Education effectiveness was compared on changes in their scores on three questionnaires -- practice of health behaviors, perceived uncertainty and perceived perimenopausal disturbances. The difference between experimental and controlled groups was estimated by MIXED-Model (SAS-mixed model procedure) for repeated measures. Women recruited from city, there were 58 women were in the experimental group and 60 women were in the control group. Women recruited from rural community, there were 53 women in the experimental group and 49 women were in the control group, Health education passport had positive longitudinal effects in rural subgroup: increased the practice of health behaviors (β=13.05, P=0.012), decreased perceived perimenopausal disturbance (β=-6.47, P=0.042) after six month and decreased perimenopausal uncertainty (β=-7.44, P=0.003) after three month. However, there were no differences between two groups in women from city community. Only in time effects, both groups of women showed that decreased perceived perimenopausal disturbance, increased the practice of health behaviors and Decreased perimenopausal uncertainty after 6 month (β=-4.46, P=0.023�Gβ=6.17, P<0.01;β=-5.6, P=0.00). The current study suggested that the perimenopausal health passport and consultation can be keeping on practicing in both rural community and city community.