Menopausal Changes in Urban and Rural Women: Prevalence, Correlates and Intervention
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Date
2018-08
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University of Agricultural Sciences, Dharwad
Abstract
The present study was conducted during the year 2014-2017 with the objective to study prevalence of menopausal symptoms, factors influencing menopausal changes and to assess the quality of life among urban and rural women in three districts of Northern Karnataka. Multistage sampling technique was used to draw sample from urban and rural areas of Dharwad, Vijayapura and Uttarkannada districts. Self structured questionnaire, a green’s climacterics, physical activity checklist, WHOQOL–BRIEF, nutritional status, socio-economic status, depression, stress, knowledge level was assessed using standard tools.
The results indicated that the mean age of attainment of menopause women in Northern Karnataka was 45.74 years. Whereas, the mean age of attainment of menopause among urban women was 45.37 years and 46.11 years in rural women. Most prevalent physical and psychological symptoms among urban and rural women were feeling tense or nervous, difficulty to concentrate, loss of feeling in hand. In both urban and rural area majority of premenopausal women had mild symptoms while peri and post menopausal women had moderate to severe symptoms. BMI and stress had positive and significant influence on menopausal symptoms while physical activity had negative and significant influence on menopausal symptoms. Both urban and rural women had low physical, psychological and social quality of life. Where as in case of overall and environmental quality of life majority of urban women had medium to high quality of life and rural women exhibited low quality of life. Among factors studied menopausal symptoms and depression had negative significant influence on quality of life. The efficacy of educational package on menopause transition and its management through diet and lifestyle guidance was tested on 20 menopausal women. The results indicated significant increase in knowledge score after intervention (t-value = 12.75) thus intervention programme was found to be effective in improving knowledge level of menopausal women.