Characteristics associated with initiation of hormone replacement therapy among Finnish women: A register-linkage study.
Maturitas
; 89: 73-8, 2016 Jul.
Article
em En
| MEDLINE
| ID: mdl-27180163
ABSTRACT
OBJECTIVE:
To investigate which patient characteristics are associated with the initiation of hormone replacement therapy (HRT) in a cohort of Finnish women. STUDYDESIGN:
Responses to postal questionnaires distributed to a nationwide, randomly selected cohort of women in 1998, 2000, 2003, 2005 and 2010 were analyzed. The cohort members were aged 40-44 years at the beginning of the study. Information on hormone replacement therapy was received from the national prescription register. Women who started taking HRT between January 1, 1999 and December 31, 2011 were included and previous users were excluded from the analysis. MAIN OUTCOMEMEASURES:
Initiation of HRT was the main outcome measure. The following explanatory factors for predicting the use of HRT were examined sociodemographic factors, personality, health behavior, physiological and mental symptoms, chronic diseases and use of psychopharmaceuticals. The associations between starting HRT and the explanatory factors were analyzed with single-predictor and multi-predictor logistic regression models.RESULTS:
Factors predicting that a woman would start taking HRT were living with a partner, weak sense of coherence, BMI less than 30kg/m(2), heavy or moderate alcohol use, symptoms of hyperactivity of the sympathetic nervous system, climacteric symptoms and use of psychopharmaceuticals.CONCLUSIONS:
Women with a good sense of coherence can cope with climacteric symptoms without resorting to HRT. Clinicians need to bear in mind the burden of menopausal symptoms on a woman's personal and working life when HRT is being considered.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia de Reposição Hormonal
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Maturitas
Ano de publicação:
2016
Tipo de documento:
Article