Søgaard A J, Berntsen G K, Magnus J H, Tollan A
Avdeling for samfunnsmedisin, Statens institutt for folkehelse, Oslo.
Tidsskr Nor Laegeforen. 1998 Feb 10;118(4):582-7.
Recent research on long-term postmenopausal hormone replacement therapy (HRT) indicates a positive effect on both total mortality and morbidity. This has raised the question of widespread preventive long-term use of HRT. Possible side-effects and ideological issues related to preventive HRT have led to debate and uncertainty among health professionals, in the media, and in the population at large. In order to evaluate the level of knowledge about and attitudes towards HRT, a randomly selected group of 737 Norwegian women aged 16-79 was interviewed by the Central Bureau of Statistics. One in three women had received information about HRT in the last two years, mainly through weekly magazines and physicians. The proportion who answered the questions on knowledge correctly varied from 36% to 47%. Those who had been given information by a physician possessed accurate knowledge, had more positive attitudes towards HRT and were more willing to use HRT than women who had reviewed information through other channels. Women with a higher level of education were better informed and more knowledgeable than others, but were nevertheless more reluctant to use HRT than those who were less educated. The limited number of women who actually receive information on HRT, the low level of knowledge and the ambivalent attitudes toward HRT are a major challenge to the public health service.
近期关于绝经后长期激素替代疗法（HRT）的研究表明，其对总死亡率和发病率均有积极影响。这引发了HRT是否应广泛用于预防性长期治疗的问题。与预防性HRT相关的潜在副作用和观念问题，在健康专业人士、媒体以及广大民众中引发了争论和不确定性。为了评估对HRT的了解程度和态度，挪威中央统计局对737名年龄在16至79岁之间的挪威女性进行了随机抽样访谈。三分之一的女性在过去两年中收到过有关HRT的信息，主要是通过周刊杂志和医生。正确回答知识问题的比例在36%至47%之间。与通过其他渠道获取信息的女性相比，从医生那里获得信息的女性拥有准确的知识，对HRT的态度更积极，也更愿意使用HRT。受教育程度较高的女性比其他人了解得更多、知识更丰富，但与受教育程度较低的女性相比，她们更不愿意使用HRT。实际获得HRT信息的女性数量有限、知识水平较低以及对HRT的矛盾态度，是公共卫生服务面临的重大挑战。
