호르몬 치료에 대한 한국 폐경 여성의 인식도 변화: Women’s Health Initiative 연구결과 발표 전과 7년 경과 후의 변화
Changing Korean Menopausal Women’s Awareness on Hormone Therapy: 7-years after Women’s Health Initiative Study
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연구목적: Women’s Health Initiative (WHI) 발표 이후 임상의뿐만 아니라 일반 폐경 여성에서 많은 혼란이 있어왔다. 본 연구는 WHI 연구 보고 이후 한국 일반 폐경 여성들의 호르몬 요법에 대한 인식도를 조사하여 WHI 발표 이전의 인식도와 비교 연구하고자 했다. 연구재료 및 방법: 본 연구는 2009년 서울과 지방에서 시행된 한국 폐경 여성의 달 기념 건강강좌에 참석하였던 폐경 여성 713명을 대상으로 한 설문조사를 통하여 이루어졌다. 결과: 폐경의 원인에 대해 알고 있다고 응답한 여성이 2009년 86.7%로 2002년 56.6%에 비해 증가했다. 호르몬 요법에 대한 정보원은 대중매체가 34.0%로 1위로 2002년 의사가 60.7%로 1위였던 것에 비해 큰 차이를 보였다 (P < 0.05). 호르몬 복용을 중단하게 된 이유는 암 발생 두려움이 31.8%로 가장 많았고 2002년 9.3%였던 것에 비해 증가되었다 (P < 0.05). 유방암 정기 검진을 받는 여성의 빈도는 2002년 35.0%에서 2009년 82.3%로 골밀도 검사를 받은 경험이 있는 여성의 빈도도 2002년 40.2%에서 2009년 71.8%로 증가되었다 (P < 0.05). 결론: 우리나라 폐경 여성들은 폐경에 대한 인식도는 증가되었고, WHI 이후에도 폐경 증상에 대한 호르몬 치료가 필요하며 도움이 된다고 응답하였다. 관련 정보를 다양한 정보원으로부터 얻고 있으며 대중매체의 역할이 매우 증가되었다. 호르몬 치료와 연관되어 암 발생 특히 유방암에 대한 우려가 높은 것으로 나타났다.
Abstract
Objectives: The purpose of this survey was to compare Korean menopausal women’s perceptions of hormone replacement therapy before and after publication of the Women’s Health Initiative (WHI) study. Methods: This study was conducted through a survey of 713 postmenopausal women, who attended lectures on health to commemorate Korean Menopause Awareness Month, during 2009 in Seoul and the provinces (Incheon, Daejeon, Daegu, Gwangju and Busan). Results: Respondents’ knowledge concerning the cause of menopause have been increased to 86.7% in 2009, compared to 56.6% in 2002. Women who required hormone therapy increased to 57.6% in 2009, compared to 56.6% in 2002. As a source of information about hormone therapy, media was about 34.0% in 2009, different from the previous study that doctor’s advice was 60.7%. Among the women who stopped hormone therapy, the most common reason was fear of cancer (31.8%), which increased compared to 9.3% in 2002. Women who received regular screening for breast cancer increased to 82.3% in 2009, compared to 35.0% in 2002. Women who checked bone mineral density (BMD) increased to 71.8% in 2009, compared to 40.2% in 2002. Conclusion: Menopausal women in Korea have increased their awareness of menopause. They responded that hormone therapy was helpful to manage menopausal symptoms, even after WHI study. They obtained menopause-related information through various sources, and the role of mass media has been greatly increased. But they were concerned about the increased risk for cancer, especially breast cancer.
참고문헌 (11)
- Rossouw JE, "Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women’s Health Initiative randomized controlled trial", JAMA, 288, pp.321~333 (2002)
- Beral V, "Evidence from randomised trials on the long-term effects of hormone replacement therapy", Lancet, 360, pp.942~944 (2002)
- Anderson GL, "Effects of conjugated equine estrogen in postmenopausal women with hysterectomy: the Women’s Health Initiative randomized controlled trial", JAMA, 291, pp.1701~1712 (2004)
- Choi H, "The Korean menopausal womens attitudes and awareness on menopause: results of Korean gallup epidemiologic survey on menopause and HRT", J Korean Soc Menopause, 9, pp.36~43 (2003)
- Deeks A, "Risk perception in women : a focus on menopause", Menopause, 15, pp.304~309 (2008)
- MacLennan AH, "WHI, WHI, WHI?", Climacteric, 7, pp.221~224 (2004)
- Gambrell RD Jr, "The women’s health initiative reports in perspective: facts or fallacies?", Climacteric, 7, pp.225~228 (2004)
- Pedersen AT, "Issues to debate on the Women’s Health Initiative (WHI) study. Epidemiology or randomized clinical trials--time out for hormone replacement therapy studies?", Hum Reprod, 18, pp.2241~2244 (2003)
- Heitmann C, "The impact of the Women’s Health Initiative Randomized Controlled Trial 2002 on perceived risk communication and use of postmenopausal hormone therapy in Germany", Menopause, 12, pp.405~411 (2005)
- Scheid DC, "Do perceptions of risk and quality of life affect use of hormone replacement therapy by postmenopausal women?", J Am Board Fam Pract, 16, pp.270~277 (2003)
- Sturmberg JP, "Impacts on clinical decision making - changing hormone therapy management after the WHI", Aust Fam Physician, 38, pp.249~251 (2009)