ABSTRACT
Absenteeism affects efficiency and costs of health care. Most of health workers are middle age women, whose climateric symptoms may reduce their work capacity. We studied absenteeism rates due to medical causes in 444 women of 40 years old or more, working at a public hospitalñ in Santiago during 1992. Fifty-eight percent were postmenopausal and 34.8 percent of these were receiving hormone replacement therapy. Global absenteeism rate was 17.1 days/year. These figures were 14.8 days-year for premenopausal and 17.8 days/year for the postmenopausal women (NS). Among the later, those women receiving hormone replacement therapy had a significantly lower absenteeism rate (9.4 days/year compared to 20.4 days/year among those not receiving hormones). Osteoarticular diseases were responsible for 44.3 percent and psychiatric diseases for 18.1 percent of sick leaves. No differences in absenteeism were observed between different professional levels. We conclude that hormone replacement therapy is associated with a better working capacity in postmenopausal women
Subject(s)
Humans , Female , Adult , Middle Aged , Postmenopause/drug effects , Absenteeism , Estrogen Replacement Therapy/statistics & numerical data , Depression/prevention & control , Estrogens/pharmacokineticsSubject(s)
Adult , Middle Aged , Humans , Male , Female , Osteoporosis , Bone Density , Reference Values , Autopsy , Body Weight , Age Factors , Femoral Fractures/pathology , Ilium/pathologySubject(s)
Adult , Middle Aged , Humans , Female , Menopause/blood , Lipids/blood , Estrogen Replacement Therapy , Cholesterol, HDL/blood , Cholesterol, LDL/blood , Triglycerides/bloodABSTRACT
En un trabajo previo describimos que la Edad de Menopausia (EM) en pacientes del SSMS era de 47 años. Con el objeto de aclarar si esta baja EM pudiera estar asociada a su bajo nivel socioeconómico se entrevistó a 178 mujeres de un nivel económicamente superior, ("Damas de Rojo") y se las comparó con las beneficiarias del SSMS. La edad promedio, al momento de la encuesta, fue similar en ambos grupos: 55,6 años en las mujeres de nivel socioeconómico más alto y 54.9 años en las beneficiarias (NS). Al analizar las mujeres con menopausia natural se observó que la EM, normalizada con logit-lof, era más temprana en las beneficiarias (47.0 ñ 4.4 Vs 48.8 ñ 5.1 años, p < 0.002). La edad de menarquia en ellas fue menor (12.7 ñ 2.1) Vs 13.6 ñ 1.1 años, p < 01.001). Sobrepeso u obesidad se encontró en 47.1% y 22.8% respectivamente (p < 0.001). Encontramos, por lo tanto, que la menopausia se presenta casi 2 años antes en los estratos socioeconómicos más modesto