Health-Related Quality of Life and Healthcare Resource Utilization in Taiwanese Women with Menopausal Symptoms: A Nation-Wide Survey

有停經症狀之臺灣婦女的健康相關生活品質與醫療資源利用—全國調查

徐育愷(Yuh-Kae Shyu) ； 潘潔馨(Chieh-Hsin Pan) ； 劉偉民(Wei-Min Liu) ； 薛瑞元(Jui-Yuan Hsueh) ； 許淳森(Chun-Sen Hsu) ； 蔡佩珊(Pei-Shan Tsai)

《The Journal of Nursing Research》 20卷3期 (2012/09) Pp. 208-218

https://doi.org/10.1097/JNR.0b013e318265619b

摘要

背景　不同文化與種族背景的婦女其停經經驗不同，且可能會影響生活品質。停經症狀嚴重的婦女會尋求醫療協助來減緩症狀。目的　本研究探討有停經症狀之臺灣婦女的人口學特徵與健康相關生活品質，以及停經症狀與健康相關生活品質及醫療資源利用的相關性。方法　此橫斷性研究使用2005年國民健康訪問暨藥物濫用調查多段分層系統抽樣設計資料，分析35至64歲婦女共4,437位，以多元邏輯斯回歸分析與停經症狀婦女有關的變項，及有停經症狀比無停經症狀婦女發生差的健康相關生活品質及醫療資源利用的機會。結果　有846位（19.1%）婦女曾有停經症狀。年齡、宗教、吸菸、運動及共病情形與出現停經症狀有關。在控制傾向分數後，有停經症狀的婦女比無症狀的分別有1.85、1.66、1.39、1.73、1.44及1.36倍機會出現較差的身體與心理健康相關生活品質、使用門診、中醫與急診服務及住院。結論　35至64歲的臺灣婦女約有五分之一有停經症狀。在控制可能的干擾因子後，有停經症狀的婦女其健康相關生活品質較差且醫療資源利用增加。

關鍵字

停經症狀 ； 健康相關生活品質 ； 醫療資源利用

並列摘要

Background: Menopausal experience differs among women with different cultural and ethnic backgrounds and may impact quality of life. Some women with severe menopausal symptoms seek medical help to alleviate menopause-related symptoms.Purpose: This study examined the demographic characteristics and health-related quality of life (HRQOL) of Taiwanese women experiencing menopausal symptoms and examined associations between menopausal symptoms and, respectively, poor HRQOL and healthcare resource utilization.Methods: This cross-sectional study used data from the 2005 National Health Interview Survey in Taiwan, which used a multistaged stratified systematic sampling scheme. A total of 4,437 women aged 35-64 years were analyzed. We used multivariable logistic regression models to identify variables significantly and independently associated with the presence of menopausal symptoms. We also used the model to assess the odds of poor HRQOL and healthcare resource utilization in women with menopausal symptoms compared with those without.Results: Eight hundred and forty-six women (19.1%) reported experiencing menopausal symptoms. Age, religion, smoking, exercise, and comorbidity were independently associated with the presence of such symptoms. The propensity score-adjusted odds ratio of poor physical HRQOL, poor mental HRQOL, use of outpatient, traditional Chinese medicine and emergency room services, and hospitalization for women with menopausal symptoms were 1.85 (95% CI [1.54, 2.21]), 1.66 (95% CI [1.40, 1.97]), 1.39 (95% CI [1.18, 1.63]), 1.73 (95% CI [1.37, 2.18]), 1.44 (95% CI [1.15, 1.81]), and 1.36 (95% CI [1.02, 1.81]), respectively, compared with those without symptoms.Conclusions: Nearly one fifth of women aged 35-64 years in Taiwan experience menopausal symptoms. The presence of menopausal symptoms increases the likelihood of poor HRQOL and healthcare resource utilization even after controlling for possible confounders.

並列關鍵字

healthcare resource utilization ； health-related quality of life ； menopausal symptoms

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