| 404 | 10 | 125 |
| 下载次数 | 被引频次 | 阅读次数 |
目的了解广州市白领女性对更年期知识和绝经激素治疗(MHT)的认知情况,为有针对性地开展生殖健康服务提供依据。方法采用调查问卷对广州市1 019名白领女性进行横断面研究。结果 47.60%(485/1 019)白领女性对更年期早期症状充分知晓,14.52%(148/1 019)对绝经远期危害充分知晓;43.30%(431/1 019)完全不知道MHT,45.34%(462/1 019)仅听说过但了解不多;40岁及以上白领女性更年期相关症状的发生率为73.11%(416/569),仅有6.15%(35/569)使用过MHT;77.72%(792/1 019)认为有必要或非常有必要科普更年期和MHT相关知识。结论广州市白领女性对更年期早期症状和绝经远期危害的认知度较差,MHT的使用率较低,对获得更年期和MHT相关知识有较大需求,有必要对该群体开展更年期和MHT相关知识的宣教,促进女性更年期健康。
Abstract:Objective:To investigate the knowledge of climacteric and menopausal hormone therapy(MHT) among office ladies in Guangzhou to provide a basis for health services.Methods:A cross-sectional study was conducted on 1 019 women worked in Guangzhou using questionnaires.Results:47.60%(485/1 019) professional women were fully aware of early menopausal symptoms,and 14.52%(148/1 019) were fully aware of long-term menopausal impacts. 43.30%(431/1 019) had never heard of MHT,and 45.34%(462/1 019) have only heard of it,but known little about it. The incidence of menopausal symptoms in office ladies aged 40 years and older is 73.11%(416/569),but only 6.15%(35/569) of them had used MHT. 77.72%(792/1 019) thought it was necessary to popularize the knowledge about climacteric and MHT.Conclusions:Office ladies in Guangzhou are less aware of early menopausal symptoms and long-term menopausal hazards. The usage rate of MHT is low among them. There is a great demand for knowledge about climacteric and MHT. It is necessary to propagate the knowledge about climacteric and MHT for this group to promote the health of menopausal women.
[1] 郁琦.绝经学[M].北京:人民卫生出版社,2013:67-71.
[2] 中华医学会妇产科学分会绝经学组.绝经管理与绝经激素治疗中国指南(2018)[J].中华妇产科杂志,2018,53:729-739.
[3] 中华医学会妇产科学分会绝经学组.绝经相关激素补充治疗的规范诊疗流程[J].中华妇产科杂志,2013,48:155-158.
[4] The NAMS 2017 Hormone Therapy Position Statement Advisory Panel.The 2017 hormone therapy position statement of The North American Menopause Society[J].Menopause,2017,24:728-753.
[5] Santen RJ,Allred DC,Ardoin SP,et al.Postmenopausal hormone therapy:an Endocrine Society scientific statement[J].J Clin Endocrinol Metab,2010,95(7 Suppl 1):s1-s66.
[6] Buhling KJ,von Studnitz FS,Jantke A,et al.Use of hormone therapy by female gynecologists and female partners of male gynecologists in Germany 8 years after the Women's Health Initiative study:results of a survey[J].Menopause,2012,19:1088-1091.
[7] Hersh AL,Stefanick ML,Stafford RS.National use of postmenopausal hormone therapy:annual trends and response to recent evidence[J].JAMA,2004,291:47-53.
[8] Morabia A,Costanza MC.Recent reversal of trends in hormone therapy use in a European population[J].Menopause,2006,13:111-115.
[9] Huang KE,Xu L,I NN,et al.The Asian Menopause Survey:knowledge,perceptions,hormone treatment and sexual function[J].Maturitas,2010,65:276-283.
[10] 张清学,杨冬梓,谢梅青,等.广州市区妇女更年期知识的初步调查[J].广东医学,2002,23:1202-1204.
[11] 王习习,李金芝.社区女性激素替代治疗的认知水平和应用现状调查[J].中国妇幼保健,2017,32:1551-1553.
[12] 高凤霞,张晓颖,陈飞.北京市平谷区医院医护人员围绝经期相关情况及认知调查[J].生殖医学杂志,2016,25:458-462.
[13] 尚梦远.北京协和医院员工绝经过渡期状态和绝经激素治疗使用调查[D].北京协和医学院,2014.
[14] 程艳梅,史惠蓉.医务人员对绝经综合征和绝经激素治疗的认知现状调查[J].中国计划生育和妇产科,2016,8:36-39.
[15] 邵红芳,陶敏芳,孙旭妍,等.上海地区医务人员对激素替代治疗知晓率及现状调查[J].生殖医学杂志,2011,20:1-4.
[16] Davis SR,Castelo-Branco C,Chedraui P,et al.Understanding weight gain at menopause[J].Climacteric,2012,15:419-429.
[17] Stute P,Wildt L,Neulen J.The impact of micronized progesterone on breast cancer risk:a systematic review[J].Climacteric,2018,21:111-122.
[18] Bergendal A,Kieler H,Sundstr?m A,et al.Risk of venous thromboembolism associated with local and systemic use of hormone therapy in peri-and postmenopausal women and in relation to type and route of administration[J].Menopause,2016,23:593-599.
基本信息:
中图分类号:R173
引用信息:
[1]谢小倩,陈亚肖,方玲玲,等.广州市白领女性对更年期知识和绝经激素治疗的认知现况调查[J].生殖医学杂志,2020,29(01):62-67.
基金信息:
中国妇女盆底功能障碍防治专项科研项目(重点类201819126)
2020-01-15
2020-01-15