HEALTH PROFILE AND FACTORS ASSOCIATED WITH OSTEOPOROSIS CARE IN BRAZILIAN WOMEN: A STUDY IN RONDONÓPOLIS, MT
DOI:
https://doi.org/10.56238/arev7n10-145Keywords:
Osteoporosis, Risk Factors, Health Education, Women's Health, Treatment AdherenceAbstract
Objective: To analyze the profile of women regarding sociodemographic, reproductive, and health factors related to osteoporosis care in Rondonópolis, Mato Grosso. Methods: A cross-sectional study was conducted in 2024 with 405 women aged 40 or older, treated at an outpatient clinic in the interior of the state of Mato Grosso. Sociodemographic and health data were collected through structured questionnaires. Descriptive and inferential analyses were conducted using R software. Results: A significant correlation was observed between bone densitometry testing and receiving professional guidance, indicating that awareness influences adherence to preventive care. Furthermore, women who reported greater knowledge about osteoporosis had higher adherence to preventive screenings. Conclusion: The study highlighted important gaps in osteoporosis care among adult and elderly women, especially regarding knowledge of the disease and low bone densitometry performance. Women who received guidance from healthcare professionals showed greater adherence to treatment and greater participation in preventive screenings, reinforcing the central role of health education. The results highlight the need for ongoing educational strategies and specific public policies to expand osteoporosis screening and prevention, contributing to early detection and a better quality of life for this population.
Downloads
References
World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: report of a WHO study group [meeting held in Rome from 22 to 25 June 1992]. Geneva; 1994. p. 1–129.
Lin LP, Lai WJ, Hsu SW, Lin JD. Early Osteoporosis Risks and Associated Factors among Caregivers Working in Disability Institutions: IOF One-Minute Osteoporosis Risk Check. Int J Environ Res Public Health. 10 de maio de 2020;17(9):3319.
Rodrigues A, Romeiro C, Patrizzi L. Avaliação da cifose torácica em mulheres idosas portadoras de osteoporose por meio da biofotogrametria computadorizada. Braz J Phys Ther. junho de 2009;13(3):205–9.
Hiligsmann M, Kanis JA, Compston J, Cooper C, Flamion B, Bergmann P, et al. Health Technology Assessment in Osteoporosis. Calcif Tissue Int. 21 de julho de 2013;93(1):1–14.
Pinheiro MM, Reis Neto ET dos, Machado FS, Omura F, Yang JHK, Szejnfeld J, et al. Risk factors for osteoporotic fractures and low bone density in pre and postmenopausal women. Rev Saude Publica. junho de 2010;44(3):479–85.
Martini LA, Moura EC de, Santos LC dos, Malta DC, Pinheiro M de M. Prevalência de diagnóstico auto-referido de osteoporose, Brasil, 2006. Rev Saude Publica. novembro de 2009;43(suppl 2):107–16.
Aziziyeh R, Amin M, Habib M, Garcia Perlaza J, Szafranski K, McTavish RK, et al. The burden of osteoporosis in four Latin American countries: Brazil, Mexico, Colombia, and Argentina. J Med Econ. 3 de julho de 2019;22(7):638–44.
SHAPIRO SS, WILK MB. An analysis of variance test for normality (complete samples). Biometrika. 1o de dezembro de 1965;52(3–4):591–611.
Siegal S, Castellan Jr. NJ. Estatística não-paramétrica para ciência do comportamento. 2o ed. Porto Alegre: Artmed; 2006.
R Core Team. R: A language and environment for statistical computing. Vienna: URL https://www.R-project.org/; 2021.
Instituto Brasileiro de Geografia e Estatística (IBGE). Desigualdades sociais por cor ou raça no Brasil: um olhar sobre a população e as condições de vida dos brasileiros. Rio de Janeiro; 2019.
Santos Silva L, da Conceição Barbosa RB, Lima JP, Castro-Alves J, Ribeiro-Alves M. Racial Inequalities in the Health Establishment Access to the Treatment of COVID-19 in Brazil in 2020. J Racial Ethn Health Disparities. 8 de janeiro de 2024.
Pluskiewicz W, Adamczyk P, Czekajło A, Grzeszczak W, Drozdzowska B. Influence of education, marital status, occupation, and the place of living on skeletal status, fracture prevalence, and the course and effectiveness of osteoporotic therapy in women in the RAC-OST-POL Study. J Bone Miner Metab. 21 de janeiro de 2014;32(1):89–95.
Xiao H, Zhou Q, Niu G, Han G, Zhang Z, Zhang Q, et al. Association between breastfeeding and osteoporotic hip fracture in women: a dose-response meta-analysis. J Orthop Surg Res. 16 de dezembro de 2020;15(1):15.
Barros B de S, Kuschnir MCMC, Bloch KV, Silva TLN da. ERICA: age at menarche and its association with nutritional status. J Pediatr (Rio J). janeiro de 2019;95(1):106–11.
Yang Y, Wang S, Cong H. Association between age at menarche and bone mineral density in postmenopausal women. J Orthop Surg Res. 17 de janeiro de 2023;18(1):51.
Elgzar WT, Nahari MH, Sayed SH, Ibrahim HA. Determinant of Osteoporosis Preventive Behaviors among Perimenopausal Women: A Cross-Sectional Study to Explore the Role of Knowledge and Health Beliefs. Nutrients. 6 de julho de 2023;15(13):3052.
des Bordes J, Prasad S, Pratt G, Suarez-Almazor ME, Lopez-Olivo MA. Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLoS One. 15 de janeiro de 2020;15(1):e0227765.
Morfeld JC, Vennedey V, Müller D, Pieper D, Stock S. Patient education in osteoporosis prevention: a systematic review focusing on methodological quality of randomised controlled trials. Osteoporosis International. 24 de junho de 2017;28(6):1779–803.
Barańska A, Drop B, Religioni U, Dolar-Szczasny J, Malm M, Wdowiak K, et al. Assessment of Awareness and Knowledge about Osteoporosis in Relation to Health Prevention among Patients Treated in Osteoporosis Clinics. J Clin Med. 24 de setembro de 2023;12(19):6157.