Menopausal symptoms and health problems of women aged 50-65 years in southern Jordan
Author: Shakhatreh FM, Mas'ad D.
Source:
Climacteric, 9(4), 305-311.
OBJECTIVES: To identify menopausal symptoms and health disorders of women aged
50-65 years in under-privileged areas of southern Jordan. METHOD: A multistage,
random-sampling design was applied to select a sample of households from three
governorates. A total of 143 women were eligible to be included in the analysis.
Women were asked about a list of symptoms (somatic, psychological and
genitourinary) and about a list of morbidities such as hypertension, diabetes
mellitus and urinary tract infection. Ever-screening by mammogram, regular breast
self-examination, ever-screening by cervical smear, general medical check-up,
physical activity, smoking habit, and ever-receiving information about menopause
were also investigated. RESULTS: The median age of onset of natural menopause was
50 years; 77% of women were illiterate, and 59% of the couples were relatives.
The most frequently reported somatic symptoms were joint aches/stiffness (89%),
bone pains (74%) and paresthesia in the extremities (51%). Hot flushes were
experienced by 62% and urinary incontinence by 30%. Almost 62% reported
irritability and mood changes, 56% had high blood pressure, and 18% and 14%
suffered from urinary tract infection and reproductive tract infection,
respectively. Eight percent and 11% reported ever-screening by mammogram and
cervical smear, respectively, and 11% reported performing breast self-examination
regularly. Regular physical exercise was reported by 8%, and 81% were overweight
or obese. One-quarter received information on menopause, and 58% reported the
need to know 'everything' about menopause. CONCLUSION: Women in southern Jordan
experienced multiple menopause-related symptoms and morbidities. The majority of
them did not receive any health education about this phase of life. Preventive
health practices and health-promoting behaviors are relatively uncommon.
Effective health-care delivery systems responsive to menopausal women's health
needs are highly recommended.