ObjectiveTo investigate the health status, analyze the incidence of perimenopausal syndrome, pelvic floor dysfunction and their influencing factors, and explore the health needs of perimenopausal women in Bengbu city.
MethodsUsing the multi-stage random group sampling method, 957 women aged 40-60 years in Bengbu city were selected to carry out a questionnaire survey, and the general demographic and health information were analyzed.
ResultsThe incidence rate of perimenopausal syndrome was 42.11%(403/957).The differences of the perimenopausal syndromes among women with different ages, education levels, body mass index, marital status, partner health status, relationship with children, sleep quality, exercise habit, dysmenorrhea history, times of vaginal delivery and menstrual status in the past 1 year were statistically significant(P < 0.05 and P < 0.01).The results of multivariate logistic regression analysis showed that the incidence rates of mild and moderate perimenopausal syndrome in those with normal menstruation were lower compared with the patients with menopause for 1 year(P < 0.05 and P < 0.01).In the group of moderate perimenopausal syndrome, the incidence rates of perimenopausal syndrome in women with 40-44 years old and dysmenorrhea were higher than those in 55-60 years old and without dysmenorrhea(P < 0.05 to P < 0.01).The incidence rates of perimenopausal syndrome in women with good sleep quality and no experience of vaginal delivery or women with one vaginal delivery were lower than in women with poor sleep quality and more than three times of vaginal delivery(P < 0.05 to P < 0.01).In severe perimenopausal syndrome group, the incidence rate of perimenopausal syndrome in women with good sleep quality was lower than in women with poor sleep quality(P < 0.01), and the incidence rates of perimenopausal syndrome in women with primary school education and below were higher than in women with junior college education and above(P < 0.01).The differences of the pelvic floor dysfunction scale scores of perimenopausal women with different ages, body mass index, education level, marital quality, relationship with children, sleep quality, dysmenorrhea history and menstrual status in the past 1 year were statistically significant(P < 0.05 to P < 0.01).The high education level, good family relationship and no history of dysmenorrhea were the protective factors of pelvic floor dysfunction in perimenopausal women, while the emaciation, childbirth and menstrual disorder were the risk factors of pelvic floor dysfunction(P < 0.05 to P < 0.01).
ConclusionsThe detection rate of perimenopausal syndrome and other uncomfortable symptoms in perimenopausal women in Bengbu area is relatively high, the demand for relevant knowledge and degree of understanding are not balanced, and the health care for perimenopausal women should be paid attention to.
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