THE PERCEPTION OF THE MENOPAUSE AND THE CLIMACTERIC AMONG WOMEN IN HONG-KONG AND SOUTHERN CHINA
THE PERCEPTION OF THE MENOPAUSE AND THE CLIMACTERIC AMONG WOMEN IN HONG-KONG AND SOUTHERN CHINA
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DOI：
10.1006/pmed.1995.1040
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发表时间：
1995-05-01
影响因子：
5.1
通讯作者：
LEUNG, DHY
中科院分区：
文献类型：
--
作者：
HAINES, CJ;RONG, L;LEUNG, DHY
背景。缺乏对更年期长期后果的认识可能是香港和中国内地对激素替代疗法需求低的主要原因。大多数中国妇女几乎没有急性更年期症状，我们的假设是，她们对雌激素缺乏导致骨质疏松症或心血管疾病的风险知之甚少。一项前瞻性研究对居住在香港或中国南方的200名不同年龄的中国女性进行了调查。一份结构化的问卷被用来调查她们对更年期和更年期的看法。虽然96%的香港女性和73%的中国南方女性可以定义更年期，但两组中都没有人意识到绝经后女性存在骨质疏松症或心血管疾病的问题。只有8%的香港妇女和4%的中国南方妇女知道激素替代疗法可以用于治疗绝经后妇女。本研究的结果证实了对两组中国女性更年期的了解相对缺乏。由于绝经期症状在这一人群中也不常见，大多数妇女不需要咨询医生，因此也没有选择激素替代疗法来预防雌激素缺乏的长期影响。考虑到所涉及人口的规模，通过改善关于更年期的教育来降低发病率和死亡率的潜力是相当大的。(C) 1995学术出版社，Inc。
Background. A lack of awareness of the long-term consequences of the menopause may be a major contributing factor to the low demand for hormone replacement therapy in Hong Kong and China. Most Chinese women suffer few acute menopausal symptoms, and it was our hypothesis that they had little knowledge of the risks of developing either osteoporosis or cardiovascular disease as a result of estrogen deficiency.Methods. A prospective study was conducted among 200 Chinese women of all ages living in Hong Kong or southern China. A structured questionnaire was used to examine their perception of the menopause and the climacteric.Results. While 96% of women from Hong Kong and 73% from southern China could define the menopause, none in either group were aware of the problems of either osteoporosis or cardiovascular disease in postmenopausal women. Only 8% of women from Hong Kong and 4% from southern China knew that hormone replacement therapy could be used to treat postmenopausal women.Conclusions. The results of this study confirm a relative lack of understanding of the climacteric in both groups of Chinese women. As menopausal symptoms are also infrequent in this population, most women will not have the need to consult a physician and will therefore not have the option of taking hormone replacement therapy to prevent the long-term effects of estrogen deficiency. Considering the sizes of the populations involved, the potential for reducing morbidity and mortality through improved education about the menopause is considerable. (C) 1995 Academic Press, Inc.