Helen Schneider Hospital for Women, Rabin Medical Center, Campus Beilinson, Petah Tiqva 49100, Israel.
Med Sci Monit. 2010 Apr;16(4):PH35-39.
Following the publication of the results of Women's Health Initiative in 2002 there have been gross changes in the attitude of women and physicians towards the risks and benefits of hormone replacement therapy (HRT). We evaluated the attitude of women gynecologist towards their own health, including adherence to recommended screening tests and self usage and prescription of hormone replacement therapy.
MATERIAL/METHODS: Questionnaires regarding performance of screening tests, self usage and recommendation of HRT were posted by mail to all Israel's women gynecologists.
Ninety questionnaires were eligible for analysis (43.2% response rate). Average age was 48+/-7.7 years. Only 7/90 (7.8%) gynecologists smoke regularly and average body mass index was 25+/-3.8 kg/m2. Most participants performed at least one screening tests in the past 2 years. The median interval from the last self breast exam, mammography, gynecologisy exam, Papanicolaou test, colonoscopy and bone density test was 0.2, 1.82, 1.79, 1.95, 3.27 and 1.41 years, respectively. Most of them (68.3%) did not routinely recommend HRT to their patients. The duration of self HRT usage ranged between 1-20 years (average 5.1+/-3.4 years). Most gynecologists (87.7%) recommended continuous estrogen and progesterone for women with their uterus in place.
The health profile of Israeli women gynecologists is chracterized by a high performance of screening tests for cancer and low rate of smoking. Our study also demonstrates that the impact of the results of the WHI trial is still well manifested and most Israeli women gynecologists do not routinely recommend HRT to postmenopausal women.
2002 年妇女健康倡议的结果公布后，女性和医生对激素替代疗法（HRT）的风险和益处的态度发生了巨大变化。我们评估了女性妇科医生对自身健康的态度，包括对推荐的筛查测试的依从性以及自身使用和处方激素替代疗法的情况。
材料/方法：通过邮件向所有以色列女性妇科医生邮寄了关于筛查测试、自身使用和 HRT 推荐情况的问卷。
90 份问卷符合分析条件（43.2%的回复率）。平均年龄为 48+/-7.7 岁。只有 7/90（7.8%）的妇科医生经常吸烟，平均体重指数为 25+/-3.8kg/m2。大多数参与者在过去 2 年内至少进行了一次筛查测试。最后一次自我乳房检查、乳房 X 光检查、妇科检查、巴氏涂片检查、结肠镜检查和骨密度检查的中位数间隔分别为 0.2、1.82、1.79、1.95、3.27 和 1.41 年。他们中的大多数（68.3%）没有定期向患者推荐 HRT。自身使用 HRT 的持续时间在 1-20 年之间（平均 5.1+/-3.4 年）。大多数妇科医生（87.7%）建议有子宫的女性连续使用雌激素和孕激素。
以色列女性妇科医生的健康状况表现为癌症筛查测试的高频率和低吸烟率。我们的研究还表明，WHI 试验结果的影响仍然明显，大多数以色列女性妇科医生不会常规向绝经后妇女推荐 HRT。
