To evaluate associations between anxiety
and severe impairment of quality of life
(QoL) in Latin American postmenopausal women.
This was a secondary analysis of a multicenter cross-sectional study among postmenopausal women aged 40 to 59 from 11 Latin American countries. We evaluated anxiety
(The Goldberg Depression and Anxiety
Scale), and QoL (Menopause
Rating Scale [MRS]), and included sociodemographic, clinical, lifestyle, and anthropometric variables in the analysis. Poisson family generalized linear models with robust standard errors were used to estimate prevalence ratios (PRs) and 95% CIs. There were two adjusted models: a statistical model that included variables associated with the outcomes in bivariate analyses, and an epidemiologic model that included potentially confounding variables from literature review.
Data from 3,503 women were included; 61.9% had anxiety
(Goldberg). Severe QoL impairment (total MRS score ≥17) was present in 13.7% of women, as well as severe symptoms
(MRS subscales): urogenital (25.5%), psychological (18.5%), and somatic (4.5%). Anxiety
was independently associated with severe QoL impairment and severe symptoms
in the epidemiological (MRS total score: PR 3.6, 95% CI, 2.6-5.0; somatic: 5.1, 95% CI, 2.6-10.1; psychological: 2.8, 95% CI, 2.2-3.6; and urogenital: 1.4, 95% CI, 1.2-1.6) and the statistical model (MRS total score: PR 3.5, 95% CI, 2.6-4.9; somatic: 5.0, 95% CI, 2.5-9.9; psychological: 2.9, 95% CI, 2.2-3.7; and urogenital: 1.4; 95% CI, 1.2-1.6).
In this postmenopausal Latin American sample, anxiety
was independently associated with severe QoL impairment. Hence, screening for anxiety
in this population is important.