Prevalence and predictors of complementary and alternative medicine/non-pharmacological interventions use for menopausal symptoms within the UK Collaborative Trial of Ovarian Cancer Screening.

Autor:	Gentry-Maharaj, A., Karpinskyj, C., Glazer, C., Burnell, M., Bailey, K., Apostolidou, S., Ryan, A., Lanceley, A., Fraser, L., Jacobs, I., Hunter, M. S., Menon, U.
Předmět:	ALTERNATIVE medicine MENOPAUSE OVARIAN cancer HORMONE therapy EARLY detection of cancer MENOPAUSE & psychology HOT flashes treatment COMPARATIVE studies RESEARCH methodology MEDICAL cooperation MEDICAL screening NATIONAL health services OVARIAN tumors QUESTIONNAIRES RESEARCH EVALUATION research PREDICTIVE tests DISEASE prevalence PREVENTION
Zdroj:	Climacteric; Jun2017, Vol. 20 Issue 3, p240-247, 8p
Abstrakt:	Objectives: The negative publicity about menopausal hormone therapy (MHT) has led to increased use of complementary and alternative medicines (CAM) and non-pharmacological interventions (NPI) for menopausal symptom relief. We report on the prevalence and predictors of CAM/NPI among UK postmenopausal women.Method: Postmenopausal women aged 50-74 years were invited to participate in the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). A total of 202 638 women were recruited and completed a baseline questionnaire. Of these, 136 020 were sent a postal follow-up-questionnaire between September 2006 and May 2009 which included ever-use of CAM/NPI for menopausal symptom relief. Both questionnaires included MHT use.Results: A total of 88 430 (65.0%) women returned a completed follow-up-questionnaire; 22 206 (25.1%) reported ever-use of one or more CAM/NPI. Highest use was reported for herbal therapies (43.8%; 9725/22 206), vitamins (42.6%; 9458/22 206), lifestyle approaches (32.1%; 7137/22 206) and phytoestrogens (21.6%; 4802/22 206). Older women reported less ever-use of herbal therapies, vitamins and phytoestrogens. Lifestyle approaches, aromatherapy/reflexology/acupuncture and homeopathy were similar across age groups. Higher education, Black ethnicity, MHT or previous oral contraceptive pill use were associated with higher CAM/NPI use. Women assessed as being less hopeful about their future were less likely to use CAM/NPI.Conclusion: One in four postmenopausal women reported ever-use of CAM therapies/NPI for menopausal symptom relief, with lower use reported by older women. Higher levels of education and previous MHT use were positive predictors of CAM/NPI use. UKCTOCS Trial registration: ISRCTN22488978. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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