Menopausal symptoms and health problems of women aged 50-65 years in southern Jordan.
OBJECTIVE
To identify menopausal symptoms and health disorders of women aged 50-65 years in under-privileged areas of southern Jordan.


METHODS
A multistage, random-sampling design was applied to select a sample of households from three governorates. A total of 143 women were eligible to be included in the analysis. Women were asked about a list of symptoms (somatic, psychological and genitourinary) and about a list of morbidities such as hypertension, diabetes mellitus and urinary tract infection. Ever-screening by mammogram, regular breast self-examination, ever-screening by cervical smear, general medical check-up, physical activity, smoking habit, and ever-receiving information about menopause were also investigated.


RESULTS
The median age of onset of natural menopause was 50 years; 77% of women were illiterate, and 59% of the couples were relatives. The most frequently reported somatic symptoms were joint aches/stiffness (89%), bone pains (74%) and paresthesia in the extremities (51%). Hot flushes were experienced by 62% and urinary incontinence by 30%. Almost 62% reported irritability and mood changes, 56% had high blood pressure, and 18% and 14% suffered from urinary tract infection and reproductive tract infection, respectively. Eight percent and 11% reported ever-screening by mammogram and cervical smear, respectively, and 11% reported performing breast self-examination regularly. Regular physical exercise was reported by 8%, and 81% were overweight or obese. One-quarter received information on menopause, and 58% reported the need to know 'everything' about menopause.


CONCLUSIONS
Women in southern Jordan experienced multiple menopause-related symptoms and morbidities. The majority of them did not receive any health education about this phase of life. Preventive health practices and health-promoting behaviors are relatively uncommon. Effective health-care delivery systems responsive to menopausal women's health needs are highly recommended.
Shakhatreh
F M N
FM
University of Jordan, Faculty of Medicine, Family and Community Medicine, Amman, Jordan.
Mas'ad
D
D
D000368:Aged; D018771:Arthralgia / Q000453:epidemiology; D001842:Bone and Bones; D003241:Consanguinity; D004522:Educational Status; D015444:Exercise; D005260:Female; D006304:Health Status; D019584:Hot Flashes / Q000453:epidemiology; D006801:Humans; D007597:Jordan / Q000453:epidemiology; D008593:Menopause / Q000502:physiology*; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D010146:Pain / Q000453:epidemiology; D010292:Paresthesia / Q000453:epidemiology; D014549:Urinary Incontinence / Q000453:epidemiology