Interpretive Flexibility of Risks of Hormone Replacement Therapy and Risk Management

2.50
Hdl Handle:
http://hdl.handle.net/10755/156792
Type:
Presentation
Title:
Interpretive Flexibility of Risks of Hormone Replacement Therapy and Risk Management
Abstract:
Interpretive Flexibility of Risks of Hormone Replacement Therapy and Risk Management
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Lu, Zxy-yann J., PhD, RN
P.I. Institution Name:China Medical University College of Medicine
Title:Professor & Director
Co-Authors:Yueh-ching Juan, MS, RN
The medical circles have used Hormonal Replacement Therapy (HRT) on menopausal women for over 70 years, but the controversy remains. The findings reported by NIH, U.S.A in July 2002 indicated that women using HRT might cause cardiovascular and cancer risks. The finding raised significant concerns for menopausal women currently using HRT in Taiwan. The knowledge of HRT risk is ambiguous and uncertain. The aim of this study is to explore how Taiwanese women interpret the meanings of HRT risk and how to manage HRT risk. The theoretical perspective of the study focuses on the sociocultural approaches of risk discourse. These approaches emphasize that risk is culturally defined and historically embedded. The deconstruction of risk knowledge development examines the gap between professional and lay knowledge. Ethnography was applied. Ethnographic interviews and moderate participant observation were used to collect data from March 2004 to the end of July 2004. The total of 18 women under HRT at least 1 year, aged from 48-60, were sampled. In addition, newspaper articles about HRT dated January 2004 to the end of June were obtained using the key words of ?menopause? ?HRT? and ?osteoporosis?. The constant comparison method generated five cultural themes including, the interaction between expert knowledge of doctors and local knowledge of women under HRT, the uncertainty of medical knowledge as opening for negotiation, the conflicts between social risk and health risk, the management strategies of HRT risk, the prevention of osteoporosis is the additional chapter of menopausal health risk.  The results help health professionals understand how menopausal women interpret and manage HRT risk in their social contexts. It is suggested that health professionals incorporate the assessment of menopausal women?s experiences in HRT and HRT risk. Health policy regarding HRT risk needs to incorporate knowledge and experiences of lay menopausal women used HRT.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleInterpretive Flexibility of Risks of Hormone Replacement Therapy and Risk Managementen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156792-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Interpretive Flexibility of Risks of Hormone Replacement Therapy and Risk Management</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lu, Zxy-yann J., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">China Medical University College of Medicine</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor &amp; Director</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">zylu@mail.cmu.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yueh-ching Juan, MS, RN</td></tr><tr><td colspan="2" class="item-abstract">The medical circles have used Hormonal Replacement Therapy (HRT) on menopausal women for over 70 years, but the controversy remains. The findings reported by NIH, U.S.A in July 2002 indicated that women using HRT might cause cardiovascular and cancer risks. The finding raised significant concerns for menopausal women currently using HRT in Taiwan. The knowledge of HRT risk is ambiguous and uncertain. The aim of this study is to explore how Taiwanese women interpret the meanings of HRT risk and how to manage HRT risk. The theoretical perspective of the study focuses on the sociocultural approaches of risk discourse. These approaches emphasize that risk is culturally defined and historically embedded. The deconstruction of risk knowledge development examines the gap between professional and lay knowledge. Ethnography was applied. Ethnographic interviews and moderate participant observation were used to collect data from March 2004 to the end of July 2004. The total of 18 women under HRT at least 1 year, aged from 48-60, were sampled. In addition, newspaper articles about HRT dated January 2004 to the end of June were obtained using the key words of ?menopause? ?HRT? and ?osteoporosis?. The constant comparison method generated five cultural themes including, the interaction between expert knowledge of doctors and local knowledge of women under HRT, the uncertainty of medical knowledge as opening for negotiation, the conflicts between social risk and health risk, the management strategies of HRT risk, the prevention of osteoporosis is the additional chapter of menopausal health risk.&nbsp; The results help health professionals understand how menopausal women interpret and manage HRT risk in their social contexts. It is suggested that health professionals incorporate the assessment of menopausal women?s experiences in HRT and HRT risk. Health policy regarding HRT risk needs to incorporate knowledge and experiences of lay menopausal women used HRT.</td></tr></table>en_GB
dc.date.available2011-10-26T15:08:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T15:08:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.