Kasper M J, Peterson M G, Allegrante J P, Galsworthy T D, Gutin B
Department of Physical Education, College of Education and Professional Studies, Eastern Illinois University, Charleston.
Arch Fam Med. 1994 Aug;3(8):696-702. doi: 10.1001/archfami.3.8.696.
To assess the knowledge of osteoporosis risk factors among young women, their beliefs about the disease, and to what extent they practice preventive behaviors, such as adequate calcium intake and physical activity.
Cross-sectional survey.
SETTING/PARTICIPANTS: One hundred twenty-seven women (mean age, 19.6 years; 92% were white) enrolled in a required undergraduate health course at a midwestern state university.
One hundred fourteen (90%) of the survey respondents had heard about osteoporosis, but only 49 (43%) of the 114 had received information from either a health care provider or a school. There was a significant relationship between receiving osteoporosis information and the ability to correctly identify risk factors (P < or = .006). Only 6.7% of the women reported getting both adequate "osteoprotective" exercise per week and the recommended 1200 mg of calcium per day. Respondents believed that it was unlikely that osteoporosis would develop in them. They also expressed less responsibility and concern about osteoporosis and believed that it is less serious than other common causes of morbidity and mortality in women, such as heart disease and breast cancer (P < or = .02). There was no significant relationship between risk-factor identification and exercise habits, calcium intake, or beliefs about osteoporosis.
The majority of young women are not consuming the recommended daily amount of calcium and are lacking sufficient osteoprotective exercise for building healthy bone. Health care providers and educational institutions either have missed opportunities to educate young women about osteoporosis or such information has not been received and retained. Increasing levels of osteoporosis awareness may not be associated with influencing beliefs or behaviors. However, because of the importance of building an adequate bone mass in early life, our data suggest that the development and evaluation of comprehensive osteoporosis educational interventions targeted at younger women are warranted.
评估年轻女性对骨质疏松症危险因素的了解、她们对该疾病的看法，以及她们在多大程度上采取预防行为，如摄入足够的钙和进行体育活动。
横断面调查。
地点/参与者：127名女性（平均年龄19.6岁；92%为白人）参加了中西部一所州立大学的本科必修健康课程。
114名（90%）调查对象听说过骨质疏松症，但其中只有49名（43%）从医疗保健提供者或学校获得过相关信息。接受骨质疏松症信息与正确识别危险因素的能力之间存在显著关联（P≤0.006）。只有6.7%的女性报告每周进行足够的“保护骨骼”运动且每天摄入推荐的1200毫克钙。调查对象认为自己患骨质疏松症的可能性不大。她们对骨质疏松症的责任感和关注度也较低，并且认为该疾病不如女性其他常见的发病和死亡原因严重，如心脏病和乳腺癌（P≤0.02）。危险因素识别与运动习惯、钙摄入量或对骨质疏松症的看法之间没有显著关联。
大多数年轻女性未摄入推荐的每日钙量，且缺乏足够的保护骨骼的运动以建立健康骨骼。医疗保健提供者和教育机构要么错失了向年轻女性传授骨质疏松症知识的机会，要么此类信息未被接收和记住。提高对骨质疏松症的认知水平可能与影响观念或行为无关。然而，鉴于在生命早期建立足够骨量的重要性，我们的数据表明有必要针对年轻女性开展和评估全面的骨质疏松症教育干预措施。
