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阴道健康:见解、观点与态度(VIVA-拉丁美洲):拉丁美洲一项调查的结果

Vaginal Health: Insights, Views & Attitudes (VIVA-LATAM): results from a survey in Latin America.

作者信息

Nappi R E, de Melo N R, Martino M, Celis-González C, Villaseca P, Röhrich S, Palacios S

机构信息

a Research Center for Reproductive Medicine, Gynecological Endocrinology and Menopause, IRCCS San Matteo Foundation, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences , University of Pavia , Pavia , Italy.

b Department of Obstetrics and Gynecology , São Paulo University Medical School , São Paulo , Brazil.

出版信息

Climacteric. 2018 Aug;21(4):397-403. doi: 10.1080/13697137.2018.1461826. Epub 2018 May 9.

Abstract

OBJECTIVE

To investigate awareness in Latin America, knowledge of postmenopausal vaginal atrophy was evaluated in a sample of women from this region.

METHODS

A total of 2509 postmenopausal women aged 55-65 years, resident in Argentina, Brazil, Chile, Colombia and Mexico, completed a structured online questionnaire.

RESULTS

Over half the surveyed population (57%) reported experiencing symptoms of vaginal atrophy. Only 6% of the overall cohort attributed symptoms of vaginal atrophy directly to the condition, and 71% did not consider the condition to be chronic, resulting in many women not accessing effective therapy. Half the women (49%) affected by vaginal atrophy had used lubricating gels and creams; 36% had used some form of local hormone treatment. To understand symptoms and/or treatment options for vaginal discomfort, the majority of survey participants (92%) were willing to seek advice from health-care professionals; most (61%) felt/would feel comfortable talking to their doctor about this.

CONCLUSION

Many women in Latin America lack knowledge of postmenopausal vaginal atrophy, not appreciating the chronic nature of the condition, and may benefit from dialog initiated by health-care professionals to facilitate greater understanding and increased awareness of the availability of effective treatment.

摘要

目的

为调查拉丁美洲地区的认知情况,对该地区的一组女性样本评估其绝经后阴道萎缩的知识。

方法

共有2509名年龄在55至65岁之间、居住在阿根廷、巴西、智利、哥伦比亚和墨西哥的绝经后女性完成了一份结构化在线问卷。

结果

超过一半的受调查人群(57%)报告有阴道萎缩症状。在整个队列中,只有6%的人将阴道萎缩症状直接归因于这种情况,71%的人不认为这种情况是慢性的,导致许多女性无法获得有效治疗。受阴道萎缩影响的女性中有一半(49%)使用过润滑凝胶和乳膏;36%使用过某种形式的局部激素治疗。为了解阴道不适的症状和/或治疗选择,大多数调查参与者(92%)愿意寻求医疗保健专业人员的建议;大多数人(61%)觉得/会觉得与医生谈论这个问题很自在。

结论

拉丁美洲的许多女性对绝经后阴道萎缩缺乏了解,没有认识到这种情况的慢性本质,可能会受益于医疗保健专业人员发起的对话,以促进对有效治疗的更多了解和提高认识。

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