THE USE OF QUESTIONNAIRE DATA TO CLASSIFY PERIMENOPAUSAL AND PREMENOPAUSAL STATUS

被引：13

作者：

COOPER, GS

BAIRD, DD

机构：

[1] Department of Epidemiology, University of North Carolina, Chapel Hill, NC

[2] Epidemiology Branch, National Institute of Environmental Health Sciences, NC, Research Triangle Park

来源：

EPIDEMIOLOGY | 1995年 / 6卷 / 06期

关键词：

MENOPAUSAL STATUS; QUESTIONNAIRE ASSESSMENT; METHODOLOGY;

D O I：

10.1097/00001648-199511000-00011

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];

摘要：

We assessed how well questionnaire data could classify peri- vs premenopausal status in 280 women, ages 38-49 years. Sixty-seven per cent of those who reported use of hormone replacement therapy begun when menstrual periods were irregular, or who had hot flashes at least once a day, or whose last menstrual period was at least 60 days in length, were perimenopausal by hormonal assay (early follicular phase serum follicle-stimulating hormone greater than or equal to 15 international units per liter), with a sensitivity of 0.56 [95% confidence interval (CI) = 0.41-0.72] and a specificity of 0.95 (95% CI = 0.93-0.98). In the classification of premenopausal status, the criterion of no menstrual cycle length changes in the past 5 years yielded the highest sensitivity (0.61; 95% CI = 0.54-0.67) and specificity (0.81; 95% CI = 0.68-0.93). With these few items, researchers can improve the classification of peri- and premenopausal status when longitudinal or hormonal assessments cannot be obtained.

引用

页码：625 / 628

页数：4

共 16 条

[1]

Lenton E.A., Sexton L., Lee S., Cooke I.D., Progressive changes in LH and FSH and LH:FSH ratio in women throughout reproductive life, Maturitas, 10, pp. 35-43, (1988)

[2]

Korenman S.G., Sherman B.M., Korenman J.C., Reproductive hormone function: The perimenopausal period and beyond, J Clin Endocrinol Metab, 7, pp. 625-643, (1978)

[3]

Velasco E., Malacara J.M., Cervantes F., De Leon J.D., Davalos G., Castillo J., Gonadotropins and prolactin strum levels during the penmenopausal period: Correlation with diverse factors, Fertil Steril, 53, pp. 56-60, (1900)

[4]

Reyes F.I., Winter J.S., Faiman C., Pituitary-ovarian relationships preceding the menopause. I. A cross-sectional study ot serum follicle stimulating hormone, luteinizing hormone, estradiol, and progesterone levels, Am J Obsret Gynecol, 129, pp. 557-564, (1977)

[5]

Wide L., Nillius S.J., Gemzell C., Roos P., Radioimmunosorbent assay of follicle-stimulating hormone and luteinizing hormone in serum and urine from men and women, Acta Endocrinol (Copenh) (Suppl), 174, pp. 3-58, (1973)

[6]

Sherman B.M., Wallace R.B., Treloar A.E., The menopausal transition: Endocrinological and epidemiological considerations, J Biosoc Sci Suppl, 6, pp. 19-35, (1979)

[7]

Metcalf M.G., Incidence ot ovulation from the menarche ro the menopause: Observations of 622 New Zealand women, N Z Med J, 96, pp. 645-648, (1983)

[8]

Lee S.J., Lenton E.A., Sexton L., Cooke I.D., The effect of age on the cyclical patterns ot plasma LH, FSH, oestradiol and progesterone in women with regular menstrual cycles, Hum Reprod, 3, pp. 851-855, (1988)

[9]

Metcalf M.G., Donald R.A., Livesey J.H., Pituitary-ovarian function in normal women during the menopausal transition, Clin Endocrinol (Oxf), 14, pp. 245-255, (1981)

[10]

Scott R.T., Toner J.P., Muasher S.J., Oehninger S., Robinson S., Rosenwaks Z., Follicle-stimulating hormone levels on cycle day 3 are predictive of in vitro fertilization outcome, Fertil Steril, 51, pp. 651-654, (1989)

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