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Qualitative Health Research
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Attitudes Toward Postmenopausal Long-Term Hormone Therapy

Petra Kolip

University of Bremen, Bremen, Germany

Nicole Hoefling-Engels

University of Bremen, Bremen, Germany

Norbert Schmacke

University of Bremen, Bremen, Germany

In this article we address the question of why postmenopausal women undergo hormone therapy. Thirty-five women aged 46 to 75 years living in Bremen (Germany) and taking postmenopausal hormones for at least 12 months were interviewed. Following Fritz Schütze, the interviews were analyzed according to a reconstructive analytical procedure. Five different types of users were identified. They differed from each other in terms of their reasons for using hormones, their expectations of this type of therapy, and their personal habits and circumstances, including an integrity-preserving attitude, a performance-oriented attitude, a searching attitude, a faith-in-medicine attitude, and a benefit-generalizing attitude. The interviews show that there is a need for target-oriented counseling, taking into account the individual attitudes toward menopause and postmenopausal hormone therapy.

Key Words: communication • doctor-patient • hormone replacement therapy • menopause • midlife

This version was published on February 1, 2009

Qualitative Health Research, Vol. 19, No. 2, 207-215 (2009)
DOI: 10.1177/1049732308328053


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