This article describes the use and prescribing of menopausal and postmenopausal hormone therapy (HT) in one example country, Finland, and the trends and levels of HT use in other western countries for comparison. Previously published studies were reviewed and reanalyzed, and some additional unpublished data from Finnish surveys were compiled. The use of HT increased in Finland up to 1994. In Finland the initiative for HT use came more often from physicians than women themselves, physicians valued HT more than women, women's period of use of HT was shorter than physicians' recommendations, women's reasons for using HT were usually to treat symptoms, but physicians considered HT also useful in the prevention of later diseases. Gynecologists were more favorable toward HT than other physicians. HT has become common in very different times in different countries, but with the exception of the US experience in the 1970s, the trend has been towards increasing use. One motivation to do surveys on physicians' prescribing or women's use of HT has been to facilitate HT use. The large variation in HT use may reflect the uncertainty concerning its true value. The reasons for the large-scale prevention with HT have not been systematically studied, but it is likely due to various social and commercial forces.

译文

本文介绍了一个示例国家芬兰的绝经和绝经后激素治疗(HT)的使用和处方,并比较了其他西方国家使用HT的趋势和水平,以进行比较。审查并重新分析了以前发表的研究,并汇编了芬兰调查中的一些其他未发表的数据。直到1994年,芬兰对HT的使用有所增加。在芬兰,使用HT的倡议更多地是来自医生而不是女性本身,医生对HT的重视程度高于女性,女性使用HT的时间短于医师的建议,这是妇女的原因。通常使用HT来治疗症状,但医生认为HT还可用于预防以后的疾病。妇科医生比其他医生更倾向于HT。 HT在不同国家的不同时代已经很普遍,但是除了美国在1970年代的经验外,趋势是越来越多地使用它。对医生的处方或女性使用HT进行调查的动机之一是促进HT的使用。 HT使用量的巨大差异可能反映了其真实价值的不确定性。大规模预防HT的原因尚未得到系统的研究,但这可能是由于各种社会和商业力量造成的。

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