|dc.creator||Chen, R.-J. and Chang, T.-C. and Chow, S.-N.||-|
|dc.creator||CHEN, RUEY-JIEN;CHANG, TING-CHEN;CHOW, SONG-NAN||en|
|dc.description.abstract||OBJECTIVE: To evaluate awareness of and attitudes toward estrogen therapy (ET) among surgically menopausal women in Taiwan. DESIGN: We performed a retrospective analysis of 188 women who underwent hysterectomy with bilateral oophorectomy before menopause. Responses to a questionnaire included women's thoughts about 20 of the most common menopausal symptoms, whether they used ET, and their attitudes about taking ET. RESULTS: Mean respondent age at surgery was 45.3 ± 4.2 (SD) years; 59 women (31.4%) were either current or former users of ET. Vegetarians had a lower rate of ET use (9.5%) than omnivores (34.1%, P = 0.0239, χ test). By multiple logistic regression, insomnia (P = 0.005), palpitations (P = 0.024), and cold sweats (P = 0.027) were the symptoms most associated with ET use. The prevalence rates of the 20 menopausal symptoms ranged from 48.9% to 85.6%. By factor analysis, the 20 symptoms were grouped into four clusters: psychological, vasomotor, genital, and somatic. Although ET can improve all 20 symptoms, the effect was superior for the vasomotor cluster (P < 0.0001, analysis of variance). Of the women, 154 (81.9%) were aware of ET, and their major sources of information about it were health professionals (48.1%) and the mass media (34.4%). Only 49.5% of the women regarded ET as necessary, and 50.4% of the women who had never used ET claimed that they would use it if their doctor could persuade them that its benefits outweighed its risks. CONCLUSIONS: Even though ET can significantly improve vasomotor symptoms, surgically menopausal women in Taiwan have a low rate of ET use. ?2008The North American Menopause Society.||-|
|dc.subject.other||estrogen; adult; article; attitude; cold sweat; estrogen therapy; female; heart palpitation; human; hysterectomy; insomnia; major clinical study; menopause; multivariate logistic regression analysis; omnivore; ovariectomy; perception; questionnaire; retrospective study; surgical patient; vegetarian; Adult; Estrogen Replacement Therapy; Female; Health Knowledge, Attitudes, Practice; Humans; Menopause, Premature; Middle Aged; Ovariectomy; Taiwan||-|
|dc.title||Perceptions of and attitudes toward estrogen therapy among surgically menopausal women in Taiwan||-|
|Appears in Collections:||醫學系|
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