Prognostic factors for future mental, physical and urogenital health and work ability in women, 45-55 years: a six-year prospective longitudinal cohort study.
Female
Health Status
Humans
Longitudinal Studies
Mental Health
/ statistics & numerical data
Middle Aged
Primary Health Care
Prognosis
Prospective Studies
Quality of Life
/ psychology
Reproductive Health
Sick Leave
/ statistics & numerical data
Social Support
Socioeconomic Factors
Surveys and Questionnaires
Sweden
Women's Health
Work Capacity Evaluation
Menopause
Mental health
Physical and urogential health
Primary health care
Sick leave
Social support
Workability
women’s health
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
12 08 2020
12 08 2020
Historique:
received:
07
10
2019
accepted:
07
07
2020
entrez:
14
8
2020
pubmed:
14
8
2020
medline:
12
1
2021
Statut:
epublish
Résumé
Impaired health due to stress is a common cause of long-term illness in women aged 45-55 years. It is a common cause for visits to primary health care (PHC) and may influence work-ability. The aim of this study was to investigate prognostic factors for future mental, physical and urogenital health as well as work-ability in a population of average women aged 45-55 years. This longitudinal cohort study initially assessed 142 women from PHC centers in southwestern Sweden. One houndred and ten accepted participation and were followed for 6 years. They were assessed using the self-reported questionnaires: the Menopause Rating Scale (MRS), the Montgomery-Asberg Depression Rating Scale (MADRS-S), the Short-Form Health Survey (SF-36). Descriptive data are presented of health, education, relationships and if they are working. Multicollinearity testing and logistic regression were used to test the explanatory variables. Severity of symptoms in the MRS somatic and urogenital domains decreased while they increased in the psychological and depressive domains. Having tertiary education was associated with decreased overall mental health, vitality and social role functioning. Living with a partner was associated with increased physical role functioning, social role functioning and emotional role functioning. Quality of life seems to be enhanced by a good relationship with the partner, social support and work/life balance. Therefore, to improve women health women should early discuss ways in which these issues can be incorporated as they pursue their academic or career goals. Hence, we emphasize the importance of supporting women to gain increased awareness about a healthy life balance and to have realistic goals in work as well as in their social life.
Sections du résumé
BACKGROUND
Impaired health due to stress is a common cause of long-term illness in women aged 45-55 years. It is a common cause for visits to primary health care (PHC) and may influence work-ability. The aim of this study was to investigate prognostic factors for future mental, physical and urogenital health as well as work-ability in a population of average women aged 45-55 years.
METHODS
This longitudinal cohort study initially assessed 142 women from PHC centers in southwestern Sweden. One houndred and ten accepted participation and were followed for 6 years. They were assessed using the self-reported questionnaires: the Menopause Rating Scale (MRS), the Montgomery-Asberg Depression Rating Scale (MADRS-S), the Short-Form Health Survey (SF-36). Descriptive data are presented of health, education, relationships and if they are working. Multicollinearity testing and logistic regression were used to test the explanatory variables.
RESULT
Severity of symptoms in the MRS somatic and urogenital domains decreased while they increased in the psychological and depressive domains. Having tertiary education was associated with decreased overall mental health, vitality and social role functioning. Living with a partner was associated with increased physical role functioning, social role functioning and emotional role functioning.
CONCLUSION
Quality of life seems to be enhanced by a good relationship with the partner, social support and work/life balance. Therefore, to improve women health women should early discuss ways in which these issues can be incorporated as they pursue their academic or career goals. Hence, we emphasize the importance of supporting women to gain increased awareness about a healthy life balance and to have realistic goals in work as well as in their social life.
Identifiants
pubmed: 32787825
doi: 10.1186/s12905-020-01015-4
pii: 10.1186/s12905-020-01015-4
pmc: PMC7425146
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
171Références
Climacteric. 2018 Dec;21(6):554-558
pubmed: 30183402
World Psychiatry. 2008 Oct;7(3):137-42
pubmed: 18836580
Health Qual Life Outcomes. 2004 Sep 02;2:45
pubmed: 15345062
BMC Womens Health. 2017 Dec 08;17(1):128
pubmed: 29221473
Maturitas. 2016 Aug;90:3-8
pubmed: 27282787
Soc Sci Med. 1995 Nov;41(10):1349-58
pubmed: 8560302
Climacteric. 2012 Dec;15(6):542-51
pubmed: 22530706
JAMA Psychiatry. 2014 Jan;71(1):36-43
pubmed: 24227182
Maturitas. 2017 Apr;98:14-19
pubmed: 28274323
Electron Physician. 2016 Dec 25;8(12):3369-3377
pubmed: 28163850
BMC Nurs. 2017 Jul 14;16:38
pubmed: 28725159
Int J Rehabil Res. 2015 Mar;38(1):27-33
pubmed: 25203749
Lancet. 2008 Mar 1;371(9614):760-70
pubmed: 18313505
Menopause. 2020 Apr;27(4):430-436
pubmed: 31934948
Crit Care. 2013 Oct 13;17(5):R236
pubmed: 24119915
BMJ Open. 2018 Apr 28;8(4):e021007
pubmed: 29705766
Ann Agric Environ Med. 2016 Sep 27;23(4):641-648
pubmed: 28030937
Obstet Gynecol Clin North Am. 2018 Dec;45(4):585-597
pubmed: 30401544
Prz Menopauzalny. 2014 Jun;13(3):203-11
pubmed: 26327856
Br J Psychiatry. 1979 Apr;134:382-9
pubmed: 444788
Menopause. 2012 Apr;19(4):387-95
pubmed: 22343510
Scand J Caring Sci. 2012 Dec;26(4):720-9
pubmed: 22515840
Work. 2018;59(2):259-272
pubmed: 29355123
Maturitas. 2019 Feb;120:23-28
pubmed: 30583760
Maturitas. 2017 Jun;100:64-69
pubmed: 28539178