上海市中老年女性绝经相关症状及绝经相关知识认知现状调查OACSTPCD

Objective To investigate the occurrence of menopausal-related symptoms and cognition status of menopaus-al-related knowledge among middle-aged and elderly women aged 40 years old and above in Shanghai,and provide reference for strengthening the health care and management of perimenopausal and postmenopausal women.Methods From January 2021 to December 2021,women aged≥40 years in Shanghai were randomly selected to conduct a questionnaire survey,and the occurrence of their menopausal-related symptoms was assessed by the Modified Kupperman Score Scale.Results A total of 5 441 survey questionnaires were collected,of which5 200 were valid,with an effective rate of 95.57% .The mean age of the respondents was(51.7±7.0)years old,the mean height was(160.42±5.07)cm,the mean body mass was(58.94±8.01)kg,and the mean BMI was(22.55±2.75)kg/m2.The incidence of menopausal syndrome reached 77% ,of which 10.15% were severe and 34.37% were moderate.The top five main symptoms of menopausal syndrome were fatigue,excita-ble,muscle and bone pain,insomnia and headache.23.03% —36.55% of the respondents had unclear or wrong knowledge about menopause,and 41.63% did not know menopausal hormone therapy;46.31% did not receive menopausal hormone ther-apy;48.23% would not recommend menopausal hormone therapy to women of appropriate age or relatives and friends around them.The main reasons that affected the acceptance of hormone therapy by respondents were lack of understanding of safety and efficacy(66.60% )and the risk of hormone therapy(45.94% ).Conclusion The reported rate of menopausal syndrome is higher in women over 40 years old,but there is a certain lack of cognition,especially for hormone replacement therapy.The lack of understanding of safety and efficacy,as well as the risks of hormone therapy,are the main reasons affecting the acceptance of hormone therapy.Therefore,it is very important to strengthen popular science education and health management.