Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Oncopathology Research Centre, Iran University of Medical Sciences, Tehran, Iran.
J Urban Health. 2018 Oct;95(5):682-690. doi: 10.1007/s11524-018-0246-6.
Osteoporosis is a widespread disease among older peoples. The aim of this study is to estimate the prevalence of self-reported osteoporosis and assessing its association with socio-economic status. A population-based cross-sectional study was conducted in Tehran, Iran in 2011. Participants were 45,990 individuals aged above 20 years from 22 urban districts. Osteoporosis was measured by self-administrative questionnaire. Wealth index was constructed using principal component analysis based on household assets. Chi-square test, chi square test for trend, and crude odds ratio were used to assess associations in univariate analysis. Multiple logistic regression utilized to estimate adjusted associations between self-reported osteoporosis and socio-economic status.The overall estimated prevalence of self-reported osteoporosis was 4% (95% CI 3.88-4.13), 1.19% in men, and 6.84% in women (P < 0.001). The prevalence increased considerably as age increased (P for trend < 0.001). In multivariable analysis, education and wealth status were negative, and smoking was positively associated with the prevalence of self-reported osteoporosis. No association was found between participants' skill levels and Townsend deprivation index with the prevalence of self-reported osteoporosis.The findings of the present study have improved understanding of the association between socioeconomic status and osteoporosis in the Iranian population. It is important to consider socioeconomic status in screening and prevention programs.
骨质疏松症是老年人中广泛存在的疾病。本研究旨在评估自述骨质疏松症的患病率，并评估其与社会经济地位的关系。2011 年，在伊朗德黑兰进行了一项基于人群的横断面研究。参与者为来自 22 个城市区的 45990 名年龄在 20 岁以上的个体。骨质疏松症通过自我管理问卷进行测量。使用基于家庭资产的主成分分析构建财富指数。卡方检验、卡方趋势检验和粗比值比用于评估单因素分析中的关联。多因素逻辑回归用于估计自述骨质疏松症与社会经济地位之间的调整关联。自述骨质疏松症的总体估计患病率为 4%（95%CI 3.88-4.13），男性为 1.19%，女性为 6.84%（P<0.001）。患病率随着年龄的增加而显著增加（趋势 P<0.001）。在多变量分析中，教育和财富状况呈负相关，而吸烟与自述骨质疏松症的患病率呈正相关。参与者的技能水平和汤森剥夺指数与自述骨质疏松症的患病率之间没有关联。本研究的结果提高了对伊朗人群中社会经济地位与骨质疏松症之间关联的理解。在筛查和预防计划中考虑社会经济地位很重要。
