Get full text report (pdf file; Read by ADOBE Acrobat Reader)
J Occup Health year 2001 volume 43 number 6 page 356 - 364
Classification Original
Title Vasomotor and Other Menopausal Symptoms Influenced by Menopausal Stage and Psychosocial Factors in Japanese Middle-Aged Women
Author Kuninori SHIWAKU1, Yosuke YAMANE1, Iwao SUGIMURA2, Masato HAYASHI3, Masami NOJIRI4, Shosui MATSUSHIMA5 and Wasaku KOYAMA6
Organization 1Department of Environmental Medicine, Shimane Medical University, 2Asahikawa Kosei Hospital,
3Hiraga General Hospital, 4School of Nursing, Chiba University, 5Saku General Hospital and
6Kumamoto Health Care Center, Japanese Red Cross
Keywords Menopausal symptoms, Psychosocial factors, Japanese women
Correspondence K. Shiwaku, Department of Environmental Medicine, Shimane Medical University, Izumo City, Shimane 693-8501, Japan
Abstract Vasomotor and Other Menopausal Symptoms Influenced by Menopausal Stage and Psychosocial Factors in Japanese Middle-Aged Women: Kuninori SHIWAKU, et al. Department of Environmental Medicine, Shimane Medical University-The relationship among menopausal symptoms, the menopausal stage and psychosocial factors in climacteric of Japanese women was investigated. Information on menopausal symptoms, the menstrual cycle and psychosocial factors were collected by means of a self-reported questionnaire in six rural communities. A general population sample of 2,886 women (recovery rate of 75%) aged 40 to 69 yr completed a report on seventeen self-reported health symptoms over the preceding 12 months. The most bothersome complaints were aching/painful joints, weakness and headache that were reported by approximately half the population aged 40 to 69 yr, but less than 4% of the women were affected severely. One-third of the women were bothered by night sweats, cold hands and feet, nervousness and anxiety. Approximately one in five of the women complained of hot flushes, numbness, early waking, and sleeplessness. Four factors emerged from a factor analysis: general somatic symptoms, psychological symptoms, vasomotor symptoms and aging symptoms. Hot flushes, night sweats, numbness, early waking and sleeplessness were significantly higher in the perimenopausal and postmenopausal periods than in the premenopausal period of women aged 45 to 54 yr. The menopausal stages were significantly related to the vasomotor symptoms, but had little relationship to the other menopausal symptoms, in a logistic regression model. Japanese women characteristically have a lower incidence of vasomotor and other menopausal symptoms, and a lower utilization of medical treatment for menopausal symptoms. Vasomotor symptoms were clearly associated with menopause, but other menopausal symptoms in Japanese middle-aged women related to self-rated health, social support and occupation.