DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20184818

Treatment seeking behavior among post-menopausal females attending out-patient clinic of Obstetrics and Gynecology at a tertiary care centre, Bhopal, Madhya Pradesh

Nisha Singh, Yogendra Chouhan, Seema Patel

Abstract


Background: Onset of menopause causes a variety of somatic, sexual, vasomotor and psychological manifestations which can deteriorate the quality of life of women. According to sample registration system (SRS) 2014, the proportion of women aged 45-59 years is 15.3% and thus it is imperative for healthcare providers to focus more attention on the health of postmenopausal women. In India, however this phase of life is generally ignored. The objectives of the study were to determine the health seeking behavior of postmenopausal women with respect to the problems faced during menopause and to determine the utilization pattern and barriers to utilization of health care services.

Methods: Prospective cross-sectional study for one year period starting from 1 July 2015 to 30 June 2016. Data collected using Systematic Random Sampling from 255 postmenopausal women and entered into MS excel 2007. Analysis done with Epi-Info 7.2. Chi- square applied as statistical test of significance and p<0.05 considered to be statistically significant.

Results: In present study, majority (73.33%) participants did not take any treatment. 10.98% and 6.67% gave history of self medication and use of home remedies, respectively. Statistically significant correlation was found between treatment taken and factors like residing locality, education and socio-economic class. The most common reason for delayed or no treatment seeking was unawareness, followed by financial issues.

Conclusions: Majority postmenopausal women faced one or more problems associated with menopause but very few sought treatment. Lack of knowledge and financial constraints were found to be major barriers to utilization of health services. 


Keywords


Postmenopausal females, Treatment seeking behavior, Tertiary care centre, Cross-sectional study, Bhopal

Full Text:

PDF

References


Malik HS. Knowledge and attitude towards menopause and Hormone Replacement Therapy (HRT) among postmenopausal women. JPMA. 2008;58:164.

Menopause a new beginning! Available at: http://indiatoday.intoday.in/author/Dr-Sujata-Kelkar-Shetty-/1.html. Accessed on 3 June 2018.

Landgren BM, Collins A, Csemicky G, Henry G. Burger HG, Baksheev L, Robertson DM. Menopause transition: Annual changes in serum hormonal patterns over the menstrual cycle in women during a nine-year period prior to menopause. J Clin Endocrinol Metab. 2004;89(6):2763-9.

Dennerstein L, Dudly EC, Hopper JL, Guthrie JR, Burger HG. A prospective population based study of menopausal symptoms. Obstet Gynecol. 2000;96:351-8.

Deeks AA, McCabe MP. Well-being and menopause: an investigation of purpose in life, self acceptance and social role in pre-menopausal, peri menopausal and postmenopausal women. Qual Life Res. 2004;13:389-98.

Dienye PO, Judah F, Ndukwu G. Frequency of Symptoms and Health Seeking Behaviours of Menopausal Women in an Out-Patient Clinic in Port Harcourt, Nigeria. Global J Health Sci. 2013;5(4):39-47.

Lee M, Kim J, Park MS, Yang J, Ko Y, Ko S, Joe S. Factors Influencing the Severity of Menopause Symptoms in Korean Post-menopausal Women. J Korean Med Sci. 2010;25(5):758-65.

World Health Organization- World Health Statistics 2016: Monitoring health for the SDGs. Available at: http://www.who.int/gho/publications/world_health_statistics/2016/Annex_B/en/. Accessed on 4 July 2018.

Bromberger JT, Matthews KA, Kuller LH, Wing RR, Meilahn EN, Plantinga P. Prospective study of the determinants of age at menopause. Am J Epidemiol. 1997;145:124–33.

Hardy R, Kuh D. Social and environmental conditions across the life course and age at menopause in a British birth cohort study. BJOG. 2005;112:346–54.

Kakkar V, Kaur D, Chopra K, Kaur A, Kaur IP. Assessment of the variation in menopausal symptoms with age, education and working/non-working status in north-Indian sub population using menopause rating scale (MRS) Maturitas. 2007;57:306–14.

Christian D, Kathad M, Bhavsar B, Socio-demographic characteristics of postmenopausal women of rural area of Vadodara district, Gujarat. NJCM. 2011;2(3):419-22.

Rahman SA, Zainudin SR, Mun VL. Assessment of menopausal symptoms using modified Menopause Rating Scale (MRS) among middle age women in Kuching, Sarawak, Malaysia. Asia Pacific Family Med. 2010;9:5.

Census of India- Sample Registration System baseline survey 2014. Available at: www.census india.gov.in/vital_statistics/BASELINE%20TABLES07062016.pdf. Accessed on 3 June 2018.

Cheung AM, Chaudry R, Kapral M, Jackevicus C, Robinson G. Perimenopausal and Postmenopausal Health. BioMed Central Women Health, 2004;4(1):23.

Robinson G. Cross-cultural perspectives on menopause. J Nervous Mental Dis. 1996;184(8):453-8.

Khan S, Shukla MK, Priya N, Ansari MA. Health seeking behaviour among postmenopausal women: a knowledge, attitude and practices study. Int J Community Med Public Health. 2016;3:1777-82.

Goyal A, Mishra N, Dwivedi S. Nutritional status and health seeking behaviour of postmenopausal women: a cross sectional study in North India. Int J Community Med Public Health. 2017;4:4644-9.