Hormone therapy use after the Women's Health Initiative

Hormone therapy use after the Women's Health Initiative
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DOI:
10.1080/13697130410001713733
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发表时间:
2004-06-01
期刊:
影响因子:
2.8
通讯作者:
Wilson, DH
Wilson, DH
中科院分区:
医学3区
文献类型:
--
作者:
MacLennan, AH;Taylor, AW;Wilson, DH

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目的继续监测激素治疗(HT)的使用在澳大利亚的人口和评估的影响,妇女健康倡议(WHI)和相关报告HT使用16个月后的结果WHI首次reported.Methods的数据,从2003年南澳大利亚州健康综合调查,其中涉及一个有代表性的,人口面对面的访谈调查。将数据与1991年至2000年期间进行的五次调查进行了比较,这些调查采用了一致的方法和质量控制程序。共有907个访谈进行了40年以上的妇女在自己的homes.Results与媒体报道的WHI的时间,目前HT的使用率从28%的妇女在50岁以上的2000年下降到2002年的估计10.2%。到2003年10月,这一年龄组目前的使用率恢复到18.8%。媒体对妇女的决策具有主要影响。重新开始治疗的人中有一半改为另一种HT。只有2.8%的人改变为替代/补充therapy.Conclusions近三分之二(64%)的人目前使用HT在2002年停止治疗,主要是在响应媒体报道的WHI。在2002年停止HT的人中,近一半已经重新开始。媒体报道极大地影响了激素疗法的使用。
Objective To continue surveillance of hormone therapy (HT) use in an Australian population and to assess the impact of the Women's Health Initiative (WHI) and associated reports on HT use 16 months after the results of the WHI were first reported.Methods Data were obtained from the 2003 South Australian Health Omnibus Survey, which involves a representative, population face-to-face interview survey. Data were compared to five surveys undertaken between 1991 and 2000, which had consistent methods and quality-control procedures. A total of 907 interviews were conducted with women over 40 years in their own homes by trained health interviewers.Results In association with the timing of media reporting of the WHI, current HT use rates dropped from 28% in women over 50 years in 2000 to an estimated 10.2% in 2002. By October 2003, current use rates had returned to 18.8% in this age group. The media had been the main influence in the women's decision-making. Half of those who restarted therapy changed to another type of HT. Only 2.8% changed to an alternative/complementary therapy.Conclusions Nearly two-thirds (64%) of those currently using HT in 2002 stopped therapy, mostly in response to the media reporting of the WHI. Nearly half of those who stopped HT in 2002 have since restarted. Media reporting greatly influences the use of hormonal therapies.