Williams Rachel E, Kalilani Linda, DiBenedetti Dana Britt, Zhou Xiaolei, Fehnel Sheri E, Clark Richard V
Worldwide Epidemiology, GlaxoSmithKline, PO Box 13398, Mailstop 17.2116, Five Moore Drive, Research Triangle Park, NC 27709-3398, USA.
Maturitas. 2007 Dec 20;58(4):348-58. doi: 10.1016/j.maturitas.2007.09.006. Epub 2007 Oct 25.
A population-based study was used to describe healthcare seeking behavior for menopausal symptoms and treatment among women 40-65 years old in the United States.
Participants were recruited into the Menopause Epidemiology Study from the KnowledgePanel(SM), which is selected by random digit dialing and probability sampling from the US population. From this source, 6201 women 40-65 years old were contacted and 4402 women participated. From the 3135 peri- and postmenopausal women, detailed information was obtained on menopausal symptoms, healthcare seeking, medication usage, and symptom relief from the medication.
Many women (60%) reported seeking health care for their menopausal symptoms. More than half of these women sought health care in the past 12 months. Vasomotor symptoms were the most frequently reported menopause symptoms across all races/ethnicities, and the most common symptoms discussed with a health care professional. One-third of the women (34%) used only hormone therapies, 12% used complementary and/or alternative medicines, and 16% used both for treatment of menopausal symptoms.
This study has shown that a large number of women consult healthcare providers for menopausal symptoms, indicating these symptoms are bothersome. Yet, in the United States, there is considerable variation in the symptomatology, healthcare seeking, and use of therapies for menopausal symptoms across cultures. To alleviate these symptoms women have tried alternative treatments as well as hormone therapies, yet many women did not get complete relief of specific symptoms.
采用一项基于人群的研究来描述美国40 - 65岁女性更年期症状的就医行为及治疗情况。
参与者从知识面板(SM)中招募进入更年期流行病学研究,该面板通过随机数字拨号和概率抽样从美国人群中选取。从这个来源,联系了6201名40 - 65岁的女性,4402名女性参与。从3135名围绝经期和绝经后女性中,获得了关于更年期症状、就医情况、药物使用以及药物缓解症状的详细信息。
许多女性(60%)报告因更年期症状寻求医疗护理。其中超过一半的女性在过去12个月内寻求过医疗护理。血管舒缩症状是所有种族/族裔中最常报告的更年期症状,也是与医疗保健专业人员讨论最多的症状。三分之一的女性(34%)仅使用激素疗法,12%使用补充和/或替代药物,16%同时使用这两种方法来治疗更年期症状。
这项研究表明,大量女性因更年期症状咨询医疗保健提供者,表明这些症状令人烦恼。然而,在美国,不同文化背景下更年期症状的症状表现、就医行为和治疗方法使用存在相当大的差异。为了缓解这些症状,女性尝试了替代疗法以及激素疗法,但许多女性并未完全缓解特定症状。