The Development and Validation of the Osteoporosis Prevention and Awareness Tool (OPAAT) in Malaysia

Toh, Li Shean; Lai, Pauline Siew Mei; Wu, Delon; Wong, Kok Thong; Low, Bee Yean; Anderson, Claire

doi:10.1371/journal.pone.0124553

Cited by 22 publications

(22 citation statements)

References 37 publications

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“…In China, osteoporosis is still a major public health problem with a growing aging population. Raising osteoporosis awareness among the general population is useful for osteoporosis prevention and treatment programs [14]. This study examined the level of osteoporosis awareness among Chinese residents, determined the risk factors associated with a lower level of osteoporosis awareness, and assessed the sources of their knowledge about osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

Awareness of osteoporosis among 368 residents in China: a cross-sectional study

Oumer

Liu

et al. 2020

BMC Musculoskelet Disord

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Background: Studies on osteoporosis awareness among the general population in China are still limited. We examined the level of osteoporosis awareness among residents in China, determined the risk factors associated with a lower level of osteoporosis awareness, and assessed the sources of their knowledge about osteoporosis. Methods: We conducted a cross-sectional study among 368 general residents aged 30 years or older from 19 provinces during January-March 2018 in China. All participants were identified and interviewed face-to-face by medical students in Jilin University using a structured questionnaire. Osteoporosis awareness scores (percent of the correct answer) were determined across several domains, including definition, diagnosis, risk factors, and prevention of osteoporosis. We used multiple linear regression models to test the relationship between risk factors and overall awareness scores. Results: The mean age of included participants was 52.9 ± 10.2 years, and 53% of them were male. Osteoporosis awareness score for definition was 77.7%, diagnosis 49.6%, risk factors 49.2%, treatment 60.5%, and prevention 69.9%. The overall awareness score was 67.8%. Lower family income and education level were significantly associated with lower overall awareness score (all p < 0.05). Television or radio health program was reported to be their main source of knowledge about osteoporosis. Conclusion: The awareness level for osteoporosis in our study is moderate; lower family income and education level were risk factors for lower awareness. Television or radio health programs had the greatest contribution to osteoporosis awareness.

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Section: Discussionmentioning

confidence: 99%

Awareness of osteoporosis among 368 residents in China: a cross-sectional study

Oumer

Liu

et al. 2020

BMC Musculoskelet Disord

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“…Subjects’ knowledge and health beliefs regarding osteoporosis were tested using a modified Osteoporosis Prevention and Awareness Tool (OPAAT) [34] and Osteoporosis Health Belief Scale (OHBS) (Kim et al, 2013), respectively. The researchers involved in this study discussed and decided the items to be included in both questionnaires.…”

Section: Methodsmentioning

confidence: 99%

Levels of Knowledge, Beliefs, and Practices Regarding Osteoporosis and the Associations with Bone Mineral Density among Populations More Than 40 Years Old in Malaysia

Chan

Subramaniam

Chin

et al. 2019

IJERPH

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Osteoporosis is a skeletal disorder commonly found among the elderly, in which the bones become weak, brittle, and more susceptible to fracture. Adequate knowledge and positive attitude towards the disease and osteoprotective activities may prevent osteoporosis, but comprehensive studies to verify this hypothesis are limited in Malaysia. This study aims to bridge the research gap by determining the levels of knowledge, beliefs, and practices regarding osteoporosis and their associations with bone mineral density (BMD) among men and women ≥ 40 years in Klang Valley, Malaysia. In this cross-sectional study, 786 Malaysians (382 men, 404 women) completed a questionnaire on knowledge, beliefs, and osteoprotective practices, and underwent BMD scan using a dual-energy X-ray absorptiometry device. The current study found moderate levels of knowledge and beliefs regarding osteoporosis but poor osteoprotective practices. Osteoporosis knowledge, beliefs, and practices were significantly different based on subjects’ demographic characteristics (p < 0.05). Osteoporosis knowledge and beliefs were correlated significantly with osteoprotective practices (p < 0.05). Bone health status of the subjects was associated positively with calcium supplement intake, and negatively with exercise barriers and smoking status of the subjects (p < 0.05). However, no significant correlation was noted between osteoporosis knowledge and bone health (p > 0.05). Conclusively, despite some correlations between individual components, the detachment between bone health knowledge and beliefs, and osteoprotective practices among Malaysians is apparent. Integrating all three components into a comprehensive osteoporosis prevention program is warranted.

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“…The knowledge questionnaire was modelled based on the Osteoporosis Prevention and Awareness Tool (OPAAT) [24]. The researchers involved in this study discussed and selected 12 questions from the original questionnaire based on current literature, in which six tested the general knowledge regarding osteoporosis and six tested knowledge on osteoporosis prevention.…”

Section: Methodsmentioning

confidence: 99%

Knowledge, Beliefs, Dietary, and Lifestyle Practices Related to Bone Health among Middle-Aged and Elderly Chinese in Klang Valley, Malaysia

Chan

Subramaniam

Chin

et al. 2019

IJERPH

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Osteoporosis is a growing health problem in Asian countries with a rapidly expanding aging population. Adequate knowledge and positive health beliefs regarding osteoporosis will encourage individuals to adopt measures to protect bone health. This study aimed to investigate the association between knowledge, beliefs, and practices regarding osteoporosis and bone health among Malaysians Chinese aged 40 years and above. A cross-sectional study was conducted among 367 Malaysians Chinese (182 men, 185 women) aged ≥ 40 years in Klang Valley, Malaysia. They completed a questionnaire on knowledge, beliefs, and practices of osteoporosis and underwent bone mineral density scan using a dual-energy X-ray absorptiometry device. The subjects showed moderate knowledge and high level of health beliefs regarding osteoporosis, but poor osteoprotective practices. Osteoporosis knowledge and beliefs were significantly different based on subjects’ demographic characteristics (p < 0.05). Additionally, osteoporosis knowledge was correlated positively with beliefs, coffee or tea intake (p < 0.05) but not with other lifestyle practices. Osteoporosis health beliefs was associated positively with physical activity, dairy and calcium intake (p < 0.05). However, bone health was not associated with knowledge, beliefs and practices regarding osteoporosis (p > 0.05). The present findings highlight the need of formulating osteoporosis prevention program targeting Malaysians Chinese, especially men, to improve their knowledge, health beliefs, and practice.

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The Development and Validation of the Osteoporosis Prevention and Awareness Tool (OPAAT) in Malaysia

Cited by 22 publications

References 37 publications

Awareness of osteoporosis among 368 residents in China: a cross-sectional study

Awareness of osteoporosis among 368 residents in China: a cross-sectional study

Levels of Knowledge, Beliefs, and Practices Regarding Osteoporosis and the Associations with Bone Mineral Density among Populations More Than 40 Years Old in Malaysia

Knowledge, Beliefs, Dietary, and Lifestyle Practices Related to Bone Health among Middle-Aged and Elderly Chinese in Klang Valley, Malaysia

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