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  • The Use of Hormone Replacement Therapy and Menopausal Health Needs of Women in Taiwan

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    Wu_2012_02Thesis.pdf (4.514Mb)
    Author(s)
    Wu, Cathy
    Primary Supervisor
    Chu, Cordia
    Other Supervisors
    Daniels, Peter
    Year published
    2012
    Metadata
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    Abstract
    The use of hormone replacement therapy (HRT) has been surrounded by controversy regarding drug safety and to what extent it meets the health needs of menopausal women. HRT became the prevailing treatment in Western medicine for women with menopause-associated complaints, but a huge worldwide reduction in use began in July, 2002, following the release of the Women’s Health Initiative (WHI) reports warning of its risks. The implications of this large reduction on the health needs of menopausal women have not been fully appraised, particularly from the perspective of the women affected. This brings into question whether HRT use ...
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    The use of hormone replacement therapy (HRT) has been surrounded by controversy regarding drug safety and to what extent it meets the health needs of menopausal women. HRT became the prevailing treatment in Western medicine for women with menopause-associated complaints, but a huge worldwide reduction in use began in July, 2002, following the release of the Women’s Health Initiative (WHI) reports warning of its risks. The implications of this large reduction on the health needs of menopausal women have not been fully appraised, particularly from the perspective of the women affected. This brings into question whether HRT use actually meets the health needs of menopausal women, and, indeed, what their health needs are. This study investigates the use of HRT by middle-aged women in Taiwan and their menopausal health needs in order to identify these and recommend comprehensive strategies to promote women’s health and well-being. A broad and in-depth exploration of Taiwanese menopausal women’s health needs has been carried out using both quantitative and qualitative methods. As well as examining the allocation and efficiency of health resources associated with menopausal health, it presents and analyses the perspectives of the principal stakeholders of HRT use: women, doctors, health policy decision-makers, women’s health activists and researchers. The study found that menopausal women in Taiwan have significant health needs. In each month of the study period (2000–2004 inclusive), over 60% of the middle-aged women insured with the National Health Insurance (NHI) Scheme utilised NHI-subsidised medical services. Moreover, these women frequently consulted doctors and medical specialists in different fields, indicating that they also had unmet health needs.
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    Thesis Type
    Thesis (PhD Doctorate)
    Degree Program
    Doctor of Philosophy (PhD)
    School
    Griffith School of Environment
    DOI
    https://doi.org/10.25904/1912/2149
    Copyright Statement
    The author owns the copyright in this thesis, unless stated otherwise.
    Item Access Status
    Public
    Subject
    Menopause
    Hormone replacement therapy
    Taiwanese women, Health
    Women's health and well-being, Taiwan
    Publication URI
    http://hdl.handle.net/10072/365806
    Collection
    • Theses - Higher Degree by Research

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