The association of osteoporosis knowledge and beliefs with preventive behaviors in postmenopausal breast cancer survivors.
The association of osteoporosis knowledge and beliefs with preventive behaviors in postmenopausal breast cancer survivors.
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DOI：
10.1186/s12905-021-01430-1
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发表时间：
2021-08-11
期刊：
影响因子：
--
通讯作者：
Lin J
中科院分区：
文献类型：
--
作者：
Bailey S;Lin J
由于与年龄相关的雌激素下降，绝经后乳腺癌幸存者（PBCS）的骨质流失和骨折风险增加，而芳香酶抑制剂癌症治疗又加剧了这种风险。几个患者水平的目标风险因素可以减轻骨质疏松症的风险;然而，在这一人群中，适当的健康行为和风险认知被低估了。本研究的目的是评估骨质疏松症的知识和信念，并评估其与参与骨质疏松症预防行为的PBCS。在这项横断面描述性研究中，早期I-IIIA PBCS（年龄55-86岁）完成了骨质疏松症事实测验、骨质疏松症健康信念量表和骨质疏松症预防行为问卷。不讲英语或拒绝参加的参与者被排除在外。临床和社会人口统计学信息分别从病历审查和基线问卷中获得。在适当的情况下，使用Fisher精确检验、Student t检验和Wilcoxon Mann-Whitney检验来评估知识和信念与骨质疏松症预防行为之间的关联。参与者的平均年龄为66.1岁，20%自我报告为非西班牙裔白色，40%为非西班牙裔黑人，27%为西班牙裔，13%为其他。大约83%的队列患有雌激素受体阳性乳腺癌，并在过去六年内接受了骨密度扫描。骨质疏松症知识（10.5 ± 3.4）分、严重性（14.9 ± 3.8）分和易感性（14.0 ± 3.5）分均较低。大多数PBCS（75%）坚持服用钙和维生素D补充剂，但只有47%的人报告参与力量训练。已婚/有伴侣，骨质疏松知识和健康动机得分较高与力量训练运动。在调整婚姻状况和骨质疏松知识后，只有健康动机得分与力量训练运动显著相关（OR 5.56，95%CI 1.35-22.93）。尽管对骨质疏松症的认识有限，但PBCS仍然积极保持健康的生活方式，感知风险和易感性。然而，< 50%的人参加了力量训练。我们的研究结果表明，肿瘤护理应包括骨质疏松症和骨折预防策略，旨在鼓励癌症幸存者增加骨质疏松症预防行为的参与，特别是力量训练练习。
Postmenopausal breast cancer survivors (PBCS) are at increased risk of bone loss and fractures due to age-related decline of estrogen, and this risk is compounded by aromatase inhibitor cancer therapy. Several patient-level targetable risk factors can mitigate osteoporosis risk; however, adequate health behavior and risk perception in this population are underreported. The goal of this study was to evaluate osteoporosis knowledge and beliefs and assess their association with engagement in osteoporosis preventive behaviors among PBCS. In this cross-sectional descriptive study, early stage I–IIIA PBCS (ages 55–86 years) completed the Facts on Osteoporosis Quiz, Osteoporosis Health Beliefs Scale, and Osteoporosis Preventive Behaviors questionnaires. Participants who were non-English speaking or declined to participate were excluded. Clinical and sociodemographic information were obtained from chart review and baseline questionnaire, respectively. Fisher’s exact test, Student t-test, and Wilcoxon Mann–Whitney tests were used where appropriate to assess the association between knowledge and beliefs with engagement in osteoporosis preventive behaviors. The mean participant age was 66.1 years with 20% self-reporting as non-Hispanic White, 40% non-Hispanic Black, 27% Hispanic, and 13% other. Approximately 83% of the cohort had estrogen receptor positive breast cancer and received a bone density scan within the last six years. Osteoporosis knowledge (10.5 ± 3.4), seriousness (14.9 ± 3.8), and susceptibility (14.0 ± 3.5) mean scores were low among PBCS. Most PBCS (75%) were adherent to calcium and vitamin D supplements, but only 47% reported engagement in strength-training exercises. Married/partnered, higher osteoporosis knowledge and health motivation scores were associated with strength-training exercise. After adjustment for marital status and osteoporosis knowledge, only health motivation score remained significantly associated with strength-training exercise (OR 5.56, 95% CI 1.35–22.93). PBCS are highly motivated to keep a healthy lifestyle despite limited osteoporosis knowledge, perceived risk, and susceptibility. However, < 50% participated in strength-training exercise. Our findings suggest that oncologic care should include osteoporosis and fracture prevention strategies, directed at encouraging cancer survivors to increase their engagement in osteoporosis preventive behaviors, particularly strength-training exercises.
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DOI：
10.1016/j.ijotn.2010.03.005
发表时间：
2010-08-01
影响因子：
1.4
作者：
Szabo, K. A.;Webber, C. E.;Papaioannou, A.
通讯作者：
Papaioannou, A.
影响因子：
4.9
作者：
Costa-Paiva, Lucia;Gomes, Debora Castro;Pinto-Neto, Aarao Mendes
通讯作者：
Pinto-Neto, Aarao Mendes
影响因子：
2.5
作者：
Ailinger, RL;Lasus, H;Braun, MA
通讯作者：
Braun, MA
影响因子：
3.4
作者：
Hadji P;Aapro MS;Body JJ;Gnant M;Brandi ML;Reginster JY;Zillikens MC;Glüer CC;de Villiers T;Baber R;Roodman GD;Cooper C;Langdahl B;Palacios S;Kanis J;Al-Daghri N;Nogues X;Eriksen EF;Kurth A;Rizzoli R;Coleman RE
通讯作者：
Coleman RE
影响因子：
3.1
作者：
Peppone LJ;Mustian KM;Janelsins MC;Palesh OG;Rosier RN;Piazza KM;Purnell JQ;Darling TV;Morrow GR
通讯作者：
Morrow GR