title: The role of self-rated health in the association between chronic somatic diseases and climacteric-related symptoms.
abstract: OBJECTIVE
  We have previously shown an association between several chronic somatic diseases and climacteric-related symptoms. This time, we investigated whether self-rated health (SRH) contributes to this association.
  
  
  METHODS
  The Women's Health Questionnaire was used to evaluate the climacteric-related symptoms, and existence of the diseases was investigated in 3421 women (41-54 years). In our previous study, the associations were defined with multivariable analyses. In the present study, SRH (good, moderate or bad) was included as a covariate.
  
  
  RESULTS
  Most of the previously found associations between the diseases and the symptoms lost their significance. Accordingly, SRH played an important role in the association between the diseases and the symptoms related to the climacteric.
  
  
  CONCLUSIONS
  SRH seems to be of significant importance regarding the relationship between the chronic somatic diseases and the symptoms related to climacteric. Most of the diseases are not associated with the climacteric-related symptoms if the disease does not deteriorate the SRH. Thus, women's own perception of their health is crucial for their symptomatology.
authors.affiliation: a Department of Obstetrics and Gynaecology , Turku University Hospital and University of Turku , Turku , Finland.
authors.forename: R E
authors.initials: RE
authors.lastname: Katainen
authors.affiliation: b Department of Mathematics and Statistics , University of Turku , Turku , Finland.
authors.forename: J R
authors.initials: JR
authors.lastname: Engblom
authors.affiliation: a Department of Obstetrics and Gynaecology , Turku University Hospital and University of Turku , Turku , Finland.
authors.forename: T J
authors.initials: TJ
authors.lastname: Siirtola
authors.affiliation: a Department of Obstetrics and Gynaecology , Turku University Hospital and University of Turku , Turku , Finland.
authors.forename: R U
authors.initials: RU
authors.lastname: Erkkola
authors.affiliation: a Department of Obstetrics and Gynaecology , Turku University Hospital and University of Turku , Turku , Finland.
authors.forename: P
authors.initials: P
authors.lastname: Polo-Kantola
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000523:psychology*; D002979:Climacteric / Q000523:psychology*; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D008875:Middle Aged; D011795:Surveys and Questionnaires; D016387:Women's Health
keywords: Menopausal symptoms; climacteric symptoms; medical condition; menopause; middle age; middle-aged; quality of life; self-perception of health