Department of Gynecology with Center for Oncological Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
Orthopedic Praxis Center Berlin, Berlin, Germany.
BMC Musculoskelet Disord. 2022 Aug 30;23(1):824. doi: 10.1186/s12891-022-05773-0.
Osteoporosis is a disease of the skeletal system associated with loss of bone mass and an increased risk of fractures affecting women more often than men. Identification of the knowledge about osteoporosis and its preventive methods is the backbone of any awareness program. This study investigates the knowledge with a special focus on women with and without a migration background.
Data from systematic patient interviews based on a questionnaire were collected at three different sites in Berlin between February and June 2021. The survey included questions assessing migrant background, demographic characteristics, lifestyle habits including physical exercise and smoking, prevention by vitamin D intake and bone densitometry, and information on personal and family medical history. According to the responses, a scale was created to assess the level of knowledge of preventive osteoporosis measures. The ethic committee of the Charité, Medical faculty has approved this study. SPSS (version 24.0) was used for the statistical analyses.
The survey of 502 female patients revealed that 25% had low and 34% no previous knowledge of osteoporosis. Older age and a better education level correlate with a higher knowledge. Patients with gynecologic cancer are less well informed. There is a significant difference in vitamin D intake between migrant and non-migrant women (57% vs. 49%). There were no significant differences regarding the use of bone densitometry.
Knowledge of osteoporosis and the possibility of a bone densitometry as well as the implementation of preventive measures is low among women. Therefore, informing patients better should be a priority, with particular attention on the risks and needs of women with a migration background. Specific programs for women with and without migration background should be developed to increase the awareness of osteoporosis.
骨质疏松症是一种骨骼系统疾病，与骨量流失和骨折风险增加有关，女性比男性更容易患病。对骨质疏松症及其预防方法的认识是任何意识计划的基础。本研究特别关注有和没有移民背景的女性，调查了她们对骨质疏松症的认识。
2021 年 2 月至 6 月，在柏林的三个不同地点，基于问卷对系统性的患者访谈进行了数据收集。调查包括评估移民背景、人口统计学特征、生活方式习惯（包括体育锻炼和吸烟）、维生素 D 摄入和骨密度测定预防以及个人和家族病史等问题。根据回答情况，创建了一个量表来评估预防骨质疏松症措施的知识水平。Charité 医学学院伦理委员会已批准了这项研究。使用 SPSS（版本 24.0）进行了统计分析。
对 502 名女性患者的调查显示，25%的患者对骨质疏松症知之甚少，34%的患者完全不了解。年龄较大和教育水平较高与更高的知识水平相关。妇科癌症患者的信息了解较少。移民和非移民妇女的维生素 D 摄入量存在显著差异（57%比 49%）。骨密度测定的使用没有显著差异。
女性对骨质疏松症和骨密度测定的可能性以及预防措施的实施知之甚少。因此，优先为患者提供更好的信息是当务之急，特别要关注有移民背景的女性的风险和需求。应该为有和没有移民背景的女性制定具体的计划，以提高对骨质疏松症的认识。
