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Hormone replacement therapy counseling: prevalence and predictors.
1The Mount Sinai School of Medicine, Department of Community and Preventive Medicine, New York, New York 10029, USA. janine.laborde@mssm.edu
Journal of Women'S Health (2002)
|March 11, 2003
Summary
Few women receive hormone replacement therapy (HRT) counseling, despite a high patient desire for it. This highlights a need to improve physician awareness and patient access to HRT information.
Area of Science:
- Women's Health
- Public Health
- Medical Education
Background:
- Hormone replacement therapy (HRT) is a key intervention for managing menopause-related conditions.
- Understanding HRT counseling practices is crucial for women's health outcomes.
- Patient cultural background may influence healthcare provider counseling.
Purpose of the Study:
- To determine the prevalence of HRT counseling among women aged 45-65.
- To explore the relationship between patients' cultural background and HRT counseling.
- To identify barriers to HRT counseling.
Main Methods:
- A descriptive, self-reported survey of 134 women in an urban community hospital.
- Data collected on demographics, HRT use, counseling experiences, and barriers.
- Logistic regression and chi-square statistics used for analysis.
Main Results:
- Only 25% of women reported receiving HRT counseling.
- Among HRT users, just 12.7% received counseling.
- Physicians were more likely to provide HRT counseling than other professionals.
- Over 90% of patients desired HRT counseling.
Conclusions:
- Low HRT counseling rates suggest limited physician experience.
- Public health initiatives are needed to boost physician and patient awareness of HRT.
- Improving access to HRT information is essential for informed decision-making.