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[挪威女性对雌激素替代疗法的态度]

[Attitudes to estrogen replacement therapy among Norwegian women].

作者信息

Hallquist Anne Cecilie, Moen Mette H, Andrew Marit, Aursnes Ivar

机构信息

Institutt for farmakoterapi, Universitetet i Oslo, 0316 Oslo.

出版信息

Tidsskr Nor Laegeforen. 2006 Apr 27;126(9):1195-7.

PMID:16670739
Abstract

BACKGROUND

The aim of the study was to investigate women's attitudes towards hormone treatment (HT), their judgment of the various sources of information, and their knowledge of indications for HT.

METHODS

We posted questionnaires to 1000 Norwegian women between 45 and 60 years of age, randomly selected from the National Register. We received replies from 386 women (38.6%).

RESULTS

Of those who replied, 28% reported that they were currently using HT, 22% were previous users, 24% were considering starting, whereas 26% refused ever to use HT. One half of current and previous users had obtained their prescriptions from a gynaecologist, the other half from their general practitioner. Mean age at start of HT was 47 years. 65% of the women started the medication before menopause. The women thought HT to be useful for treatment of hot flushes, prevention of osteoporosis, well-being, improved mood and sex life. The women were also asked about the rating of importance that they would give to the various sources of information. The highest ratings were given to their gynaecologist or general practitioner. Also reading about HT and the opinion of other health personnel obtained high ratings.

CONCLUSIONS

The indications for HT given by the women correspond well with the prevailing guidelines. The recent observation about a possible negative effect of HT on cardiovascular disease seems to have reached the respondents. Many women begin to use HT several years before menopause.

摘要

背景

本研究旨在调查女性对激素治疗(HT)的态度、她们对各种信息来源的判断以及她们对HT适应症的了解。

方法

我们向从国家登记册中随机抽取的1000名45至60岁的挪威女性发放了问卷。我们收到了386名女性(38.6%)的回复。

结果

在回复者中,28%报告称她们目前正在使用HT,22%是以前的使用者,24%正在考虑开始使用,而26%拒绝使用HT。目前和以前的使用者中有一半是从妇科医生那里获得处方的,另一半是从她们的全科医生那里获得的。开始使用HT的平均年龄为47岁。65%的女性在绝经前开始用药。女性认为HT对治疗潮热、预防骨质疏松、改善健康、改善情绪和性生活有用。还询问了女性对各种信息来源重要性的评分。评分最高的是她们的妇科医生或全科医生。阅读有关HT的资料和其他医护人员的意见也获得了较高评分。

结论

女性给出的HT适应症与现行指南相符。关于HT对心血管疾病可能产生负面影响的最新观察似乎已为受访者所知。许多女性在绝经前几年就开始使用HT。

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