在阿拉伯国家使用激素替代疗法:系统性审查
Nasrin Al Zadjali1, Celine Tabche2, Zeenah Atwan3
1Department of Primary Health Care, Muscat Governorate, Directorate General of Health Services, Ministry of Health, Muscat, Oman.
Frontiers in global women's health
|February 25, 2026
概括
在阿拉伯国家,由于知识差距和文化因素,激素替代疗法 (HRT) 的使用率很低. 改善临床医生沟通和社区教育可以支持对更年期管理的HRT做出明智的决定.
科学领域:
- 妇女健康 妇女健康
- 生殖健康 生殖健康
- 内分泌学 在内分泌学.
背景情况:
- 更年期为女性带来了重大的健康转变,包括血管运动症状,骨质疏松症和心血管疾病风险.
- 激素替代疗法 (HRT) 是一种有效的治疗方法,但在许多地区的接受度有限.
- 了解影响HRT使用的因素对于改善妇女健康结果至关重要.
研究的目的:
- 系统地审查与阿拉伯国家的激素替代疗法 (HRT) 吸收和利用相关的因素.
- 总结了支持有关HRT的知情决策的策略.
- 确定在阿拉伯地区使用HRT的障碍和促进因素.
主要方法:
- 在2025年3月之前对Embase,MEDLINE,WHO IRIS,Cochrane图书馆,PubMed和Scopus进行系统搜索.
- 包括15项跨界研究,考察22个阿拉伯国家的女性对HRT的采用,知识,看法或态度.
- 发现的专题综合,使用纽卡斯尔-太华尺度评估研究质量.
主要成果:
- 一般来说,HRT的使用率很低,在不同研究中,患病率从0%到48%不等.
- 与HRT普及的积极关联包括高等教育,就业,医疗保健提供者的影响力和更好的知识.
- 障碍包括对风险的担忧,文化保守主义以及对替代疗法的偏好.
结论:
- 阿拉伯国家的低HRT使用率受到知识缺陷,风险感知,社会文化因素和医疗保健提供者的不一致参与的影响.
- 建议社区教育和加强临床医生沟通,以支持知情的HRT决策.
- 消除障碍对于改善更年期妇女获得和使用HRT至关重要.
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