Quality of life: differences among a community sample of Portuguese women in pre-, peri- and post-menopause
Prof. Filipa Pimenta
9 slide(s) – English – 2012-03-28
Objective: This study aims to compare women with different menopausal status, regarding menopause-specific QoL.
Method: A community sample of 1,003 Portuguese women (aged 42 to 60 years old), in pre-, peri- and post-menopause, filled in a questionnaire to collect socio-demographic information. Menopausal status was determined using STRAW criteria (Soules et al., 2001). Quality of life was assessed with a validated version of the Utian QoL Scale (Utian et al., 2002). One-way ANOVA, followed by a Tukey’s test, were used to compare women in the three menopausal statuses.
Results: Mean age of participants was 50 (SD=5,233). 70% was married/in a relationship, 85% professionally active, 29% had completed high school and 26% had an annual income between 10,001 and 20,000€. 28% were in pre-menopause, 30% in peri-menopause and 42% in post-menopause. Regarding occupational QoL, there were significant differences between women in pre- and in post-menopause (MD=.2544;p=.002); emotional QoL was significantly different between pre- and both peri- (MD=.1991;p=.007) and post-menopausal participants (MD=.2606;p<.001); sexual QoL also differed among women in pre- and post-menopause (MD=.3337;p<.001) and in peri- and post-menopause (MD=.2072;p=.031). There were no significant differences regarding the health-related QoL. Overall QoL was significantly different between pre- and both peri- (MD=.1640;p=.006) and post-menopausal women (MD=.1999;p<.001).
Conclusion: As women go from the early menopausal status to the late one, QoL seems to be significantly lower; the exception is health-related which did not vary in this community sample. This QoL decrease, as women progress in their reproductive aging, should be accounted both in research and clinical settings.