇女健康现状及其对相关保健知识的认知状况。方法 采用分层整群概率比率的方法 ,于 1999年在北京地区 18个区、县抽取 10个群体 ,对样本群中 72 32名 4 0～ 6 5岁女性进行调查。结果 ①北京地区女性目前平均自然绝经年龄 4 8.4 1岁 ,在近 2 0年内提前了 2 .0 2岁。②更年期综合征包括更年期症状、更年期抑郁症、血脂异常、骨密度降低、骨折以及心血管病的发病率随年龄增高而明显升高 ;其中更年期抑郁症、骨密度降低、骨折以及冠心病的发病率 ,城区高于郊区 ,而更年期症状、高血脂、高血压发病率 ,郊区高于城区。③雌激素替代治疗是防治更年期综合征的有效方法 ,但目前我市围绝经期妇女对这一知识的知晓率仅为7.90 % ,使用者仅占绝经妇女的 4 .4 0 % ,郊区极显著低于城区。结论 我市围绝经期妇女的健康现状不容忽视 ,围绝经期妇女对雌激素替代治疗的知晓率很低 。
Objective To recoganize the health condition of perimenopausal women in Beijing as well as their knowledge about menopause and hormone replacement therapy (HRT).Methods Using the sampling method of stratified,clustering and probability proportional to size (PPS),10 clusters were selected from 18 urban districts and rural counties of Beijing in 1999.7 232 women of 40～65 years old from the selected cluster were interviewed.Results ①The mean age at natural menopause was 48.41 years old.It was 2.02 years earlier than before in latest 20 years.②The incidence of climacteric symptoms,depression,abnormal blood lipid,BMD decrease,fracture and coronary heart disease was increased significantly by aging process.The incidence of climacteric depression,low BMD,fracture and coronary heart in urban area was higher than that in rural area;while the incidences of the climacteric symptoms,high blood lipids and hypertension in rural area were higher than that in urban area.③HRT is effective to protect and treat the climacteric syndrome.But only 7.9% of the women interviewed knew it,only 4.4% of menopausal women once used it or had been using it.Those two rates were lower in rural area than in urban area.Conclusions The health of the menopause women is not so well but their knowledge about HRT is very poor.It's indicated that the health care and education work should be strengthened in this special group.
出处
《北京医学》
CAS
北大核心
2002年第4期235-238,共4页
Beijing Medical Journal
基金
1998年北京市科干局跨世纪人才工程专项基金资助
