The treatment-seeking woman at menopause

Recent studies suggest that health care utilisation by women during menopause transition in general is highly idiosyncratic, despite the widespread advocation of prophylactic hormone therapy and increased health vigilance. The Melbourne Women's Midlife Health Study, a community-based cross-sect...

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Veröffentlicht in:Maturitas 1994-03, Vol.18 (3), p.161-173
Hauptverfasser: Morse, Carol A., Smith, Anthony, Dennerstein, Lorraine, Green, Adele, Hopper, John, Burger, Henry
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container_end_page 173
container_issue 3
container_start_page 161
container_title Maturitas
container_volume 18
creator Morse, Carol A.
Smith, Anthony
Dennerstein, Lorraine
Green, Adele
Hopper, John
Burger, Henry
description Recent studies suggest that health care utilisation by women during menopause transition in general is highly idiosyncratic, despite the widespread advocation of prophylactic hormone therapy and increased health vigilance. The Melbourne Women's Midlife Health Study, a community-based cross-sectional study of 2001 urban Australian-born women aged 45–55 years, evaluated women's physical and emotional experiences, past and present health status, attitudes and beliefs about menopause, health behaviours and current menopausal status in a 30-min telephone interview. This paper reports on those factors related to help-seeking and health care utilisation. Findings show that treatment utilisers, in contrast to non-utilisers, reported a wider range of general symptoms, but reports on vasomotor symptoms did not contribute to the regression analysis. Treatment utilisers were further identified as problemrelated or prevention-related utilisers. In three-way analyses, the past and present social and physical health of the problem-related treatment user was reportedly worse than either the prevention-related utiliser or non-utiliser. These findings suggest that medical and societal views about the health of middle-aged women during menopausal transition are likely to be based on the experiences of a particular segment of the population only. It is proposed that biased views of menopause as a time of considerable distress and ill-health are being perpetuated and over-generalised. This perspective appears to have little relevance for the majority of middle-aged women.
doi_str_mv 10.1016/0378-5122(94)90122-8
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subjects Australia
Biological and medical sciences
Female
Gynecology. Andrology. Obstetrics
Health Behavior
Health behaviours
Health care utilisation
Health Knowledge, Attitudes, Practice
Health Status
Humans
Hysterectomy
Medical sciences
Menopause
Menopause - physiology
Menopause - psychology
Middle Aged
Ovariectomy
Patient Acceptance of Health Care
Puberal and climacteric disorders (male and female)
Regression Analysis
Treatment-seekers
Urban Health
Women's Health Services - statistics & numerical data
title The treatment-seeking woman at menopause
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