title: The association of depression status with menopause symptoms among rural midlife women in China.
abstract: OBJECTIVE
  This study aims to evaluate the association of depression with menopausal status and some menopause symptoms (vasomotor symptoms and poor sleep).
  
  
  METHODS
  A total of 743 participants aged 40-60 years were recruited. Depression status was evaluated by using Self-Rating Depression Scale (SDS). Sleep quality and vasomotor symptoms were evaluated by specific symptoms questionnaire.
  
  
  RESULTS
  The prevalence of depression among participants was 11.4%. Depression was found more likely to occur in participants with poor sleep (OR, 6.02; 95%CI, 3.61, 10.03) or with vasomotor symptoms (VMS) (OR, 2.03; 95%CI, 1.20, 3.44) after controlling for age, education level, marital status, menopause status, monthly family income and chronic diseases. Menopause status was not associated with depression. Stratification analysis showed a significant association between poor sleep and depression across different menopause stages, while VMS were associated with depression only in premenopausal status.
  
  
  CONCLUSIONS
  The majority of Chinese rural midlife women do not experience depression. The relationship between depression, VMS and sleep disturbances tends to change with menopausal status in Chinese rural midlife women.
authors.affiliation: Hongyan Zang, Women's health department, Yancheng Maternal and Child Health Hospital, Yancheng 224400, Jiangsu, People's Republic of China.
authors.forename: Hongyan
authors.initials: H
authors.lastname: Zang
authors.affiliation: Lianping He , School of Public Health. Wannan Medical College. Wuhu 241002, Anhui, People's Republic of China.
authors.forename: Lianping
authors.initials: L
authors.lastname: He
authors.affiliation: Lianping He , School of Public Health. Wannan Medical College. Wuhu 241002, Anhui, People's Republic of China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Lianping He , School of Public Health. Wannan Medical College. Wuhu 241002, Anhui, People's Republic of China.
authors.forename: Jianfeng
authors.initials: J
authors.lastname: Ge
authors.affiliation: Lianping He , School of Public Health. Wannan Medical College. Wuhu 241002, Anhui, People's Republic of China.
authors.forename: Yingshui
authors.initials: Y
authors.lastname: Yao
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D055812:Community-Based Participatory Research; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D019584:Hot Flashes / Q000150:complications / Q000453:epidemiology; D006801:Humans; D008593:Menopause / Q000502:physiology*; D008875:Middle Aged; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012424:Rural Population; D012890:Sleep / Q000502:physiology; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology* / Q000209:etiology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*; D016387:Women's Health
keywords: depression; menopause; poor sleep; rural women; vasomotor symptoms