首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Racial differences in physician recommendation of hormone replacement therapy.
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Racial differences in physician recommendation of hormone replacement therapy.

机译:医师推荐种族替代疗法的种族差异。

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PURPOSE: Previous studies have suggested that black women may be less likely than white women to be offered and to take hormone replacement therapy (HRT). Thus, race and other factors associated with physician recommendation of HRT that may influence women's decisions about HRT were examined. METHODS: Data were from a baseline assessment of participants in a randomized controlled trial designed to evaluate the efficacy of a tailored decision-aid on HRT decision-making. We telephone interviewed 581 Durham women ages 45-54. The association of race and other factors with reported physician recommendation of HRT was tested using chi(2) and logistic regression analysis. RESULTS: Overall, 45% of women surveyed reported that their physician recommended HRT; black women were significantly less likely than white women to report being advised about HRT (35% vs. 48%, respectively, P < 0.005). Additional factors associated with being recommended HRT included older age, being postmenopausal, having had a hysterectomy, having thought about the benefits of HRT, and being satisfied with information about HRT. CONCLUSIONS: Black women are less likely than white women to receive physician recommendation of HRT. Racial differences in patient-provider communication about HRT exist and thus require greater diligence on the part of health care providers to minimize such a gap.
机译:目的:先前的研究表明,黑人妇女接受激素替代疗法(HRT)的可能性可能低于白人妇女。因此,研究了种族和其他与医生推荐HRT相关的因素,这些因素可能影响女性对HRT的决定。方法:数据来自于一项随机对照试验的参与者的基线评估,该试验旨在评估量身定制的辅助疗法对HRT决策的有效性。我们电话采访了581名45-54岁的达勒姆女性。使用chi(2)和逻辑回归分析测试了种族和其他因素与已报道的HRT医师推荐的相关性。结果:总体而言,接受调查的女性中有45%的女性报告说他们的医生推荐了HRT。与白人女性相比,黑人女性报告接受HRT的可能性要低得多(分别为35%和48%,P <0.005)。与推荐HRT相关的其他因素包括年龄较大,绝经后,接受了子宫切除术,考虑过HRT的益处以及对HRT的信息感到满意。结论:黑人妇女比白人妇女接受HRT医生推荐的可能性要小。在患者与提供者之间有关HRT的交流中存在种族差异,因此需要医疗保健提供者更多的努力以最大程度地减少这种差距。

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