Concern and risk perception of osteoporosis and fracture among post-menopausal Australian women: results from the Global Longitudinal Study of Osteoporosis in Women (GLOW) cohort
Concern and risk perception of osteoporosis and fracture among post-menopausal Australian women: results from the Global Longitudinal Study of Osteoporosis in Women (GLOW) cohort
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DOI：
10.1007/s11657-013-0155-y
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发表时间：
2013-12-01
影响因子：
3
通讯作者：
March, L. M.
中科院分区：
文献类型：
--
作者：
Barcenilla-Wong, A. L.;Chen, J. S.;March, L. M.
目的-本研究的目的是确定与骨质疏松症和骨质疏松性骨折的风险的关注和感知相关的因素，并确定是否骨矿物质密度（BMD）测试影响的关注和风险perceive.Methods研究对象（n = 1,082，年龄55-94岁）是女性澳大利亚参与者的全球妇女骨质疏松症纵向研究（GLOW）。自2007年至2010年，每年发送自填问卷。研究结果包括“对骨质疏松症的关注”，“骨质疏松症的感知”和“骨折风险的感知”，与相似年龄的女性相比。最接近的后BMD测试或基线调查问卷分别用于有和无BMD测试的妇女。结果骨密度检测、45岁以后骨折史、年龄较小和自我报告的一般健康状况较低与“非常”或“有点担心"骨质疏松症以及对骨质疏松症和骨折的风险认知”高得多“或”略高“显著相关。较差的BMD结果与较高的关注度和较高的风险认知相关。合并症的存在，在前一年有≥ 2次福尔斯和母亲骨质疏松症与更高的关注相关。产妇骨质疏松症，合并症的存在，体重减轻= 5公斤，在前一年和低体重指数与骨质疏松症risk.Conclusion妇女的关注和骨质疏松症和骨质疏松性骨折的风险认知较高的看法是合理的。然而，年龄增加，身高下降，吸烟和饮酒与关注和感知无关，尽管是已知的骨质疏松症风险因素。在规划教育和提高认识方案时应考虑到这些因素。
Purpose The purpose of this study is to identify factors associated with concern and perception of risks of osteoporosis and osteoporotic fractures and determine whether bone mineral density (BMD) testing influenced concern and risk perception.Methods Study subjects (n = 1,082, age 55-94 years) were female Australian participants of the Global Longitudinal Study of Osteoporosis in Women (GLOW). Self-administered questionnaires were sent annually from 2007 to 2010. Study outcomes included 'concern about osteoporosis', 'perception of getting osteoporosis' and 'perception of fracture risk' compared to similar aged women. The closest post-BMD testing or baseline questionnaires were used for women with and without BMD testing, respectively. Multinomial logistic regression was used for the analysis.Results BMD testing, prior fracture after age 45, younger age and lower self-reported general health were significantly associated with being 'very' or 'somewhat concerned' about osteoporosis and having a 'much higher' or 'little higher' risk perception of osteoporosis and fractures. A poorer BMD result was associated with higher concern and higher risk perceptions. The presence of comorbidities, having >= 2 falls in the preceding year and maternal osteoporosis were associated with higher concern. Maternal osteoporosis, presence of comorbidities, weight loss of = 5 kg in the preceding year and low body mass index were associated with higher perceptions of osteoporosis risk.Conclusion Women's concern and risk perception of osteoporosis and osteoporotic fractures were reasonably well founded. However, increasing age, height loss, smoking and drinking were not associated with concern and perception despite being known osteoporosis risk factors. These factors should be considered in planning for education and awareness raising programmes.