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American Journal of Epidemiology Vol. 139, No. 1: 64-76
Copyright © 1994 by The Johns Hopkins University School of Hygiene and Public Health


research-article

Age at Natural Menopause and Sociodemographic Status in Finland

Riitta Luoto1,, Jaakko Kaprio1 and Antti Uutela2

1 Department of Public Health, University of Helsinki Finland
2 Department of Social Psychology, University of Helsinki Finland

Reprint requests to Dr. Ritta Luoto, Department of Public Health, Postbox 25, 00014 University of Helsinki, Helsinki, Finland

Differences in age at natural menopause by occupation, education, and place of residence were examined using a cross-sectional population sample of Finnish women aged 45–64 years (n = 1,713, response rate 86%). The sample was selected at random from the Finnish Population Register in 1989 (final n = 1,505, 75%). Kaplan-Meier estimates showed the median age at natural menopause to be 51 years for all women (95% confidence interval (CI) 50.6–51.4). The median menopausal age of smokers and nulliparous women was 50 years; that of nonsmokers and women whose first full-term pregnancy occurred before the age of 25 years was 52 years. Differences between occupational and educational groups were statistically significant (Mantel-Cox test for occupation, p < 0.02; for education, p < 0.03). In the Cox proportional hazards model, the odds ratio of the occurrence of natural menopause among upper white-collar women was 0.74 (95% CI 0.57–0.96) and among the most educated women (education > 11 years) it was 0.75 (95% CI 0.59–0.96), adjusted to reflect smoking, use of hormones, body mass index, and age at first full-term pregnancy. Sociodemographic variables appear to be associated with age at natural menopause in a representative sample of Finnish women. Am J Epidemiol 1994;139.64–76.

menopause; socioeconomic factors; women


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