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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar la informaci&#243;n que tienen las mujeres sobre la terapia hormonal sustitutiva &#40;THS&#41;&#44; de qui&#233;n proviene esta informaci&#243;n y c&#243;mo se relaciona con la prescripci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo transversal mediante encuesta telef&#243;nica&#46; En relaci&#243;n con la THS&#44; se recogi&#243; informaci&#243;n sobre su prescripci&#243;n&#44; el conocimiento sobre la misma y las fuentes de informaci&#243;n&#44; sus beneficios y riesgos para la salud y el tipo y fuente de informaci&#243;n sobre &#233;stos&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realizaron 371 entrevistas &#40;el 80&#37; de la muestra seleccionada originalmente&#41;&#46; El 66&#37; de las mujeres refer&#237;a conocer los beneficios y el 42&#37; los conoc&#237;a a trav&#233;s de los profesionales sanitarios&#46; El 36&#37; de las encuestadas cre&#237;a que la THS ten&#237;a riesgos para la salud&#46; El 91&#37; de las mujeres a las que se les prescribe este tratamiento refiere conocer sus beneficios&#44; frente a s&#243;lo el 57&#37; de las mujeres a las que no se les prescribe &#40;odds ratio &#91;OR&#93; &#61; 7&#44;32&#59; intervalo de confianza &#91;IC&#93; del 95&#37;&#44; 2&#44;86-18&#44;74&#41;&#46; Los profesionales sanitarios son la principal fuente de informaci&#243;n de estos beneficios entre las mujeres que reciben la prescripci&#243;n &#40;93&#37;&#41; &#40;OR &#61; 83&#44;47&#59; IC del 95&#37;&#44; 26&#44;83-278&#44;63&#41;&#46; El 57&#37; de las mujeres a las que se les prescribe este tratamiento refieren conocer sus riesgos&#44; frente al 28&#37; de las mujeres a las que no se les prescribe &#40;OR &#61; 3&#44;11&#59; IC del 95&#37;&#44; 1&#44;59-6&#44;05&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las mujeres a las que se les prescribe THS tienen un nivel de informaci&#243;n superior&#46; La inmensa mayor&#237;a de las usuarias menciona alg&#250;n beneficio&#44; pero un 43&#37; refiere desconocer los riesgos que implica su uso&#46; En cuanto a la fuente de informaci&#243;n&#44; los aspectos beneficiosos del tratamiento se conocen mayoritariamente a trav&#233;s de los profesionales sanitarios&#44; mientras que los riesgos se conocen tanto a partir de los profesionales sanitarios como de los medios de comunicaci&#243;n&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the information that women have on hormone replacement therapy &#40;HRT&#41;&#44; the sources of this information and how it is related to prescription&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We performed a cross-sectional study through a telephone survey&#46; Information was collected on prescription of HRT&#44; knowledge of HRT and of its health benefits&#44; risks and type of risk&#44; and sources of information&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">371 interviews &#40;80&#37; of the original sample&#41; were completed&#46; 66&#37; of the sample reported knowledge of the benefits of HRT and 42&#37; learnt of them from health professionals&#46; 36&#37; thought that HRT could pose health risks&#46; 91&#37; of the women prescribed this treatment reported knowledge of its benefits compared with 57&#37; of those not prescribed it &#40;OR &#61; 7&#46;32&#59; 95&#37; CI&#44; 2&#46;86-18&#46;74&#41;&#46; Health professionals were the main source of information about these benefits among women prescribed HRT &#40;93&#37;&#41; &#40;OR &#61; 83&#44;47&#59; 95&#37; CI&#44; 26&#46;83-278&#46;63&#41;&#46; 57&#37; of the women prescribed HRT reported knowledge of its risks compared with 28&#37; of those not prescribed this therapy &#40;OR &#61; 3&#46;11&#59; 95&#37; CI&#44; 1&#46;59-6&#46;05&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Women prescribed HRT were better informed than those not prescribed this therapy&#46; Among users&#44; more than 90&#37; mentioned some benefits&#44; but 43&#37; reported not knowing about its risks&#46; Information on the benefits of HRT was mainly provided by health professionals whereas information on the risks was provided by both health professionals and the mass media&#46;</p>"
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                          0 => array:2 [
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La terapia hormonal sustitutiva contra la menopausia no resulta cancerigena"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Vilamor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "El Ideal&#44; Granada"
                        "fecha" => "3-3-2003"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "y Asociaci&#243;n Espa&#241;ola para el Estudio de la Menopausia &#40;AEEM&#41;&#46; Relevancia de los resultados del estudio WHI para la atenci&#243;n de las mujeres menop&#225;usicas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Palacios"
                            1 => "J&#46; Calaf"
                            2 => "A&#46; Cano"
                            3 => "J&#46;J&#46; Parrilla"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2003"
                        "volumen" => "120"
                        "paginaInicial" => "146"
                        "paginaFinal" => "147"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tratamiento hormonal de la menopausia&#58; controversias&#44; precisiones y perspectivas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "F&#46;R&#46; P&#233;rez-L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2003"
                        "volumen" => "120"
                        "paginaInicial" => "148"
                        "paginaFinal" => "155"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of estrogen plus progestin on health-related quality of life"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Hays"
                            1 => "J&#46;K&#46; Ockene"
                            2 => "R&#46;L&#46; Brunner"
                            3 => "J&#46;M&#46; Kotchen"
                            4 => "J&#46;E&#46; Manson"
                            5 => "R&#46;E&#46; Patterson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa030311"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2003"
                        "volumen" => "348"
                        "paginaInicial" => "1839"
                        "paginaFinal" => "1854"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12642637"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Menopausia y terapia hormonal sustitutiva&#58; prevalencia en el municipio de Lugo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;J&#46; Mart&#237;nez"
                            1 => "E&#46; Varela"
                            2 => "S&#46; Su&#225;rez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Aten Primaria"
                        "fecha" => "1994"
                        "volumen" => "14"
                        "paginaInicial" => "1052"
                        "paginaFinal" => "1056"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7811896"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cross-national study of women&#39;s use of hormone replacement therapy &#40;HRT&#41; in Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;P&#46; Schneider"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Fertil Womens Med"
                        "fecha" => "1997"
                        "volumen" => "42"
                        "numero" => "Suppl 2"
                        "paginaInicial" => "365"
                        "paginaFinal" => "375"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9397384"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comparative study of prescribing of hormone replacement therapy in USA and Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;V&#46; Jolleys"
                            1 => "F&#46; Olesen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Maturitas"
                        "fecha" => "1996"
                        "volumen" => "23"
                        "paginaInicial" => "47"
                        "paginaFinal" => "53"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8861086"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tratamiento hormonal sustitutivo en Espa&#241;a&#46; Un estudio de utilizaci&#243;n"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Benet Rodr&#237;guez"
                            1 => "A&#46; Carvajal Garc&#237;a-Pando"
                            2 => "J&#46; Garc&#237;a del Pozo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2002"
                        "volumen" => "119"
                        "paginaInicial" => "4"
                        "paginaFinal" => "8"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Women&#39;s knowledge of hormone therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Coo"
                            1 => "K&#46;S&#46; O&#39;Connor"
                            2 => "D&#46; Hunter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Patient Educ Couns"
                        "fecha" => "2001"
                        "volumen" => "15"
                        "paginaInicial" => "295"
                        "paginaFinal" => "301"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The hormone therapy dilemma&#58; women respond"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46;S&#46; Breslau"
                            1 => "W&#46;W&#46; Davis"
                            2 => "L&#46; Doner"
                            3 => "E&#46;J&#46; Eisner"
                            4 => "N&#46;R&#46; Goodman"
                            5 => "H&#46;I&#46; Meissner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Med Assoc"
                        "fecha" => "2003"
                        "volumen" => "58"
                        "paginaInicial" => "33"
                        "paginaFinal" => "43"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The percepci&#243;n of menopause among women in Taiwan"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "H&#46;A&#46; Pan"
                            1 => "M&#46;H&#46; Wu"
                            2 => "C&#46;C&#46; Hsu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Maturitas"
                        "fecha" => "2002"
                        "volumen" => "41"
                        "paginaInicial" => "269"
                        "paginaFinal" => "274"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12034513"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tesina Master de Salud Publica y Gesti&#243;n Sanitaria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;J&#46; Bermejo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:1 [
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Factors influencing the prescription of hormone replacement therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46; Rozenberg"
                            1 => "M&#46; Kroll"
                            2 => "J&#46; Vandromme"
                            3 => "M&#46; Paesmans"
                            4 => "A&#46; Lefever"
                            5 => "H&#46; Ham"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Obstet Gynecol"
                        "fecha" => "1997"
                        "volumen" => "90"
                        "paginaInicial" => "387"
                        "paginaFinal" => "391"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9277649"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hormone replacement therapy among Danish women aged 45-65 years&#58; prevalence&#44; determinants&#44; and compliance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46;J&#46; Oddens"
                            1 => "M&#46;J&#46; Boulet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0029-7844(97)00264-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Obstet Gynecol"
                        "fecha" => "1999"
                        "volumen" => "90"
                        "paginaInicial" => "269"
                        "paginaFinal" => "277"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9241307"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Why do postmenopausal women discontinue hormone replacement therapy&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46; Vihtamaki"
                            1 => "R&#46; Savilahti"
                            2 => "R&#46; Tuimala"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Maturitas"
                        "fecha" => "1999"
                        "volumen" => "33"
                        "paginaInicial" => "99"
                        "paginaFinal" => "105"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10597873"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hormone replacement therapy in Norwegian women&#44; 1996-1997"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Bakken"
                            1 => "A&#46;E&#46; Eggen"
                            2 => "E&#46; Lund"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Maturitas"
                        "fecha" => "2001"
                        "volumen" => "40"
                        "paginaInicial" => "131"
                        "paginaFinal" => "141"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11716991"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Knowledge of menopause and hormone replacement therapy use in low-income urban women"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46;E&#46; Appling"
                            1 => "J&#46;K&#46; Allen"
                            2 => "S&#46; Van Zandt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Womens Health Gender Based Med"
                        "fecha" => "2000"
                        "volumen" => "9"
                        "paginaInicial" => "57"
                        "paginaFinal" => "64"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Actitudes y conocimientos de la poblaci&#243;n femenina ante la menopausia y su tratamiento hormonal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Valenzuela"
                            1 => "M&#46;D&#46; P&#233;rez"
                            2 => "A&#46; Ponce"
                            3 => "A&#46; Nieto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Iberoam Fertil"
                        "fecha" => "1994"
                        "volumen" => "11"
                        "paginaInicial" => "55"
                        "paginaFinal" => "59"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Women&#39;s knowledge about menopause&#44; hormone replacement therapy &#40;HRT&#41;&#44; and interactions with healthcare providers&#58; an exploratory study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Clinkingbeard"
                            1 => "B&#46;A&#46; Minton"
                            2 => "J&#46; Davis"
                            3 => "K&#46; McDermott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1089/jwh.1.1999.8.1097"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Womens Health Gend Based Med"
                        "fecha" => "1999"
                        "volumen" => "8"
                        "paginaInicial" => "1097"
                        "paginaFinal" => "1102"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10565668"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hormone replacement therapy&#46; Knowledge&#44; attitudes and practices of women attending a gynaecology outpatient clinic Trinidad"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Akong"
                            1 => "K&#46;N&#46; Hoon"
                            2 => "C&#46; Dial"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "West Indian Med J"
                        "fecha" => "2001"
                        "volumen" => "50"
                        "paginaInicial" => "155"
                        "paginaFinal" => "158"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11677916"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Casuality&#44; menopause&#44; and depression&#58; a critical review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Nicol-Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "1996"
                        "volumen" => "313"
                        "paginaInicial" => "1229"
                        "paginaFinal" => "1232"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8939110"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
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Vol. 18. Núm. 1.
Páginas 32-37 (enero - febrero 2004)
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Vol. 18. Núm. 1.
Páginas 32-37 (enero - febrero 2004)
Open Access
Conocimientos de las mujeres menopáusicas respecto a la terapia hormonal sustitutiva
Knowledge of hormone replacement therapy among menopausal women
Visitas
5791
Isabel Ruiza,
Autor para correspondencia
iisabel.ruiz.easp@juntadeandalucia.es

Correspondencia: I. Ruiz Pérez. Escuela Andaluza de Salud Pública. Campus Universitario de Cartuja. Apartado de Correos 2070. 18080 Granada. España.
, María José Bermejob
a Escuela Andaluza de Salud Publica. Red de Investigación de Salud y Género. Granada
b Departamento de Medicina Preventiva. Hospital Universitario Virgen de las Nieves. Granada. España
Este artículo ha recibido

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Información del artículo
Resumen
Objetivos

Analizar la información que tienen las mujeres sobre la terapia hormonal sustitutiva (THS), de quién proviene esta información y cómo se relaciona con la prescripción.

Métodos

Estudio descriptivo transversal mediante encuesta telefónica. En relación con la THS, se recogió información sobre su prescripción, el conocimiento sobre la misma y las fuentes de información, sus beneficios y riesgos para la salud y el tipo y fuente de información sobre éstos.

Resultados

Se realizaron 371 entrevistas (el 80% de la muestra seleccionada originalmente). El 66% de las mujeres refería conocer los beneficios y el 42% los conocía a través de los profesionales sanitarios. El 36% de las encuestadas creía que la THS tenía riesgos para la salud. El 91% de las mujeres a las que se les prescribe este tratamiento refiere conocer sus beneficios, frente a sólo el 57% de las mujeres a las que no se les prescribe (odds ratio [OR] = 7,32; intervalo de confianza [IC] del 95%, 2,86-18,74). Los profesionales sanitarios son la principal fuente de información de estos beneficios entre las mujeres que reciben la prescripción (93%) (OR = 83,47; IC del 95%, 26,83-278,63). El 57% de las mujeres a las que se les prescribe este tratamiento refieren conocer sus riesgos, frente al 28% de las mujeres a las que no se les prescribe (OR = 3,11; IC del 95%, 1,59-6,05).

Conclusiones

Las mujeres a las que se les prescribe THS tienen un nivel de información superior. La inmensa mayoría de las usuarias menciona algún beneficio, pero un 43% refiere desconocer los riesgos que implica su uso. En cuanto a la fuente de información, los aspectos beneficiosos del tratamiento se conocen mayoritariamente a través de los profesionales sanitarios, mientras que los riesgos se conocen tanto a partir de los profesionales sanitarios como de los medios de comunicación.

Palabras claves:
Terapia hormonal sustitutiva
Conocimiento
Beneficios
Riesgos
Abstract
Objectives

To analyze the information that women have on hormone replacement therapy (HRT), the sources of this information and how it is related to prescription.

Methods

We performed a cross-sectional study through a telephone survey. Information was collected on prescription of HRT, knowledge of HRT and of its health benefits, risks and type of risk, and sources of information.

Results

371 interviews (80% of the original sample) were completed. 66% of the sample reported knowledge of the benefits of HRT and 42% learnt of them from health professionals. 36% thought that HRT could pose health risks. 91% of the women prescribed this treatment reported knowledge of its benefits compared with 57% of those not prescribed it (OR = 7.32; 95% CI, 2.86-18.74). Health professionals were the main source of information about these benefits among women prescribed HRT (93%) (OR = 83,47; 95% CI, 26.83-278.63). 57% of the women prescribed HRT reported knowledge of its risks compared with 28% of those not prescribed this therapy (OR = 3.11; 95% CI, 1.59-6.05).

Conclusions

Women prescribed HRT were better informed than those not prescribed this therapy. Among users, more than 90% mentioned some benefits, but 43% reported not knowing about its risks. Information on the benefits of HRT was mainly provided by health professionals whereas information on the risks was provided by both health professionals and the mass media.

Key words:
Hormone replacement therapy
Knowledge
Benefits
Risks
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Bibliografía
[1.]
J.V. Lacey Jr, P.J. Mink, J.H. Lubin, M.E. Sherman, R. Troisi, P. Hartge, et al.
Menopausal hormone replacement therapy and risk of ovarian cancer.
JAMA, 288 (2002), pp. 334-341
[2.]
K.L. Noller.
Estrogen replacement therapy and risk of ovarian cancer.
JAMA, 288 (2002), pp. 368-369
[3.]
L.L. Humphrey, B.K. Chan, H.C. Sox.
Postmenopausal hormone replacement therapy and the primary prevention of cardiovascular disease.
Ann Intern Med, 137 (2002), pp. 273-284
[4.]
S. Hulley, C. Furberg, E. Barrett-Connor, J. Cauley, D. Grady, W. Haskell, et al.
HERS Research Group. Noncardiovascular disease outcomes during 6.8 years of hormone therapy: Heart and Estrogen/progestin Replacement Study follow-up (HERS II).
JAMA, 288 (2002), pp. 58-66
[5.]
Writing Group for the Women's Health Initiative Investigators.
Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial.
JAMA, 288 (2002), pp. 321-333
[6.]
C. Laine.
Postmenopausal hormone replacement therapy: how could we have been so wrong?.
Ann Inter Med, 137 (2002), pp. 290-291
[7.]
Canadian Task Force on Preventive Health Care, What's new? Review in progress: papers accepted for publication. Ottawa: Canadian Task Force on Preventive Health Care [documento electrónico] [consultado 13/03/2003]. Disponible en: http://www.ctfphc.org
[8.]
Anónimo. THS, sin riesgos a corto plazo, según la AEEM. Jano On-line [revista electronica] [consultado 14/10/2002]. Disponible en: http://www.doyma.es
[9.]
L. Vilamor.
La terapia hormonal sustitutiva contra la menopausia no resulta cancerigena.
El Ideal, Granada, (3-3-2003),
[10.]
S. Palacios, J. Calaf, A. Cano, J.J. Parrilla.
y Asociación Española para el Estudio de la Menopausia (AEEM). Relevancia de los resultados del estudio WHI para la atención de las mujeres menopáusicas.
Med Clin (Barc), 120 (2003), pp. 146-147
[11.]
F.R. Pérez-López.
Tratamiento hormonal de la menopausia: controversias, precisiones y perspectivas.
Med Clin (Barc), 120 (2003), pp. 148-155
[12.]
J. Hays, J.K. Ockene, R.L. Brunner, J.M. Kotchen, J.E. Manson, R.E. Patterson, et al.
Effects of estrogen plus progestin on health-related quality of life.
N Engl J Med, 348 (2003), pp. 1839-1854
[13.]
F.J. Martínez, E. Varela, S. Suárez.
Menopausia y terapia hormonal sustitutiva: prevalencia en el municipio de Lugo.
Aten Primaria, 14 (1994), pp. 1052-1056
[14.]
H.P. Schneider.
Cross-national study of women's use of hormone replacement therapy (HRT) in Europe.
Int J Fertil Womens Med, 42 (1997), pp. 365-375
[15.]
J.V. Jolleys, F. Olesen.
A comparative study of prescribing of hormone replacement therapy in USA and Europe.
Maturitas, 23 (1996), pp. 47-53
[16.]
M. Benet Rodríguez, A. Carvajal García-Pando, J. García del Pozo.
Tratamiento hormonal sustitutivo en España. Un estudio de utilización.
Med Clin (Barc), 119 (2002), pp. 4-8
[17.]
H. Coo, K.S. O'Connor, D. Hunter.
Women's knowledge of hormone therapy.
Patient Educ Couns, 15 (2001), pp. 295-301
[18.]
E.S. Breslau, W.W. Davis, L. Doner, E.J. Eisner, N.R. Goodman, H.I. Meissner, et al.
The hormone therapy dilemma: women respond.
J Am Med Assoc, 58 (2003), pp. 33-43
[19.]
H.A. Pan, M.H. Wu, C.C. Hsu, et al.
The percepción of menopause among women in Taiwan.
Maturitas, 41 (2002), pp. 269-274
[20.]
M.J. Bermejo.
Tesina Master de Salud Publica y Gestión Sanitaria.
[21.]
S. Rozenberg, M. Kroll, J. Vandromme, M. Paesmans, A. Lefever, H. Ham.
Factors influencing the prescription of hormone replacement therapy.
Obstet Gynecol, 90 (1997), pp. 387-391
[22.]
B.J. Oddens, M.J. Boulet.
Hormone replacement therapy among Danish women aged 45-65 years: prevalence, determinants, and compliance.
Obstet Gynecol, 90 (1999), pp. 269-277
[23.]
T. Vihtamaki, R. Savilahti, R. Tuimala.
Why do postmenopausal women discontinue hormone replacement therapy?.
Maturitas, 33 (1999), pp. 99-105
[24.]
K. Bakken, A.E. Eggen, E. Lund.
Hormone replacement therapy in Norwegian women, 1996-1997.
Maturitas, 40 (2001), pp. 131-141
[25.]
S.E. Appling, J.K. Allen, S. Van Zandt, et al.
Knowledge of menopause and hormone replacement therapy use in low-income urban women.
J Womens Health Gender Based Med, 9 (2000), pp. 57-64
[26.]
P. Valenzuela, M.D. Pérez, A. Ponce, A. Nieto.
Actitudes y conocimientos de la población femenina ante la menopausia y su tratamiento hormonal.
Rev Iberoam Fertil, 11 (1994), pp. 55-59
[27.]
C. Clinkingbeard, B.A. Minton, J. Davis, K. McDermott.
Women's knowledge about menopause, hormone replacement therapy (HRT), and interactions with healthcare providers: an exploratory study.
J Womens Health Gend Based Med, 8 (1999), pp. 1097-1102
[28.]
J. Akong, K.N. Hoon, C. Dial.
Hormone replacement therapy. Knowledge, attitudes and practices of women attending a gynaecology outpatient clinic Trinidad.
West Indian Med J, 50 (2001), pp. 155-158
[29.]
L. Nicol-Smith.
Casuality, menopause, and depression: a critical review of the literature.
BMJ, 313 (1996), pp. 1229-1232
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