Orces Carlos H, Casas Carlos, Lee Shuko, Garci-Cavazos Rogelio, White William
Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
South Med J. 2003 May;96(5):458-64. doi: 10.1097/01.SMJ.0000051905.38128.B4.
Prevention is the most cost-effective means of managing osteoporosis. However, little is known about osteoporosis-related preventive practices in Mexican-American women. We examined factors that might influence women's decision to start preventive measures for osteoporosis.
Information was gathered through a cross-sectional survey of low-income Mexican-American women who were seen at two clinics in southern Texas.
Of the 270 participants, 37% reported calcium supplementation, and 41% reported regular weight-bearing exercise to prevent osteoporosis. Fifty (41%) of the postmenopausal women were currently using hormone replacement therapy. Only 15% of the premenopausal and 13% of the postmenopausal women recalled that their health care provider had counseled them about prevention. Multivariate analysis showed that public education, bone densitometry evaluation, knowledge of osteoporosis, and counseling were determinants of prevention.
Although osteoporosis is a preventable condition, our findings suggest that the majority of Mexican-American women do not receive adequate preventive measures or counseling about osteoporosis. Furthermore, we found that their health care provider's counseling about osteoporosis was a major determinant of osteoporosis prevention in these women.
预防是管理骨质疏松症最具成本效益的手段。然而，对于墨西哥裔美国女性与骨质疏松症相关的预防措施知之甚少。我们研究了可能影响女性开始采取骨质疏松症预防措施的决定的因素。
通过对在得克萨斯州南部两家诊所就诊的低收入墨西哥裔美国女性进行横断面调查收集信息。
在270名参与者中，37%报告补充钙，41%报告进行定期负重运动以预防骨质疏松症。50名（41%）绝经后女性目前正在使用激素替代疗法。只有15%的绝经前女性和13%的绝经后女性回忆起她们的医疗保健提供者曾就预防问题向她们提供过咨询。多变量分析表明，公众教育、骨密度评估、骨质疏松症知识和咨询是预防的决定因素。
尽管骨质疏松症是一种可预防的疾病，但我们的研究结果表明，大多数墨西哥裔美国女性没有得到足够的骨质疏松症预防措施或咨询。此外，我们发现医疗保健提供者对这些女性关于骨质疏松症的咨询是骨质疏松症预防的一个主要决定因素。
