Application Of Menopausal Syndrome Rating Scale In Menopausal Women Of Chinese Ethnicity In Sydney

BackgroundMenopause is a natural occurrence that is sometimes called ’the change of life’ as it marks the end of a woman’s reproductive life.At menopause,ovulation no longer occurs and production of oestrogen and progesterone ceases,leading to a variety of possible symptoms and discomfort that affects women physically and emotionally.Although every woman’ s experience is unique,there is a typically an increased chance of cardiovascular disease,osteoporosis and reproductive conditions that occurs during this period.Current studies have shown the average menopause age in developed western countries to be 47.5-49.5 years of age,however this number and the occurrence of different symptoms and related disease varies in different ethnicity and nationalities.In recent years,the focus in medicine has moved from ’cure’to ’prevention’ and more researches have shifted to studying various cohort groups to for better understanding of environmental and genetic influences on the development of different conditions in the hope to reduce the prevalence,improve quality of life and reduce the burden and cost on society.According to the most recent Australian census in 2016,Australian population has reached 23.401,892,with a growth rate of 9.8%per annum.The population in Sydney is currently increasing by 1656 people each week.There have been 130,000 new immigrants over the past 5 years,within this group,a staggering 191,000 are of Chinese ethnicity.The Census also reflected an ageing society where the number of elderly women is increasing at more than 3%per year.It is also predicted that within the next 20-30 years,elderly women will take up 24%of women’ s population in total.To date,there is several studies on the symptoms and effects of menopause on the mainstream Australian community,however none on the large Chinese population in the country.To assist them through this difficult transitioning period,improve their quality of life and better understand their lifestyle and menopause signs and symptoms,together with Dr Hongyan Yang,this study commenced.Objective:1.The application of The Chinese Menopause Rating Scale(CMRS)in menopausal women residing in Sydney Australia with Chinese background2.To investigate the characteristics of menopausal symptoms and the influencing factors of Chinese women in Sydney.Method:In order to investigate applicability of the Menopausal Syndrome Rating Scale(CMRS)in Chinese Australian women,384 40-65 year old menopausing women residing in Sydney with Chinese background were surveyed and evaluated regarding their menopausal symptoms.The scale was evaluated using quality analysis based on influencing factorsResult:The results of the study showed that the internal consistency of the total,physical,psychological,and social dimensions of the CMRS scale in this study were 0.9,0.84,and 0.58,respectively,and the split-half reliability was 0.94,0.6,0.80,and 0.58.The results show that the IFI and CFI values of the total item,body dimension and psychological dimension of the scale are all greater than 0.9,the RMR values are less than 0.1,the psychological dimension RMSEA value is less than 0.082,and the total item GFI value,total item and body dimension/df value are Slightly worse,the total item,body dimension,and psychological dimension RMSEA value is greater than 0.082 but less than 0.1,and the model fits better overall.Compared with the Greene scale,the reliability of the CMRS scale is better.The correlation coefficient between the scales shows that the correlation coefficient is 0.9,and P<0.05,indicating that there is a strong positive correlation between the two.relationship.By multi-linear regression analysis of the influencing factors of the menopausal-related symptoms of the interviewed subjects,we found that the multiple variables were used to model the included variables.A total of six variables entered the model,namely;quality of sleep,harmony with family members,whether menopause,whether menopause is known,whether menopause is considered painful,and whether menopausal status requires treatment.Compared with people with good sleep quality,people with poor sleep and sleep,the CMRS scale score increased by 3.54(1.96,5.11)and 2.204(0.82,3.58),respectively,indicating that sleep is an important factor affecting menopausal symptoms.There is a close correlation;the CMRS scale score is reduced by 5.845(-10.895,-0.796)compared with those who do not have a harmonious relationship with their family.This indicate that menopausal women are in great need of family care and support,and family ties play a pivotal role in the quality of life of menopausal women.Knowledge about menopause is also important for the occurrence of menopausal symptoms.Conclusion:In our survey,92,5%of women have one or more menopausal symptoms,with most of the symptoms being mild to moderate.Most people feel that although they have symptoms,it does not have an impact on their quality of life,and the incidence of psychosocial psychological symptoms is not high.These are quite different from related research in the China.The incidence of vasomotor syndrome in this surveyed population was 44.5%insomnia,42.6%in heart palpitations,25.3%in night sweats,half reporting mild symptoms and the other half reporting moderate symptoms.These statistics display menopausing Chinese women living in Australia have a relatively better quality of life.