Fallahzadeh Hossein, Hossienzadeh Maryam, Yazdani Fatemeh, Javadi Atefeh
Department of Biostatistics and Epidemiology, Health School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Iran J Reprod Med. 2012 Jul;10(4):383-90.
Background : Evidences shows that menopause affects women's health, but women's knowledge of proper care and maintenance is insufficient.
To determine knowledge of hormone therapy (HT), reproductive physiology, and menopause in a population of 40-60 year old women.
This cross-sectional study was conducted through a cluster sampling among 330 women in Yazd, Islamic Republic of Iran, in 2010. Data was collected using a questionnaire containing questions about reproductive physiology related to menopause and HT by interviewing. Inferential and descriptive statistics via SPSS.15 software were used for data analysis.
Overall, 2.1% of women were current takers of HT, 13.4% had taken it in the past but had stopped and 84.5% had never taken hormone replacement therapy. Iranian women had low knowledge of HT, reproductive physiology, and menopause. Most of the women (85.5%) knew that hot flashes are common around menopause and only 77.2% knew decreasing estrogen production causes the menopause. They knew little about the effects of progestagens and the effects of HT on fertility. Logistic regression determined that age, educational level and BMI were the most important factors predicting use of HT after adjusting for other variables.
Iranian women have a low HT usage rate and the majority of them are lacking of the knowledge about HT and menopause. Women need improved knowledge of the risks and benefits of HT as well as education about the reproductive system around menopause.
背景：证据表明，更年期会影响女性健康，但女性对适当护理和保养的知识不足。
确定40至60岁女性群体对激素疗法（HT）、生殖生理学和更年期的了解情况。
本横断面研究于2010年通过整群抽样法在伊朗伊斯兰共和国亚兹德的330名女性中进行。通过访谈使用包含有关与更年期和激素疗法相关的生殖生理学问题的问卷收集数据。使用SPSS.15软件进行推断性和描述性统计分析数据。
总体而言，2.1%的女性目前正在接受激素疗法，13.4%的女性过去曾接受过但已停止，84.5%的女性从未接受过激素替代疗法。伊朗女性对激素疗法、生殖生理学和更年期的了解程度较低。大多数女性（85.5%）知道潮热在更年期前后很常见，只有77.2%的女性知道雌激素分泌减少会导致更年期。她们对孕激素的作用以及激素疗法对生育能力的影响了解甚少。逻辑回归分析确定，在对其他变量进行调整后，年龄、教育水平和体重指数是预测激素疗法使用情况的最重要因素。
伊朗女性激素疗法使用率较低，且大多数人缺乏关于激素疗法和更年期的知识。女性需要更好地了解激素疗法的风险和益处，以及接受有关更年期前后生殖系统的教育。
