Study On Epidemic Status And Influence Factors Of Emotional Disorder Of Perimenopausal Women In Jiangxi Rural Area

Perimenopausal emotional disorder is a series of disease caused by various reasons, which is characterized by remarkable and permanent emotional or mood changes. Perimenopausal emotional disorder is one of the key problems which has been to perplex vast female healthy at present, especially in rural women .To investigate the epidemic status and analyze the influencing factors of perimenopausal emotional disorder, which has positive significance to improve rural women's physical and mental health.This study on the basis of domestic and international relevant research and combined with the situation of Jiangxi province, to explore popular status and some important influence factors of perimenopausal rural women's emotional disorder on epidemiology.Objective :To elucidate the epidemic characteristics of perimenopausal women's emotional disorder in rural economic society at present ; Screening and evaluation of some important social and biological factors which impact on peri-menopausal women's emotional disorder; put forwards countermeasures of intervene on the high risk population and the target population in women around menopause.Methods The higher living standard of Jing"an and the lower living standard of Fenyi are selected as the research spot, rural women who aged 40⁵6 years taken as the research object . A cluster sampling was applied to randomly select 3 townships respectively from county Jingan and Fenyi, and randomly select 3 administrative villages from each township. The study was conducted to collect data in face-to-face questionnaire interviews . Blood samples from some of patients and non-patients with confirmed for E2,FSH and LH test by radio-immunoassay.Apply the self-rating anxiety scale and self-rating depression scale to measure score combined with somatization,that can be used in the diagnosis of emotional disorder. Multivariate non-conditional logistic regression was used to assess the influence factors of emotional disorder in perimenopausal women.Results According to perimenopausal emotional disorder study of 613 subjects who are aged from 40 to 56 years in the countryside areas ,the results suggested that prevalence rate of emotional disorders was 27.90%, which the prevalence rate of anxiety was 24.8% and the prevalence rate of depression was 14.68%. The prevalence rate(41.61%) in the lower living standard of Fenyi county significantly greater than the prevalence rate(14.92%) in the higher living standard of Jing'an county .The prevalence rate had a rising tendency with age, younger age showed the lower prevalence rate of emotional disorders; the lower of the education level , the higher of the prevalence rate . The prevalence rate of brain workers slightly higher than the prevalence rate of manual workers.Analyze of somatic symptoms in investigation object, the first three common symptoms are osteoarthralgia, urinary incontinence ,courbature ;next came headache, tinnitus, colpoxerosis, skin itch, insomnia, nervous, lack of concentration. To explore on menarche status of 613 subjects, normal menstrual occupied 53.8%,the menopause occupied 30.2%; the mean age at menopause is 51.20±4.24 years.Normal menstrual proportion of emotional disorder is far below the proportion of not emotional impediment. The detection results of three types of hormone indicate that the content of Estradiol in emotional disorder's blood was lower than the content of Estradiol in not emotional impediment's blood,but the levels of FSH and LH in patients higher than the levels of FSH and LH in non-patients. Main risk factors and protective factors that related to emotional disorder respectively is,the risk factors: personal interesting fewness(X₂₂ ,OR=2.000),marital status non-idea(X₄, OR=1.715), experience of Many great affairs in recent years(X₁₅ ,OR=1.663), lack of exercise(X₂₃, OR=1.270);the protective factors :living with family(X₉, OR=0.408) ,higher economic status(X₇, OR=0.419), living environment satisfaction(X₁₄, OR=0.517), marriage harmony(X₂₀, OR=0.706)Conclusion: The prevalence rate of perimenopausal emotional disorder was 27.90% in the countryside areas of Jiangxi province ,that is at the national average level. Among which the prevalence rate of anxiety was 24.8% higher than the prevalence rate of depression was 14.68%. The prevalence rate in the lower living standard of Fenyi county above the prevalence rate in the higher living standard of Jing'an county . The prevalence rate had a rising tendency with age, younger age showed the lower prevalence rate of emotional disorders in middle-aged population, the higher of the education level , the lower of the prevalence rate . The first three somatic symptoms of perimenopausal female are osteoarthralgia., urinary incontinence , courbature.Normal menstrual occupied 53.8% in the whole sample, which was slightly higher.;the mean age at menopause is 51.20±4.24 years which postpone for 3.1 years compared with the national average level . The content of Estradiol in emotional disorder's blood was lower than the content of Estradiol in not emotional impediment's blood,but the levels of FSH and LH in patients higher than the levels of FSH and LH in non-patients.Eight influencing factors that closely related to perimenopausal emotional disorder respectively is, the risk factors: personal interesting fewness(X₂₂ ,OR=2.000),marital status non-idea(X₄, OR=1.715), experience of many great affairs in recent years(X₁₅ ,OR=1.663), lack of exercise(X₂₃, OR=1.270);the protective factors:living with family(X9, OR=0.408) ,higher economic status(X₇, OR=0.419), living environment satisfaction(X₁₄, OR=0.517), marriage harmony(X₂₀, OR=0.706).