以色列妇女的更年期症状和对激素替代疗法的态度
Dvora Frankenthal1, Ziv Karni-Efrati1,2, Miri Zatlawi1
1Israel Center for Disease Control (ICDC), Ministry of Health, Ramat-Gan, Israel.
Journal of women & aging
|June 15, 2023
概括
55-75岁的以色列女性的更年期症状与焦虑,抑郁和骨质疏松症有关. 很少有女性接受治疗,许多人对激素替代疗法 (HRT) 犹不决.
科学领域:
- 生殖健康 生殖健康
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
背景情况:
- 更年期是女性的自然衰老过程,经常伴随着各种症状.
- 了解绝经后妇女更年期症状的患病率和影响对于有针对性的健康干预至关重要.
- 激素替代疗法 (HRT) 是一种治疗选择,但其使用和接受程度在不同人群之间有所不同.
研究的目的:
- 调查以色列绝经后妇女更年期症状和健康特征之间的关联.
- 估计使用激素替代疗法 (HRT) 的患病率和女性对它的态度.
- 在这个人口群体中确定与更年期症状相关的因素.
主要方法:
- 在2018年至2020年期间,在以色列进行了一项横截面的国家电话调查.
- 数据包括688名年龄在55-75岁的绝经后妇女.
- 使用多变量逻辑回归分析来确定相关特征.
主要成果:
- 68.8%的参与者报告至少有一个更年期症状,血管运动症状是最常见的 (50.4%).
- 更年期症状与中度至高度的焦虑/抑郁症状 (OR = 2.01) 和骨质疏松症 (OR = 1.78) 显著相关.
- 尽管78.3%的有症状妇女受到症状的困扰,但只有29.1%接受了治疗,12.6%使用了HRT.
结论:
- 更年期症状与更年期后以色列女性焦虑,抑郁和骨质疏松症的患病率增加有关.
- 存在很大的治疗差距,大多数有症状的妇女没有得到足够的缓解,并且普遍不愿意接受HRT.
- 需要提高对更年期及其治疗选择的认识和知识,包括促进对HRT的积极态度.
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