Quality of life in diverse groups of midlife women: Assessing the influence of menopause, health status and psychosocial and demographic factors

被引:112
作者
Avis, NE
Assmann, SF
Kravitz, HM
Ganz, PA
Ory, M
机构
[1] Wake Forest Univ, Bowman Gray Sch Med, Dept Publ Hlth Sci, Sect Social Sci & Hlth Policy, Winston Salem, NC 27157 USA
[2] New England Res Inst, Watertown, MA 02172 USA
[3] Rush Presbyterian St Lukes Med Ctr, Chicago, IL 60612 USA
[4] Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA
[5] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA
[6] Texas A&M Univ Syst, College Stn, TX USA
关键词
ethnicity; menopause; middle-aged; quality of life; women;
D O I
10.1023/B:QURE.0000025582.91310.9f
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper examines whether menopausal status is associated with global quality of life (QOL) among women aged 40 - 55 and whether this association varies by race/ethnicity. We further examine the contributions of other health-related and psychosocial factors to QOL and whether these associations vary by racial/ethnic group. Analyses are based on 13,874 women who participated in the multi-ethnic, multi-race study of mid-aged women called the Study of Women's Health Across the Nation ( SWAN). Study participants completed a 15-min telephone or in-person interview that contained questions on a variety of health-related topics. Items of interest for these analyses include global QOL, menstrual history ( to assess menopausal status), sociodemographics, health status, lifestyle, and psychosocial variables. Results showed that in unadjusted analyses, early perimenopausal women reported lower QOL compared with premenopausal women, but menopausal status was no longer associated with QOL when analyses were adjusted for other variables. In multivariable models, being married and having low levels of perceived stress were associated with better QOL across all racial/ethnic groups. While there were many consistencies across racial/ethnic groups, we also found that the nature of the associations between QOL and education, marital status, perceived stress and social support varied across racial/ethnic groups.
引用
收藏
页码:933 / 946
页数:14
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