Rabin D S, Cipparrone N, Linn E S, Moen M
Department of OBGYN, Lutheran General Hospital-Advocate, Park Ridge, Illinois, USA.
Menopause. 1999 Spring;6(1):61-7.
A survey was designed to determine why menopausal women do not take hormone replacement therapy (HRT).
A sample of 3,600 women > 50 years old were randomly selected from six zip codes in northwest suburban Chicago. They received a maximum of three survey mailings. Those who did not respond were called and asked to respond over the phone. The data that were obtained included knowledge of, physician discussion about, use of, and reason for not currently taking HRT, menopausal status, last physician visit, and age grouping.
A total of 1,966 (65%) women responded. Of these, 1,448 (74%) knew about HRT, 1,193 (61%) had discussed HRT with their physicians, and 815 (41%) had been treated with HRT in the past. A total of 552 women (28%) were currently being treated with HRT, of whom 419 (76%) had been treated for > 2 years. A total of 1,356 respondents were not being treated with HRT. Of these, 1,114 (82%) were menopausal, of whom 742 (67%) knew about HRT, 551 (50%) had discussed HRT with their physicians, 837 (75%) had seen their physician in the past year, and 236 (21%) had been treated with HRT in the past. Reasons for not taking HRT included the following: 49% no longer had menopausal symptoms, 45% did not want to take HRT, 33% were not offered it by their doctors, 28% were afraid to use it, and 27% were not menopausal.
Seeing a physician in the past year did not ensure that these women understood the symptom course of menopause. Confirming women's knowledge about menopausal health or assisting physician education about menopausal health may offer opportunities both to assist women's decision making about HRT and to improve women's health care.
设计一项调查以确定绝经后女性不接受激素替代疗法（HRT）的原因。
从芝加哥西北郊区的六个邮政编码区域中随机选取了3600名50岁以上的女性作为样本。她们最多收到三次调查问卷邮件。对未回复者进行电话回访并要求其通过电话回复。所获取的数据包括对HRT的了解情况、与医生关于HRT的讨论、HRT的使用情况、目前不接受HRT的原因、绝经状态、上次看医生的情况以及年龄分组。
共有1966名（65%）女性回复。其中，1448名（74%）了解HRT，1193名（61%）曾与医生讨论过HRT，815名（41%）过去曾接受过HRT治疗。共有552名女性（28%）目前正在接受HRT治疗，其中419名（76%）接受治疗超过2年。共有1356名受访者未接受HRT治疗。其中，1114名（82%）处于绝经状态，742名（67%）了解HRT，551名（50%）曾与医生讨论过HRT，837名（75%）在过去一年看过医生，236名（21%）过去曾接受过HRT治疗。不接受HRT的原因如下：49%不再有绝经症状，45%不想接受HRT，33%医生未提供，28%害怕使用，27%未绝经。
在过去一年看过医生并不能确保这些女性了解绝经的症状过程。确认女性对绝经健康的了解或协助医生进行绝经健康方面的教育，可能为协助女性做出关于HRT的决策以及改善女性医疗保健提供机会。
