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337608

Utilization of Survival Analysis to Predict Age of Natural Menopause for Working Women in Alexandria University

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Last updated: 03 Jan 2025

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Abstract

The occurrence and timing of reproduction-related events, such as menopause, play major roles in a woman's life. Late or early menopause has been implicated in risk of several chronic diseases in women. To study the age at natural menopause and determine predictors of the onset of menopause, a cross-sectional study was conducted in Alexandria University. A stratified random sample of 527 women aged 40-65 years was selected in two stages. In the first stage, five colleges were selected randomly from a list of all colleges. In the second stage, stratification was made according to job and the sample was allocated proportionally over strata. Two methods of survival analysis were used; the Kaplan-Meier method was used to estimate the median age at natural menopause and Cox-regression analysis was used to study the correlates of age at natural menopause. The mean current age of the study group was 47.23 t 5.06 years, 26.8% were staff, 59.0% employees and 14.2% workers. The Kaplan-Meier estimate of median age at natural menopause was 51.4 years [95% Cl: 50.9-51.9 years] with 75% censored [still menstruating or operative menopause]. Workers showed the lowest median age at natural menopause [49.5 years] followed by staff [51.4 years] and employees [52.0 years]. Cox-regression revealed that women with higher hazard of menopause at a given age are characteristically of low job category, consumers of red meat >once/week, with small amount of menstrual bleeding, not practicing sporting, with chronic illness, with >24 years age at first full-term pregnancy and with late age at menarche. Monitoring of the timing of age at natural menopause may be a useful instrument to assess the impact of intervention strategies aimed at changing practices related to family planning and contraception. It is important to recognize that the variables found to be predictive of age at natural menopause in this study may not predict it in all women. Application of the prediction equation to predict age at natural menopause for other groups of working and non-working women is recommended to assess its validity.

DOI

10.21608/jhiph.1999.337608

Keywords

Survival analysis, Predict Age, Natural Menopause, working women, Alexandria University

Authors

First Name

Mona

Last Name

Hassan

MiddleName

H.A.

Affiliation

Department of Biostatistics, High Institute of Public Health, Alexandria University, Egypt

Email

monaha59@hotmail.com

City

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Orcid

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First Name

Hanan

Last Name

Abdel Aziz

MiddleName

M.

Affiliation

Department of Family Health [MCH], High Institute of Public Health, Alexandria University, Egypt

Email

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City

-

Orcid

-

First Name

Mohamed

Last Name

Makhlouf

MiddleName

M. M.

Affiliation

Department of Family Health [Geriatric Health], High Institute of Public Health, Alexandria University, Egypt

Email

-

City

-

Orcid

-

First Name

Bothaina

Last Name

Deghedi

MiddleName

M.S.

Affiliation

Department of Tropical Health [Primary Health Care], High Institute of Public Health, Alexandria University, Egypt

Email

-

City

-

Orcid

-

Volume

29

Article Issue

3

Related Issue

43990

Issue Date

1999-07-01

Receive Date

2024-01-21

Publish Date

1999-07-01

Page Start

333

Page End

358

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_337608.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=337608

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1

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Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

Utilization of Survival Analysis to Predict Age of Natural Menopause for Working Women in Alexandria University

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Article

Created At

23 Dec 2024