Journal of Mid-life Health Journal of Mid-life Health
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ORIGINAL ARTICLE
Year : 2020  |  Volume : 11  |  Issue : 3  |  Page : 149-155

Impaired quality of life and its determinants among postmenopausal women of slum communities in Bhubaneswar, India


1 Department of Community Medicine, PRM Medical College and Hospital, Baripada, Odisha, India
2 Department of Community Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India
3 Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
4 Department of Obstetrics and Gynaecology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India

Correspondence Address:
Ansuman Panigrahi
Department of Community Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar - 751 024, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmh.JMH_111_19

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Background: The severity of menopausal symptoms negatively impacts a woman's quality of life (QoL). Objective: The aim of the study was to assess the prevalence of menopause-related impaired QoL and determine its associated factors among postmenopausal women living in slum areas of Bhubaneswar, India. Materials and Methods: This cross-sectional study was conducted among 198 postmenopausal women aged 45–65 years during the year 2016–2017. The Menopause Rating Scale (MRS) was used to assess the prevalence and severity of menopausal symptoms. Results: Joint and muscular discomfort was the most prevalent moderate-to-severe symptom (90.4%), followed by hot flushes (72.8%), irritability (67.2%), and physical and mental exhaustion (64.2%). More than two-third (133, 67.2%) of women had impaired QoL (severe total MRS score ≥17). Multivariate logistic regression analysis revealed that impaired QoL was associated younger age (adjusted odds ratio [AOR]: 4.6, 95% confidence interval [CI]: 2.12–9.98), tobacco consumption (AOR: 2.0, 95% CI: 1.05–3.82), not being satisfied in relation with husband (AOR: 3.33, 95% CI: 1.84–6.06), not having autonomy in health-care decision-making in the family (AOR: 2.30, 95% CI: 1.12–4.73), history of reproductive tract infection (AOR: 4.57, 95% CI: 1.71–12.19), and earlier onset of menopause (AOR: 3.26, 95% CI: 1.18–8.96). Conclusion: The point prevalence of menopause-related impaired QOL in postmenopausal women living in slums of Bhubaneswar was high. Incorporating these determinants in the existing strategies can be useful to improve the QoL of these women.


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