How do women living with HIV experience menopause? Menopausal symptoms, anxiety and depression according to reproductive age in a multicenter cohort

Background: To estimate the prevalence and severity of menopausal symptoms and anxiety/depression and to assess the differences according to menopausal status among women living with HIV aged 45-60 years from the cohort of Spanish HIV/AIDS Research Network (CoRIS). Methods: Women were interviewed by...

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Autores: Suárez-García, Inés|||0000-0002-7016-716X, Alejos, Belén, Pérez Elías, Mª Jesus|||0000-0001-5700-5257, Iribarren, José Antonio, Hernando, Asunción|||0000-0002-1901-1119, Ramírez, Margarita, Tasias, María, Pascual, Mario, Jarrín, Inma|||0000-0002-7485-2252, Hernando, Victoria, Navarro, Maria Luisa, González, Maria Isabel, Moreno Prieto, Cristina|||0000-0002-3378-3158, Iniesta, Carlos|||0000-0002-0928-2679, Sousa, Luis Miguel García, Perez, Nieves Sanz, Rava, Marta|||0000-0003-2260-9370, Muñoz Fernández, María Ángeles, Consuegra Fernández, Irene, Merino, Esperanza, García, Gema, Portilla, Irene, Agea, Iván, Portilla, Joaquín|||0000-0002-3676-9511, Sánchez-Payá, José, Rodríguez, Juan Carlos, Gimeno, Lina, Giner, Livia|||0000-0002-1885-3736, Díez, Marcos, Carreres, Melissa, Reus, Sergio|||0000-0002-3320-9754, Boix, Vicente|||0000-0002-7015-3948, Torrús-Tendero, Diego, Lirola, Ana López, García, Dácil, Díaz-Flores, Felicitas, Gómez, Juan Luis, del Mar Alonso, María, Pelazas, Ricardo, Hernández, Jehovana, Alemán, María Remedios, Hernández, María Inmaculada, Asensi, Victor|||0000-0003-4211-456X, Valle, Eulalia, Carmenado, Maria Eugenia Rivas, Secades, Tomás Suárez Zarracina, Is, Laura Pérez, Rubio, Rafael, Pulido, Federico|||0000-0002-7414-8812, Bisbal, Otilia|||0000-0003-3746-3378, Domínguez-Domínguez, Lourdes|||0000-0001-6018-9026, Crestelo, David Rial, Bermejo, Laura, Santacreu, Mireia, Arrizabalaga, Julio, Aramburu, Maria José, Camino, Xabier, Rodríguez-Arrondo, Francesc, Von Wichmann, Miguel Ángel, Tomé, Lidia Pascual, Goenaga, Miguel Ángel, Bustinduy, Maria Jesús, Azkune, Harkaitz, Ibarguren, Maialen, Lizardi, Aitzibir, Kortajarena, Xabier, Oyaga, Maria Pilar Carmona, Igartua, Maitane Umerez, Gutiérrez, Félix|||0000-0002-9485-6867, Masiá, Mar|||0000-0001-9878-2458, Padilla, Sergio|||0000-0002-8420-7310, Robledano, Catalina, Colomé, Joan Gregori, Adsuar, Araceli, Pascual, Rafael, Fernández, Marta, García, José Alberto, Barber, Xavier|||0000-0003-3079-5855, Re, Vanessa Agullo, Abellán, Javier Garcia, Pérez, Reyes Pascual, Roca, Maria, Muga, Roberto|||0000-0001-6301-431X, Sanvisens, Arantza|||0000-0001-6269-5491, Fuster, Daniel|||0000-0003-1262-5860, Berenguer, Juan|||0000-0001-8541-8200, de Quirós, Juan Carlos López Bernaldo, Gutiérrez, Isabel, Padilla Ortega, Belén, Gijon, Paloma|||0000-0002-5011-1927, Aldámiz-Echevarría, T., Tejerina, Francisco|||0000-0002-4136-3575, Parras, Francisco José, Balsalobre, Pascual, Diez, Cristina, Latorre, Leire Pérez, Fanciulli, Chiara|||0000-0003-2175-9027, Vidal, Francesc|||0000-0002-6692-6186, Peraire, Joaquim|||0000-0001-7808-5479, Viladés, Consuelo|||0000-0002-2991-9593, Veloso, Sergio, Vargas Laguna, Montserrat|||0000-0001-7650-0587, Olona, Montserrat|||0000-0001-5303-9361, Rull, Anna|||0000-0002-8907-7754, Rodríguez-Gallego, Esther|||0000-0002-6363-2510, Alba, Verónica|||0000-0002-5925-9573, Castellanos, Alfonso Javier, López-Dupla, Miguel, Moreno Alonso, Marta, Aldeguer, José López, Juliá, Marino Blanes, Pitarch, Maria Tasias, Hernández, Iván Castro, Muñoz, Eva Calabuig, Tovar, Sandra Cuéllar, Lletí, Miguel Salavert, Navarro, Juan Fernández, González-Garcia, Juan, Arnalich, Francisco, Arribas, José Ramón, de la Serna, Jose Ignacio Bernardino, Busca, Carmen, Cano, Joanna, Cardiñanos, Julen, Castro, Juan Miguel, Hierro, Ana Delgado, Escosa, Luis, Herranz Pinto, Pedro|||0000-0002-9840-6628, Hontañón, Victor, García-Bujalance, Silvia, López-Hortelano, Milagros García, González-Baeza, Alicia, de Miguel, Rosa, Martín-Carbonero, Maria Luz, Mayoral, Mario, Mellado, Maria Jose, Micán, Rafael Esteban, Montejano, Rocio, Montes, María Luisa, Moreno, Victoria, Pérez-Valero, Ignacio, Cebrián, Guadalupe Rúa, Rodés, Berta, Sainz, Talia|||0000-0002-5301-0945, Sendagorta, Elena, Valencia, Eulalia|||0000-0001-6902-0120, Blanco, José Ramón|||0000-0002-4268-0150, Oteo, José A.|||0000-0001-7080-6542, Ibarra, Valvanera, Metola, Luis, Sanz, Mercedes, Pérez-Martínez, Laura|||0000-0002-1384-024X, Arazo, Piedad, Sampériz, Gloria|||0000-0003-0693-2266, Dalmau, David|||0000-0003-1936-478X, Jaén, Ángels, Sanmartí Vilamala, Montserrat|||0000-0002-0432-7073, Cairó, Mireia|||0000-0003-2386-2765, Martinez-Lacasa, Javier, Velli, Pablo, Font, Roser, Martinez, Marina, Aiello, Francesco, Marcotegui, Maria Riveiro, Repáraz, Jesús, Gracia Ruiz de Alda, María, De León Cano, María Teresa, Pierola Ruiz de Galarreta, Beatriz, Amengual Guedan, Maria Jose|||0000-0002-5385-3061, Navarro Rubio, Gemma|||0000-0002-7195-9046, Garcia, Manel Cervantes, Calzado, Sonia|||0000-0002-2975-6448, Navarro Vilasaro, Marta|||0000-0002-3784-4405, de los Santos Gil, Ignacio|||0000-0001-7073-5211, Sanz Sanz, Jesús, Salas Aparicio, Ana, Sarriá Cepeda, Cristina, García-Fraile Fraile, Lucio|||0000-0002-2512-6107, Martín Gayo, Enrique|||0000-0002-2619-6086, Moreno, Santiago|||0000-0002-2843-1094, Casado Osorio, José Luis, Dronda, Fernando|||0000-0002-0443-5816, Moreno Zamora, Ana, Gutiérrez, Carolina, Madrid, Nadia, del Campo, Santos|||0000-0003-2234-5432, Serrano-Villar, Sergio|||0000-0002-5447-3554, Vivancos-Gallego, María J.|||0000-0002-9373-6011, Martínez Sanz, Javier|||0000-0003-2020-3908, Anxa Urroz, Usua, Velasco, Tamara, Bernal, Enrique|||0000-0002-4041-0579, Cano Sánchez, Alfredo, Alcaraz García, Antonia, Bravo Urbieta, Joaquín|||0000-0003-2079-0305, Muñoz Perez, Ángeles, Alcaraz, Maria Jose, Villalba, Maria del Carmen, García, Federico, Quero, José Hernández, Muñoz Medina, Leopoldo|||0000-0001-8995-8271, Álvarez, Marta, Chueca, Natalia|||0000-0002-3420-3290, Vinuesa, David|||0000-0002-5663-8447, Martinez-Montes, Clara, Guerrero Beltrán, Carlos, de Salazar, Adolfo|||0000-0002-4318-858X, Fuentes López, Ana, Del Romero Guerrero, Jorge|||0000-0001-8922-5182, Raposo Utrilla, Montserrat, Rodríguez, Carmen, Puerta, Teresa, Carrió, Juan Carlos, Vera, Mar|||0000-0002-3841-7747, Ballesteros, Juan, Ayerdi, Oskar|||0000-0002-9441-8031, Antela, Antonio, Losada, Elena, Riera, Melchor, Peñaranda, María|||0000-0001-6290-3457, Ribas, Maria Àngels, Campins, Antoni A., Vidal Lampurdanés, Carmen|||0000-0001-5843-8038, Fanjul, Francisco, Murillas, Javier|||0000-0003-2169-7110, Homar, Francisco|||0000-0003-0116-3277, Vilchez, Helem H., Martin, Maria Luisa, Payeras, Antoni, Santos, Jesús, Gómez Ayerbe, Cristina, Viciana, Isabel, Palacios, Rosario, López, Carmen Pérez, González Domenec, Carmen María, Viciana, Pompeyo|||0000-0001-5606-0166, Espinosa, Nuria|||0000-0003-2249-2352, López Cortés, Luis Fernando|||0000-0002-3804-3458, Podzamczer, Daniel|||0000-0001-7090-3561, Imaz, Arkaitz|||0000-0001-8411-1952, Tiraboschi, Juan Manuel|||0000-0002-0073-873X, Silva, Ana, Saumoy, Maria|||0000-0002-0047-1991, Prieto, Paula, Ribera, Esteban|||0000-0002-3752-8808, Curran, Adrian|||0000-0002-1263-0814, Olalla Sierra, Julián, Pérez Stachowski, Javier|||0000-0002-5189-1953, del Arco Jiménez, Alfonso|||0000-0002-5432-4591, De La Torre, Javier, Prada, José Luis, García de Lomas Guerrero, José María|||0000-0001-8160-8488, Martínez, Onofre Juan, Vera, Francisco Jesús, Martínez, Lorena, García, Josefina, Alcaraz, Begoña, Jimeno, Amaya, Castro Iglesias, Angeles|||0000-0002-8418-9749, Pernas Souto, Berta|||0000-0002-2061-3096, Mena de Cea, Álvaro, Muñoz, Josefa, Zuriñe Zubero, Miren, Baraia-Etxaburu, Josu Mirena, Ugarte, Sofia Ibarra, Ferrero Beneitez, Oscar Luis, López de Munain, Josefina, Cámara López, Maria Mar, De La Peña, Mireia, López, Miriam, López Azkarreta, Iñigo, Galera, Carlos, Albendin, Helena, Pérez, Aurora, Iborra, Asunción, Moreno, Antonio, Merlos, Maria Angustias, Vidal, Asunción, Meca, Marisa, Amador, Concha|||0000-0003-0843-8624, Pasquau, Francisco, Ena, Javier|||0000-0002-1181-7396, Benito, Concha, Fenoll, Vicenta, Gil Anguita, Concepción, Algado Rabasa, José Tomás, Malmierca Corral, Eduardo|||0000-0002-4071-7247, González-Ruano, Patricia|||0000-0003-0395-7740, Rodrigo, Dolores Martín, Ruiz Seco, María Pilar, Mohamed-Balghata, Mohamed Omar, Gómez Vidal, María Amparo, De Zarraga, Miguel Alberto, Estrada, Vicente|||0000-0002-7795-5986, Téllez Molina, María Jesús, Vergas García, Jorge, Pérez-Somarriba Moreno, Juncal|||0000-0002-9623-5781, Górgolas, Miguel, Cabello-Ubeda, Alfonso|||0000-0001-8429-8358, Álvarez, Beatriz, Prieto, Laura, Sanz Moreno, José, Arranz Caso, Alberto, Hernández Gutiérrez, Cristina, Novella Mena, María, Galindo Puerto, María José, Vilalta, Ramón Fernando, Ferrer Ribera, Ana, Rivero Román, Antonio|||0000-0002-8643-4250, Rivero-Juarez, Antonio|||0000-0002-5813-6889, López López, Pedro|||0000-0001-5740-6675, Machuca Sánchez, Isabel|||0000-0003-3343-0085, Frias Casas, Mario, Camacho Espejo, Angela, Cervero Jiménez, Miguel|||0000-0001-9387-7917, Torres Perea, Rafael, Pineda, Juan A.|||0000-0002-3751-0296, Rincón Mayo, Pilar, Macías, Juan|||0000-0002-4778-790X, Merchante, Nicolás|||0000-0003-1120-8942, Real, Luis M.|||0000-0003-4932-7429, Corma Gómez, Anaïs|||0000-0002-1078-0237, Fernández Fuertes, Marta, Gonzalez-Serna, Alejandro|||0000-0002-0239-8417, Poveda, Eva|||0000-0003-4835-9875, Pérez González, Alexandre|||0000-0003-4836-6768, Crespo Casal, Manuel|||0000-0001-9016-0515, Morano, Luis, Miralles, Celia, Ocampo Hermida, Antonio|||0000-0002-3176-9758, Pousada, Guillermo|||0000-0002-2466-8094
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:293956
Acceso en línea:https://ddd.uab.cat/record/293956
https://dx.doi.org/urn:doi:10.1186/s12905-021-01370-w
Access Level:acceso abierto
Palabra clave:Menopause
HIV infection
Symptoms
Anxiety
Depression
Descripción
Sumario:Background: To estimate the prevalence and severity of menopausal symptoms and anxiety/depression and to assess the differences according to menopausal status among women living with HIV aged 45-60 years from the cohort of Spanish HIV/AIDS Research Network (CoRIS). Methods: Women were interviewed by phone between September 2017 and December 2018 to determine whether they had experienced menopausal symptoms and anxiety/depression. The Menopause Rating Scale was used to evaluate the prevalence and severity of symptoms related to menopause in three subscales: somatic, psychologic and urogenital; and the 4-item Patient Health Questionnaire was used for anxiety/depression. Logistic regression models were used to estimate odds ratios (ORs) of association between menopausal status, and other potential risk factors, the presence and severity of somatic, psychological and urogenital symptoms and of anxiety/depression. Results: Of 251 women included, 137 (54.6%) were post-, 70 (27.9%) peri- and 44 (17.5%) pre-menopausal, respectively. Median age of onset menopause was 48 years (IQR 45-50). The proportions of pre-, peri- and post-menopausal women who had experienced any menopausal symptoms were 45.5%, 60.0% and 66.4%, respectively. Both peri- and post-menopause were associated with a higher likelihood of having somatic symptoms (aOR 3.01; 95% CI 1.38-6.55 and 2.63; 1.44-4.81, respectively), while post-menopause increased the likelihood of having psychological (2.16; 1.13-4.14) and urogenital symptoms (2.54; 1.42-4.85). By other hand, post-menopausal women had a statistically significant five-fold increase in the likelihood of presenting severe urogenital symptoms than pre-menopausal women (4.90; 1.74-13.84). No significant differences by menopausal status were found for anxiety/depression. Joint/muscle problems, exhaustion and sleeping disorders were the most commonly reported symptoms among all women. Differences in the prevalences of vaginal dryness (p = 0.002), joint/muscle complaints (p = 0.032), and sweating/flush (p = 0.032) were found among the three groups. Conclusions: Women living with HIV experienced a wide variety of menopausal symptoms, some of them initiated before women had any menstrual irregularity. We found a higher likelihood of somatic symptoms in peri- and post-menopausal women, while a higher likelihood of psychological and urogenital symptoms was found in post-menopausal women. Most somatic symptoms were of low or moderate severity, probably due to the good clinical and immunological situation of these women.

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