Initiation and discontinuation of hormone therapy for menopausal symptoms : Results from a community sample

Factors related to initiation and discontinuation of hormonal therapy (HT) for treatment of menopausal symptoms were examined in a community sample of 533 peri/postmenopausal women aged 45-54 by telephone three times. Over 40 variables including: sociodemographic characteristics, clinical reasons to...

Full description

Saved in:
Bibliographic Details
Published in:Journal of behavioral medicine 2005-02, Vol.28 (1), p.105-114
Main Authors: BOSWORTH, Hayden B, BASTIAN, Lori A, GRAMBOW, Steven C, MCBRIDE, Colleen M, SKINNER, Celette Sugg, FISH, Laura, RIMER, Barbara K, SIEGLER, Ilene C
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cancer
Communication
Contraindications
Estrogen Replacement Therapy - methods
Female
Gynecological surgery
Health behavior
Hormone replacement therapy
Hormones. Endocrine system
Hot flash
Humans
Medical sciences
Medicine
Menopause
Menopause - psychology
Middle Aged
Patient Compliance - statistics & numerical data
Pharmacology. Drug treatments
Physician-Patient Relations
Residence Characteristics
Sociodemographics
Womens health
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Factors related to initiation and discontinuation of hormonal therapy (HT) for treatment of menopausal symptoms were examined in a community sample of 533 peri/postmenopausal women aged 45-54 by telephone three times. Over 40 variables including: sociodemographic characteristics, clinical reasons to start HT use, HT contraindications, HT attitudes/knowledge, and health behaviors were examined in logistic regression models comparing women who discontinued HT to women who continued using HT over 9 months (discontinuers) and women who initiated HT versus women who never used HT over 9 months (initiators). Increased understanding of HT, confidence, mental health symptoms, perception that menopause is natural, and having gynecological surgery were related to decreased likelihood of HT discontinuation. Increased understanding about risks of HT, vasomotor symptoms, mood symptoms, and having gynecological surgery were related to increased likelihood of HT Initiation. These findings highlight the importance of physicians discussing HT with their patients, particularly because of recent clinical trial developments.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-005-2721-2