Obstetric and Gynecology Department, Faculdade de Medicina do ABC, Santo André, Brazil.
Obstetric and Gynecology Department, Faculdade de Medicina de Jundiaí, Jundiaí, Brazil.
Climacteric. 2022 Oct;25(5):523-529. doi: 10.1080/13697137.2022.2088276. Epub 2022 Jul 8.
This study aims to understand the epidemiological characteristics of Brazilian menopausal women, and their view on menopause hormone therapy (MHT).
A national cross-sectional study with 1500 women between 45 and 65 years old was carried out through questionnaires.
The overall median age of participants was 52 [47-56] years, and 55 [52-59] years for the postmenopausal subgroup. Menstrual irregularity started at median age 46 [44-49] years. Median menopause age was 48 [45-51] years with no differences between socioeconomic classes. The prevalence of any climacteric symptoms was 87.9% and hot flashes started at median age 47 [45-50] years. Among women in menopause/menopausal transition, 52.1% received any medical prescription, and MHT was recommended for 22.3%. Among those who started MHT, 45.4% were still using the treatment and the median duration of use was 8 months, but different among socioeconomic classes (24 months for class A against 3 months for class D/E).
In this first Brazilian national population-based study on menopause and MHT, it was observed that, in spite of being symptomatic when entering menopause around 48 years of age, only a small part of Brazilian women started MHT and the median duration of treatment was less than 1 year, but the duration was higher for higher socioeconomic class.
本研究旨在了解巴西绝经女性的流行病学特征及其对绝经激素治疗（MHT）的看法。
通过问卷调查，对 1500 名年龄在 45 至 65 岁之间的巴西女性进行了一项全国性的横断面研究。
参与者的总体中位年龄为 52 岁[47-56]，绝经后亚组的中位年龄为 55 岁[52-59]。月经不规则开始于中位年龄 46 岁[44-49]。中位绝经年龄为 48 岁[45-51]，社会经济阶层之间无差异。任何更年期症状的患病率为 87.9%，热潮红开始于中位年龄 47 岁[45-50]。在处于绝经/绝经过渡期的女性中，有 52.1%接受了任何药物治疗，有 22.3%推荐使用 MHT。在开始使用 MHT 的女性中，有 45.4%仍在使用该治疗方法，中位使用时间为 8 个月，但在社会经济阶层中存在差异（A 类为 24 个月，D/E 类为 3 个月）。
在这项巴西首次基于全国人口的绝经和 MHT 研究中，尽管在 48 岁左右绝经时出现症状，但只有一小部分巴西女性开始使用 MHT，治疗的中位持续时间不到 1 年，但社会经济阶层越高，持续时间越长。
