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激素替代疗法:黎巴嫩女性的认知、看法与接受度

Hormone Replacement Therapy: Lebanese Women's Awareness, Perception, and Acceptance.

作者信息

Salame A Anastasia, Jaffal Mohammad J, Khalifeh Fatin, Khalife Dalia, Ghazeeri Ghina

机构信息

Department of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon.

出版信息

Obstet Gynecol Int. 2020 Jun 16;2020:5240932. doi: 10.1155/2020/5240932. eCollection 2020.

Abstract

OBJECTIVES

Hormone replacement therapy (HRT) had been the gold standard for the treatment of menopausal symptoms until the publication of the World Health Initiative (WHI) study. After the WHI study, the use of HRT changed among the physicians and patients all over the world despite newer more reassuring data. This study aimed to investigate the knowledge and attitudes of women towards HRT and the factors affecting it for better counseling. . A clinic-based cross-sectional study using a survey was offered to women aged 40 years and above coming to the women's health center at the American University of Beirut Medical Center (AUBMC) from October 1, 2017, till March 31, 2018. The questionnaire included questions about demographics and menopausal symptoms in addition to knowledge and attitudes towards menopause and HRT. . Our main hypothesis was that women would be aware of HRT as a treatment modality; however, the majority would have a negative attitude towards its usage.

RESULTS

The response rate was 87.8%. Seventy-three percent of the respondents had already heard about HRT with 57.9% supporting the use of HRT; however, 47.9% did not know when to use it. The significant predictor for having heard about HRT and a positive attitude towards HRT were having HRT prescribed as a part of treatment and employment status, respectively.

CONCLUSIONS

Lebanese women are aware of HRT as a treatment option; however, a lack of both proper information and positive attitude towards HRT use was noted.

摘要

目的

在世界卫生倡议(WHI)研究发表之前,激素替代疗法(HRT)一直是治疗更年期症状的金标准。WHI研究发表后,尽管有更新且更可靠的数据,但全球医生和患者对HRT的使用情况还是发生了变化。本研究旨在调查女性对HRT的认知和态度以及影响这些认知和态度的因素,以便更好地进行咨询。2017年10月1日至2018年3月31日期间,对前往贝鲁特美国大学医学中心(AUBMC)妇女健康中心就诊的40岁及以上女性进行了一项基于诊所的横断面调查研究。问卷除了包括有关更年期和HRT的知识及态度的问题外,还包括人口统计学和更年期症状的问题。我们的主要假设是女性会知晓HRT作为一种治疗方式;然而,大多数人对其使用会持消极态度。

结果

回复率为87.8%。73%的受访者听说过HRT,其中57.9%支持使用HRT;然而,47.9%的人不知道何时使用HRT。听说过HRT以及对HRT持积极态度的显著预测因素分别是曾接受过HRT治疗以及就业状况。

结论

黎巴嫩女性知晓HRT可作为一种治疗选择;然而,发现她们对HRT的使用既缺乏正确信息,态度也不积极。

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