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Bhatti Z, Laghari M, Khan AH, Talpur BA, Sulaiman SAS. Assessment of osteoporosis knowledge and its determinants among tuberculosis patients in tertiary care hospital Malaysia: A prospective study. J Clin Tuberc Other Mycobact Dis 2024; 34:100416. [PMID: 38318334 PMCID: PMC10839438 DOI: 10.1016/j.jctube.2024.100416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024] Open
Abstract
Objective Osteoporosis self-care knowledge is essential to encourage the patient's contribution towards controlling the disease. Osteoporosis incidence with various infectious diseases prompts us to conduct a study on osteoporosis knowledge among Tuberculosis (TB) patients. This study aimed to assess osteoporosis-related knowledge and its influencing factors among TB patients. Methods A prospective cross-sectional study was conducted in the TB clinic of Hospital Pulau Pinang, Malaysia, and an osteoporosis knowledge test (OKT), a structured questionnaire, was used to collect data. TB patients aged 18 years and above with compromised bone health were included in the present study. Overall knowledge scores were dichotomized, calculating the mean score, descriptive statistics, and multivariate regression analysis was used to determine the influence of risk factors on knowledge scores. Results Of 337 patients, 129(38.28 %) had good osteoporosis knowledge and 208(61.72 %) had poor knowledge. Among them, 231(68.54 %) were males, and 106(31.45 %) were females, with a mean age of 46.5 ± 17.1 years. The mean ± SD of OKT total score was 10.5 ± 2.0. The mean ± SD of the exercise knowledge score was 5.3 ± 3.4, while the nutrition knowledge score was 5.0 ± 3.2. Male gender (OR 3.86, 95 % CI 1.98-7.53), low-income level (OR 1.92, 95 % CI 1.12-3.30), rural residents (OR 2.49, 95 % CI 1.46-4.27) and participants with no formal education (OR 4.34, 95 % CI 1.11-16.84) or ≤12 years of education (OR 3.63, 95 % CI 1.52-8.65) were significantly responsible for poor OKT score. Conclusion The results indicated that most TB patients had a poor perception of osteoporosis. More extensive strategies should be developed to enhance the campaign of awareness programs among TB patients to improve preventive measures of osteoporosis, such as calcium intake and exercise.
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Affiliation(s)
- Zohra Bhatti
- Department of Pharmacy Practice, Kulliyyah of Pharmacy, International Islamic University, Malaysia
| | - Madeeha Laghari
- School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland
| | - Amer Hayat Khan
- School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia
| | - Bandeh Ali Talpur
- School of Computer Science ans Statistics, Trinity College Dublin, Ireland
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AbuQamar M, Tabash MI, Aish A, Hasheesh ARA, Sharaf F. Health Impact of Drinking Water Quality on the Occurrence of Osteoporosis in Gaza Strip, Palestine. Ethiop J Health Sci 2023; 33:841-850. [PMID: 38784505 PMCID: PMC11111201 DOI: 10.4314/ejhs.v33i5.14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 07/07/2023] [Indexed: 05/25/2024] Open
Abstract
Background Improving water supply quality could be essential for disease prevention strategy that promotes human health. The study aims to investigate the relationship between drinking water quality and the occurrence of osteoporosis in Gaza Strip. Methods A case-control study design was used, and a multistage sampling method was employed at the main orthopedic clinic. Participants included 200 individuals diagnosed with osteoporosis and 200 without osteoporosis. All subjects underwent a DEXA scan, and drinking water samples for chemical analysis were done. A structured face-to-face interview was conducted Statistical analysis was performed using SPSS 26, and both descriptive and inferential statistics (chi-square and binary logistic regression) were used. Results Factors such as the source of drinking and cooking water, lifestyle, and socioeconomic status were found important in the occurrence of osteoporosis. The source of drinking, cooking water, lifestyle, and socioeconomic played a significant impact in the development of osteoporosis. Bivariate analysis revealed that a number of factors, including female gender, low physical activity, older age (41-50), inadequate education, drinking and cooking water source, and older age (41-50), had a statistically significant association with osteoporosis. With the exception of Mg (>PH =.105, Ca =.102, Mg =.046), the chemical water quality parameter had an impact on the occurrence of osteoporosis but did not achieve a significant difference. Osteoporosis was less likely to occur in people who were obese. Age, obesity, and the lack of magnesium in drinking water were independent predictors of osteoporosis. Conclusions The study has identified the need for preventive measures to improve drinking water quality to reduce the incidence of various health conditions, including osteoporosis.
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Affiliation(s)
- Mazen AbuQamar
- Department of Nursing, Faculty of Applied Medical Sciences, Al-Azhar University, Gaza
| | - Mohammed I Tabash
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Al-Azhar University, Gaza, Palestine
| | - Adnan Aish
- Department of Earth Sciences, Faculty of Science, Al Azhar University, Gaza, Palestine
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Shahmohamadi F, Hoseini M, Matbouei M, Nasiri M. The effect of educational intervention based on the theory of planned behavior aimed at mothers on osteoporosis prevention behaviors in lower secondary school female students. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:15. [PMID: 35281400 PMCID: PMC8893105 DOI: 10.4103/jehp.jehp_62_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 05/09/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Osteoporosis is mainly characterized by a low bone mineral density and a sharp architectural and biomechanical deterioration in bone tissue required to maintain bone homeostasis. The theory of planned behavior (TPB) can be considered as one of the leading theories when designing an evidence-based intervention. This study was carried out based on the TPB to determine the effect of an educational intervention aimed at mothers on the prevention of osteoporosis in female students. MATERIALS AND METHODS A total of seventy mothers of lower secondary school students in Tehran, Iran, participated in this experimental study which was conducted in 2019-2020. The participants were randomly assigned to two groups, namely experimental and control groups. Based on the TPB, a demographic and a researcher-made questionnaire consisting of five sections were used in order to collect data. The validity and reliability of the questionnaires were confirmed before data collection. Four 45-60 min training programs were delivered to the subjects using the TPB. Data were collected before, immediately after, and 1 month following the training program. Finally, IBM SPSS Statistics 21 was used for statistical analysis. RESULTS No significant difference was observed in terms of attitude, subjective norms, perceived behavioral control, behavioral intention, and osteoporosis prevention-related behavior between the experimental and control groups before proceeding with the intervention (P > 0.05). However, the mean scores of attitude, subjective norms, perceived behavioral control, behavioral intention, and behavior were significantly higher in the experimental group compared to those of the control group following the educational intervention (P < 0.05). CONCLUSION It can be concluded that such interventions based on the TPB can, in fact, produce a significant effect on osteoporosis prevention-related behaviors. Thus, it can serve as a useful model for planning educational interventions.
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Affiliation(s)
- Fatemeh Shahmohamadi
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Meimanat Hoseini
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahsa Matbouei
- Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Malihe Nasiri
- Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Tan HC, Seng JJB, Low LL. Osteoporosis awareness among patients in Singapore (OASIS)-a community hospital perspective. Arch Osteoporos 2021; 16:151. [PMID: 34623530 PMCID: PMC8497186 DOI: 10.1007/s11657-021-01012-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 09/26/2021] [Indexed: 02/03/2023]
Abstract
UNLABELLED This study examines factors associated with osteoporosis awareness and knowledge using Osteoporosis Prevention and Awareness Tool (OPAAT). Of 410 patients, majority of patients had a OPAAT score < 24 (n = 362, 88.3%). Lower education level (odds ratio (OR) (primary education): 3.63; OR (no formal education): 111.5; p < 0.001) and diabetic patients (OR: 1.67; p = 0.003) were associated with lower OPAAT scores. INTRODUCTION Lack of osteoporosis awareness forms a critical barrier to osteoporosis care and has been linked with increased institutionalization, healthcare expenditures, and decreased quality of life. This study aims to identify factors associated with osteoporosis awareness and knowledge among female Singaporeans. METHODOLOGY A cross-sectional study was conducted among adult female patients (aged 40 to 90 years old) who were admitted into Outram Community Hospital from April to October 2020. Osteoporosis awareness and knowledge were assessed using interviewer-administered Osteoporosis Prevention and Awareness Tool (OPAAT). High knowledge was defined as a OPAAT score ≥ 24. Multivariate logistical regression analyses were used to identify predictors of low OPAAT scores. RESULTS Of 410 patients recruited, their mean age was 71.9 ± 9.5 years old and majority of patients had a OPAAT score < 24 (n = 362, 88.3%). Patients with lower OPAAT scores tended to be older (72.5 ± 9.2 vs 67.5 ± 10.1, p < 0.001), attained lower education level (p < 0.001), and were more likely to live in public housing (92.5% vs 81.5%, p = 0.009). The prevalence of diabetes mellitus was higher in patients with low OPAAT scores (39.2% vs 18.8%, p = 0.006). After adjustment for covariates, lower education level (odds ratio (OR) (primary education): 3.63; OR (no formal education): 11.5; p < 0.05) and patients with diabetes mellitus (OR: 1.67; p = 0.03) were associated with lower OPAAT knowledge scores. CONCLUSION Elderly female patients in community hospital have inadequate osteoporosis awareness despite being at risk of fractures. There is a need to address the knowledge gap in osteoporosis, especially among diabetic patients or patients with lower education.
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Affiliation(s)
- Huey Chieng Tan
- grid.453420.40000 0004 0469 9402Outram Community Hospital, SingHealth Community Hospitals, 10 Hospital Boulevard, Singapore, 168582 Singapore
| | - Jun Jie Benjamin Seng
- grid.466910.c0000 0004 0451 6215MOH Holdings (Singapore) Private Limited, 1 Maritime Square, Singapore, 099253 Singapore
| | - Lian Leng Low
- grid.453420.40000 0004 0469 9402Outram Community Hospital, SingHealth Community Hospitals, 10 Hospital Boulevard, Singapore, 168582 Singapore ,grid.163555.10000 0000 9486 5048Department of Family Medicine and Continuing Care, Singapore General Hospital, Outram Rd, Singapore, 169608 Singapore ,grid.4280.e0000 0001 2180 6431SingHealth Duke-NUS Family Medicine Academic Clinical Program, Outram Rd, Singapore, 169608 Singapore ,grid.453420.40000 0004 0469 9402SingHealth Regional Health System PULSES Centre, Singapore Health Services, Outram Rd, Singapore, 169608 Singapore
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Osteoporosis knowledge and related factors among orthopedic nurses in Hunan province of China. Int J Orthop Trauma Nurs 2020; 36:100714. [DOI: 10.1016/j.ijotn.2019.100714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 08/24/2019] [Accepted: 09/01/2019] [Indexed: 11/19/2022]
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Khan JA, McGuigan FE, Akesson KE, Ahmed YM, Abdu F, Rajab H, Albaik M. Osteoporosis knowledge and awareness among university students in Saudi Arabia. Arch Osteoporos 2019; 14:8. [PMID: 30644020 DOI: 10.1007/s11657-019-0560-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 01/06/2019] [Indexed: 02/03/2023]
Abstract
UNLABELLED Awareness and knowledge about any disease is the first step to prevent and treat it, so this study evaluates osteoporosis awareness and knowledge in university students. Our results showed a high awareness and good knowledge of osteoporosis. Females were better informed than males. Knowledge increased with increasing education level. PURPOSE Osteoporosis is a worldwide health problem, including Saudi Arabia where vitamin D deficiency is common. Prevention of osteoporosis must begin by increasing awareness of the disease from a young age. This study aimed to assess awareness and knowledge of osteoporosis among young adults (18-30 years) attending Saudi universities, exploring the relationship between education and gender and the sources of information in this age group. METHODS A cross-sectional survey was conducted in 337 students (176 females; 161 males) randomly selected from four Saudi universities during January-December 2017. Education level ranged from preparatory year to undergraduate and postgraduate levels. A self-reported questionnaire was designed to assess awareness and knowledge of osteoporosis across several domains, including risk factors for the disease, prevalence, symptoms, prevention, and treatment. RESULTS Overall, 92% of students had some awareness of osteoporosis through a variety of sources, predominantly via friends. Just over half of all students had a good or high knowledge level overall (53.4 ± 16.6%). Knowledge score correlated with education (r2 = 0.28) and gender (r2 = 0.27); p < 0.0001. Females were better informed than males (57.7 ± 15.4% vs 48.8 ± 16.8%; p < 0.0001). Knowledge increased with increasing education level (preparatory year (47.8 ± 15.3%), undergraduate (53.5 ± 16.5%), and postgraduate (61.8 ± 15.8%); all p < 0.0001). CONCLUSION Knowledge of osteoporosis was good among university students in Saudi Arabia, higher in females and with increasing years of education. Overall, students were more knowledgeable about risk factors compared to other aspects such as symptoms, prevention, or treatment of osteoporosis.
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Affiliation(s)
- Jalaluddin A Khan
- Biochemistry Department, Faculty of Science, King Abdulaziz University, P.O. Box 80203, Jeddah, 21589, Saudi Arabia
- Center of Excellence for Osteoporosis Research, King Fahd Medical Research Center, King Abdulaziz University, P.O. Box 80216, Jeddah, 21589, Saudi Arabia
| | - Fiona E McGuigan
- Department of Clinical Sciences Malmö, Clinical and Molecular Osteoporosis Research Unit, Lund University, Lund, Sweden
- Department of Orthopaedics, Skåne University Hospital, Malmö, Sweden
| | - Kristina E Akesson
- Department of Clinical Sciences Malmö, Clinical and Molecular Osteoporosis Research Unit, Lund University, Lund, Sweden
- Department of Orthopaedics, Skåne University Hospital, Malmö, Sweden
| | - Y M Ahmed
- Biochemistry Department, Faculty of Science, King Abdulaziz University, P.O. Box 80203, Jeddah, 21589, Saudi Arabia
- Department of Biological Science, Faculty of Science, King Abdulaziz University, P.O. Box 42699, Jeddah, 21551, Saudi Arabia
| | - Faiza Abdu
- Department of Biological Science, Faculty of Science, King Abdulaziz University, P.O. Box 42699, Jeddah, 21551, Saudi Arabia
| | - Hussam Rajab
- English Language Institute, Faculty of Arts and Humanities, King Abdulaziz University, P.O. Box 80200, Jeddah, 21589, Saudi Arabia
| | - Mai Albaik
- Biochemistry Department, Faculty of Science, King Abdulaziz University, P.O. Box 80203, Jeddah, 21589, Saudi Arabia.
- Center of Excellence for Osteoporosis Research, King Fahd Medical Research Center, King Abdulaziz University, P.O. Box 80216, Jeddah, 21589, Saudi Arabia.
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Babatunde OT, Marquez S, Taylor A. Osteoporosis Knowledge and Health Beliefs Among Men in Midlife Years. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:759-763.e1. [PMID: 28655501 DOI: 10.1016/j.jneb.2017.05.346] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 05/10/2017] [Accepted: 05/10/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To examine the role of socioeconomic variables on middle-aged adult men's knowledge and health beliefs about osteoporosis. METHODS An anonymous survey used validated scales to assess osteoporosis knowledge and health beliefs in a sample of 262 men aged 36-55 years. Descriptive and group-differences statistics (MANOVA and ANOVA) were used. RESULTS Total osteoporosis knowledge was low (mean, 11.1 of 22) and mean scores on perceived susceptibility and seriousness health belief domains were also low: 13.2 and 17.2, respectively out of 30. Multivariate ANOVA revealed that perceived seriousness, barriers to calcium intake, and health motivation varied significantly with level of formal education attained (P < .05). There was no significant difference with income. CONCLUSIONS AND IMPLICATIONS Results of this convenience sample of predominantly white men found that level of osteoporosis knowledge and perceived susceptibility were low. Given the increased prevalence of osteoporosis-related fracture in men, methods to increase knowledge and awareness are needed.
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Affiliation(s)
- Oyinlola T Babatunde
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC.
| | - Susan Marquez
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC
| | - Alan Taylor
- Department of Human Development and Family Science, College of Health and Human Performance, East Carolina University, Greenville, NC
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Wang L, Xu X, Zhang Y, Hao H, Chen L, Su T, Zhang Y, Ma W, Xie Y, Wang T, Yang F, He L, Wang W, Fu X, Ma Y. A model of health education and management for osteoporosis prevention. Exp Ther Med 2016; 12:3797-3805. [PMID: 28105113 DOI: 10.3892/etm.2016.3822] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2015] [Accepted: 06/23/2016] [Indexed: 01/29/2023] Open
Abstract
Osteoporosis, a chronic disease with no therapeutic cure, affects a growing number of people as the aging population in China rapidly increases. Therefore, developing an evidence-based model of health education and management for osteoporosis prevention is required. In the present study, an osteoporosis club was established, which is a novel model of health education and management for osteoporosis prevention. A unified management of membership was used based on a digitized database. A total of 436 patients with osteoporosis were randomly assigned to the osteoporosis club group or the self-management control group. For the osteoporosis club group, multiple activities of health education were performed, including monthly systematic health education lectures, exercise programs and communication parties once a year. For the control group, the participants took charge of their own musculoskeletal health. All data of the participants were collected and evaluated prior to and following intervention. In the pre-intervention assessment, no significant difference was identified in the health education between the two groups. Through the four-year intervention, the osteoporosis knowledge, health beliefs, living behavior, medication compliance, quality of life and bone mineral density of the osteoporosis club group were improved significantly compared with the control group (P<0.001), while the pain degree of the osteoporosis club group was relieved significantly more compared with the control group (P<0.001). The results in the present study suggest that setting up an osteoporosis club is an evidence-based model of health education and management for osteoporosis prevention in China.
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Affiliation(s)
- Liang Wang
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Xiaowen Xu
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Yan Zhang
- Center for Systems Biomedical Sciences, University of Shanghai for Science and Technology, Shanghai 200093, P.R. China
| | - Hongxia Hao
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Liying Chen
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Tianjiao Su
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Yan Zhang
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Weifeng Ma
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Yuanyuan Xie
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Tiantian Wang
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Fan Yang
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Li He
- Division of Science and Technology, National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, P.R. China
| | - Wenjiao Wang
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Xuemei Fu
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
| | - Yuanzheng Ma
- Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China
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Yu CX, Zhang XZ, Zhang K, Tang Z. A cross-sectional study for estimation of associations between education level and osteoporosis in a Chinese men sample. BMC Musculoskelet Disord 2015; 16:382. [PMID: 26646811 PMCID: PMC4673752 DOI: 10.1186/s12891-015-0839-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 12/01/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The main aim of this study was to evaluate the association between education level and osteoporosis (OP) in general Chinese Men. METHODS We conducted a large-scale, community-based, cross-sectional study to investigate the association by using self-report questionnaire to assess education levels. The data of 1092 men were available for analysis in this study. Multiple regression models controlling for confounding factors to include education level were performed to explore the relationship between education level and OP. RESULTS Positive correlations between education level and T-score of quantitative bone ultrasound (QUS-T score) were reported (β = 0.108, P value < 0.001). Multiple regression analysis indicated that the education level was independently and significantly associated with OP (P < 0.1 for all models). The men with lower education level had a higher prevalence of OP. CONCLUSION The education level was independently and significantly associated with OP. The prevalence of OP was more frequent in Chinese men with lower education level. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT02451397 ; date of registration: 05/28/2015).
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Affiliation(s)
- Cai-Xia Yu
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
| | - Xiu-Zhen Zhang
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
| | - Keqin Zhang
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
| | - Zihui Tang
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.
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Piao HH, He J, Zhang K, Tang Z. A cross-sectional study to estimate associations between education level and osteoporosis in a Chinese postmenopausal women sample. Int J Clin Exp Med 2015; 8:21014-21023. [PMID: 26885032 PMCID: PMC4723877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Accepted: 11/10/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND Our research aims to investigate the associations between education level and osteoporosis (OP) in Chinese postmenopausal women. METHODS A large-scale, community-based, cross-sectional study was conducted to examine the associations between education level and OP. A self-reported questionnaire was used to access the demographical information and medical history of the participants. A total of 1905 postmenopausal women were available for data analysis in this study. Multiple regression models controlling for confounding factors to include education level were performed to investigate the relationship with OP. RESULTS The prevalence of OP was 28.29% in our study sample. Multivariate linear regression analyses adjusted for relevant potential confounding factors detected significant associations between education level and T-score (β = 0.025, P-value = 0.095, 95% CI: -0.004-0.055 for model 1; and β = 0.092, P-value = 0.032, 95% CI: 0.008-0.175 for model 2). Multivariate logistic regression analyses detected significant associations between education level and OP in model 1 (P-value = 0.070 for model 1, Table 5), while no significant associations was reported in model 2 (P value = 0.131). In participants with high education levels, the OR for OP was 0.914 (95% CI: 0.830-1.007). CONCLUSION The findings indicated that education level was independently and significantly associated with OP. The prevalence of OP was more frequent in Chinese postmenopausal women with low educational status.
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Affiliation(s)
- Hui-Hong Piao
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, School of Medicine, Tongji UniversityShanghai, China
| | - Jiajia He
- Department of Science and Tech, The People’s Hospital of MengziHonghe, Yunnan, China
| | - Keqin Zhang
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, School of Medicine, Tongji UniversityShanghai, China
| | - Zihui Tang
- Department of Endocrinology and Metabolism, Shanghai Tongji Hospital, School of Medicine, Tongji UniversityShanghai, China
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Toh LS, Lai PSM, Wu DBC, Wong KT, Low BY, Anderson C. The Development and Validation of the Osteoporosis Prevention and Awareness Tool (OPAAT) in Malaysia. PLoS One 2015; 10:e0124553. [PMID: 25938494 PMCID: PMC4418569 DOI: 10.1371/journal.pone.0124553] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 03/15/2015] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES To develop and validate Osteoporosis Prevention and Awareness Tool (OPAAT) in Malaysia. METHODS The OPAAT was modified from the Malaysian Osteoporosis Knowledge Tool and developed from an exploratory study on patients. Face and content validity was established by an expert panel. The OPAAT consists of 30 items, categorized into three domains. A higher score indicates higher knowledge level. English speaking non-osteoporotic postmenopausal women ≥ 50 years of age and pharmacists were included in the study. RESULTS A total of 203 patients and 31 pharmacists were recruited. Factor analysis extracted three domains. Flesch reading ease was 59.2. The mean ± SD accuracy rate was 0.60 ± 0.22 (range: 0.26-0.94). The Cronbach's α for each domain ranged from 0.286-0.748. All items were highly correlated (Spearman's rho: 0.761-0.990, p < 0.05), with no significant change in the overall test-retest scores, indicating that OPAAT has achieved stable reliability. Pharmacists had higher knowledge score than patients (80.9 ± 8.7 vs 63.6 ± 17.4, p < 0.001), indicating that the OPAAT was able to discriminate between the knowledge levels of pharmacists and patients. CONCLUSION The OPAAT was found to be a valid and reliable instrument for assessing patient's knowledge about osteoporosis and its prevention in Malaysia. The OPAAT can be used to identify individuals in need of osteoporosis educational intervention.
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Affiliation(s)
- Li Shean Toh
- Faculty of Science, School of Pharmacy, University of Nottingham, Semenyih, Selangor, Malaysia
| | - Pauline Siew Mei Lai
- Department of Primary Care Medicine, University of Malaya Primary Care Research Group (UMPCRG), Faculty of Medicine, University of Malaya, Kuala Lumpur, Wilayah Persekutuan, Malaysia
- * E-mail:
| | | | - Kok Thong Wong
- Faculty of Science, School of Pharmacy, University of Nottingham, Semenyih, Selangor, Malaysia
| | - Bee Yean Low
- Faculty of Science, School of Pharmacy, University of Nottingham, Semenyih, Selangor, Malaysia
| | - Claire Anderson
- Division of Social Research in Medicine and Health, School of Pharmacy, University of Nottingham, Nottingham, United Kingdom
- * E-mail:
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