TY - JOUR
TI - Hormonal contraception and postmenopausal hormone therapy in Spain: time
trends and patterns of use
AU - Costas, Laura
AU - Sequera, Victor-Guillermo
AU - Quesada, Paloma and
AU - Altzibar, Jone M.
AU - Lope, Virginia
AU - Perez-Gomez, Beatriz and
AU - Benavente, Yolanda
AU - Martin, Vicente
AU - Casabonne, Delphine and
AU - Robles, Claudia
AU - Llorca, Javier
AU - Moreno-Iribas, Conchi and
AU - Fernandez-Tardon, Guillermo
AU - Moreno, Victor
AU - Javier
AU - Caballero-Granado, Francisco
AU - Salas, Dolores
AU - Juan Jimenez-Moleon,
AU - Jose
AU - Marcos-Gragera, Rafael
AU - Chirlaque, Maria-Dolores
AU - Amiano,
AU - Pilar
AU - Jose Molina, Antonio
AU - Castano-Vinyals, Gemma
AU - Aragones,
AU - Nuria
AU - Kogevinas, Manolis
AU - Pollan, Marina
AU - de Sanjose, Silvia
JO - MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY
PY - 2015
VL - 22
TODO - 10
SP - 1138-1146
PB - Lippincott, Williams & Wilkins
SN - null
TODO - 10.1097/GME.0000000000000487
TODO - Hormonal contraception; Postmenopausal hormone therapy; Hormonal
compounds; Patterns; Trends Occupational shifts
TODO - Objective: This study aims to describe time trends in and patterns of
use of hormonal contraception and postmenopausal hormone therapy and to
identify factors associated with their use among Spanish women.
Methods: We performed a cross-sectional analysis using data from 1,954
population controls (aged 24-85 y) in 12 provinces of Spain who were
enrolled in the Multi Case-Control Spain study (2007-2013). Data were
collected from a questionnaire conducted face-to-face by trained
personnel. We collected information on sociodemographic factors,
lifestyle, sleep patterns, reproductive history, and occupational
history.
Results: Overall, 48.5% of Spanish women reported ever use of hormonal
contraception, and 9.8% of women in the postmenopausal group reported
use of postmenopausal hormone therapy. Younger cohorts used hormonal
contraception for a longer period, whereas postmenopausal hormone
therapy use dramatically dropped in the 2000s. Women with higher
education levels (including education of partners) and smoking history
were the most probable users of hormonal contraception, whereas inverse
associations were observed among housewives, obese women, and
nulliparous women. Postmenopausal hormone therapy use was associated
with a surgical or therapeutic cause of menopause and with occupational
history of rotating shifts.
Conclusions: In this Spanish population, several demographic, lifestyle,
occupational, and reproductive factors are associated with use of
hormonal compounds. Characterizing hormonal users and monitoring trends
in the use of these hormonal compounds are essential from a public
health perspective.
ER -