Health-related quality of life and healthcare resource utilization in taiwanese women with menopausal symptoms: A nation-wide survey

Yuh Kae Shyu, Chieh Hsin Pan, Wei Min Liu, Jui Yuan Hsueh, Chun-Sen Hsu, Pei Shan Tsai

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Menopausal experience differs among women with different cultural and ethnic backgrounds and may impact quality of life. Some women with severe menopausal symptoms seek medical help to alleviate menopause-related symptoms. Purpose: This study examined the demographic characteristics and health-related quality of life (HRQOL) of Taiwanese women experiencing menopausal symptoms and examined associations between menopausal symptoms and, respectively, poor HRQOL and healthcare resource utilization. Methods: This cross-sectional study used data from the 2005 National Health Interview Survey in Taiwan, which used a multistaged stratified systematic sampling scheme. A total of 4,437 women aged 35Y64 years were analyzed. We used multivariable logistic regression models to identify variables significantly and independently associated with the presence of menopausal symptoms. We also used the model to assess the odds of poor HRQOL and healthcare resource utilization in women with menopausal symptoms compared with those without. Results: Eight hundred and forty-six women (19.1%) reported experiencing menopausal symptoms. Age, religion, smoking, exercise, and comorbidity were independently associated with the presence of such symptoms. The propensity score-adjusted odds ratio of poor physical HRQOL, poor mental HRQOL, use of outpatient, traditional Chinese medicine and emergency room services, and hospitalization for women with menopausal symptoms were 1.85 (95% CI [1.54, 2.21]), 1.66 (95% CI [1.40, 1.97]), 1.39 (95% CI [1.18, 1.63]), 1.73 (95% CI [1.37, 2.18]), 1.44 (95% CI [1.15, 1.81]), and 1.36 (95% CI [1.02, 1.81]), respectively, compared with those without symptoms. Conclusions: Nearly one fifth of women aged 35Y64 years in Taiwan experience menopausal symptoms. The presence of menopausal symptoms increases the likelihood of poor HRQOL and healthcare resource utilization even after controlling for possible confounders.

Original languageEnglish
Pages (from-to)208-218
Number of pages11
JournalThe journal of nursing research : JNR
Volume20
Issue number3
DOIs
Publication statusPublished - Sep 2012

Fingerprint

Quality of Health Care
Quality of Life
Taiwan
Logistic Models
Propensity Score
Surveys and Questionnaires
Chinese Traditional Medicine
Religion
Menopause
Health Surveys
Hospital Emergency Service
Comorbidity
Mental Health
Hospitalization
Outpatients
Cross-Sectional Studies
Smoking
Odds Ratio
Demography
Interviews

Keywords

  • Health-related quality of life
  • Healthcare resource utilization
  • Menopausal symptoms

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)

Cite this

Health-related quality of life and healthcare resource utilization in taiwanese women with menopausal symptoms : A nation-wide survey. / Shyu, Yuh Kae; Pan, Chieh Hsin; Liu, Wei Min; Hsueh, Jui Yuan; Hsu, Chun-Sen; Tsai, Pei Shan.

In: The journal of nursing research : JNR, Vol. 20, No. 3, 09.2012, p. 208-218.

Research output: Contribution to journalArticle

@article{35bc1c17dd7e4ef7a8eefd0e7d771156,
title = "Health-related quality of life and healthcare resource utilization in taiwanese women with menopausal symptoms: A nation-wide survey",
abstract = "Background: Menopausal experience differs among women with different cultural and ethnic backgrounds and may impact quality of life. Some women with severe menopausal symptoms seek medical help to alleviate menopause-related symptoms. Purpose: This study examined the demographic characteristics and health-related quality of life (HRQOL) of Taiwanese women experiencing menopausal symptoms and examined associations between menopausal symptoms and, respectively, poor HRQOL and healthcare resource utilization. Methods: This cross-sectional study used data from the 2005 National Health Interview Survey in Taiwan, which used a multistaged stratified systematic sampling scheme. A total of 4,437 women aged 35Y64 years were analyzed. We used multivariable logistic regression models to identify variables significantly and independently associated with the presence of menopausal symptoms. We also used the model to assess the odds of poor HRQOL and healthcare resource utilization in women with menopausal symptoms compared with those without. Results: Eight hundred and forty-six women (19.1{\%}) reported experiencing menopausal symptoms. Age, religion, smoking, exercise, and comorbidity were independently associated with the presence of such symptoms. The propensity score-adjusted odds ratio of poor physical HRQOL, poor mental HRQOL, use of outpatient, traditional Chinese medicine and emergency room services, and hospitalization for women with menopausal symptoms were 1.85 (95{\%} CI [1.54, 2.21]), 1.66 (95{\%} CI [1.40, 1.97]), 1.39 (95{\%} CI [1.18, 1.63]), 1.73 (95{\%} CI [1.37, 2.18]), 1.44 (95{\%} CI [1.15, 1.81]), and 1.36 (95{\%} CI [1.02, 1.81]), respectively, compared with those without symptoms. Conclusions: Nearly one fifth of women aged 35Y64 years in Taiwan experience menopausal symptoms. The presence of menopausal symptoms increases the likelihood of poor HRQOL and healthcare resource utilization even after controlling for possible confounders.",
keywords = "Health-related quality of life, Healthcare resource utilization, Menopausal symptoms",
author = "Shyu, {Yuh Kae} and Pan, {Chieh Hsin} and Liu, {Wei Min} and Hsueh, {Jui Yuan} and Chun-Sen Hsu and Tsai, {Pei Shan}",
year = "2012",
month = "9",
doi = "10.1097/jnr.0b013e318265619b",
language = "English",
volume = "20",
pages = "208--218",
journal = "The journal of nursing research : JNR",
issn = "1682-3141",
publisher = "台灣護理學會",
number = "3",

}

TY - JOUR

T1 - Health-related quality of life and healthcare resource utilization in taiwanese women with menopausal symptoms

T2 - A nation-wide survey

AU - Shyu, Yuh Kae

AU - Pan, Chieh Hsin

AU - Liu, Wei Min

AU - Hsueh, Jui Yuan

AU - Hsu, Chun-Sen

AU - Tsai, Pei Shan

PY - 2012/9

Y1 - 2012/9

N2 - Background: Menopausal experience differs among women with different cultural and ethnic backgrounds and may impact quality of life. Some women with severe menopausal symptoms seek medical help to alleviate menopause-related symptoms. Purpose: This study examined the demographic characteristics and health-related quality of life (HRQOL) of Taiwanese women experiencing menopausal symptoms and examined associations between menopausal symptoms and, respectively, poor HRQOL and healthcare resource utilization. Methods: This cross-sectional study used data from the 2005 National Health Interview Survey in Taiwan, which used a multistaged stratified systematic sampling scheme. A total of 4,437 women aged 35Y64 years were analyzed. We used multivariable logistic regression models to identify variables significantly and independently associated with the presence of menopausal symptoms. We also used the model to assess the odds of poor HRQOL and healthcare resource utilization in women with menopausal symptoms compared with those without. Results: Eight hundred and forty-six women (19.1%) reported experiencing menopausal symptoms. Age, religion, smoking, exercise, and comorbidity were independently associated with the presence of such symptoms. The propensity score-adjusted odds ratio of poor physical HRQOL, poor mental HRQOL, use of outpatient, traditional Chinese medicine and emergency room services, and hospitalization for women with menopausal symptoms were 1.85 (95% CI [1.54, 2.21]), 1.66 (95% CI [1.40, 1.97]), 1.39 (95% CI [1.18, 1.63]), 1.73 (95% CI [1.37, 2.18]), 1.44 (95% CI [1.15, 1.81]), and 1.36 (95% CI [1.02, 1.81]), respectively, compared with those without symptoms. Conclusions: Nearly one fifth of women aged 35Y64 years in Taiwan experience menopausal symptoms. The presence of menopausal symptoms increases the likelihood of poor HRQOL and healthcare resource utilization even after controlling for possible confounders.

AB - Background: Menopausal experience differs among women with different cultural and ethnic backgrounds and may impact quality of life. Some women with severe menopausal symptoms seek medical help to alleviate menopause-related symptoms. Purpose: This study examined the demographic characteristics and health-related quality of life (HRQOL) of Taiwanese women experiencing menopausal symptoms and examined associations between menopausal symptoms and, respectively, poor HRQOL and healthcare resource utilization. Methods: This cross-sectional study used data from the 2005 National Health Interview Survey in Taiwan, which used a multistaged stratified systematic sampling scheme. A total of 4,437 women aged 35Y64 years were analyzed. We used multivariable logistic regression models to identify variables significantly and independently associated with the presence of menopausal symptoms. We also used the model to assess the odds of poor HRQOL and healthcare resource utilization in women with menopausal symptoms compared with those without. Results: Eight hundred and forty-six women (19.1%) reported experiencing menopausal symptoms. Age, religion, smoking, exercise, and comorbidity were independently associated with the presence of such symptoms. The propensity score-adjusted odds ratio of poor physical HRQOL, poor mental HRQOL, use of outpatient, traditional Chinese medicine and emergency room services, and hospitalization for women with menopausal symptoms were 1.85 (95% CI [1.54, 2.21]), 1.66 (95% CI [1.40, 1.97]), 1.39 (95% CI [1.18, 1.63]), 1.73 (95% CI [1.37, 2.18]), 1.44 (95% CI [1.15, 1.81]), and 1.36 (95% CI [1.02, 1.81]), respectively, compared with those without symptoms. Conclusions: Nearly one fifth of women aged 35Y64 years in Taiwan experience menopausal symptoms. The presence of menopausal symptoms increases the likelihood of poor HRQOL and healthcare resource utilization even after controlling for possible confounders.

KW - Health-related quality of life

KW - Healthcare resource utilization

KW - Menopausal symptoms

UR - http://www.scopus.com/inward/record.url?scp=84871704805&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871704805&partnerID=8YFLogxK

U2 - 10.1097/jnr.0b013e318265619b

DO - 10.1097/jnr.0b013e318265619b

M3 - Article

C2 - 22902980

AN - SCOPUS:84871704805

VL - 20

SP - 208

EP - 218

JO - The journal of nursing research : JNR

JF - The journal of nursing research : JNR

SN - 1682-3141

IS - 3

ER -