From the Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, MN.
University of Minnesota Medical School, Minneapolis, MN.
Menopause. 2024 Oct 1;31(10):905-910. doi: 10.1097/GME.0000000000002411. Epub 2024 Jul 30.
Our study aims to understand public knowledge of postmenopausal bleeding as an endometrial cancer symptom and how past provider counseling on postmenopausal bleeding affects knowledge and care-seeking behaviors related to postmenopausal bleeding.
This was a cross-sectional survey study of people assigned female at birth. Study participants were recruited at a university research facility located at the Minnesota State Fair in September 2021. Participants answered questions about demographics, endometrial cancer knowledge, whether they had received counseling about postmenopausal bleeding, and whether and when they would present for care after experiencing postmenopausal bleeding.
Six hundred forty-eight surveys were completed and included in analyses. Sixty-three percent of participants identified postmenopausal bleeding as a symptom of endometrial cancer. Those who correctly selected this symptom were more likely to be born in the United States, have a college education or higher, and have private insurance. Of the 145 postmenopausal participants, 46.5% reported that their provider counseled them on postmenopausal bleeding. Fifty-nine percent of the postmenopausal participants reported that they would tell their provider if they had postmenopausal bleeding after only one episode.
There is a need for increased recognition of postmenopausal bleeding and provider counseling on postmenopausal bleeding, and educational interventions should focus on public and provider awareness of endometrial cancer risks and symptoms.
我们的研究旨在了解公众对绝经后出血作为子宫内膜癌症状的认识，以及过去关于绝经后出血的提供者咨询如何影响与绝经后出血相关的知识和寻求护理的行为。
这是一项针对女性出生人群的横断面调查研究。研究参与者是在 2021 年 9 月在明尼苏达州博览会上的一所大学研究机构招募的。参与者回答了有关人口统计学、子宫内膜癌知识、是否接受过关于绝经后出血的咨询以及在经历绝经后出血后何时以及是否会寻求护理的问题。
完成并纳入分析的调查问卷有 648 份。63%的参与者将绝经后出血识别为子宫内膜癌的症状。那些正确选择这种症状的人更有可能出生在美国，受过大学教育或更高学历，并且拥有私人保险。在 145 名绝经后参与者中，46.5%的人报告说他们的提供者就绝经后出血对他们进行了咨询。59%的绝经后参与者表示，如果仅经历一次出血，他们会告诉提供者。
需要提高对绝经后出血的认识和对绝经后出血的提供者咨询，教育干预措施应重点提高公众和提供者对子宫内膜癌风险和症状的认识。
