Knowledge of Osteoporosis Among Men in the Primary Care Setting

Shawa, Hassan; Favela, Emanuel; Diaz, Josefina

doi:10.1097/smj.0b013e3182241da1

Cited by 13 publications

(9 citation statements)

References 9 publications

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“…The respondents in this study had limited knowledge of osteoporosis (38.5% correct in the OKAT), a result comparable with the studies in other places like the United States (Gaines et al, 2011; Shawa, Favela, & Diaz, 2011) or Hong Kong (Lee & Lai, 2006). Unlike other studies, this study reported better knowledge in the younger respondents, and men in the younger age-groups had similar knowledge as women.…”

Section: Discussionsupporting

confidence: 86%

Chinese Men’s Knowledge and Risk Factors of Osteoporosis

et al. 2013

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Male osteoporosis is underappreciated. Little is known about men's knowledge of osteoporosis and how much men are at risk. This study surveyed men's knowledge of osteoporosis and their risk factors with reference to women in the primary care setting in Macau, China. A convenience sample of 302 men and 635 women aged 18 to 90 years completed questionnaires comprising the Osteoporosis Knowledge Assessment Tool and the One-Minute Osteoporosis Risk Test. Their risks of osteoporosis were assessed with the Osteoporosis Self-Assessment Screening Test. Men and women, who were aged 55 years or below, had similarly limited knowledge of osteoporosis. People aged above 55 years had significantly less knowledge; men had less knowledge than women only in this age-group. If questions specific to women or menopause were excluded, men had similar knowledge as women. A higher proportion of men than women had risk factors as more men consumed alcohol or smoked tobacco. Similar proportions of men and women reported a loss of 1 inch in body height after age 40. After age 55, 29.2% men were at medium to high risk of osteoporosis. This study concludes that health education and primary prevention of osteoporosis should be promoted to men starting in middle-age.

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Section: Discussionsupporting

confidence: 86%

Chinese Men’s Knowledge and Risk Factors of Osteoporosis

et al. 2013

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“…Fewer good-quality trials of osteoporosis treatment have been conducted in men compared to women, and trials focused on male participants are less likely to have a preventive purpose [2,3]. Male patients and primary care physicians appear to have low awareness of male osteoporosis [4], with typically low rates of bone mineral density (BMD) testing [5]. In the US, Medicare insurance only covers BMD testing in men for a limited number of disease conditions, not including routine screening [6].…”

Section: Introductionmentioning

confidence: 99%

Comparison of fracture risk assessment tools in older men without prior hip or spine fracture: the MrOS study

et al. 2017

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Purpose We compared the performance of fracture risk assessment tools in older men, accounting for competing risks including mortality. Methods A comparative ROC curve analysis assessed the ability of the QFracture, FRAX® and Garvan fracture risk tools, and femoral neck bone mineral density (BMD) T-score with or without age to identify incident fracture in community-dwelling men aged 65 years or older (N=4994) without hip or clinical vertebral fracture or antifracture treatment at baseline. Results Among risk tools calculated with BMD, the discriminative ability to identify men with incident hip fracture was similar for FRAX (AUC 0.77, 95% CI 0.73, 0.81), the Garvan tool (AUC 0.78, 95% CI 0.74, 0.82), age plus femoral neck BMD T-score (AUC 0.79, 95% CI 0.75, 0.83) and femoral neck BMD T-score alone (AUC 0.76, 95% CI 0.72, 0.81). Among risk tools calculated without BMD, the discriminative ability to identify hip fracture was similar for QFracture (AUC 0.69, 95% CI 0.66, 0.73), FRAX (AUC 0.70, 95% CI 0.66, 0.73) and the Garvan tool (AUC 0.71, 95% CI 0.67, 0.74). Correlated ROC curve analyses revealed better diagnostic accuracy for risk scores calculated with BMD compared to QFracture (p < 0.0001). Calibration was good for the internally generated BMD T-score predictor with or without age and poor for the externally developed risk tools. Conclusion In untreated older men without fragility fractures at baseline, an age plus femoral neck BMD T-score classifier identified men with incident hip fracture as accurately as more complicated fracture risk scores.

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“…Men have received very little research attention even though 20–25 % of osteoporosis fractures occur in men ( 21 ) . The few studies in men suggest an overall deficit in knowledge of osteoporosis and its risk factors ( 22 , 23 ) . Therefore, the aims of the present study were to assess knowledge of osteoporosis and its risk factors and to explore the association between various sociodemographic factors and knowledge of osteoporosis in Indian adults above 40 years of age.…”

mentioning

confidence: 99%

Low knowledge of osteoporosis and its risk factors in urban Indian adults from Pune city, India

Kadam¹,

Chiplonkar²,

Khadilkar³

et al. 2019

Public Health Nutr.

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ObjectiveTo assess knowledge of osteoporosis and its risk factors and to explore associations between knowledge and various sociodemographic factors in Indian adults.DesignCross-sectional study. The Revised Osteoporosis Knowledge Test (OKT) was used to assess knowledge of osteoporosis. Four scores (OKT-total, range 0–32; OKT-exercise, range 0–20; OKT-nutrition, range 0–26; OKT-risk factors, range 0–14) were generated by giving 1 point to every correct answer and 0 points for incorrect or ‘not known’ answers.SettingTertiary-care hospital in Pune city, India.ParticipantsAdults aged 40–75 years (n477; 234 males) enrolled through voluntary routine health checks and health camps.ResultsMean age of the study population was 54·6 (sd9·5) years. Half the participants were aware of osteoporosis and could correctly define it. Women showed significantly higher median OKT-total and OKT-nutrition scores than men (P<0·05). Those with higher education and higher socio-economic status had significantly higher scores in both men and women (P<0·05). All four scores were significantly higher in both men and women who could correctly define osteoporosis (P<0·05). All four scores were significantly higher in women with a family history of osteoporosis (P<0·05) but not in men (P>0·1).ConclusionsUnderstanding about osteoporosis and its risk factors is low in the present cohort of Indian men and women. There is need to create awareness programmes aimed at both men and women especially targeting those with lower education, lower socio-economic status and no previous exposure to osteoporosis.

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Knowledge of Osteoporosis Among Men in the Primary Care Setting

Abstract: A significant percentage of men are unaware of the complications and risk factors for osteoporosis. Receiving educational information about osteoporosis from a physician should be considered at an early stage, especially for those patients with modifiable risk factors.

Cited by 13 publications

References 9 publications

Chinese Men’s Knowledge and Risk Factors of Osteoporosis

Chinese Men’s Knowledge and Risk Factors of Osteoporosis

Comparison of fracture risk assessment tools in older men without prior hip or spine fracture: the MrOS study

Low knowledge of osteoporosis and its risk factors in urban Indian adults from Pune city, India

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