한국 여성에서 폐경증상 중 혈관운동증상에 대한 역학 조사
Epidemiologic Survey of Menopausal and Vasomotor Symptoms in Korean Women
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초록
연구목적: 혈관운동증상 (vasomotor symptoms: vms)은 폐경기 경험 중 가장 불편한 증상 중 하나이다. 한국여성에서 혈관운동증상을 비롯한 폐경기 증상에 대한 대규모 조직적 역학 연구가 필요하여 이 연구를 시행하였다. 연구재료 및 방법: 만 40-60세 폐경주변기 및 폐경기를 지내고 있는 전국 여성 1,500명을 대상으로 횡단면적 조사를 시행하였다. 지역, 연령별 분포를 고려하여 다단계층화 무작위 추출법에 의해 한국여성을 대표할 수 있는 표본을 추출하였다. 정형화된 설문지를 이용하며 전문 면접원이 개별적으로 대상 여성들을 설문하였다. 결과: 폐경 주변기, 폐경 초기, 폐경 후기에서 각각 41.6%, 53.1%, 36.5%의 여성이 최근 6개월간 혈관운동증상을 경험하였다. 안면홍조를 겪고 있는 여성의 30.6%, 발한을 경험하고 있는 27.9%가 이들이 폐경과 무관한 증상이라고 알고 있었다. 결론: 서양보다 한국여성이 혈관운동증상을 더 적게 경험하는 것 같다. 폐경 증상에 대한 인식 및 치료률은 낮았다. 혈관운동증상 등 폐경 증상에 대한 교육과 치료에 대한 인식을 높이는 게 필요하다.
Abstract
Objectives: Vasomotor symptoms (VMS) are one of the most annoying symptoms experienced by postmenopausal women. Generally, 75% of women over 50 years of age experience VMS. This study is an epidemiologic survey of menopausal symptoms and VMS in Korean menopausal women. Methods: Survey participants were recruited from Korean provinces based on the Korean population study conducted in 2010 and using multi-level stratification by age and geographic location, and random sampling. Healthy perimenopausal and menopausal Korean women aged between 40 to 60 years and who participated in the interview survey were included in the study. The Korean version of the Menopause Rating Scale (MRS) and the Korean version of Women’s Health Questionnaire (WHQ) was used to investigate the prevalence of menopausal related symptoms and to assess quality of life. Results: Among the 1,500 women, 66% were classified as perimenopause, 28% as menopause, and 7% had undergone hysterectomy. Typically, 41.6% of women in perimenopause reported having experienced VMS in recent six months. About 53.1% of women in early menopause and 36.5% of women in late menopause had experienced VMS in the past six months. Whereas, 30.6% of women with hot flashes, and 27.9% of women with sweating stated that these symptoms were not related to menopause. Conclusion: The prevalence of VMS in Korean women seems to be less than women of Western countries. Overall subjective experience of menopause was perceived as increasingly positive with age. Awareness of menopausal symptoms appeared lower than expected. Perimenopausal and menopausal women in Korea rarely sought medical care.
참고문헌 (17)
- 양수진, "폐경기 관련 우울증의 평가와 치료", 생물정신의학, 16(4), pp.229~237 (2009), 대한생물정신의학회
- Soules MR, "Executive summary: Stages of Reproductive Aging Workshop (STRAW)", Fertil Steril, 76, pp.874~878 (2001)
- Kim H, "Non-hormonal management of vasomotor symptoms", J Korean Soc Menopause, 13, pp.157~163 (2007)
- Umland EM, "Treatment strategies for reducing the burden of menopause-associated vasomotor symptoms", J Manag Care Pharm, 14, pp.14~19 (2008)
- The Korean Society of Menopause, "Management of menopausal women. 3rd ed" (2007), Koonja
- Choi H, "The Korean menopausal womens attitudes and awareness on menopause: results of Korean gallup epidemiologic survey on menopause and HRT", J Korean Soc Menopause, 9, pp.36~43 (2003)
- Utian WH, "Psychosocial and socioeconomic burden of vasomotor symptoms in menopause: a comprehensive review", Health Qual Life Outcomes, 3, pp.47~ (2005)
- Spector RE, "Cultural diversity in health and illness. 5th ed" (2000), Prentice Hall
- Haines CJ, "Prevalence of menopausal symptoms in different ethnic groups of Asian women and responsiveness to therapy with three doses of conjugated estrogens", medroxyprogesterone acetate: the Pan-Asia Menopause (PAM) study, 2005, pp.52, 264~276
- Schneider HP, "The Menopause Rating Scale(MRS) : reliability of scores of menopausal complaints", Climacteric, 3, pp.59~64 (2000)
- Heinemann LA, "International versions of the Menopause Rating Scale(MRS)", Health Qual Life Outcomes, 1, pp.28~ (2003)
- Hunter M, "The Women’s Health Questionnaire (WHQ): the development, standardization and application of a measure of mid-aged women’s emotional and physical health", Qual Life Res, 9, pp.733~738 (2000)
- Melby MK, "Culture and symptom reporting at menopause", Hum Reprod Update, 11, pp.495~512 (2005)
- Loh FH, "Menopause and the Asian women: is she different from women of other ethnicities?", Sex Reprod Menopause, 15, pp.S6~S10 (2007)
- Im EO, "Ethnic differences in symptoms experienced during the menopausal transition", Health Care Women Int, 30, pp.339~355 (2009)
- Gold EB, "Lifestyle and demographic factors in relation to vasomotor symptoms: baseline results from the Study of Women’s Health Across the Nation", Am J Epidemiol, 159, pp.1189~1199 (2004)
- Min Soo Lee, "Association between Painful Physical Symptoms and Clinical Outcomes in Korean Patients with Major Depressive Disorder: A Three-Month Observational Study", PSYCHIATRY INVESTIGATION, 6(4), pp.255~263 (2009), 대한신경정신의학회