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Five-year compliance with hormone replacement therapy in postmenopausal Chinese women in Hong Kong
- Source :
- Maturitas. 39:195-201
- Publication Year :
- 2001
- Publisher :
- Elsevier BV, 2001.
-
Abstract
- Objectives: To assess 5-year compliance with hormone replacement therapy (HRT) in Hong Kong Chinese women and the reasons for long-term compliance or non-compliance. Methods: A telephone survey using a standardized questionnaire was conducted in 187 postmenopausal women who had commenced HRT in a referral-only specialist clinic of a university teaching hospital 5 years previously. Over this 5-year period, the cohort had been referred out to primary care doctors once they had become stabilized on treatment. Results: The 5-year compliance rate was 71.1%. The overall compliance rates were nearly the same from 2 and 5 years. ‘Doctors’ advice’ was the most important reason for maintenance of long-term compliance, accounting for 88.0% of all compliant cases. The most frequent reason for non-compliance was that of the experience of side effects. Other important reasons were fear of cancer, fear of other side effects, and discouragement from other doctors. Overall, 16.0% of women expressed concern regarding potential side effects or risk of breast cancer. Younger age at menopause and at time of initial consultation, shorter duration of menopause at presentation and previous history of hysterectomy were associated with a higher degree of compliance at 5 years. Presence or absence of menopausal symptoms, on the other hand, was not a significant factor. Conclusions: The 5-year compliance rate in this cohort of Hong Kong Chinese women was comparable to that reported from predominantly Caucasian populations. The physicians’ role in encouraging postmenopausal women to achieve long-term HRT compliance was observed.
- Subjects :
- Adult
medicine.medical_specialty
Younger age
Hormone Replacement Therapy
medicine.medical_treatment
General Biochemistry, Genetics and Molecular Biology
Compliance (psychology)
Cohort Studies
Breast cancer
Asian People
Surveys and Questionnaires
Humans
Medicine
Longitudinal Studies
Gynecology
Physician-Patient Relations
Hysterectomy
business.industry
Obstetrics and Gynecology
Middle Aged
medicine.disease
Postmenopause
Menopause
Transgender hormone therapy
Family medicine
Cohort
Hong Kong
Patient Compliance
Female
University teaching
business
Subjects
Details
- ISSN :
- 03785122
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Maturitas
- Accession number :
- edsair.doi.dedup.....13542281fc875296fb287f72131bc0fd