Reproducibility of self-reported menopause age at the 24-year follow-up of a population study of women in Göteborg, Sweden

Rödström, Kerstin; Bengtsson, Calle; Lissner, Lauren; Björkelund, Cecilia

doi:10.1097/01.gme.0000135247.11972.b3

Cited by 65 publications

(32 citation statements)

References 11 publications

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“…39 It may have a regression toward the mean pattern, with women initially reporting early menopause subsequently reporting an older age at menopause. 40 These previous studies of menopausal recall suggest that our findings may be biased toward the null.…”

Section: Discussionmentioning

confidence: 76%

Early menopause predicts future coronary heart disease and stroke

Ouyang²,

et al. 2012

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Objective Cardiovascular disease is the number one killer of women. Identifying women at risk of cardiovascular disease has tremendous public health importance. Early menopause is associated with increased cardiovascular disease events in some predominantly white populations, but not consistently. Our objective was to determine if a self-reported early menopause (menopause at an age <46) identifies women as at risk for future coronary heart disease or stroke. Methods The study population came from the Multi-Ethnic Study of Atherosclerosis, a longitudinal, ethnically diverse cohort study of US men and women aged 45 to 84 years enrolled in 2000–2002 and followed up until 2008. The association between a personal history of early menopause (either natural menopause or surgical removal of ovaries at an age <46) and future coronary heart disease and stroke was assessed in 2509 women (ages 45–84, 987 White, 331 Chinese, 641 Black, 550 Hispanic) from the Multi-Ethnic Study Atherosclerosis, who were free of cardiovascular disease at baseline. Results 693/2509 (28%) of women reported either surgical or natural early menopause. In survival curves, women with early menopause had worse coronary heart disease and stroke-free survival (log rank p=<0.008 and 0.0158). In models adjusted for age, race/ethnicity, Multi-Ethnic Study Atherosclerosis site and traditional cardiovascular disease risk factors, this risk for coronary heart disease and stroke remained (HR 2.08, 95% CI 1.17, 3.70 and 2.19, 95% CI 1.11, 4.32, respectively). Conclusions Early menopause is positively associated with coronary heart disease and stroke in a multiethnic cohort, independent of traditional cardiovascular disease risk factors.

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Section: Discussionmentioning

confidence: 76%

Early menopause predicts future coronary heart disease and stroke

Ouyang²,

et al. 2012

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“…Prior analyses have demonstrated generally good correlation between prevalence of type 2 diabetes mellitus as assessed as self-report in SHIELD when compared with the prevalence of diabetes mellitus determined by objectively measured survey such as the National Health and Nutrition Examination Survey (NHANES) [10, 14]. Although accuracy and validity of the self-reported method of diagnosis and age at diagnosis were not done in this study, other studies have shown a significant correlation and validity of self-reported data over long recall periods [15–17]. Age at menopause reported at an interval of almost 20 years showed significant correlation with a mean difference between first-reported and recalled menopause of 0.5 years [15].…”

Section: Discussionmentioning

confidence: 93%

“…Although accuracy and validity of the self-reported method of diagnosis and age at diagnosis were not done in this study, other studies have shown a significant correlation and validity of self-reported data over long recall periods [15–17]. Age at menopause reported at an interval of almost 20 years showed significant correlation with a mean difference between first-reported and recalled menopause of 0.5 years [15]. Breast cancer survivors accurately recalled their treatment and number of invaded nodes with kappa ≥0.85 [16].…”

Section: Discussionmentioning

confidence: 94%

Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD

Rodbard¹,

Green

Fox

et al. 2009

International Journal of Endocrinology

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Aims. This study assessed whether recent screening recommendations have led to increased diagnosis of type 2 diabetes mellitus (T2DM) through routine screening. Methods. Respondents to the 2006 US SHIELD survey reported whether a physician told them they had T2DM, age at diagnosis, specialty of the physician who made the diagnosis, and whether the diagnosis was made after having symptoms, during routine screening, or when being treated for another health problem. Results. Of 3 022 T2DM respondents, 36% of respondents reported that T2DM diagnosis was made during routine screening alone, 20% after having symptoms alone, and 6% when being treated for another health problem alone. The proportion of T2DM respondents reporting a diagnosis based only on screening increased approximately 42% over a 15+-year time span (absolute increase from 31% to 44%) (P < .001), whereas symptom-based diagnosis did not change significantly (P = .10). T2DM was diagnosed primarily by family physicians (88.3%). Conclusion. These findings highlight the importance of regular screening for diabetes and the vital role of primary care physicians in recognizing individuals with T2DM.

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“…3–6 Inconsistency in reporting age at menopause has been associated with advancing age with older age being predictive of misremembering. 3, 4, 7 Surgical menopause (hysterectomy and bilateral oophorectomy) is associated with greater reproducibility of recall of age at menopause than natural menopause. 3–6 Chronic medical conditions are associated with poor recall of medical information, 11 but no known studies have examined the relationship between chronic medical conditions and reproducibility of self-reported age at menopause in surgical and natural menopause.…”

Section: Introductionmentioning

confidence: 99%

“…16, 17 Second, our sample composition differs from samples drawn in previous studies by sociodemographic indicators of recall and health. Prior works include samples that are primarily early post-menopausal, 5, 10 white, 3, 7, 8 affluent, 4 or highly educated. 5, 9 Sample heterogeneity may allow for the generalization of findings to other samples.…”

Section: Introductionmentioning

confidence: 99%

Chronic medical conditions and reproducibility of self-reported age at menopause among community-dwelling women

et al. 2011

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OBJECTIVE To examine the association between chronic medical conditions and reproducibility of self-reported age at menopause among community-dwelling women. METHOD Age at menopause was assessed in a population-based longitudinal survey of 240 women twice, in 1993 and 2004. Women who recalled age at menopause in 2004 within one year or less of the age at menopause recalled in 1993 (concordant) were compared with women who did not recall of age at menopause in 2004 within 1 year of age at menopause recalled in 1993 (discordant). Type of menopause (surgical or natural) and chronic medical conditions were assessed by self-report. RESULTS One hundred and forty three women (59.6%) reported surgical menopause and 97 (40.4%) reported natural menopause. In all, 130 (54.2%) of women recalled age at menopause in 2004 within one year or less of recalled age at menopause in 1994 while 110 (45.8%) women did not recall age at menopause in 2004 within one year or less of recalled age at menopause in 1994. Among women with surgical menopause, women with three or more medical conditions were less likely to have concordant recall of age at menopause than women with less than three chronic medical conditions (adjusted odds ratio (OR) = 0.36, 95% confidence interval (CI) [0.15, 0.91]) in multivariate models controlling for potentially influential characteristics including cognition and years from menopause. CONCLUSIONS Among women who underwent surgical menopause, the presence of three or more medical conditions is associated with decreased reproducibility of self-reported age at menopause.

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Reproducibility of self-reported menopause age at the 24-year follow-up of a population study of women in Göteborg, Sweden

Abstract: Menopause ages reported at an interval of almost 20 years showed a significant correlation. However, a regression tendency of the values toward the mean was observed, suggesting that strong correlation at the group level does not imply precision at the extremes.

Cited by 65 publications

References 11 publications

Early menopause predicts future coronary heart disease and stroke

Early menopause predicts future coronary heart disease and stroke

Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD

Chronic medical conditions and reproducibility of self-reported age at menopause among community-dwelling women

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