Perception and awareness of osteoporosis and its related risk factors among women: A cross-sectional study
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Department of Pharmaceutics and Pharmaceutical Science, Faculty of Pharmacy, Applied Science Private University, Amman, JORDAN
School of Medicine, The University of Jordan, Amman, JORDAN
Department of Clinical Pharmacy, Faculty of Pharmacy, Applied Science Private University, Amman, JORDAN
Department of Pharmacology, College of Medicine and Health Science, Khalifa University of Science and Technology, Abu Dhabi, UAE
Department Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, The University of Jordan, Amman, JORDAN
Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi, UAE
Online publication date: 2023-02-28
Publication date: 2023-05-01
Electron J Gen Med 2023;20(3):em475
This study was designed to assess the awareness of women of the risk factors and preventive measures of osteoporosis.

This is a cross-sectional study that was conducted in Jordan. During the study period, a convenience sample of women were invited to participate via a survey link communicated through social media. Linear regression was used to screen independent variables affecting participants’ awareness of osteoporosis, its risk factors, and preventive measures.

426 women agreed to participate in this study, with a median age of 38.5 years (IQR=16.0). Results showed that women have a median awareness score of 5.0 out of 9.0 (IQR=4.0) about osteoporosis risk factors, whereas women with higher educational levels (diploma or higher) and those with medical-related degrees have a higher awareness about osteoporosis risk factors compared to others (p≤0.05). Medical websites were the primary source used to obtain information about osteoporosis by the participating women (n=236, 55.4%). Also, results showed that more than 90% of the women believed that osteoporosis is a chronic silent disease that makes your bones less dense and more fragile (n=418, 98.1%), and that bone strength may increase by taking vitamin D and calcium (n=405, 95.0%).

This study showed that women had an intermediate level of awareness of osteoporosis and prevention measures. The importance of medical websites and social media as sources of information was also demonstrated. More public targeted campaigns are needed to promote awareness of osteoporosis, its risk factors, prevention, and treatment.

Sozen T, Ozisik L, Basaran NÇ. An overview and management of osteoporosis. Eur J Rheumatol. 2017;4(1):46-56. https://doi.org/10.5152/eurjrh... PMid:28293453 PMCid:PMC5335887.
Rossini M, Adami S, Bertoldo F, et al. Guidelines for the diagnosis, prevention and management of osteoporosis. Reumatismo. 2016;68(1):1-39. https://doi.org/10.4081/reumat... PMid:27339372.
Jordan KM, Cooper C. Epidemiology of osteoporosis. Best Pract Res Clin Rheumatol. 2002;16(5):795-806. https://doi.org/10.1053/berh.2... PMid:12473274.
Werner P. Knowledge about osteoporosis: Assessment, correlates and outcomes. Osteoporos Int. 2005;16(2):115-27. https://doi.org/10.1007/s00198... PMid:15517187.
Kotz K, Deleger S, Cohen R, Kamigaki A, Kurata J. Osteoporosis and health-related quality-of-life outcomes in the Alameda County study population. Prev Chronic Dis. 2004;1(1):A05.
McLeod KM, Johnson CS. A systematic review of osteoporosis health beliefs in adult men and women. J Osteoporos. 2011;2011:197454. https://doi.org/10.4061/2011/1... PMid:21941678 PMCid:PMC3175388.
Saw SM, Hong CY, Lee J, et al. Awareness and health beliefs of women towards osteoporosis. Osteoporos Int. 2003;14(7):595-601. https://doi.org/10.1007/s00198... PMid:12830368.
Gemalmaz A, Oge A. Knowledge and awareness about osteoporosis and its related factors among rural Turkish women. Clin Rheumatol. 2008;27(6):723-8. https://doi.org/10.1007/s10067... PMid:17965905.
Nguyen NV, Dinh TA, Ngo QV, Tran VD, Breitkopf CR. Awareness and knowledge of osteoporosis in Vietnamese women. Asia Pac J Public Health. 2015;27(2):NP95-105. https://doi.org/10.1177/101053... PMid:22087035.
Yeap SS, Goh EM, Das Gupta E. Knowledge about osteoporosis in a Malaysian population. Asia Pac J Public Health. 2010;22(2):233-41. https://doi.org/10.1177/101053... PMid:20457652.
Miura S, Yagi M, Saavedra OL, Yamamoto S. Sociodemographic variation in knowledge of osteoporosis and locally available calcium-rich foods among urban women living on low incomes in Davao, Philippines. Health Care Women Int. 2010;31(5):387-401. https://doi.org/10.1080/073993... PMid:20390661.
Chang SF. Explore the effectors of bone mineral density in community women. J Nurs Res. 2004;12(4):327-36. https://doi.org/10.1097/01.JNR... PMid:15619183.
Elayeh E, Akour A, Yousef A-M, Farah D, Hamaly M, Basheti I. Osteoporosis amongst Jordanians: Effect of pharmacist- directed brochure education on people’s knowledge. Trop J Pharm Res. 2014;13:2101-8. https://doi.org/10.4314/tjpr.v....
Batieha A, Khader Y, Jaddou H, et al. Vitamin D status in Jordan: Dress style and gender discrepancies. Ann Nutr Metab. 2011;58(1):10-8. https://doi.org/10.1159/000323... PMid:21252499.
Shilbayeh S. Prevalence of osteoporosis and its reproductive risk factors among Jordanian women: A cross-sectional study. Osteoporos Int. 2003;14(11):929-40. https://doi.org/10.1007/s00198... PMid:14530908.
Al-Qutob RJ, Mawajdeh SM, Khalil AA, Schmidt AB, Hannak AO, Masri BK. The magnitude of osteoporosis in middle aged women. Saudi Med J. 2001;22(12):1109-17.
Saadeh R, Jumaa D, Elsalem L, et al. Osteoporosis among postmenopausal women in Jordan: A national cross-sectional study. Int J Environ Res Public Health. 2022;19(14):8803. https://doi.org/10.3390/ijerph... PMid:35886655 PMCid:PMC9315755.
Hyassat D, Alyan T, Jaddou H, Ajlouni KM. Prevalence and risk factors of osteoporosis among Jordanian postmenopausal women attending the National Center for Diabetes, Endocrinology and Genetics in Jordan. Biores Open Access. 2017;6(1):85-93. https://doi.org/10.1089/biores... PMid:28736691 PMCid:PMC5515108.
Kanis JA. Assessment of osteoporosis at the primary health-care level. Available at. http://wwwshefacuk/FRAX.2008 (Accessed: 7 November 2022).
Tabachnick BG, Fidell LS. Using multivariate statistics. Boston, MA: Allyn & Bacon, Inc.; 2006.
Pande KC, de Takats D, Kanis JA, Edwards V, Slade P, McCloskey EV. Development of a questionnaire (OPQ) to assess patient’s knowledge about osteoporosis. Maturitas. 2000;37(2):75-81. https://doi.org/10.1016/S0378-... PMid:11137326.
Alefishat E, Hammad H, Shehadeh M, Ramadan S, Mukattash T. Knowledge and awareness about osteoporosis among Jordanian women. Eur J Pers Cent Healthc. 2015;3(1):100-7. https://doi.org/10.5750/ejpch.....
Ungan M, Tumer M. Turkish women’s knowledge of osteoporosis. Fam Pract. 2001;18(2):199-203. https://doi.org/10.1093/fampra... PMid:11264272.
Phillipov G, Phillips PJ, Leach G, Taylor AW. Public perceptions and self-reported prevalence of osteoporosis in South Australia. Osteoporos Int. 1998;8(6):552-6. https://doi.org/10.1007/s00198... PMid:10326060.
Juby AG, Davis P. A prospective evaluation of the awareness, knowledge, risk factors and current treatment of osteoporosis in a cohort of elderly subjects. Osteoporos Int. 2001;12(8):617-22. https://doi.org/10.1007/s00198... PMid:11580074.
Costello R, Patel R, Humphreys J, McBeth J, Dixon WG. Patient perceptions of glucocorticoid side effects: a cross-sectional survey of users in an online health community. BMJ Open. 2017;7(4):e014603. https://doi.org/10.1136/bmjope... PMid:28373256 PMCid:PMC5387953.
van der Goes MC, Jacobs JW, Boers M, Andrews T, et al. Patient and rheumatologist perspectives on glucocorticoids: An exercise to improve the implementation of the European League Against Rheumatism (EULAR) recommendations on the management of systemic glucocorticoid therapy in rheumatic diseases. Ann Rheum Dis. 2010;69(6):1015-21. https://doi.org/10.1136/ard.20... PMid:19762359.
Guidry JA, George JN, Vesely SK, Kennison SM, Terrell DR. Corticosteroid side-effects and risk for bleeding in immune thrombocytopenic purpura: Patient and hematologist perspectives. Eur J Haematol. 2009;83(3):175-82. https://doi.org/10.1111/j.1600... PMid:19374704.
Jonklaas J, Bianco AC, Bauer AJ, et al. Guidelines for the treatment of hypothyroidism: Prepared by the american thyroid association task force on thyroid hormone replacement. Thyroid. 2014;24(12):1670-751. https://doi.org/10.1089/thy.20... PMid:25266247 PMCid:PMC4267409.
Hammoudeh S, Abdelrahman MH, Chandra P, Hammoudeh M. An assessment of patients’ knowledge of osteoporosis in Qatar: A pilot study. Qatar Med J. 2015;2015(2):13. https://doi.org/10.5339/qmj.20... PMid:26835409 PMCid:PMC4719434.
Clynes MA, Harvey NC, Curtis EM, Fuggle NR, Dennison EM, Cooper C. The epidemiology of osteoporosis. Br Med Bull. 2020;133(1):105-17. https://doi.org/10.1093/bmb/ld... PMid:32282039 PMCid:PMC7115830.
Tariq A, Khan SR, Basharat A. Assessment of knowledge, attitudes and practice towards Vitamin D among university students in Pakistan. BMC Public Health. 2020;20(1):355. https://doi.org/10.1186/s12889... PMid:32183774 PMCid:PMC7079348.
Oumer KS, Liu Y, Yu Q, Wu F, Yang S. Awareness of osteoporosis among 368 residents in China: A cross-sectional study. BMC Musculoskelet Disord. 2020;21(1):197. https://doi.org/10.1186/s12891... PMid:32228605 PMCid:PMC7106623.
Drozdzowska B, Pluskiewicz W, Skiba M. Knowledge about osteoporosis in a cohort of Polish females: The influence of age, level of education and personal experiences. Osteoporos Int. 2004;15(8):645-8. https://doi.org/10.1007/s00198... PMid:14735301.
Puttapitakpong P, Chaikittisilpa S, Panyakhamlerd K, Nimnuan C, Jaisamrarn U, Taechakraichana N. Inter-correlation of knowledge, attitude, and osteoporosis preventive behaviors in women around the age of peak bone mass. BMC Women Health. 2014;14(1):35. https://doi.org/10.1186/1472-6... PMid:24588970 PMCid:PMC3942254.
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