Luana Karla Leite, Lidyane V Camelo, Rafaela Dias Rodrigues, Maria da Conceição Chagas de Almeida, Mariana Santos Felisbino-Mendes, Gustavo Velasquez-Melendez, Rosane Harter Griep, Sandhi Maria Barreto, Alexandra Dias Moreira
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Factors associated with the age of natural menopause in the ELSA-Brasil cohort.
Objective: This study aimed to investigate socio-demographic, reproductive, lifestyle and health factors associated with the age of natural menopause in the Brazilian context.
Method: The cross-sectional study was conducted with data from 3538 women who reported natural menopause from the baseline (2008-2010) to the date of the second visit (2012-2014) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The outcome of the study was the age of natural menopause. The association between socio-demographic, reproductive, lifestyle and health characteristics and the age of menopause were investigated using multiple linear regression.
Results: The mean age of natural menopause was 49.5 years. The following conditions were associated with a younger age at onset of menopause: lower education level, historically marginalized races/skin colors and smoking. By contrast, multiparity and contraceptive use for less than 3 years were associated with a higher mean age at the onset of menopause, related to no previous pregnancies and no contraceptive use.
Conclusion: The study findings provide relevant support for the development of public policies aimed at preventing early menopause and promoting comprehensive and continuous care for women's health.
期刊介绍:
Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women.
Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments.
The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.