KNOWLEDGE, ATTITUDE, AND PREVALENCE OF USE OF HORMONE REPLACEMENT THERAPY AMONG WOMEN IN UNITED ARAB EMIRATES

Authors

  • OSAMA MOHAMED IBRAHIM University of Sharjah
  • RAND N HUSSEIN

Abstract

Objectives: The purpose of this study is to investigate the knowledge and attitude of women living in the United Arab Emirates (UAE) about hormone
replacement therapy (HRT) and their associated health benefits and risks.
Methods: A cross-sectional study was performed among 220 women aged 20-70 years old in the UAE mainly in Abu Dhabi and Sharjah. The survey
included 21 items; socio-demographic profiles, medical and menstrual histories, and questions related to their knowledge, attitude toward HRT use,
benefits, and risks.
Results: Among females participated in the study, (48%) were using a variety of HRT for managing menopausal symptoms. Health care professionals
were chosen the most as their main source of information in both Abu Dhabi and Sharjah (68%, 39%, p<0.0001). 26% of women living in Abu Dhabi
and 19% in Sharjah thought that HRT was a good solution for women with menopausal symptoms. The percentages of women who had a negative
attitude toward HRT were almost equal in both cities (Abu Dhabi 10.78%, Sharjah 14.41%). However, the overall knowledge of the participants about
HRT risks and benefits was average.
Conclusion: The study indicated that there was a positive attitude toward HRT use and good knowledge of its possible benefits and risks among the
participants which could be because physicians were their major source of information.
Keywords: Hormone replacement therapy, Menopause, Prevalence knowledge and attitude, United Arab Emirates, Sharjah, Abu Dhabi.

Downloads

Download data is not yet available.

Author Biography

OSAMA MOHAMED IBRAHIM, University of Sharjah

Assistant Professor

Department of Pharmacy Practice and Pharmacotherapeutics

References

REFERENCES

Memon FR, Jonker L, Qazi RA. Knowledge, attitudes and perceptions

towards menopause among highly educated Asian women in their

Asian J Pharm Clin Res, Vol 9, Issue 3, 2016, 154-158

Ibrahim and Hussein

midlife. Post Reprod Health 2014;20(4):138-42.

Holloway D. Clinical update on hormone replacement therapy. Br J

Nurs 2010;19(8):496, 498-504.

Souza J, Ogava S. Hormone replacement therapy in menopause. Braz J

Surg Clin Res 2014;8(1):28-33.

Rizk DE, Bener A, Ezimokhai M, Hassan MY, Micallef R. The age and

symptomatology of natural menopause among United Arab Emirates

women. Maturitas 1998;29(3):197-202.

Dubai Statistics Center. Population by Sex and Age Groups - Emirate of

Dubai; 2014.

Clark W. The end of world population growth in the 21

century: New

challenges for human capital formation and sustainable development.

N Z Popul Rev 2004;30(1&2):43-60.

st

Hamid S, Al-Ghufli FR, Raeesi HA, Al-Dliufairi KM, Al-Dhaheri NS,

Al-Maskari F, et al. Women’s knowledge, attitude and practice towards

menopause and hormone replacement therapy: A facility based study

in Al-Ain, United Arab Emirates. J Ayub Med Coll Abbottabad

;26(4):448-54.

Haines CJ, Rong L, Chung TK, Leung DH. The perception of the

menopause and the climacteric among women in Hong Kong and

southern China. Prev Med 1995;24(3):245-8.

Pedro A, Pinto-Neto A, Costa-Paiva L, Osis M, Hardy E. Climacteric

syndrome: A population-based study in Brazil. Rev Saude Pública

;37(6):735-42.

Carda S, Bilge S, Öztürk T, Oya G, Ece O, Hamiyet B. The menopausal

age, related factors and climacteric symptoms in Turkish women.

Maturitas 1998;30(1):37-40.

Ozumba B, Obi S, Obikili E, Waboso P. Age, symptoms and perception

of menopause among Nigerian women. Obstet Gynecol India

;54(6):575-8.

Al-Sejari M. Age at natural menopause and menopausal symptoms

among Saudi Arabian women in Al-Khobar. PhD Thesis, The Ohio

State University; 2005.

Pan HA, Wu MH, Hsu CC, Yao BL, Huang K. The perception of

menopause among women in Taiwan. Maturitas 2002;41(4):269-74.

Pandey U. Awareness of menopause and HRT among women attending

OPD of university teaching hospital. Int J Reprod Contracept Obstet

Gynecol 2014;3(4):1033-6.

Ikeme A, Okeke TC, Akogu S, Chinwuba N. Knowledge and perception

of menopause and climacteric symptoms among a population of women

in Enugu, South East, Nigeria. Ann Med Health Sci Res 2011;1(1):31-6.

Jassim GA, Al-Shboul Q. Attitudes of Bahraini women towards

the menopause: Implications for health care policy. Maturitas

;59(4):358-72.

Lindh-Astrand L, Brynhildsen J, Hoffmann M, Liffner S, Hammar M.

Attitudes towards the menopause and hormone therapy over the turn of

the century. Maturitas 2007;56(1):12-20.

Sood R, Faubion SS, Kuhle CL, Thielen JM, Shuster LT. Prescribing

menopausal hormone therapy: An evidence-based approach. Int J

Womens Health 2014;6:47-57.

North American Menopause Society. The 2012 hormone therapy

position statement of: The North American Menopause Society.

Menopause 2012;19(3):257-71.

Garad R, Burger H, Davison S. Exploring the hormone replacement

therapy debate. Aust Nurs J 2011;19(5):30-3.

Gambacciani M, Levancini M. Hormone replacement therapy and

the prevention of postmenopausal osteoporosis. Prz Menopauzalny

;13(4):213-20.

Greendale GA, Reboussin BA, Hogan P, Barnabei VM, Shumaker S,

Johnson S, et al. Symptom relief and side effects of postmenopausal

hormones: Results from the postmenopausal estrogen/progestin

interventions trial. Obstet Gynecol 1998;92(6):982-8.

Raz R, Stamm WE. A controlled trial of intravaginal estriol in

postmenopausal women with recurrent urinary tract infections. N Engl

J Med 1993;329(11):753-6.

Panay N, Hamoda H, Arya R, Savvas M; British Menopause Society

and Women’s Health Concern. The 2013 British menopause society and

women’s health concern recommendations on hormone replacement

therapy. Menopause Int 2013;19(2):59-68.

Yang D, Li J, Yuan Z, Liu X. Effect of hormone replacement therapy

on cardiovascular outcomes: A meta-analysis of randomized controlled

trials. PLoS One 2013;8(5):e62329.

Barrett-Connor E, Stuenkel CA. Hormone replacement therapy

(HRT) – Risks and benefits. Int J Epidemiol 2001;30(3):423-6.

Khokhar S. Knowledge, attitude and experience of menopause. Pak J

Med Res 2013;52(2):56-9.

Genazzani AR, Schneider HP, Panay N, Nijland EA. The European

menopause survey 2005: Women’s perceptions on the menopause

and postmenopausal hormone therapy. Gynecol Endocrinol

;22(7):369-75.

Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Kooperberg C,

Stefanick ML, et al. Risks and benefits of estrogen plus progestin in

healthy postmenopausal women: Principal results from the women’s

health initiative randomized controlled trial. J Am Med Assoc

;(3):288.

Hulley S, Grady D, Bush T, Furberg C, Herrington D, Riggs B, et al. For

the heart and estrogen/progestin replacement study (HERS) research

group. Randomized trial of estrogen plus progestin for secondary

prevention of coronary heart disease in postmenopausal women. Heart

and estrogen/progestin replacement study (HERS) research group. J

Am Med Assoc 1998;280:605-13.

Krieger N, Lowy L, Aronowitz R, Bigby J, Dickersin K, Garner E, et al.

Hormone replacement therapy, cancer, controversies, and women’s

health: Historical, epidemiological, biological, clinical, and advocacy

perspectives. J Epidemiol Community Health 2005;59:740-8.

Chaikittisilp M, Jirapinyo M, Chaovisitsaree S, Wipatavit V,

Bunyaviroch S, Kanluan B, et al. Impact of women’s health initiative

study on attitude and acceptance of hormone replacement therapy

in Thai women attending menopause clinics. J Med Assoc Thai

;90(4):628-35.

Tao M, Teng Y, Shao H, Wu P, Mills EJ. Knowledge, perceptions

and information about hormone therapy (HT) among Menopausal

women: A systematic review and meta-synthesis. PLoS ONE

;6(9):e24661.

Huang KE, Xu L, I NN, Jaisamrarn U. The Asian menopause survey:

Knowledge, perceptions, hormone treatment and sexual function.

Maturitas 2010;65(3):276-83.

Howes LG, Howes JB, Knight DC. Isoflavone therapy for

menopausal flushes: A systematic review and meta-analysis. Maturitas

;55(3):203-11.

Mustafa GN, Sabir JM. Perception and experience regarding menopause

among Menopaused women attending teaching hospitals in Erbil city.

Glob J Health Sci 2012;4(3):170-178.

Lewin K, Sinclair H, Bond C. Women’s knowledge of and attitudes

towards hormone replacement therapy. Fam Pract 2003;20(2):112-9.

Pinkerton JV, Santoro N. Compounded bioidentical hormone therapy:

Identifying use trends and knowledge gaps among US women.

Menopause 2015;22(9):926-36.

Hammar M, Brynhildsen J, Dabrosin L, Frisk J, Lindgren R,

Nedstrand E, et al. Hormone replacement therapy and previous

use of oral contraceptives among Swedish women. Maturitas

;25(3):193-9.

Burusanont M, Hadsall RS. Factors associated with intention to use

hormone replacement therapy among Thai middle-aged women.

Maturitas 2004;47(3):219-27.

Bakarman MA, Abu Ahmed HA. Awareness of hormonal replacement

therapy among females attending primary health care centers in Western

Saudi Arabia. Saudi Med J 2003;24(5):488-92.

Castelo-Branco C, Ferrer J, Palacios S, Cornago S, Peralta S. Spanish

post-menopausal women’s viewpoints on hormone therapy. Maturitas

;56(4):420-8.

Donati S, Cotichini R, Mosconi P, Satolli R, Colombo C, Liberati A,

et al. Menopause: Knowledge, attitude and practice among Italian

women. Maturitas 2009;63(3):246-52.

Marina R. Knowledge, Attitude and Perception about Menopause

among Women Living in. Makiungu Village, Singida Rural, Tanzania.

Master. Muhibili University of Health And Alliance Science; 2009.

Mahadeen AI, Halabi JO, Callister LC. Menopause: A qualitative study

of Jordanian women’s perceptions. Int Nurs Rev 2008;55(4):427-33.

Noroozi E, Dolatabadi NK, Eslami AA, Hassanzadeh A, Davari S.

Knowledge and attitude toward menopause phenomenon among

women aged 40-45 years. J Educ Health Promot 2013;2:25.

Cifcili SY, Akman M, Demirkol A, Unalan PC, Vermeire E. I

should live and finish itâ€: A qualitative inquiry into Turkish women’s

menopause experience. BMC Fam Pract 2009;10:2.

Levens E, Stan Williams R. Current opinions and understandings of

menopausal women about hormone replacement therapy (HRT)—The

University of Florida experience. Am J Obstet Gynecol 2004;191(2):641-6.

Published

01-05-2016

How to Cite

IBRAHIM, O. M. ., and R. N. . HUSSEIN. “KNOWLEDGE, ATTITUDE, AND PREVALENCE OF USE OF HORMONE REPLACEMENT THERAPY AMONG WOMEN IN UNITED ARAB EMIRATES”. Asian Journal of Pharmaceutical and Clinical Research, vol. 9, no. 3, May 2016, pp. 154-8, https://journals.innovareacademics.in/index.php/ajpcr/article/view/10810.

Issue

Section

Original Article(s)