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对激素替代疗法(HRT)接受度的提高及信息水平的改善:1990年至1997年挪威女性观点的变化

Increased acceptance of HRT and improved level of information: a change in Norwegian women's opinion from 1990 to 1997.

作者信息

Backe B, Hunskaar S

机构信息

Department of Women's and Children's Health, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Acta Obstet Gynecol Scand. 2001 Jul;80(7):623-7.

Abstract

AIM

To investigate the development in women's attitude to hormone replacement therapy, and the change in views concerning positive and negative effects.

METHODS

National cohort study based on telephone interviews in 1990 and 1997, of women randomly sampled from the Norwegian telephone book (n=1019 and 1003). The same questions were asked in both studies.

RESULTS

In 1997, more women stated radio and television, doctors, friends and relatives as sources of information. The general attitude to hormone replacement therapy had become significantly more positive, and the respondents reported a higher level of information than in 1990. However, some misunderstandings about estrogen therapy still remain; the proportion of women who believed that estrogen treatment reduced the risk for breast cancer increased from 4% in 1990 to 15% in 1997. About one third of women aged 60 or more are current or past users. More than 60% of the women in the youngest age group state that they will consider use of estrogen replacement therapy. About four-fifths of the women in 1997 stated their willingness to use long term estrogen therapy if osteoporosis could be prevented.

CONCLUSIONS

Estrogen replacement therapy has become a part of the public debate. A high degree of willingness to use estrogen is demonstrated. The self reported level of information is higher and women are generally more correctly informed about positive and negative effects.

摘要

目的

调查女性对激素替代疗法态度的变化,以及对其利弊看法的改变。

方法

基于1990年和1997年电话访谈的全国队列研究,从挪威电话簿中随机抽取女性样本(1990年n = 1019,1997年n = 1003)。两项研究都问了相同的问题。

结果

1997年,更多女性表示通过广播、电视、医生、朋友和亲戚获取信息。对激素替代疗法的总体态度明显更积极,且受访者报告的信息水平高于1990年。然而,对雌激素疗法仍存在一些误解;认为雌激素治疗可降低患乳腺癌风险的女性比例从1990年的4%增至1997年的15%。60岁及以上的女性中约三分之一是当前或过去的使用者。最年轻年龄组中超过60%的女性表示会考虑使用雌激素替代疗法。1997年约五分之四的女性表示,如果能预防骨质疏松,她们愿意长期使用雌激素疗法。

结论

雌激素替代疗法已成为公众辩论的一部分。显示出使用雌激素的高度意愿。自我报告的信息水平更高,女性对其利弊的了解总体上更正确。

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