Lindh-Astrand Lotta, Brynhildsen Jan, Hoffmann Mikael, Liffner Susanne, Hammar Mats
Division of Obstetrics and Gynecology, Department of Molecular and Clinical Medicine, Faculty of Health Sciences, University Hospital, S-581 85 Linköping, Sweden.
Maturitas. 2007 Jan 20;56(1):12-20. doi: 10.1016/j.maturitas.2006.05.002. Epub 2006 Jun 23.
To assess attitudes and beliefs about the menopausal transition in a population of peri- and postmenopausal women, and if these attitudes differed before and after publication of studies on risks and benefits with hormone therapy (HT).
In 1999 and 2003 all women aged 53 and 54 years in the community of Linköping, Sweden, were sent a questionnaire about use of HT, menopausal status and attitudes regarding menopause and HT.
Most women regarded menopause as a natural process characterized by both hormonal deficiency and aging and these views did not differ between 1999 and 2003. A majority of women thought that significant climacteric symptoms were a good reason to use HT, but not that women without symptoms should use HT. The fraction of women who supported HT use was, however, significantly lower in 2003 than in 1999. Most women agreed that menopause leads to increased freedom and that it is a relief not to have to think about contraception and pregnancies.
Most Swedish women had a mainly biological view on menopause but nevertheless they thought that only women with climacteric symptoms should use HT. Women's attitudes towards HT have changed after recent reports on risks from long-term use of HT whereas the attitudes towards the menopausal transition were stable. Other factors than attitudes towards menopause affect women's actual use of HT. Probably women's and health care provider's apprehension of the risk-benefit balance of HT use is one such factor.
评估围绝经期和绝经后女性群体对绝经过渡的态度和看法，以及在关于激素疗法（HT）风险和益处的研究发表前后这些态度是否有所不同。
1999年和2003年，向瑞典林雪平社区所有53岁和54岁的女性发放了一份关于HT使用、绝经状态以及对绝经和HT态度的问卷。
大多数女性认为绝经是一个以激素缺乏和衰老为特征的自然过程，1999年至2003年间这些观点并无差异。大多数女性认为明显的更年期症状是使用HT的一个好理由，但无症状的女性不应使用HT。然而，2003年支持使用HT的女性比例显著低于1999年。大多数女性同意绝经会带来更多自由，而且不必再考虑避孕和怀孕是一种解脱。
大多数瑞典女性对绝经主要持生物学观点，但她们仍认为只有有更年期症状的女性才应使用HT。在近期关于长期使用HT风险的报道之后，女性对HT的态度发生了变化，而对绝经过渡的态度则保持稳定。除了对绝经的态度之外，其他因素也会影响女性实际使用HT。女性和医疗保健提供者对HT使用风险 - 益处平衡的担忧可能就是这样一个因素。
