The association between reproductive history and menopausal symptoms: an evidence from the cross-sectional survey

Sharami, Seyedeh Hajar; Darkhaneh, Roya Faraji; Gashti, Nasrin Ghanami; Mansour‐Ghanaei, Mandana; Eghbal, Sedighe Bab

doi:10.1186/s12905-022-01715-z

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…There has been much academic research on the impact of fertility on the health of mothers, but the conclusions are not consistent. Some studies have reported a negative impact of fertility on maternal health, while others have observed a non-linear or positive relationship between the two variables [3][4][5][6][7][8][24][25][26]. Most research has focused on the health of older mothers, with limited attention given to how fertility influences the health The finding suggests that there is a significant negative correlation between the number of children born and the self-rated health of migrant women of childbearing age; in addition, an elevation in the socioeconomic status can act as a positive moderator and mitigate the negative impact of fertility on the health of migrant women.…”

Section: Discussionmentioning

confidence: 99%

Fertility and self-rated health of migrant women of childbearing age—an analysis of moderating effects based on socioeconomic status

Yang,

Xie

2024

BMC Women's Health

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Background As fertility rates continue to decline and negative population growth emerges, China has sequentially introduced encouraging fertility policies to raise fertility levels. The impact of fertility on women’s health remains inconclusive. It is essential to explore further the correlation between fertility and the health status of 113 million migrant women of childbearing age in China. Objective To investigate how fertility affects the health status of migrant women of childbearing age and determine if migrant women’s socioeconomic status plays a moderating role in this process. Methods Using a nationally representative dataset from the 2018 China Migrants Dynamic Survey (CMDS), we examined the effects of fertility on the self-rated health of migrant women of childbearing age. An ordinary least squares regression model with moderating effects was used for the empirical study, and robustness tests were conducted based on the ordered probit model and propensity score matching to address endogeneity. Results The empirical results indicated that a rise in the number of children born significantly reduces the self-rated health of migrant women of childbearing age. An increase in years of schooling and household income can significantly mitigate the negative impact of childbearing on the health of migrant women. The robustness of the above results was validated through alternative models and propensity score matching (PSM) methods. The heterogeneity analysis revealed that fertility exerts a negative impact on the health status of migrant women with rural household registration and on the health status of inter-provincial and inter-city migrant women. Further investigation found that the occurrence of childbirth during migration and an increase in the number of girls significantly negatively impacted the health status of migrant women. In contrast, the increase in the number of boys did not show a significant effect. Improving the health of migrant women of childbearing age significantly positively impacted their future childbearing intentions. Conclusions Migrant women of childbearing age bear the dual burden of migration and childbirth. Our findings showed the rise in the number of children born and the occurrence of childbirth during migration posed greater challenges to the health status of female migrants, particularly among those with lower socioeconomic status. Government and community efforts for enhancing health among migrant women of childbearing age are recommended.

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Section: Discussionmentioning

confidence: 99%

Fertility and self-rated health of migrant women of childbearing age—an analysis of moderating effects based on socioeconomic status

Yang,

Xie

2024

BMC Women's Health

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“…The present study found no significant correlation between age, marital status, career, the number of children, and menstruation regulation and the occurrence of menopausal symptoms through univariate analyses, which differed from the results of studies in other countries. A Turkish study noted that women with a menopausal age of 44–50 years had a higher risk of developing menopausal symptoms [ 30 ]; a survey among women in the community showed that marital status was one of the factors affecting menopausal symptoms [ 31 ]; the results of a Greek study showed that women who were employed had less severe menopausal symptoms [ 32 ]; an Iranian study noted that women with a high number of children had more severe menopausal somatic symptoms [ 33 ]; and a Sri Lankan study noted that postmenopausal women had more severe menopausal symptoms than premenopausal women [ 34 ]. The differences between the results of the foreign studies and the results of the present survey may be due to differences in national policies and the demographic characteristics of the respondents; for example, the one-child policy was implemented in 1979 in China [ 35 ], so 76% of the women in the present survey had only one child; in addition, 95% of the respondents in the present study were married, which lacked comparability.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy in women aged 40–60 years: a cross-sectional study

Lu,

Li,

Zheng

et al. 2023

BMC Women's Health

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Background Menopause is a specific physical and psychological transition period for women, during which they experience a series of menopausal symptoms. Menopausal hormone therapy is an important treatment for improving menopausal symptoms. Helping women correctly understand menopausal hormone therapy is a prerequisite for increasing the acceptance and utilization of menopausal hormone therapy by women. Physical examinations are an important method for women to master their own health status and detect potential health problems, and in recent years, an increasing number of women have actively participated in physical examinations. Therefore, this study aims to comprehend the prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy among women aged 40–60 who underwent physical examinations, which would provide a useful reference to reduce the prevalence of menopausal symptoms and improve acceptance of menopausal hormone therapy. Methods This cross-sectional study was conducted at the Health Management Centre of the Affiliated Hospital of Southwest Medical University in Luzhou City, Sichuan Province. The data were collected from 295 women aged between 40 and 60 using convenience sampling. Information on all participants was collected through face-to-face interviews. Participants completed a demographic questionnaire and an attitude towards menopausal hormone therapy questionnaire, and the modified Kupperman index was used to assess the prevalence and severity of participants' menopausal symptoms. The collected data were processed using SPSS and Excel software and analysed using descriptive statistics and logistic regression. Results The top 5 menopausal symptoms were insomnia, fatigue, bone and joint pain, sexual dysfunction and emotional instability. Multiple linear regression analysis showed that residence, sexual intercourse frequency, mentality, and physical exercise were the influencing factors of menopausal symptoms. The study showed that 77% of women said they were still reluctant to receive menopausal hormone therapy after experiencing menopause-related symptoms. The main source of menopausal hormone therapy-related knowledge among women was from surrounding menopausal women (62%), and 54% wanted to gain menopausal hormone therapy-related knowledge through a web-based approach. Conclusion The incidence of menopausal symptoms is higher in women aged 40–60 years, which is related to women’s mentality, exercise, and sexual intercourse frequency. In addition, the results of this study indicate that women’s knowledge of menopausal hormone therapy is insufficient, which suggests that we need to strengthen health education to improve the acceptance rate of menopausal hormone therapy.

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“…Hu et al also found that age at rst childbirth, the childbearing period and the number of children born signi cantly increased parental depression [12]. The study by Sharami et al found that women with a higher number of children were more likely to have higher total and somatic symptoms than others [13].…”

Section: Theories and Literature Reviewmentioning

confidence: 97%

Fertility behavior and self-rated health of migrant women of childbearing age——an analysis of moderating effects based on socioeconomic status

Yang

Xie

2023

Preprint

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Background As fertility rate continues to decline and negative population growth emerges, China has sequentially introduced encouraging fertility policies to raise fertility levels. The impact of fertility behaviors on women's health remains inconclusive. It is essential to explore further the correlation between fertility behaviors and the health status of 113 million migrant women of childbearing age in China. Methods Using a nationally representative dataset from the 2018 China Migrants Dynamic Survey (CMDS), we examined the effects of fertility behaviors on the self-rated health of migrant women of childbearing age. An ordinary least squares regression model with moderating effects was used for the empirical study, and robustness tests were conducted based on the ordered probit model and propensity score matching to address endogeneity. Results The empirical results indicated that a rise in the number of children born significantly reduces the self-rated health of migrant women of childbearing age. An increase in years of schooling and household income can significantly mitigate the negative impact of childbearing behaviors on the health of migrant women. The robustness of the above results was validated through alternative models and propensity score matching (PSM) methods. The heterogeneity analysis revealed that fertility behavior exerts a negative impact on the health status of migrant women with rural household registration and on the health status of inter-provincial and inter-city migrant women. Further investigation found that the occurrence of childbirth during migration and an increase in the number of girls significantly negatively impacted the health status of migrant women. In contrast, the increase in the number of boys did not show a significant effect. Improving the health of migrant women of childbearing age significantly positively impacted their future childbearing intentions. Conclusions Migrant women of childbearing age bear the dual burden of migration and childbirth. Our findings showed the rise in the number of children born and the occurrence of childbirth during migration posed greater challenges to the health status of female migrants, particularly among those with lower socioeconomic status. Government and community efforts for enhancing health among migrant women of childbearing age are recommended.

show abstract

The association between reproductive history and menopausal symptoms: an evidence from the cross-sectional survey

Cited by 5 publications

References 38 publications

Fertility and self-rated health of migrant women of childbearing age—an analysis of moderating effects based on socioeconomic status

Fertility and self-rated health of migrant women of childbearing age—an analysis of moderating effects based on socioeconomic status

Prevalence of menopausal symptoms and attitudes towards menopausal hormone therapy in women aged 40–60 years: a cross-sectional study

Fertility behavior and self-rated health of migrant women of childbearing age——an analysis of moderating effects based on socioeconomic status

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