都市原住民婦女更年期之症狀

Menopausal Symptoms of Urban Aboriginal Women in Taiwan

方茂守(Mao-So Fang) ； 楊美賞(Mei-Sang Yang) ； 蔡英美(Eing-Mei Tsai)

《台灣醫學》 10卷2期 (2006/03) Pp. 166-174

https://doi.org/10.6320/FJM.2006.10(2).03

摘要

本研究目的在瞭解高雄市原住民婦女更年期症狀及其影響因素。採立意取樣方式進行，研究對象為40至60歲之原住民婦女，以Greene更年期症狀量表(Greene Climacteric Scale)測量更年期症狀。採用結構式問卷進行資料收集，共得有效問卷187份，有效反應率為69.8%。研究結果顯示：都市原住民婦女的自然停經年齡平均為48.8歲（±3.6歲），最早為40歲，最晚為56歲。都市原住民婦女的更年期症狀，在肌肉關節酸痛、疲倦或缺乏元氣、頭痛部分與一般都市漢人無差異。單變項分析結果發現，顯著影響原住民婦女更年期症狀之因素為：未就業、停經階段與罹患慢性病。以對數複迴歸分析後發現處於停經中期、罹患慢性病二者為婦女更年期症狀之顯著影響因子。本研究結果可以提供健康照護人員對原住民婦女更年期症狀及其相關因素之實證資料。可做為未來提升原住民婦女健康方案之參考。

關鍵字

都市原住民婦女 ； 更年期 ； 更年期症狀

並列摘要

The purpose of this study was to explore aboriginal, urban Taiwanese women's experience of climacteric symptoms and factors related to those symptoms. One hundred and eighty seven urban aboriginal women aged 40 to 60 years and living in Kaoshiung city were recruited to this study by purposive sampling. The response rate was 69.8%. Data were collected through structured questionnaires. The Greene Climacteric Symptom Scale was used for measuring the climacteric symptoms. The results showed that the mean age of menopause in urban aborignal women was 48.8 years (SD=3.5 years), ranging from 40 years to 56 years. The urban aborignal women had menopausal symptoms similar to those of other Taiwanese women, such as muscle soreness and joint pain, feeling tired or lack of energy, and headaches. Univariate analysis revealed that the factors significantly related to the climacteric symptoms were being unemployed, being perimenopausal, and having a chronic physical disease. The results of multiple logistic regression revealed that being perimenopausal and having a physical disease were the factors significantly related to the climacteric symptoms. The results of this study will help us to know more about urban aboriginal women's climacteric symptoms and, therefore, to develop interventions for promoting aboriginal women's health.

並列關鍵字

urban aboriginal women ； perimenopausal ； climacteric symptoms