Chaikittisilpa Sukanya, Jirapinyo Mayuree, Chaovisitsaree Somsak, Wipatavit Verawat, Bunyaviroch Sosakul, Kanluan Bancha, Panyakhamlerd Krasean, Jaisamrarn Unnop, Taechakraichana Nimit
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University Bangkok, Thailand.
J Med Assoc Thai. 2007 Apr;90(4):628-35.
To assess the attitude and acceptance of Thai women attending menopause clinics on hormone replacement therapy (HRT) after the Women's Health Initiative (WHI) publication.
A standardized questionnaire was used to assess attitude and acceptance of HRT in 1,206 women who visited menopause clinics in six hospitals between September 2005 and February 2006.
Of the total respondents, 92% were in the age of 40-70 years, 75% were in their peri- and post menopause, 25% were current users and the average duration of hormone use was 5.6 +/- 5.3 years. The women's perception of hormone benefits on osteoporosis prevention, skin improvement, and hot flashes treatment were 39.1%, 31.7%, and 28.9%, respectively. The most common concern of hormone use was malignancy. Hormone side effects were found to be the most common reason for switching hormone regimen. Of all the past users, 85% stopped HRT because they changed to another treatment regimen. Only 3.7% had been aware the WHI, of which 43.5% were influenced by its results. The most common source of HRT information was from doctors. For the ever users, 72.3% had some knowledge about HRT.
The present survey revealed that very few women had been aware of the WHI study. Nevertheless, the prevalence of HRT current users was lower compared to a prior survey before the WHI publication. Doctors appeared to be the important source of HRT information, which may indirectly have an influence over women's attitude and acceptance on HRT.
评估在《妇女健康倡议》（WHI）发布后，泰国更年期诊所女性对激素替代疗法（HRT）的态度和接受程度。
采用标准化问卷，对2005年9月至2006年2月期间在六家医院更年期诊所就诊的1206名女性进行HRT态度和接受程度评估。
在全部受访者中，92%年龄在40 - 70岁，75%处于围绝经期和绝经后期，25%为当前使用者，激素使用平均时长为5.6 ± 5.3年。女性对激素在预防骨质疏松、改善皮肤和治疗潮热方面益处的认知分别为39.1%、31.7%和28.9%。使用激素最常见的担忧是恶性肿瘤。激素副作用被发现是更换激素治疗方案最常见的原因。在所有过去的使用者中，85%停止HRT是因为他们更换为另一种治疗方案。只有3.7%知晓WHI，其中43.5%受其结果影响。HRT信息最常见的来源是医生。对于曾经使用过的人，72.3%对HRT有一定了解。
本次调查显示，极少有女性知晓WHI研究。然而，与WHI发布前的一项先前调查相比，HRT当前使用者的比例较低。医生似乎是HRT信息的重要来源，这可能间接影响女性对HRT的态度和接受程度。
