Impact of women's health initiative study on attitude and acceptance of hormone replacement therapy in Thai women attending menopause clinics

Chaikittisilpa, S.; Jirapinyo, M.; Chaovisitsaree, S.; Wipatavit, V.; Bunyaviroch, S.; Kanluan, B.; Panyakhamlerd, K.; Jaisamrarn, U.; Taechakraichana, N.

Journal of the Medical Association of Thailand 90(4): 628-635

2007


ISSN/ISBN: 0125-2208
PMID: 17487115
Document Number: 2860
Objective: To assess the attitude and acceptance of Thai women attending menopause clinics on hormone replacement therapy (HRT) after the Women Health Initiative (WHI) publication.Material and Method. A standardized questionnaire was used to assess attitude and acceptance of HRT in 1,206 women who visited menopause clinics in six hospitals between September 2005 and February 2006.Results: Of the total respondents, 92% were in the age of 40-70 years, 75% were in their peri- and post menopause, 25% were current users and the average duration of hormone use was 5.6 +/- 5.3 years. The women perception of hormone benefits on osteoporosis prevention, skin improvement, and hot flashes treatment were 39.1%, 31.7%, and 28.9%, respectively. The most common concern of hormone use was malignancy. Hormone side effects were found to he the most common reason for switching hormone regimen. Of all the past users, 85% stopped HRT because they changed to another treatment regimen. Only 3.7% had been aware of the WHI, of which 43.5% were influenced by its results. The most common source of HRT information was from doctors. For the ever users, 72.3% had some knowledge about HRT.Conclusion: The present survey revealed that very few women had been aware of the WHI study. Nevertheless, the prevalence of HRT current users was lower compared to a prior survey before the WHI publication. Doctors appeared to be the important source of HRT information, which may indirectly have an influence over women attitude and acceptance on HRT

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Impact of women's health initiative study on attitude and acceptance of hormone replacement therapy in Thai women attending menopause clinics