Title: The severity of menopause and associated factors among middle aged women residing
in Arba Minch, DHSS, Ethiopia, 2022
Version: 2 Date: 16 Feb 2023
Reviewer's report:
Thanks for your good title. However, your manuscript needs substantial amendments and for
the time being not fit for this journal yet. Here-under please find the comments.
Critical comment:
1. Numerous editorial and grammatical problems found in your manuscript.
2. Your significant variables and way of interpretation was not in the right way. Moreover, the
confidence interval is so wide.
3. The introduction part is not well described.
4. The discussion part is not well described
5. No study setting for this study
6. The study participant is not operationally defined and not well known from introduction to
method part.
7. 100% response rate in community based study? I have doubt about this result.
8. The recommendation is not clear and not in line with the finding.
9. The table is not well structured.
Abstract
1. Background: rewrite it again.
2. Your recommendation is not clear for government. Rewrite it again based on your finding.
3. Do you know the difference between multivariable LR and multivariate LR? Read and rewrite
it again
Introduction
4. The introduction part is not well described. Incorporate detail definition, symptoms and
complication (menopause and middle age), describe about FSH and estradiol about how to rule
out the form of abnormalities, magnitude and their consequence of menopause from global to
local, what measures have taken to alleviate such problem from developed country to Ethiopia.
Then rewrite the gap.
Method
5. Study setting: do you think that study setting is study design?
Study area and Period
6. Your study area and period was not mentioned. Why?
Variables
7. Your study population age category is not clear/ needs operational definition.
8. How did you define smoker, alcohol in taker and khat chewer?.
Sample size determination:
8. Why you were not consider the design effect for your sample size determination?
Data collection procedure and tool
9. How did you measure the weight and height (Procedures)? What is the difference between
calibration and standardization? Incorporate this issue in your revised manuscript.
10. Have you seen the reliability of menopause rating scale in your study even though validate
by WHO? If yes chronback-alpha value…..
11. You have not conducted the pretest for your study. Why?
Statistical analysis
12. How did you checked Multicollinearity and model fitness? Write your finding in your
manuscript
Result
13. What do you think 100% response rate in community based study? I have doubt about this
result.
14. Anthropometric measurement: we do not know about your thinness, overweight and obesity.
Rewrite it again.
15. Severity of menopause: “From all of the study participant’s percent of them have menopausal
symptoms” what do you mean by this statement?
16. Your confidence interval of age was very wide and your interpretation is not in the right way.
Discussion
17. Discussion part particularly associated variables were not well interpreted and described.
Limitation of the study
17. Which biochemical test?
18. being cross-sectional design is the limitation of this study? What do you mean by limitation?
Conclusion and recommendation
19. Your conclusion is not in line with your finding