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Personal Use of Postmenopausal Hormone Replacement Therapy by Women Physicians in the United States

Sally E. McNagny, MD, MPH; Nanette Kass Wenger, MD; and Erica Frank, MD, MPH
[+] Article, Author, and Disclosure Information

From Emory University School of Medicine, Atlanta, Georgia. Acknowledgments: The authors thank Brooke Fielding, MS, for statistical support and Dorothy Fitzmaurice for data management. Grant Support: In part by grants from the American Medical Association's Education and Research Foundation, the American Heart Association (#95004090), a National Institutes of Health (National Heart, Lung, and Blood Institute) National Research Service Award (#5T32-HL-07034), the Emory Medical Care Foundation, and unrestricted grants from Wyeth-Ayerst and Solvay Pharmaceuticals. Requests for Reprints: Sally E. McNagny, MD, MPH, Division of General Medicine, Emory University School of Medicine, 69 Butler Street, Atlanta, GA 30303. Current Author Addresses: Dr. McNagny: Division of General Medicine, Emory University School of Medicine, 69 Butler Street, Atlanta, GA 30303.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1997;127(12):1093-1096. doi:10.7326/0003-4819-127-12-199712150-00007
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Background: Women physicians' use of postmenopausal hormone replacement therapy (HRT) is unknown.

Objective: To study use of HRT by women physicians in the United States.

Design: Stratified random-sample mail survey.

Setting: United States.

Participants: 1466 postmenopausal women U.S. physicians in the Women Physicians' Health Study.

Measurements: Self-reported personal use of HRT and information on demographic, professional, and behavioral characteristics and medical history.

Results: Overall, 47.4% of participants currently use HRT; the prevalence of use is 59.8% in women 40 to 49 years of age, 49.4% in women 50 to 59 years of age, and 36.4% in women 60 to 70 years of age (P < 0.001). In an adjusted logistic regression model, current users were significantly more likely to be gynecologists, to be younger, to be white, to be sexually active, to be previous users of oral contraceptives, to live in Pacific or Mountain states, to have had a hysterectomy, and to have no personal or family history of breast cancer.

Conclusions: Women physicians have a higher rate of HRT use than that reported in cross-sectional U.S. surveys. This may presage greater use of HRT for U.S. women in the future.





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