Race Plays a Role in the Knowledge, Attitudes, and Beliefs of Women with Osteoporosis.
Race Plays a Role in the Knowledge, Attitudes, and Beliefs of Women with Osteoporosis.
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种族在骨质疏松症女性的知识、态度和信念中发挥着重要作用。
DOI：
10.1007/s40615-019-00569-w
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发表时间：
2019
影响因子：
3.9
通讯作者：
Ivankova,NataliaV
中科院分区：
文献类型：
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作者：
Wright,NicoleC;Melton,MaryE;Sohail,Maira;Herbey,Ivan;Davies,Susan;Levitan,EmilyB;Saag,KennethG;Ivankova,NataliaV
采用并行混合方法设计，我们调查了骨质疏松症妇女的知识、态度、价值观和信仰如何解释骨健康的种族差异。我们招募了年龄≥ 65岁的非洲裔美国人和白色骨质疏松症女性参加焦点小组。我们定量比较了“骨质疏松与你”知识量表和多维健康控制点量表的每个领域（内部，强大的他人和机会）的得分。我们定性地探讨了以下领域在态度、价值观和信念方面的潜在种族差异：（1）骨质疏松症和骨健康问题，（2）骨质疏松症知识，（3）骨质疏松症医疗服务的利用，（4）骨质疏松症预防活动的促进者，（5）骨质疏松症预防活动的障碍。共有48名女性（白色：36名;非洲裔美国人：12名）入组本研究。白色女性的平均值（SD）为7.8（0.92），而非洲裔美国女性在骨质疏松和你量表上的得分为6.6（2.6）（p= 0.044）。非裔美国人的一般健康和骨骼健康的强大他人领域显著更高[一般健康-非裔美国人：26.7（5.9）vs.白色：22.3（3.8）;p= 0.01]。定性专题分析显示，种族的知识，体育活动的类型，应对合并症，医生的信任，宗教和病人的激活的差异。使用定量和定性方法，我们的研究确定了骨质疏松症妇女在知识，态度和信仰方面的种族差异，这可能导致骨健康方面的种族差异，这表明需要提高非洲裔美国妇女对骨质疏松症的教育和认识。
Using a concurrent mixed methods design, we investigated how knowledge, attitudes, values, and beliefs among women with osteoporosis can explain racial disparities in bone health. We recruited African American and White women ≥ 65 years of age with osteoporosis to participate in focus groups. We quantitatively compared scores of the “Osteoporosis & You” knowledge scale and each domain (internal, powerful others, and chance) of the Multidimensional Health Locus of Control scale by race usingttests. We qualitatively explored potential racial differences in attitudes, values, and beliefs in the domains: (1) osteoporosis and bone health concerns, (2) knowledge about osteoporosis, (3) utilization of medical services for osteoporosis, (4) facilitators of osteoporosis prevention activities, and (5) barriers to osteoporosis prevention activities. A total of 48 women (White: 36; African American: 12) enrolled in the study. White women had a mean (SD) of 7.8 (0.92), whereas African American women score a 6.6 (2.6) (p= 0.044) out of 10 on the Osteoporosis & You Scale. The powerful others domain was significantly higher among African American for both general and bone health [General Health — African American: 26.7 (5.9) vs. White: 22.3 (3.8);p= 0.01]. Qualitative thematic analysis revealed differences by race in knowledge, types of physical activity, coping with comorbidities, physician trust, religion, and patient activation. Using both quantitative and qualitative methods, our study identified racial differences in knowledge, attitudes, and beliefs in women with osteoporosis that could result in racial disparities in bone health, indicating the need to improve education and awareness about osteoporosis in African American women.