Søgaard A J, Tollan A, Berntsen G K, Fønnebø V, Magnus J H
Ullevâl University Hospital, Oslo, Norway.
Maturitas. 2000 Jun 30;35(3):201-14. doi: 10.1016/s0378-5122(00)00113-4.
To evaluate knowledge about, attitudes towards and use of hormone replacement therapy (HRT) in Norwegian women - and to compare self-reported use with sales statistics of HRT in the Nordic countries during recent years.
Random samples of Norwegian women age 16-79 were interviewed by the Central Bureau of Statistics in 1994 (n=737), in 1996 (n=665) and in 1998 (n=680). Statistics on the sale of estrogen were provided by the Norwegian Medical Depot and Nordic Council on Medicines.
One in three women had received information about HRT during the last 2 years (1994), mainly through weekly magazines and physicians. The proportion answering in accordance with the prevailing view of HRT's effects ('correct knowledge') varied from 36.4 to 47.2%. Those informed by a physician possessed correct knowledge, had positive attitudes towards HRT and were willing to use HRT more often than women informed through other channels. Women with a high level of education had received information and had correct knowledge more often than others, but they were still less willing to use HRT and did not use HRT more often than the less educated. In the age group 45-69 years the use of HRT was 16.3% in 1994, 19.1% in 1996 and 19. 1% in 1998 (P=0.421, trend). In addition to received information, attitudes towards and knowledge about estrogen were the most important factors predicting use of HRT after adjusting for other variables. According to sales figures, the use of systemic estrogen in Norway has increased more than 360% since 1990. Although no other Nordic country has experienced a corresponding increase, Iceland had the highest sales figures in 1997.
Based on the limited proportion of women receiving information on HRT and the ambivalence found in groups of educated women, we suggest that more and better information should be given middle-aged women to make them better able to make informed choices regarding use of HRT.
评估挪威女性对激素替代疗法（HRT）的了解、态度及使用情况，并比较近年来挪威女性自我报告的HRT使用情况与北欧国家HRT的销售统计数据。
1994年（n = 737）、1996年（n = 665）和1998年（n = 680），挪威中央统计局对年龄在16 - 79岁的挪威女性进行了随机抽样访谈。挪威药品仓库和北欧药品委员会提供了雌激素销售统计数据。
在过去两年（1994年）中，三分之一的女性收到过关于HRT的信息，主要通过周刊杂志和医生。根据对HRT效果的主流观点回答问题的比例（“正确知识”）在36.4%至47.2%之间。由医生告知相关信息的女性拥有正确知识，对HRT持积极态度，并且比通过其他渠道获得信息的女性更愿意使用HRT。受教育程度高的女性比其他人更常收到信息且拥有正确知识，但她们仍然不太愿意使用HRT且使用频率并不比受教育程度低的女性更高。在45 - 69岁年龄组中，1994年HRT的使用率为16.3%，199
