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World Health Organization Technical Report Series. 1981; (670):1-120.This report includes the collective views of a World Health Organization (WHO) Scientific Group on Research on the Menopause that met in Geneva during December 1980. It includes information on the following: 1) the endocrinology of the menopause and the postmenopausal period (changes in gonadotropins and estrogens immediately prior to the menopause and changes in gonadotropin and steroid hormone levels after the menopause); 2) the age distribution of the menopause (determining the age at menopause, factors influencing the age at menopause, and the range of ages at menopause and the definition of premature and delayed menopause); 3) sociocultural significance of the menopause in different settings; 4) symptoms associated with the menopause (vasomotor symptoms, psychological symptoms, disturbances of sexuality, and insomnia); 5) disorders resulting from, or possibly accelerated by, the menopause (osteoporosis, atherosclerotic cardiovascular disease, and arthritic disorders); 6) risks, with particular reference to neoplasia, of therapeutic estrogens and progestins given to peri- and postmenopausal women (endometrial cancer, breast cancer, and gallbladder disease); 7) fertility regulating methods for women approaching the menopause (fertility and the need for family planning in women approaching the menopause, problems of family planning in perimenopausal women, and considerations with regard to individual methods of family planning in women approaching the menopause); and 8) estrogen and the health care management of perimenopausal and postmenopausal women. At this time some controversy exists as to whether there is a menopausal syndrome of somatic and psychological symptoms and illness. There are virtually no data on the age distribution of the menopause and no information on its sociocultural significance in the developing countries. The subject of risks and benefits of estrogen therapy in peri- and postmenopausal women is of much importance in view of the large number of prescriptions issued for this medication in developed countries, which indicates their frequrnt use, and the different interpretations and opinions among epidemiologists and clinicians on both past and current studies on this subject. Specific recommendations made by the Scientific Group appear at the end of each section of the report. The following were among the general recommendations made: WHO sponsored research should be undertaken to determine the impact on health service needs of the rapidly increasing numbers of postmenopausal women in developing countries; uniform terminology should be adopted by health care workers with regard to the menopause; uniform endocrine standards should be developed which can be applied to the description of peri- and postmenopausal conditions and diseases; and descriptive epidemiological studies of the age at menopause should be performed in a variety of settings.
In: A census of one billion people. Papers for International Seminar on China's 1982 Population Census, edited by Li Chengrui. Boulder, Colorado, Westview Press, 1986. 37-52.This paper examines how the 1982 China census met the standards prevalent in the world at large and formulated by the international community into recommendations under UN guidance. It also examines to what extent the China census met the recommendations, what alternatives were adopted and why, and what methods it used to carry them out. China's 1982 census met the criteria of individual enumeration, universality, simultaneity, and defined periodicity. The 1982 census was a register-based de jure census in which the field interview and its checks determined the final content of census information. It was necesary to restrict the number of census questions to fewer than would have been desirable. The questionnaire included 5 household and 13 individual topics. Questions on live births and deaths in the household since 1981 were included, although not generally recommended. Age data is unusually accurate due to people's awareness of what animal sign they were born under. Housing questions were not asked in this census, but may be included in the next census. Sampling was used only in the small-scale post-enumeration survey. In China, the administrative network is so complete and reaches down to so small a unit that no further subdivision for census purposes is needed at all. A most unconventional feature of the censuses of China has been the virtually complete absence of mapping. An extensive program of 4887 pilot censuses ensured the success of the full census. The publicity effort involved 2-way communication from the national office to the public and back. The issue of confidentiality was felt to be problematical in China and best solved by not asking questions that people would be reluctant to answer. The method of enumeration differed greatly from the usual ones in that it centered on enumeration stations with home visits used to a lesser extent. Several questions were precoded, but the enumerator had to write in the number as well as circle the correct item. 10% advance tabulations were made for all units and found to be very representative.