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Published in: Osteoporosis International 4/2019

01-04-2019 | Osteoporosis

Osteoporosis awareness and health beliefs among Lebanese women aged 40 years and above

Authors: C. El Hage, S. Hallit, M. Akel, E. Dagher

Published in: Osteoporosis International | Issue 4/2019

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Abstract

Summary

Our study investigated the characteristics of Lebanese women population groups with the poorest knowledge of osteoporosis definition, risk factors, and preventive measures in order to identify categories that should be targeted in future campaigns and educational programs. Higher knowledge scores were reached in women who already heard about the disease and had a formal education. As a result, osteoporosis awareness campaigns and educational programs are mostly needed in populations with lower educational levels.

Introduction

Our study investigated the characteristics of Lebanese women population groups with the poorest knowledge of osteoporosis definition, risk factors, and preventive measures.

Methods

A cross-sectional study, conducted between March and June 2018, enrolled 560 community dwelling women aged 40 years and above. A questionnaire was used to collect data. A proportionate random sample from all Lebanese Mohafazat was used. Data collection was performed through personal interviews. The median was used as a cutoff point for both the Knowledge and Health Belief scales.

Results

The study results showed that 47.3% of participants had a poor knowledge score. Women who received no education, compared to a higher education and have not previously heard about the disease, had lower knowledge scores. In addition, women not taking calcium and vitamin D supplements and not exercising or exercising less than 20 min per day compared to those having these characteristics had lower osteoporosis knowledge levels. A lower knowledge score was associated with less recognized benefits of adequate calcium intake and regular physical activity, more perceived barriers towards their practice, and a less important health motivation. A lower level of education correlated to the same results.

Conclusion

Lower knowledge scores were reached in women who have never heard of osteoporosis and had a lower level of education. As a result, osteoporosis awareness campaigns and educational programs need to target population categories with lower educational levels.
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Literature
1.
go back to reference Reginster J, Burlet N (2006) Osteoporosis: a still increasing prevalence. Bone. 38(2):4–9CrossRef Reginster J, Burlet N (2006) Osteoporosis: a still increasing prevalence. Bone. 38(2):4–9CrossRef
2.
go back to reference Kanis JA (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporos Int 4(6):368–381CrossRef Kanis JA (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporos Int 4(6):368–381CrossRef
3.
go back to reference Lips P, van Schoor NM (2005) Quality of life in patients with osteoporosis. Osteoporos Int 16(5):447–455CrossRef Lips P, van Schoor NM (2005) Quality of life in patients with osteoporosis. Osteoporos Int 16(5):447–455CrossRef
4.
go back to reference Johnell O, Kanis JA, Oden A et al (2004) Mortality after osteoporotic fractures. Osteoporos Int 15(1):38–42CrossRef Johnell O, Kanis JA, Oden A et al (2004) Mortality after osteoporotic fractures. Osteoporos Int 15(1):38–42CrossRef
5.
go back to reference Baddoura R, Arabi A, Haddad-Zebouni S, Khoury N, Salamoun M, Ayoub G, Okais J, Awada H, Fuleihan GEH (2007) Vertebral fracture risk and impact of database selection on identifying elderly lebanese with osteoporosis. Bone. 40(4):1066–1072CrossRef Baddoura R, Arabi A, Haddad-Zebouni S, Khoury N, Salamoun M, Ayoub G, Okais J, Awada H, Fuleihan GEH (2007) Vertebral fracture risk and impact of database selection on identifying elderly lebanese with osteoporosis. Bone. 40(4):1066–1072CrossRef
6.
go back to reference Ross PD (1996) Osteoporosis: frequency, consequences, and risk factors. Arch Intern Med 156(13):1399–1411CrossRef Ross PD (1996) Osteoporosis: frequency, consequences, and risk factors. Arch Intern Med 156(13):1399–1411CrossRef
7.
go back to reference Aloia JF, Cohn SH, Vaswani A, Yeh JK, Yuen K, Ellis K (1985) Risk factors for postmenopausal osteoporosis. Am J Med 78(1):95–100CrossRef Aloia JF, Cohn SH, Vaswani A, Yeh JK, Yuen K, Ellis K (1985) Risk factors for postmenopausal osteoporosis. Am J Med 78(1):95–100CrossRef
8.
go back to reference Khosla S, Oursler MJ, Monroe DG (2012) Estrogen and the skeleton. Trends Endocrinol Metab 23(11):576–581CrossRef Khosla S, Oursler MJ, Monroe DG (2012) Estrogen and the skeleton. Trends Endocrinol Metab 23(11):576–581CrossRef
9.
go back to reference Faloni A, Sasso-Cerri E, Katchburian E, Cerri PS (2007) Decrease in the number and apoptosis of alveolar bone osteoclasts in estrogen-treated rats. J Periodontal Res 42(3):193–201CrossRef Faloni A, Sasso-Cerri E, Katchburian E, Cerri PS (2007) Decrease in the number and apoptosis of alveolar bone osteoclasts in estrogen-treated rats. J Periodontal Res 42(3):193–201CrossRef
10.
go back to reference Tomkinson A, Reeve J, Shaw RW, Noble BS (1997) The death of osteocytes via apoptosis accompanies estrogen withdrawal in human bone. J Clin Endocrinol Metab 82(9):3128–3135PubMed Tomkinson A, Reeve J, Shaw RW, Noble BS (1997) The death of osteocytes via apoptosis accompanies estrogen withdrawal in human bone. J Clin Endocrinol Metab 82(9):3128–3135PubMed
11.
go back to reference Kousteni S, Chen J, Bellido T, Han L, Ali AA, O’Brien CA, Plotkin L, Fu Q, Mancino AT, Wen Y, Vertino AM, Powers CC, Stewart SA, Ebert R, Parfitt AM, Weinstein RS, Jilka RL, Manolagas SC (2002) Reversal of bone loss in mice by nongenotropic signaling of sex steroids. Science. 298(5594):843–846CrossRef Kousteni S, Chen J, Bellido T, Han L, Ali AA, O’Brien CA, Plotkin L, Fu Q, Mancino AT, Wen Y, Vertino AM, Powers CC, Stewart SA, Ebert R, Parfitt AM, Weinstein RS, Jilka RL, Manolagas SC (2002) Reversal of bone loss in mice by nongenotropic signaling of sex steroids. Science. 298(5594):843–846CrossRef
12.
go back to reference Emerton KB, Hu B, Woo AA, Sinofsky A, Hernandez C, Majeska RJ, Jepsen KJ, Schaffler MB (2010) Osteocyte apoptosis and control of bone resorption following ovariectomy in mice. Bone. 46(3):577–583CrossRef Emerton KB, Hu B, Woo AA, Sinofsky A, Hernandez C, Majeska RJ, Jepsen KJ, Schaffler MB (2010) Osteocyte apoptosis and control of bone resorption following ovariectomy in mice. Bone. 46(3):577–583CrossRef
13.
go back to reference Varghese NM, Kumari V, Madanla M (2013) Evaluation of effectiveness of an informational booklet on prevention of osteoporosis in terms of knowledge, attitude and expressed practices of working women. IOSR-JNHS. 2(5):10–18CrossRef Varghese NM, Kumari V, Madanla M (2013) Evaluation of effectiveness of an informational booklet on prevention of osteoporosis in terms of knowledge, attitude and expressed practices of working women. IOSR-JNHS. 2(5):10–18CrossRef
14.
15.
go back to reference El-Tawab SS, Saba EKA, Elweshahi HMT, Ashry MH (2016) Knowledge of osteoporosis among women in alexandria (Egypt): a community based survey. Egypt Rheumatol 38(3):225–231CrossRef El-Tawab SS, Saba EKA, Elweshahi HMT, Ashry MH (2016) Knowledge of osteoporosis among women in alexandria (Egypt): a community based survey. Egypt Rheumatol 38(3):225–231CrossRef
16.
go back to reference Winzenberg TM, Oldenburg B, Frendin S, Jones G (2003) The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the osteoporosis knowledge assessment tool (OKAT). BMC Musculoskelet Disord 4(1):17CrossRef Winzenberg TM, Oldenburg B, Frendin S, Jones G (2003) The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the osteoporosis knowledge assessment tool (OKAT). BMC Musculoskelet Disord 4(1):17CrossRef
17.
go back to reference Kim KK, Horan ML, Gendler P (1991) Development and evaluation of the osteoporosis knowledge test. Unpublished manuscript.Grand Valley State University, Allendale, MI Kim KK, Horan ML, Gendler P (1991) Development and evaluation of the osteoporosis knowledge test. Unpublished manuscript.Grand Valley State University, Allendale, MI
18.
go back to reference Pande KC, de Takats D, Kanis JA, Edwards V, Slade P, McCloskey EV (2000) Development of a questionnaire (OPQ) to assess patient’s knowledge about osteoporosis. Maturitas. 37(2):75–81CrossRef Pande KC, de Takats D, Kanis JA, Edwards V, Slade P, McCloskey EV (2000) Development of a questionnaire (OPQ) to assess patient’s knowledge about osteoporosis. Maturitas. 37(2):75–81CrossRef
19.
go back to reference Ailinger RL, Harper DC, Lasus HA (1998) Bone up on osteoporosis: development of the facts on osteoporosis quiz. Orthop Nurs 17(5):66–73CrossRef Ailinger RL, Harper DC, Lasus HA (1998) Bone up on osteoporosis: development of the facts on osteoporosis quiz. Orthop Nurs 17(5):66–73CrossRef
20.
go back to reference Kim KK, Horan ML, Gendler P, Patel MK (1991) Development and evaluation of the osteoporosis health belief scale. Res Nurs Health 14(2):155–163CrossRef Kim KK, Horan ML, Gendler P, Patel MK (1991) Development and evaluation of the osteoporosis health belief scale. Res Nurs Health 14(2):155–163CrossRef
21.
go back to reference Antunes B, Daveson B, Ramsenthaler C et al (2012) The palliative care outcome scale (POS) manual for cross-cultural adaptation and psychometric validation. Cicely Saunders Institute, London Antunes B, Daveson B, Ramsenthaler C et al (2012) The palliative care outcome scale (POS) manual for cross-cultural adaptation and psychometric validation. Cicely Saunders Institute, London
22.
go back to reference Beaton D, Bombardier C, Guillemin F, Ferraz MB. (2002) Recommendations for the cross-cultural adaptation of health status measures. New York: Am Acad Orthopaedic Surg 1–9 Beaton D, Bombardier C, Guillemin F, Ferraz MB. (2002) Recommendations for the cross-cultural adaptation of health status measures. New York: Am Acad Orthopaedic Surg 1–9
23.
go back to reference Al-Muraikhi H, Chehab MA, Said H, Selim N (2017) Assessing health beliefs about osteoporosis among women attending primary health care centres in Qatar. J Taibah Univ Med Sci 12(4):349–355PubMedPubMedCentral Al-Muraikhi H, Chehab MA, Said H, Selim N (2017) Assessing health beliefs about osteoporosis among women attending primary health care centres in Qatar. J Taibah Univ Med Sci 12(4):349–355PubMedPubMedCentral
24.
go back to reference Gemalmaz A, Oge A (2008) Knowledge and awareness about osteoporosis and its related factors among rural turkish women. Clin Rheumatol 27(6):723–728CrossRef Gemalmaz A, Oge A (2008) Knowledge and awareness about osteoporosis and its related factors among rural turkish women. Clin Rheumatol 27(6):723–728CrossRef
25.
go back to reference Barzanji AT, Alamri FA, Mohamed AG (2013) Osteoporosis: a study of knowledge, attitude and practice among adults in Riyadh, Saudi Arabia. J Community Health 38(6):1098–1105CrossRef Barzanji AT, Alamri FA, Mohamed AG (2013) Osteoporosis: a study of knowledge, attitude and practice among adults in Riyadh, Saudi Arabia. J Community Health 38(6):1098–1105CrossRef
26.
go back to reference Ciesielczuk N, Glibowski P, Szczepanik J (2014) Awareness of factors affecting osteoporosis obtained from a survey on retired polish subjects. Roczniki Państwowego Zakładu Higieny 65(2):147–153PubMed Ciesielczuk N, Glibowski P, Szczepanik J (2014) Awareness of factors affecting osteoporosis obtained from a survey on retired polish subjects. Roczniki Państwowego Zakładu Higieny 65(2):147–153PubMed
27.
go back to reference Hiremath RN, Yadav AK, Ghodke S, Yadav J, Latwal S, Kotwal A (2016) Osteoporosis among household women: a growing but neglected phenomenon. Med J Armed Forces India 74(1):5–10CrossRef Hiremath RN, Yadav AK, Ghodke S, Yadav J, Latwal S, Kotwal A (2016) Osteoporosis among household women: a growing but neglected phenomenon. Med J Armed Forces India 74(1):5–10CrossRef
28.
go back to reference Juby AG, Davis P (2001) A prospective evaluation of the awareness, knowledge, risk factors and current treatment of osteoporosis in a cohort of elderly subjects. Osteoporos Int 12(8):617–622CrossRef Juby AG, Davis P (2001) A prospective evaluation of the awareness, knowledge, risk factors and current treatment of osteoporosis in a cohort of elderly subjects. Osteoporos Int 12(8):617–622CrossRef
29.
go back to reference Ford MA, Bass MA, Keathley R (2007) Osteoporosis knowledge and attitudes: a cross-sectional study among college-age students. J Am Coll Heal 56(1):43–48CrossRef Ford MA, Bass MA, Keathley R (2007) Osteoporosis knowledge and attitudes: a cross-sectional study among college-age students. J Am Coll Heal 56(1):43–48CrossRef
30.
go back to reference Kutsal YG, Atalay A, Arslan Ş, Başaran A, Cantürk F, Cindaş A, Eryavuz M, İrdesel J, Karadavut Kİ, Kirazlı Y, Sindel D, Şenel K, Güler-Uysal F, Yıldırım K (2005) Awareness of osteoporotic patients. Osteoporos Int 16(2):128–133CrossRef Kutsal YG, Atalay A, Arslan Ş, Başaran A, Cantürk F, Cindaş A, Eryavuz M, İrdesel J, Karadavut Kİ, Kirazlı Y, Sindel D, Şenel K, Güler-Uysal F, Yıldırım K (2005) Awareness of osteoporotic patients. Osteoporos Int 16(2):128–133CrossRef
31.
go back to reference Wahba SA, El-Shaheed AA, Tawheed MS, Mekkawy AA, Arrafa AM (2010) Osteoporosis knowledge, beliefs, and behaviors among egyption female students. JASMR. 5(2):173–180 Wahba SA, El-Shaheed AA, Tawheed MS, Mekkawy AA, Arrafa AM (2010) Osteoporosis knowledge, beliefs, and behaviors among egyption female students. JASMR. 5(2):173–180
32.
go back to reference Mahfouz EM, Kamel EG, Mosalem FAE, Sameh E (2007) Osteoporosis-related lifestyle choices and knowledge among adolescent females in el-minia city, Egypt. El-Minia Med Bull 18:1 Mahfouz EM, Kamel EG, Mosalem FAE, Sameh E (2007) Osteoporosis-related lifestyle choices and knowledge among adolescent females in el-minia city, Egypt. El-Minia Med Bull 18:1
33.
go back to reference Werner P (2005) Knowledge about osteoporosis: Assessment, correlates and outcomes. Osteoporos Int 16(2):115–127CrossRef Werner P (2005) Knowledge about osteoporosis: Assessment, correlates and outcomes. Osteoporos Int 16(2):115–127CrossRef
35.
go back to reference Saw S, Hong C, Lee J et al (2003) Awareness and health beliefs of women towards osteoporosis. Osteoporos Int 14(7):595–601CrossRef Saw S, Hong C, Lee J et al (2003) Awareness and health beliefs of women towards osteoporosis. Osteoporos Int 14(7):595–601CrossRef
36.
go back to reference Magnus JH, Joakimsen RM, Berntsen GK, Tollan A, Søgaard AJ (1996) What do norwegian women and men know about osteoporosis? Osteoporos Int 6(1):31–36CrossRef Magnus JH, Joakimsen RM, Berntsen GK, Tollan A, Søgaard AJ (1996) What do norwegian women and men know about osteoporosis? Osteoporos Int 6(1):31–36CrossRef
37.
go back to reference Terrio K, Auld GW (2002) Osteoporosis knowledge, calcium intake, and weight-bearing physical activity in three age groups of women. J Community Health 27(5):307–320CrossRef Terrio K, Auld GW (2002) Osteoporosis knowledge, calcium intake, and weight-bearing physical activity in three age groups of women. J Community Health 27(5):307–320CrossRef
39.
go back to reference Giangregorio L, Thabane L, Cranney A, Adili A (2010) Osteoporosis knowledge among individuals with recent fragility fracture. Orthop Nurs 29(2):99–107CrossRef Giangregorio L, Thabane L, Cranney A, Adili A (2010) Osteoporosis knowledge among individuals with recent fragility fracture. Orthop Nurs 29(2):99–107CrossRef
40.
go back to reference Shanthi Johnson C, McLeod W, Kennedy L, McLeod K (2008) Osteoporosis health beliefs among younger and older men and women. Health Educ Behav 35(5):721–733CrossRef Shanthi Johnson C, McLeod W, Kennedy L, McLeod K (2008) Osteoporosis health beliefs among younger and older men and women. Health Educ Behav 35(5):721–733CrossRef
41.
go back to reference Piehowski KE, Nickols-Richardson SM, Clymer EK, Roberto KA (2010) Osteoporosis health beliefs in women differ by menopausal status and across age cohorts. Fam Consum Sci Res J 38(3):345–355CrossRef Piehowski KE, Nickols-Richardson SM, Clymer EK, Roberto KA (2010) Osteoporosis health beliefs in women differ by menopausal status and across age cohorts. Fam Consum Sci Res J 38(3):345–355CrossRef
Metadata
Title
Osteoporosis awareness and health beliefs among Lebanese women aged 40 years and above
Authors
C. El Hage
S. Hallit
M. Akel
E. Dagher
Publication date
01-04-2019
Publisher
Springer London
Published in
Osteoporosis International / Issue 4/2019
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-019-04901-2

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