在现役服役的妇女中使用更年期激素治疗
Miranda L Janvrin, Amanda Banaag, Jill Brown1
1From the Uniformed Services University of Health Sciences, Bethesda, MD.
概括
与退伍军人和普通人群相比,在45-64岁的现役妇女 (ADSW) 中,激素治疗 (HT) 的使用较少. 特定的人口统计学因素,如年龄较小和某些种族,与较低的HT接收相关.
科学领域:
- 生殖健康 生殖健康
- 军事医学 军事医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 更年期激素治疗 (HT) 有效地管理更年期症状.
- 之前的研究记录了一般和老兵女性群体的HT使用情况.
- 有限的数据存在于现役服役妇女 (ADSW) 中的HT使用情况.
研究的目的:
- 为了确定45-64岁的ADSW中HT接收的频率.
- 为了确定与这一群体中HT使用相关的人口因素.
- 为了将ADSW中的HT患病率与一般和老兵人口进行比较.
主要方法:
- 使用军事卫生系统 (MHS) 数据库 (MDR) 的回顾性横截面研究.
- 从2018-2022财政年度对美国陆军,空军,海军和海军陆战队45-64岁的ADSW进行分析.
- 描述性统计和后勤回归以评估人口统计学与HT接收的关联.
主要成果:
- 分析了13,629名年龄在45-64岁之间的ADSW;9.5% (1,290) 接受HT.
- 在较年轻的年龄组 (45-49,60-64),亚洲/太平洋岛民种族和初级等级中,HT使用的几率较低.
- 收到HT与特定的军事服务分支之间没有显著的关联.
结论:
- 在ADSW中HT的患病率低于美国退伍军人人口,但高于美国一般人口.
- 人口因素显著影响了在现役妇女中使用HT的情况.
- 进一步的研究可能会探讨为ADSW提供HT访问的障碍和促进因素.
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