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信仰、知识和 COVID19 对西班牙女性更年期治疗的影响:COMEM-治疗研究。

Beliefs, knowledge and the impact of COVID19 on menopause therapies in Spanish women: COMEM-treatment study.

机构信息

Gynecology Department of Miguel, Servet University Hospital, Paseo Isabel La Católica 1-3, 50009, Zaragoza, Spain.

Service of Obstetrics and Gynecology, Hospital Sanitas La Zarzuela, Madrid, Spain.

出版信息

BMC Womens Health. 2020 Dec 28;20(1):277. doi: 10.1186/s12905-020-01151-x.

Abstract

OBJECTIVE

To study what women think about menopause treatments and assess their knowledge about them. To analyze adherence to treatment during COVID-19 confinement as a secondary objective.

METHODS

A multi-center cross-sectional observational study was conducted using a survey of 2500 women between January and June 2019. This was administered following a non-probability sampling procedure including women between 35 and 75 years. An extension study was conducted during the coronavirus pandemic, between March and June 2020.

RESULTS

The responses of 2355 surveyed women were analyzed. Of this sample, 42% knew about menopause hormone therapy (MHT). The most frequently identified indication was the treatment of hot flashes (65.6%). The MHT risks most frequently perceived were weight gain (24.2%) and breast cancer (21.7%); the main reason for rejecting MHT was a lack of information (96.1%). Comparative analyses were conducted according to age, menopausal status, type of menopause, place of residence, type of health care and level of education. During the coronavirus confinement period, 85 women using MHT were located, of which 84.7% continued it.

CONCLUSIONS

Women hold certain false beliefs about menopause, and their knowledge of the available treatments is somewhat limited. Adherence to MHT during the COVID-19 confinement in Spain has been high.

摘要

目的

研究女性对更年期治疗的看法,并评估她们对此的了解。作为次要目标,分析在 COVID-19 隔离期间对治疗的依从性。

方法

采用 2019 年 1 月至 6 月间对 2500 名女性进行的调查,开展了一项多中心横断面观察性研究。采用非概率抽样程序进行调查,包括 35 至 75 岁的女性。在冠状病毒大流行期间(2020 年 3 月至 6 月)进行了一项扩展研究。

结果

对 2355 名接受调查的女性的应答进行了分析。在这个样本中,42%的人了解更年期激素治疗(MHT)。最常识别的适应症是治疗热潮红(65.6%)。最常被认为是 MHT 风险的是体重增加(24.2%)和乳腺癌(21.7%);拒绝 MHT 的主要原因是缺乏信息(96.1%)。根据年龄、绝经状态、绝经类型、居住地、医疗保健类型和教育水平进行了比较分析。在冠状病毒隔离期间,找到了 85 名正在使用 MHT 的女性,其中 84.7%继续使用。

结论

女性对更年期存在某些错误的看法,并且对可用治疗方法的了解有些有限。在西班牙 COVID-19 隔离期间,MHT 的依从性很高。

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Revised global consensus statement on menopausal hormone therapy.更年期激素治疗全球共识声明修订版。
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