Alexandraki Krystallenia I, Syriou Vassiliki, Ziakas Panayiotis D, Apostolopoulos Nikolaos V, Alexandrakis Antonios I, Piperi Christina, Kavoulaki Ekaterini, Myriokefalitakis Ioannis, Korres Georgios, Diamanti-Kandarakis Evanthia
Department of Endocrinology, Laiko Hospital, School of Medicine, National & Kapodistrian University of Athens, Athens, Greece.
Maturitas. 2008 Jan 20;59(1):38-45. doi: 10.1016/j.maturitas.2007.10.008.
The social and economic burden of osteoporosis is important since it concerns a continuously aging population, while the disease is silent until the emergence of fractures. Aim of the study was to assess female population knowledge about osteoporosis risk factors and to identify the risk factors of the studied population.
A sample of 99 (aged: 61.59+/-9.61 years) women under treatment for osteoporosis or osteopenia answered the questionnaire provided by their pharmacists and were included in the study's analysis. Various parameters on osteoporosis awareness and risk factor knowledge of the population sample studied were analyzed.
It was revealed that 96% of the participants knew osteoporosis definition and sources of this knowledge were one or more of the following: doctors (86.3%), mass media (20%) and friends or relatives (13.7%). It was found that the older age was associated with less knowledge (OR=0.93, CI: 0.88-0.97, p=0.004), and higher education with increased knowledge (OR=1.68, CI: 1.10-2.55, p=0.014) about osteoporosis. 56.4% of the participants were aware of at least one osteoporosis risk factor. In multivariate analysis, it was revealed that the participants who referred increased milk products consumption in childhood (OR=3.72, CI: 1.34-10.36, p=0.012) and current performance of physical activity (OR=13.06, CI: 3.22-53.05, p<0.001) were more likely to be informed about osteoporosis risk factors; age >61 years was associated with decreased knowledge of risk factors (OR=0.27, CI: 0.09-0.82, p=0.018).
This study implies that a higher degree of participant's health education may result in the avoidance of osteoporosis risk factors. Increasing knowledge of osteoporosis should be a priority for future intervention programs in order to promote specific behavioural strategies for osteoporosis prevention.
骨质疏松症的社会和经济负担不容忽视，因为它关乎人口老龄化问题，且在骨折发生之前该疾病并无明显症状。本研究旨在评估女性群体对骨质疏松症风险因素的认知情况，并确定所研究群体的风险因素。
选取99名正在接受骨质疏松症或骨质减少治疗的女性（年龄：61.59±9.61岁），她们回答了药剂师提供的问卷，并被纳入研究分析。对所研究人群样本在骨质疏松症认知和风险因素知识方面的各项参数进行了分析。
结果显示，96%的参与者知晓骨质疏松症的定义，其知识来源为以下一项或多项：医生（86.3%）、大众媒体（20%）以及朋友或亲属（13.7%）。研究发现，年龄越大，对骨质疏松症的了解越少（OR=0.93，CI：0.88 - 0.97，p=0.004），而受教育程度越高，对骨质疏松症的了解越多（OR=1.68，CI：1.10 - 2.55，p=0.014）。56.4%的参与者知晓至少一种骨质疏松症风险因素。在多因素分析中，结果显示童年时期奶制品摄入量增加的参与者（OR=3.72，CI：1.34 - 10.36，p=0.012）以及当前进行体育活动的参与者（OR=13.06，CI：3.22 - 53.05，p<0.001）更有可能了解骨质疏松症风险因素；年龄大于61岁与风险因素知识减少相关（OR=0.27，CI：0.09 - 0.82，p=0.018）。
本研究表明，提高参与者的健康教育程度可能有助于避免骨质疏松症风险因素。增加对骨质疏松症的了解应成为未来干预项目的优先事项，以便推广预防骨质疏松症的特定行为策略。
