- Email: [email protected]
Migration may influence major depressive disorder in middle-aged women
142
Abstracts / Maturitas 81 (2015) 126–143
O45
O46
Coping with menopausal symptoms: an internet survey of Belgian postmenopausal women
Migration may influence major depressive disorder in middle-aged women
Herman Depypere 1,∗ , Axelle Pintiaux 2 , Joelle Desreux 2 , Mieke Hendrickx 2 , Patrick Neven 2 , Evelyne Marchowicz 2 , Valerie Albert 2 , Saartje Vandenbranden 3 , Serge Rozenberg 2
Elsa Jacquet 1,∗ , Daniel Delanoë 1,2,3 , Selma Hajri 4 , Dorra Mahfoudh Draoui 4,5 , Danielle Hassoun 1,2,3 , Sarah Benzineb 4 , Virginie Ringa 1,2,3
1
2
University of Ghent, Breast and Menopause Clinic, Ghent, Belgium 2 Belgian Menopause Society, Brussels, Belgium 3 Life Sciences & Healthcare, InSites Consulting, Ghent, Belgium Objectives: An internet survey was performed to obtain current data on the actual use of medication, hormonal replacement and over the counter products to cope with menopausal symptoms, in Belgium. Opt-in Internet access panels of TalkToChange and GMI were evaluated as a potential new way to obtain data on insights of women on menopausal issues. Study design: Data were collected via an internet platform in a sample of 696 women aged 45–60 years. Results: An advantage of this type of online survey is that answers were obtained after a short period of time (19 days) and that a large sample of 696 women out of a population size of 1,244,720 Belgian women of 45–60 years old could be reached. This leads to an error margin of 3,7%. All women aged over 45 (98%) had heard about menopause before. 61% seemed to perceive the menopause as a temporary phase; 17% thought menopause lasted for one or two years and 44% thought it lasted for three to five years. Only 39% of women realized menopause would last for the rest of their life. 23% of women did not report any kind of impact of menopause on the quality of life. However, for 77% of women, menopause leaded to disadvantages. No age/education/profession differences were found. 69% had ever used some type of treatment and 53% was currently using a treatment. 40% of women with more than 3 symptoms were currently untreated. The alternatives to hormonal therapy had a high satisfaction rate amongst users. Relaxation techniques, regular physical activity, acupuncture, avoiding stress gave the same satisfaction as hormonal replacement. It was clear that, once an option was chosen to deal with complaints, the satisfaction rate was high. Conclusion: Despite the high awareness and knowledge, there is quite some confusion concerning the duration of the menopause. Given its temporary perception, the menopausal burden is substantially underestimated. Many symptomatic women are untreated. http://dx.doi.org/10.1016/j.maturitas.2015.02.130
1
Inserm, Le Kremlin-Bicêtre, France University Paris Sud, Villejuif, France 3 Institut National des Etudes Demographiques, Paris, France 4 National Office for the Family and Population, Tunis, Tunisia 5 Departement de Sociologie, Tunis University, Tunis, Tunisia Introduction: The psychological symptoms presented by middle-aged women have been attributed to menopausal transition. But previous studies showed that these complaints cannot be explain exclusively by hormonal changes and present major variations by country of residence, country of birth, ethnicity and social class. Objectives: We compared the presence of MDD (major depressive disorder) in three groups of women of different cultural backgrounds: migrant women born in Tunisia and living in France (TF), women born and living in France (FF) and women born and living in Tunisia (TT). France and Tunisia have strong historical connections but are quite different concerning women status and impact of religion on society. Aims: Our aim was to assess the influence of cultural context on MDD for middle-aged women. Methods: Data came from an epidemiological cross-sectional cross-cultural study (MENOPSUD) including women aged 50–65 years recruited by snowball sampling and interviewed with the same structured questionnaire in French or Arabic language in both countries. The diagnostic of MDD was defined by the Mini International Neuropsychiatric Interview. Statistical analysis was performed with 2 or Fisher tests and multivariate logistic regression. Results: A total of 526 women participated in the study (199 FF, 161 TF and 166 TT). Migrant women from Tunisia to France most frequently presented a MDD (20%) compared to the FF (12%) and the TT (7%). This finding persisted in multivariate logistic regression controlling for age, menopausal status, social class, marital status, perceived health status, reported urinary incontinence and reported anxiety. According to the multivariate analysis, the TF were more likely to present a MDD than the TT with an OR of MDD of 3.59 [1.59; 8.12]. Conclusion: This epidemiological study comparing women of different cultural backgrounds sheds light on the role of culture and migration on the presence of MDD at midlife. http://dx.doi.org/10.1016/j.maturitas.2015.02.522
Abstracts / Maturitas 81 (2015) 126–143
O45
O46
Coping with menopausal symptoms: an internet survey of Belgian postmenopausal women
Migration may influence major depressive disorder in middle-aged women
Herman Depypere 1,∗ , Axelle Pintiaux 2 , Joelle Desreux 2 , Mieke Hendrickx 2 , Patrick Neven 2 , Evelyne Marchowicz 2 , Valerie Albert 2 , Saartje Vandenbranden 3 , Serge Rozenberg 2
Elsa Jacquet 1,∗ , Daniel Delanoë 1,2,3 , Selma Hajri 4 , Dorra Mahfoudh Draoui 4,5 , Danielle Hassoun 1,2,3 , Sarah Benzineb 4 , Virginie Ringa 1,2,3
1
2
University of Ghent, Breast and Menopause Clinic, Ghent, Belgium 2 Belgian Menopause Society, Brussels, Belgium 3 Life Sciences & Healthcare, InSites Consulting, Ghent, Belgium Objectives: An internet survey was performed to obtain current data on the actual use of medication, hormonal replacement and over the counter products to cope with menopausal symptoms, in Belgium. Opt-in Internet access panels of TalkToChange and GMI were evaluated as a potential new way to obtain data on insights of women on menopausal issues. Study design: Data were collected via an internet platform in a sample of 696 women aged 45–60 years. Results: An advantage of this type of online survey is that answers were obtained after a short period of time (19 days) and that a large sample of 696 women out of a population size of 1,244,720 Belgian women of 45–60 years old could be reached. This leads to an error margin of 3,7%. All women aged over 45 (98%) had heard about menopause before. 61% seemed to perceive the menopause as a temporary phase; 17% thought menopause lasted for one or two years and 44% thought it lasted for three to five years. Only 39% of women realized menopause would last for the rest of their life. 23% of women did not report any kind of impact of menopause on the quality of life. However, for 77% of women, menopause leaded to disadvantages. No age/education/profession differences were found. 69% had ever used some type of treatment and 53% was currently using a treatment. 40% of women with more than 3 symptoms were currently untreated. The alternatives to hormonal therapy had a high satisfaction rate amongst users. Relaxation techniques, regular physical activity, acupuncture, avoiding stress gave the same satisfaction as hormonal replacement. It was clear that, once an option was chosen to deal with complaints, the satisfaction rate was high. Conclusion: Despite the high awareness and knowledge, there is quite some confusion concerning the duration of the menopause. Given its temporary perception, the menopausal burden is substantially underestimated. Many symptomatic women are untreated. http://dx.doi.org/10.1016/j.maturitas.2015.02.130
1
Inserm, Le Kremlin-Bicêtre, France University Paris Sud, Villejuif, France 3 Institut National des Etudes Demographiques, Paris, France 4 National Office for the Family and Population, Tunis, Tunisia 5 Departement de Sociologie, Tunis University, Tunis, Tunisia Introduction: The psychological symptoms presented by middle-aged women have been attributed to menopausal transition. But previous studies showed that these complaints cannot be explain exclusively by hormonal changes and present major variations by country of residence, country of birth, ethnicity and social class. Objectives: We compared the presence of MDD (major depressive disorder) in three groups of women of different cultural backgrounds: migrant women born in Tunisia and living in France (TF), women born and living in France (FF) and women born and living in Tunisia (TT). France and Tunisia have strong historical connections but are quite different concerning women status and impact of religion on society. Aims: Our aim was to assess the influence of cultural context on MDD for middle-aged women. Methods: Data came from an epidemiological cross-sectional cross-cultural study (MENOPSUD) including women aged 50–65 years recruited by snowball sampling and interviewed with the same structured questionnaire in French or Arabic language in both countries. The diagnostic of MDD was defined by the Mini International Neuropsychiatric Interview. Statistical analysis was performed with 2 or Fisher tests and multivariate logistic regression. Results: A total of 526 women participated in the study (199 FF, 161 TF and 166 TT). Migrant women from Tunisia to France most frequently presented a MDD (20%) compared to the FF (12%) and the TT (7%). This finding persisted in multivariate logistic regression controlling for age, menopausal status, social class, marital status, perceived health status, reported urinary incontinence and reported anxiety. According to the multivariate analysis, the TF were more likely to present a MDD than the TT with an OR of MDD of 3.59 [1.59; 8.12]. Conclusion: This epidemiological study comparing women of different cultural backgrounds sheds light on the role of culture and migration on the presence of MDD at midlife. http://dx.doi.org/10.1016/j.maturitas.2015.02.522