Gourlay Margaret L, Callahan Leigh F, Preisser John S, Sloane Philip D
Department of Family Medicine, University of North Carolina, Chapel Hill, NC 27599-7595, USA.
South Med J. 2007 Jul;100(7):677-82. doi: 10.1097/SMJ.0b013e318038d45e.
Osteoporosis has been studied predominantly in white postmenopausal women.
We performed a cross-sectional survey of a random sample of 400 women aged 45 years and older enrolled in a family medicine community-based research network. Participants responded to 42 items regarding osteoporosis screening and prevention during primary care visits. Odds ratios were calculated comparing black versus white women, adjusting for age, weight, fracture history, family history of osteoporosis, and practice site.
Compared with black women, white women had 5.96 (95% CI 3.01, 11.79) times the adjusted odds of having a past bone density test, 2.97 (95% CI 1.57, 5.60) times the odds of discussing osteoporosis with their doctor, and 2.42 (95% CI 1.30, 4.50) times the odds of a physician recommendation to take calcium.
Disparities in osteoporosis preventive care were found between black and white women, after adjustment for other osteoporosis risk factors.
骨质疏松症主要在绝经后白人女性中进行研究。
我们对一个基于家庭医学社区的研究网络中随机抽取的400名45岁及以上女性进行了横断面调查。参与者在初级保健就诊期间回答了42个关于骨质疏松症筛查和预防的问题。计算了黑人和白人女性之间的比值比，并对年龄、体重、骨折史、骨质疏松症家族史和就诊地点进行了调整。
与黑人女性相比，白人女性进行过骨密度检测的调整后比值比高5.96倍（95%置信区间3.01, 11.79），与医生讨论骨质疏松症的比值比高2.97倍（95%置信区间1.57, 5.60），医生建议服用钙的比值比高2.42倍（95%置信区间1.30, 4.50）。
在调整其他骨质疏松症风险因素后，发现黑人和白人女性在骨质疏松症预防保健方面存在差异。
