Sava Mihaela, Tseng Leslie Yingzhijie, Valderrama Maria, Mabey David, García Patricia J, Hsieh Evelyn
Clinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Section of Rheumatology, Allergy, and Immunology, Yale School of Medicine, New Haven, Connecticut.
Womens Health Rep (New Rochelle). 2020 Feb 7;1(1):47-54. doi: 10.1089/whr.2019.0005. eCollection 2020.
Osteoporosis presents an increasing problem globally, primarily affecting older adults and postmenopausal women. Among important modifiable risk factors for osteoporosis, physical activity and calcium intake help reduce bone mineral loss and decrease the prevalence of osteoporosis. Although osteoporosis knowledge and health beliefs are associated with adopting preventive behavior and screening rates, few studies have evaluated them in Latin American populations. We conducted a cross-sectional study among female community leaders in a Peruvian periurban setting. A total of 60 women participated in the study, with a mean age of 43.7 ± 8.3 years, mean body mass index of 30.4 ± 5.3 kg/m, 88% being overweight or obese, and 58.3% having completed high school education or beyond. Participants completed translated and culturally adapted Osteoporosis Knowledge Test and Osteoporosis Health Belief Scale semistructured interviews. Most participants reported high knowledge regarding osteoporosis, perceived benefits to exercise and calcium intake, and health motivation. The level of osteoporosis knowledge was highly associated with the level of education, and we found a trend for the association between level of knowledge and perceived benefits of exercise and barriers to calcium intake among participants. Female community leaders with high health motivation and community engagement can contribute enormously to osteoporosis prevention programs in local communities in the future.
骨质疏松症在全球范围内是一个日益严重的问题，主要影响老年人和绝经后女性。在骨质疏松症重要的可改变风险因素中，体育活动和钙摄入有助于减少骨矿物质流失并降低骨质疏松症的患病率。尽管骨质疏松症知识和健康观念与采取预防行为及筛查率相关，但很少有研究在拉丁美洲人群中对其进行评估。我们在秘鲁城郊地区对女性社区领袖开展了一项横断面研究。共有60名女性参与了该研究，她们的平均年龄为43.7±8.3岁，平均体重指数为30.4±5.3kg/m，88%为超重或肥胖，58.3%完成了高中及以上教育。参与者完成了经过翻译和文化调适的骨质疏松症知识测试以及骨质疏松症健康观念量表半结构化访谈。大多数参与者报告称对骨质疏松症有较高的认知，认识到运动和钙摄入的益处以及健康动机。骨质疏松症知识水平与教育程度高度相关，并且我们发现参与者的知识水平与运动的感知益处以及钙摄入障碍之间存在关联趋势。具有高健康动机和社区参与度的女性社区领袖未来可为当地社区的骨质疏松症预防项目做出巨大贡献。
