Prognostic factors for future mental, physical and urogenital health and work ability in women, 45–55 years: a six-year prospective longitudinal cohort study

Table 5 Prognostic factors for good health estimated by the SF36 subscales Mental health, General health, Role emotional and Bodily pain at 6 years follow-up

	MH n = 70 ≥ 80^a		GH n = 70 ≥ 75^a		RE n = 71 ≥ 87^a		BP n = 69 ≥ 71^a
Predictors	p-value	Effect size^b	p-value	Effect size^b	p-value	Effect size^b	p-value	Effect size^b
Age^c	0.11	1.4 (0.94–2.0)	0.071	1.2 (0.98–1.5)	0.062	1.2 (0.99–1.5)	0.93	0.99 (0.82–1.2)
Tertiary education	0.47	0.52 (0.092–3.0)	0.14	0.37 (0.10–1.4)	0.085	0.25 (0.050–1.2)	0.88	1.2 (0.33–3.6)
Work ability^d	0.64	2.1 (0.093–48)	0.025	18 (1.4–220)	0.82	1.3 (0.16–10)	0.14	4.3 (0.62–29)
Living with a partner	0.74	1.9 (0.060–58)	0.12	8.3 (0.59–116)	0.017	29 (1.8–460)	0.43	0.37 (0.029–4.5)
Children at home	0.94	1.1 (0.094–13)	0.47	1.7 (0.39–7.6)	0.97	0.97 (0.18–5.3)	0.98	0.98 (0.22–4.4)
Depression^e	0.16	0.18 (0.017–1.9)	0.13	0.33 (0.080–1.4)	0.24	0.38 (0.075–2.0)	0.062	0.30 (0.083–1.1)
MRS symptoms
Somatic^f	1.0	0.00 (0.00- ∞)	0.73	0.67 (0.070–6.5)	0.64	0.59 (0.061–1.9)	0.98	0.98 (0.14–7.1)
Psychologic^f	1.0	0.00 (0.00-∞)	0.37	0.46 (0.084–2.5)	0.011	0.11 (0.020–0.61)	0.99	1.01 (0.22–4.6)
Urogenital^f	0.44	2.1 (0.32–14)	0.52	0.63 (0.16–2.5)	0.74	1.3 (0.23–61)	0.75	1.2 (0.33–4.6)
Active intervention^g	0.89	1.2 (0.24–5.2)	0.87	9.1 (0.34–3.6)	0.25	0.43 (0.10–1.8)	0.55	1.4 (0.46–4.3)
Nagelkirke R square		0.35		0.33		0.40		0.22
Hosmer & Lemeshow	0.94		0.33		0.47		0.98
Area Under Curve^g	0.001	0.84 (0.75–0.94)	< 0.001	0.79 (0.68–0.90)	< 0.001	0.85 (0.75–0.95)	0.001	0.72 (0.60–0.85)
Omnibus test of model	0.13		0.029		0.010		0.28

^aCut of norm for Swedish women 45–54 years, SF36. SF36 Subscales; Mental health (MH), General health (GH), Role emotional (RE) and Bodily pain (BP). Higher score indicated better health
^bEffect size is Odds Ratio and (95% CI) for all predictors. First figure is p-value, second figure is predicted probability and CI. The odds ratio increase in score value
^cOdds Ratio for an increase in age of 1 year between 45 and 55 years
^dWorking more than one hour/week
^eMontgomery-Asberg Depression Rating Scale (MADRS) score ≥ 7 indicating at least mild depression. Information is missing in 5 women (66/71)
^fMenopause Rating Scale and total Menopause Rating Scale (MRS) scoring. Somatic symptoms - hot flushes, heart discomfort, sleeping problems and muscle and joint problems; Psychological symptoms - depressive mood, irritability, anxiety and physical and mental exhaustion; Urogenital symptoms - sexual problems, bladder problems and vaginal dryness. Higher score indicates more severe symptoms
^gThe active group intervention is just as an adjustment and it is not the focus of this study

ISSN: 1472-6874