Abstract
The scope of this study was to investigate the prevalence and factors associated with negative self-rated health in menopausal women registered with the Family Health Strategy in a Brazilian urban center. It is a cross-sectional study with a random sample of menopausal women. A validated instrument addressing sociodemographic and behavioral data related to self-rated health status was used. The association between the variables studied and negative self-rated health was assessed by bivariate analysis followed by Poisson regression with robust variance, in a hierarchical model. The prevalence of negative self-rated health among the population studied was 41.6%, among 761 women. Among women aged 52-65 years old, 49.2% had negative self-rated health. Age corresponding to post-menopause, education up to eight years of study, having a partner, not having a formal job, current tobacco use and physical inactivity were associated with negative self-rated health. The presence of menopausal symptoms, overweight and obesity, the current use of medication and the presence of chronic diseases were also associated with negative self-rated health in the final model. The associations observed point to the need for health promotion activities aimed at menopausal women.
Highlights
The climacteric is a transitional period between the women reproductive and nonreproductive phase
The present study aimed to investigate the negative self-rated health prevalence and associated factors in climacteric women registered in the Family Health Strategy (FHS) in the North of Minas Gerais
The present study reported an increased prevalence of negative self-rated health among climacteric women
Summary
The climacteric is a transitional period between the women reproductive and nonreproductive phase It is an endocrine phenomenon characterized by progressive hypoestrogenism, due to ovarian follicles depletion in middle-aged women[1]. The hormonal changes in the climacteric are related to ovarian follicle function decline with hormonal fluctuations and consequent vasomotor instability. Symptoms such as heat waves, vaginal dryness and sleep disturbances are observed as consequence of these changes[4]. The climacteric corresponds to a series of life changes[5] Added to this set of alterations observed in this period, the family composition may suffer changes due to death or divorce, children that leave or return home and parents that become more dependent, further aggravating the context of organic changes
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