Center for Clinical and Translational Science, UMass Chan Medical School, 55 N Lake Ave, Worcester, MA, 01605, USA.
Department of Medicine, UMass Chan Medical School, Worcester, MA, USA.
Arch Osteoporos. 2024 Jul 30;19(1):66. doi: 10.1007/s11657-024-01430-2.
This study explored why some elderly females do not adhere to their bone density tests. It found that factors like age, race, marital status, insurance type, social vulnerability index, and vaccination status influence completion of these tests. Addressing these differences could improve the management of bone health in older adults.
This study investigated factors influencing the cancellation of dual-energy x-ray absorptiometry (DXA) scans among females aged 65 and above during the COVID-19 pandemic.
Utilizing a dataset of 19,066 females from 2021 to 2023, the research employed chi-squared tests and logistic regression analyses to examine demographic, socio-economic, and health-related determinants of DXA scan adherence.
Key findings revealed that younger seniors, White patients, married individuals, those with commercial/private or Medicare insurance, and vaccinated persons were more likely to complete DXA scans. In contrast, Asian and African American females, along with those from higher Social Vulnerability Index areas, showed lower completion rates.
These results highlight the need for tailored strategies to improve osteoporosis screening adherence, focusing on identified demographic groups to enhance overall healthcare outcomes in osteoporosis management.
本研究旨在调查 COVID-19 大流行期间，65 岁及以上女性取消双能 X 线吸收法（DXA）扫描的影响因素。
利用 2021 年至 2023 年期间的 19066 名女性数据集，采用卡方检验和逻辑回归分析，探讨了 DXA 扫描依从性的人口统计学、社会经济和健康相关决定因素。
研究结果表明，年轻的老年人、白人患者、已婚人士、有商业/私人或医疗保险的患者以及接种疫苗的患者更有可能完成 DXA 扫描。相比之下，亚洲和非裔美国女性以及社会脆弱性指数较高地区的女性完成率较低。
这些结果强调需要制定有针对性的策略来提高骨质疏松症筛查的依从性，关注确定的人群，以改善骨质疏松症管理中的整体医疗保健结果。
