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Study on Epidemic Status and Influence Factors of Emotional Disorder of Perimenopausal Women in Jiangxi Rural Area

Author: LiuQinQin
Tutor: HuangHeLang
School: Nanchang University
Course: Epidemiology and Biostatistics,
Keywords: Epidemiology Perimenopausal health care Mental Health
CLC: R173
Type: Master's thesis
Year: 2009
Downloads: 98
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Abstract


Perimenopausal mood disorders is the perimenopausal period due to various causes significant and lasting emotional or mood changes as the main feature of a group of disorders. The perimenopausal women mood disorder is a prominent issue currently plaguing the majority of women's health, especially in rural women. Understanding of the characteristics of its popular and its influencing factors, and to improve the physical and mental health of rural women has a positive meaning. Discussion on the subject in the research at home and abroad on the basis of the provincial economy, the rural female emotional disorders in perimenopausal status of its main influencing factors epidemiological. Objective: To clarify the rural economic and social mood disorder prevalence and distribution characteristics of perimenopausal women; screening and evaluation of the main social factors that affect mood disorders and certain biological factors and intervention measures for high-risk groups and target populations. Methods: A better level of economic life in Jiangxi Jing'an County and living standards Fenyi scene for the study of rural women of 40-56 years old. First stratified simple random sampling method, according to County randomly selected three townships, each township extracted three administrative villages investigation units. Uniform questionnaire to fill out the implementation of the face-to-face interviews. The acquisition part diagnosed mood disorder patients and non-patients blood samples were measured by radioimmunoassay E2, FSH, LH three hormone levels and make evaluations. Diagnosis of mood disorders measured score, combined with the patient's physical symptoms to make judgments on the basis of currently accepted \Perimenopausal mood disorders influencing factors using multivariate unconditional logistic regression analysis. Results: The survey results suggest that, according to 613 40-56 year-old rural perimenopausal women mood disorder, the total prevalence of 27.9% (the anxiety prevalence of 24.8%; depression prevalence rate of 14.7%); life the lower level fenyi County prevalence rate (41.61%) was significantly higher than the high standard of living in Jing'an County (14.92%); prevalence increased with age, rising trend in different cultures extent performance , education level, the lower the higher the prevalence, or the opposite. The prevalence of mental slightly higher than manual workers. From the inspected object somatic symptoms, the most common symptoms of the top three are: bone and joint pain, urinary incontinence, muscle pain, in addition to headache, ringing in the ears, vaginal dryness, skin irritation, insomnia, tension and attention lack of concentration. 613 women of menstrual Situation Analysis: the normal menstruation 53.8%; menopause accounted for 30.2%; menopause an average age of 51.20 ± 4.24 years old. Mood disorders the menstrual normal ratio of 24.8%, far below the 75.2% of the non-emotional disorders. The three hormones test results showed that patients with mood disorders E2 content (71.03 ± 31.88pg/ml) is lower than the non-emotional disorders (79.60 ± 36.43pg/ml); contents of FSH and LH for patients (28.89 ± 24.79 pg / ml, 20.00 ± 14.88pg/ml) higher than non-patients (22.48 ± 22.96pg/ml, 16.70 ± 15.49pg/ml). The main risk factors and protective factors associated with mood disorders are risk factors: personal interests and hobbies (the X 22 , OR = 2.000), marital status due to the ideal (X 4 , OR = 1.715), the last 3-5 years more experience setbacks (X 15 , OR = 1.663), lack of physical exercise (X 23 , OR = 1.270 ); protective factors: living with their families (X 9 , OR = 0.408), the economic situation is better (the X 7 , OR = 0.419), satisfaction with the living environment (X 14 , OR = 0.517), marital relations harmony (the X 20 , OR = 0.706). Conclusion: .1, the province's rural areas around the menopausal women mood disorder prevalence of 27.9% at the national average; prevalence of anxiety (24.8%) was higher than the prevalence of depression (14.7%); living standards. low Fenyi high prevalence in the high standard of living in Jing'an County. In the middle-aged population, the prevalence increased with age; higher the educational level, the lower the prevalence. 2, the top three women around the menopause symptoms of somatization: bone and joint pain, urinary incontinence, muscle pain. The proportion of normal menstruation in all the inspected object is 53.8% higher; menopause an average age of 51.20 ± 4.24 years, 3.1 years later than the national average (48.1 years). Mood disorders the E2 content is lower than in the blood of patients with non-emotional disorders; FSH and LH content higher than non-patients showed patients. Perimenopausal mood disorders are closely related influencing factors 8. Risk factors: personal interests and hobbies (X 22 , OR = 2.000), marital status unsatisfactory (X 4 , OR = 1.715), 3-5 years more experienced setbacks (the X 15 , OR = 1.663), lack of physical exercise (X , 23 , OR = 1.270); protective factors: living with their families (X < sub> 9 , OR = 0.408), better economic conditions (X 7 , OR = 0.419), satisfied with the living environment (the X 14 , OR = 0.517), marital relations harmony (the X 20 , OR = 0.706).

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CLC: > Medicine, health > Preventive Medicine,Health > Maternal and child health > Women 's health and hygiene
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