Health Education and Health Promotion

en Determinants and Predictors of Age at Menopause among Women in Southeastern Iran Descriptive & Survey Aims: Menopause age is an important indicator that not only indicates the end of a woman's reproductive period but also increases the risk of various middle-aged diseases and complications that can be prevented with timely interventions. This study examined the age of menopause and factors affecting it among Iranian women in southeastern Iran. Instrument & Methods: This population-based study was conducted among 2,649 postmenopausal women aged 35-70 years who participated in the Zahedan Cohort Study, a component of the Prospective Epidemiological Research Studies in Iran, in Zahedan from October 2015 to January 2019. Data were analyzed using t-tests, chi-square tests, ANOVA, and multivariable logistic regression. Findings: The average age at menopause was 49.01±5.39 years. Among the women, 8.5% experienced premature menopause, 7.5% early menopause, and 84% normal menopause. Premature menopause was associated with marital status (single: OR=2.48, 95%CI:1.23–5.1), body mass index (p=0.036), physical activity, depression, diabetes, and history of stillbirth. Early menopause was linked to marital status (p=0.027), infertility (OR=1.51, 95%CI:1.09–2.1), body mass index, physical activity, depression, and diabetes. Normal menopause was associated with educational status, marital status, physical activity, body mass index, hypertension, and age at menarche (all p<0.05). Conclusion: Genetic and social factors, including marital status and reproductive history, influence menopausal age, with distinct predictors characterizing premature and early menopause.   Menopause,Women,Cohort Study, 181 188 http://hehp.daneshafarand.org/browse.php?a_code=A-10-1-107&slc_lang=en&sid=4 A. Ansarimoghaddam 1003194753284600380499 1003194753284600380499 No “Department of Biostatistics and Epidemiology, Faculty of Health” and “Health Promotion Research Center”, Zahedan University of Medical Sciences, Zahedan, Iran S. Khazaeian 1003194753284600380500 1003194753284600380500 No “Pregnancy Health Research Center” and “Department of Midwifery, Faculty of Nursing and Midwifery”, Zahedan University of Medical Sciences, Zahedan, Iran Z. Arab Borzu 1003194753284600380501 1003194753284600380501 Yes “Department of Biostatistics and Epidemiology, Faculty of Health” and “Health Promotion Research Center”, Zahedan University of Medical Sciences, Zahedan, Iran F. Shahraki‐Sanavi 1003194753284600380502 1003194753284600380502 No Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran P. Hosseini Koukamari 1003194753284600380503 1003194753284600380503 No “Department of Public Health, Faculty of Medical Sciences” and “Social Determinants of Health Research Center”, Saveh University of Medical Sciences, Saveh, Iran M. Rastegar 1003194753284600380504 1003194753284600380504 No Infectious Diseases and Tropical Medicine Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran M.H. Amiri Moghadam 1003194753284600380505 1003194753284600380505 No Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran M. Bakhtiyari 1003194753284600380506 1003194753284600380506 No Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran