caa a22 4500 445306386 CHVBK 20180317142614.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00404-009-1323-6 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1323-6 The association between educational level and age at the menopause: a systematic review [Elektronische Daten] [Felipe Canavez, Guilherme Werneck, Raphael Parente, Roger Celeste, Eduardo Faerstein] Objectives: To evaluate the association between educational level and age at menopause, and to describe the potential mechanisms involved. Methods: A systematic review of the literature was undertaken to evaluate this question. Educational level, which is considered one of the best socioeconomic indicators, was evaluated in this review as an exposure factor leading menopause to occur at an earlier age. The electronic search strategy was developed specifically for the different databases considered and through cross-referencing. After initially identifying 795 papers, 56 of them were selected for evaluation of the complete text. Results: In the end, our systematic review included 25 papers covering 29 studies. In 75.9% of the studies evaluated in this review, there was a weak association (statistically significant in 45%) between lower educational level and earlier age of the menopause. The various methodological differences between the studies were unable to substantially influence the results. The way in which educational level was measured and the methodology for comparing strata differed greatly. The complexity of socioeconomic level mechanisms on menopause imposed limitations on the conclusions from this study. Conclusions: No unequivocal evidence for the existence of an association between educational level and age at menopause was found through this review. Springer-Verlag, 2009 Menopause nationallicence Educational level nationallicence Systematic review nationallicence Socioeconomic status nationallicence Risk factors nationallicence Canavez Felipe Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut Werneck Guilherme Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut Parente Raphael Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut Celeste Roger Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut Faerstein Eduardo Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 83-90 0932-0067 283:1<83 2011 283 404 https://doi.org/10.1007/s00404-009-1323-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1323-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Canavez Felipe Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut NATIONALLICENCE 700 1- Werneck Guilherme Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut NATIONALLICENCE 700 1- Parente Raphael Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut NATIONALLICENCE 700 1- Celeste Roger Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut NATIONALLICENCE 700 1- Faerstein Eduardo Department of Epidemiology, Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier, 524, 7º floor, room 7009.D, CEP 20550-90, Rio de Janeiro, RJ, Brazil aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 83-90 0932-0067 283:1<83 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer