Menopausal hormone therapy trends before versus after 2002: impact of the Women's Health Initiative Study Results

Objective: To better understand how to educate patients and providers about study findings relevant to treatment guidelines, we assessed pre- versus post-Women's Health Initiative (WHI) differences in menopausal hormone therapy (MHT) initiation and continuation and their correlates, and in women's reasons for initiation and discontinuation. Methods: We analyzed survey data from up to 14 approximately annual visits over 17 years (1996-2013) from 3,018 participants in the Study of Women's Health Across the Nation, a prospective cohort study. We used logistic regression to compare pre- versus post-WHI associations of covariates with MHT initiation and continuation, and to compare pre- versus post-WHI reasons for initiation and continuation. Results: MHT initiation dropped from 8.6% pre-WHI to 2.8% post-WHI (P 
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research