都市原住民婦女更年期症狀與更年期態度之探討

本研究目的在瞭解高雄市原住民婦女更年期症狀、更年期態度及其影響因素，以及更年期症狀與更年期態度之相關性。本研究以Greene更年期症狀量表（Greene Climacteric Scale）、更年期態度量表作為測量工具。採立意取樣的方式進行收案，對象為40至60歲之原住民婦女，以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48.7歲（標準差為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：就業情形、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者、罹患慢性病者為婦女更年期症狀之顯著影響因子。在更年期態度方面，個人屬性在更年期態度部分無顯著差異；而原住民婦女的更年期態度與其更年期症狀呈負相關。期望本研究結果可以提供國內對於原住民更年期婦女更年期症狀、更年期態度之瞭解，與對影響原住民婦女更年期症狀、更年期態度之相關因素有更多探索，以作為健康從業人員對原住民婦女進一步的關心。

關鍵字

都市原住民婦女；更年期；更年期症狀；更年期態度

並列摘要

The purpose of this study was to explore the relationship among demographic data, climacteric symptoms, and perimenopaual attitude in urban aborignal women. The instruments of this study included the Greene Climacteric Symptom Scale, and the Perimenopause Attitude questionnaires. Purposive sampling was used for data collection. One hundred and etighty-seven particpants were recruited for this study (the responding rate was 69.8%). The mean age of menopause in urban aborignal women was 48.8 years (SD 3.5 years); and the urban aborignal women have the similar menopausal symptoms like muscle and joint pain, feeling tired or lacking of energy, and headaches with the other Taiwanese women. By chi-square analysis, the significant related factors of climacteric symptoms were women who didn’t have work, during perimenopausal period, and with chronic physical disease. Significant related factors of climacteric symptoms, which were analyzed by multiple logistic regression, revealed that during perimenopausal period, and with chronic physical disease. The women’s climacteric symptoms were significantly negative associated with menopausal attitude. The results of this study will help us to know more about urban aboriginal women’s climacteric symptoms, and their perimenopausal attitude. We may apply these findings to develop interventions for promoting aboriginal women’s health.