Health behaviors and other characteristics of women on hormone therapy: Results from the Third National Health and Nutrition Examination Survey, 1988-1994
Health behaviors and other characteristics of women on hormone therapy: Results from the Third National Health and Nutrition Examination Survey, 1988-1994
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DOI：
10.1097/01.gme.0000119982.77837.c4
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发表时间：
2004-09-01
影响因子：
2.7
通讯作者：
Wactawski-Wende, J
中科院分区：
文献类型：
--
作者：
Brennan, RM;Crespo, CJ;Wactawski-Wende, J
目的：研究绝经后妇女的激素治疗（HT）使用的流行率，并比较当前HT使用者和从未使用者之间的人口统计学特征、健康行为和健康指标。设计：第三次全国健康与营养调查是1988 ~ 1994年进行的横断面调查，结果：总体而言，419名（11.4%）妇女报告目前使用HT，857名（23.3%）报告过去使用，2，397名（65.3%）从未使用过。非西班牙裔黑人妇女和70岁或70岁以上的妇女不太可能是目前的用户。较高的社会经济地位（教育和收入）和手术更年期与当前使用激素的可能性增加有关。在对上述变量进行调整后，报告在休闲时间不活动的女性和肥胖女性（体重指数：30）不太可能是当前用户。那些每月喝5到29杯酒精饮料，认为自己的健康状况“良好”，服用多种维生素，知道自己有高血胆固醇，并有定期医疗保健的诊所的妇女更有可能是目前的使用者。吸烟习惯并没有显着不同的groups.Conclusions：目前HT用户有不同的人口特征，并可能导致健康的生活比从未使用者。在研究HT的影响时，这一点很重要，它可以部分解释与随机临床试验相比，观察性研究中HT使用对健康影响的发现差异。
Objective: To examine the prevalence of hormone therapy (HT) use and compare demographic characteristics, health behaviors, and health indicators between current HT users and never-users in a nationally representative sample of postmenopausal women.Design: The Third National Health and Nutrition Examination Survey was a cross-sectional survey conducted between 1988 and 1994, Including 3,673 postmenopausal women aged 40 years and older.Results: Overall, 419 (11.4%) of the women reported current HT use, 857 (23.3%) reported past use, and 2,397 (65.3%) were never-users. Non-Hispanic black women and women aged 70 years or older were less likely to be current users. Higher socioeconomic status (education and income) and surgical menopause were associated with increased odds of current hormone use. After adjusting for the above variables, women who reported being inactive during leisure time and obese women (body mass index : 30) were less likely to be current users. Women who had 5 to 29 alcoholic drinks per month, perceived their health status as "good," took a multiple vitamin, were aware of having high blood cholesterol, and had a clinic for regular medical care were more likely to be current users. Smoking habits were not significantly different between the groups.Conclusions: Current HT users have different demographic profiles and may lead healthier lives than never-users. This is important to take into account when studying the effects of HT, and it may partly explain differences in findings regarding the health effects of HT use in observational studies compared with randomized clinical trials.