Climacteric syndrome in a Northeastern Brazilian city: a household survey

• Published in: Revista Brasileira de ginecologia e obstetrícia Vol. 36; no. 4; pp. 163 - 169
• Main Authors: Malheiros, Elizabeth Santos de Andrade, Chein, Maria Bethânia da Costa, da Silva, Diego Salvador Muniz, Dias, Caroline Louise Lima, Brito, Luiz Gustavo Oliveira, Pinto-Neto, Aarão Mendes, Brito, Luciane Maria Oliveira
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01-04-2014
• Subjects: Brazil; Cross-Sectional Studies; Family Characteristics; Female; Health Surveys; Humans; Menopause; Middle Aged; Prospective Studies; Socioeconomic Factors; Syndrome; Urban Health; Brazil
• ISSN: 1806-9339
• DOI: 10.1590/S0100-7203201400040002

To assess the prevalence of Climacteric Syndrome (CS) in women from a municipality of Northeastern Brazil which is less developed socioeconomically.
A prospective household survey was performed in São Luís, Maranhão, Brazil with 1,210 climacteric women aged 45 to 60 years. Interviews were applied using previously tested standard questionnaires from April to July 2008. The severity of climacteric symptoms was analyzed by circulatory and psychological indexes and the latter were associated with menopausal status. Multiple correspondence analysis was used to assess the relation among climacteric symptoms.
Most patients were 55 to 60 years old (35.3%), mulatto (37.9%), with 9-11 years of schooling (39.8%), with a partner (56%), Catholic (73.9%) and belonged to the socioeconomic class C (51.1%). The prevalence of CS was 85.9%, and hot flashes (56.4%) and sweating (50.4%) were the most prevalent symptoms. The most frequent psychological symptoms were nervousness (45%) and emotional liability (44.8%). The severity of vasomotor and psychological symptoms was significantly higher during the peri and postmenopausal period (p<0.05). Vaginal dryness (62.7%) was the most prevalent urogenital complaint.
The prevalence of CS was high among women from São Luís, Maranhão, Brazil.