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Erschienen in: Archives of Osteoporosis 1/2019

01.12.2019 | Original Article

Knowledge, attitudes, beliefs, and health behaviors of bone health among Caribbean Hispanic/Latino adults

verfasst von: Sabrina E. Noel, Sandra P. Arevalo, Noereem Z. Mena, Kelsey Mangano, Martha Velez, Bess Dawson-Hughes, Katherine L. Tucker

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2019

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Abstract

Summary

Few studies have examined knowledge and perceptions of osteoporosis among Caribbean Latino adults. Confusion regarding the term osteoporosis was noted. Doctors were viewed as trusted sources of health information, although descriptions of a paradoxical relationship emerged. This study can be used to inform culturally tailored interventions for osteoporosis prevention.

Purpose

The overall goal of this study was to assess knowledge, attitudes, and beliefs of bone health and osteoporosis among Caribbean Latino adults aged > 50 years.

Methods

This triangulated mixed methods study included completion of a quantitative questionnaire and participation in one of four focus groups to obtain information on (1) general health, (2) knowledge about bone health and osteoporosis, (3) sources of information about bone health, and (4) prevention knowledge and personal responsibility. Quantitative data were analyzed using SAS, and qualitative data were analyzed using descriptive and structural coding by two independent research members.

Results

The majority of participants were female (73%), Dominican (84%), and low income (82% < $20,000) with a mean age of 68.4 (± 8.5) years. Most participants had heard of osteoporosis (90%); however, the majority were not able to accurately describe this chronic condition. Health care providers were viewed as most trusted sources of health information, despite feelings of being rushed during their visits, with limited communication about preventative care. Most participants felt that nutrition and exercise were important for overall health.

Conclusions

Caribbean Hispanic adults in this study reported knowledge of osteoporosis and nutritional factors associated with prevention of this chronic condition. However, qualitatively, there was confusion between osteoporosis and other bone and joint conditions. Culturally specific interventions to promote prevention of osteoporosis are urgently needed for this underserved, high-risk population.
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Literatur
1.
Zurück zum Zitat Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res 22:465–475CrossRef Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res 22:465–475CrossRef
2.
Zurück zum Zitat Cauley JA (2013) Public health impact of osteoporosis. J Gerontol A Biol Sci Med Sci 68:1243–1251CrossRef Cauley JA (2013) Public health impact of osteoporosis. J Gerontol A Biol Sci Med Sci 68:1243–1251CrossRef
3.
Zurück zum Zitat Looker AC, Sarafrazi Isfahani N, Fan B, Shepherd JA (2017) Trends in osteoporosis and low bone mass in older US adults, 2005-2006 through 2013-2014. Osteoporos Int 28:1979–1988CrossRef Looker AC, Sarafrazi Isfahani N, Fan B, Shepherd JA (2017) Trends in osteoporosis and low bone mass in older US adults, 2005-2006 through 2013-2014. Osteoporos Int 28:1979–1988CrossRef
4.
Zurück zum Zitat Imaz I, Zegarra P, Gonzalez-Enriquez J, Rubio B, Alcazar R, Amate JM (2010) Poor bisphosphonate adherence for treatment of osteoporosis increases fracture risk: systematic review and meta-analysis. Osteoporos Int 21:1943–1951CrossRef Imaz I, Zegarra P, Gonzalez-Enriquez J, Rubio B, Alcazar R, Amate JM (2010) Poor bisphosphonate adherence for treatment of osteoporosis increases fracture risk: systematic review and meta-analysis. Osteoporos Int 21:1943–1951CrossRef
5.
Zurück zum Zitat McCombs JS, Thiebaud P, McLaughlin-Miley C, Shi J (2004) Compliance with drug therapies for the treatment and prevention of osteoporosis. Maturitas 48:271–287CrossRef McCombs JS, Thiebaud P, McLaughlin-Miley C, Shi J (2004) Compliance with drug therapies for the treatment and prevention of osteoporosis. Maturitas 48:271–287CrossRef
6.
Zurück zum Zitat Weycker D, Macarios D, Edelsberg J, Oster G (2006) Compliance with drug therapy for postmenopausal osteoporosis. Osteoporos Int 17:1645–1652CrossRef Weycker D, Macarios D, Edelsberg J, Oster G (2006) Compliance with drug therapy for postmenopausal osteoporosis. Osteoporos Int 17:1645–1652CrossRef
7.
Zurück zum Zitat Geller SE, Derman R (2001) Knowledge, beliefs, and risk factors for osteoporosis among African-American and Hispanic women. J Natl Med Assoc 93:13–21PubMedPubMedCentral Geller SE, Derman R (2001) Knowledge, beliefs, and risk factors for osteoporosis among African-American and Hispanic women. J Natl Med Assoc 93:13–21PubMedPubMedCentral
8.
Zurück zum Zitat Larkey LK, Day SH, Houtkooper L, Renger R (2003) Osteoporosis prevention: knowledge and behavior in a southwestern community. J Community Health 28:377–388CrossRef Larkey LK, Day SH, Houtkooper L, Renger R (2003) Osteoporosis prevention: knowledge and behavior in a southwestern community. J Community Health 28:377–388CrossRef
9.
Zurück zum Zitat Orces CH, Casas C, Lee S, Garci-Cavazos R, White W (2003) Determinants of osteoporosis prevention in low-income Mexican-American women. South Med J 96:458–464CrossRef Orces CH, Casas C, Lee S, Garci-Cavazos R, White W (2003) Determinants of osteoporosis prevention in low-income Mexican-American women. South Med J 96:458–464CrossRef
10.
Zurück zum Zitat Araujo AB, Travison TG, Harris SS, Holick MF, Turner AK, McKinlay JB (2007) Race/ethnic differences in bone mineral density in men. Osteoporos Int 18:943–953CrossRef Araujo AB, Travison TG, Harris SS, Holick MF, Turner AK, McKinlay JB (2007) Race/ethnic differences in bone mineral density in men. Osteoporos Int 18:943–953CrossRef
11.
Zurück zum Zitat Creswell J, Plano Clark V (2011) Designing and conducting mixed method research: chapter 4. Sage Publications, Thousand Oaks, pp 58–88 Creswell J, Plano Clark V (2011) Designing and conducting mixed method research: chapter 4. Sage Publications, Thousand Oaks, pp 58–88
12.
Zurück zum Zitat Krueger RA, Casey MA (2000) Focus groups: a practical guide for applied research. Sage Publications, Thousand Oaks Krueger RA, Casey MA (2000) Focus groups: a practical guide for applied research. Sage Publications, Thousand Oaks
13.
Zurück zum Zitat Saldana J (2013) The coding manual for qualitative reseachers. In: Sage Publications Ltd, 2nd edn Saldana J (2013) The coding manual for qualitative reseachers. In: Sage Publications Ltd, 2nd edn
14.
Zurück zum Zitat Noel SE, Mangano KM, Griffith JL, Wright NC, Dawson-Hughes B, Tucker KL (2018) Prevalence of osteoporosis and low bone mass among Puerto Rican older adults. J Bone Miner Res 33:396–403CrossRef Noel SE, Mangano KM, Griffith JL, Wright NC, Dawson-Hughes B, Tucker KL (2018) Prevalence of osteoporosis and low bone mass among Puerto Rican older adults. J Bone Miner Res 33:396–403CrossRef
15.
Zurück zum Zitat Bombak AE, Hanson HM (2016) Qualitative insights from the osteoporosis research: a narrative review of the literature. J Osteoporos 2016:7915041CrossRef Bombak AE, Hanson HM (2016) Qualitative insights from the osteoporosis research: a narrative review of the literature. J Osteoporos 2016:7915041CrossRef
16.
Zurück zum Zitat Baheiraei A, Ritchie JE, Eisman JA, Nguyen TV (2006) Exploring factors influencing osteoporosis prevention and control: a qualitative study of Iranian men and women in Australia. Maturitas 54:127–134CrossRef Baheiraei A, Ritchie JE, Eisman JA, Nguyen TV (2006) Exploring factors influencing osteoporosis prevention and control: a qualitative study of Iranian men and women in Australia. Maturitas 54:127–134CrossRef
17.
Zurück zum Zitat Rothmann MJ, Huniche L, Ammentorp J, Barkmann R, Gluer CC, Hermann AP (2014) Women’s perspectives and experiences on screening for osteoporosis (Risk-stratified Osteoporosis Strategy Evaluation, ROSE). Arch Osteoporos 9:192CrossRef Rothmann MJ, Huniche L, Ammentorp J, Barkmann R, Gluer CC, Hermann AP (2014) Women’s perspectives and experiences on screening for osteoporosis (Risk-stratified Osteoporosis Strategy Evaluation, ROSE). Arch Osteoporos 9:192CrossRef
18.
Zurück zum Zitat Reventlow S, Bang H (2006) Brittle bones: ageing or threat of disease exploring women’s cultural models of osteoporosis. Scand J Public Health 34:320–326PubMed Reventlow S, Bang H (2006) Brittle bones: ageing or threat of disease exploring women’s cultural models of osteoporosis. Scand J Public Health 34:320–326PubMed
19.
Zurück zum Zitat Satterfield T, Johnson SM, Slovic P, Neil N, Schein JR (2000) Perceived risks and reported behaviors associated with osteoporosis and its treatment. Women Health 31:21–40CrossRef Satterfield T, Johnson SM, Slovic P, Neil N, Schein JR (2000) Perceived risks and reported behaviors associated with osteoporosis and its treatment. Women Health 31:21–40CrossRef
20.
Zurück zum Zitat Centers for Disease Control and Prevention (2011) Prevalence of doctor-diagnosed arthritis and arthritis-attributable effects among Hispanic adults, by Hispanic subgroup—United States, 2002, 2003, 2006, and (2009) MMWR Morb Mortal Wkly Rep 60:167–171 Centers for Disease Control and Prevention (2011) Prevalence of doctor-diagnosed arthritis and arthritis-attributable effects among Hispanic adults, by Hispanic subgroup—United States, 2002, 2003, 2006, and (2009) MMWR Morb Mortal Wkly Rep 60:167–171
21.
Zurück zum Zitat Zamudio CD, Sanchez G, Altschuler A, Grant RW (2017) Influence of language and culture in the primary care of Spanish-Speaking Latino adults with poorly controlled diabetes: a qualitative study. Ethn Dis 27:379–386CrossRef Zamudio CD, Sanchez G, Altschuler A, Grant RW (2017) Influence of language and culture in the primary care of Spanish-Speaking Latino adults with poorly controlled diabetes: a qualitative study. Ethn Dis 27:379–386CrossRef
22.
Zurück zum Zitat Alegria M, Sribney W, Perez D, Laderman M, Keefe K (2009) The role of patient activation on patient-provider communication and quality of care for US and foreign born Latino patients. J Gen Intern Med 24(Suppl 3):534–541CrossRef Alegria M, Sribney W, Perez D, Laderman M, Keefe K (2009) The role of patient activation on patient-provider communication and quality of care for US and foreign born Latino patients. J Gen Intern Med 24(Suppl 3):534–541CrossRef
23.
Zurück zum Zitat Cunningham PJ, Hibbard J, Gibbons CB (2011) Raising low ‘patient activation’ rates among Hispanic immigrants may equal expanded coverage in reducing access disparities. Health Aff (Millwood) 30:1888–1894CrossRef Cunningham PJ, Hibbard J, Gibbons CB (2011) Raising low ‘patient activation’ rates among Hispanic immigrants may equal expanded coverage in reducing access disparities. Health Aff (Millwood) 30:1888–1894CrossRef
24.
Zurück zum Zitat Julliard K, Vivar J, Delgado C, Cruz E, Kabak J, Sabers H (2008) What Latina patients don’t tell their doctors: a qualitative study. Ann Fam Med 6:543–549CrossRef Julliard K, Vivar J, Delgado C, Cruz E, Kabak J, Sabers H (2008) What Latina patients don’t tell their doctors: a qualitative study. Ann Fam Med 6:543–549CrossRef
25.
Zurück zum Zitat Parker MM, Moffet HH, Schillinger D, Adler N, Fernandez A, Ciechanowski P, Karter AJ (2012) Ethnic differences in appointment-keeping and implications for the patient-centered medical home—findings from the Diabetes Study of Northern California (DISTANCE). Health Serv Res 47:572–593CrossRef Parker MM, Moffet HH, Schillinger D, Adler N, Fernandez A, Ciechanowski P, Karter AJ (2012) Ethnic differences in appointment-keeping and implications for the patient-centered medical home—findings from the Diabetes Study of Northern California (DISTANCE). Health Serv Res 47:572–593CrossRef
26.
Zurück zum Zitat LeFevre ML, Force USPST (2014) Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med 161:587–593CrossRef LeFevre ML, Force USPST (2014) Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med 161:587–593CrossRef
27.
Zurück zum Zitat Ciechanowski P, Russo J, Katon W, Simon G, Ludman E, Von Korff M, Young B, Lin E (2006) Where is the patient? The association of psychosocial factors and missed primary care appointments in patients with diabetes. Gen Hosp Psychiatry 28:9–17CrossRef Ciechanowski P, Russo J, Katon W, Simon G, Ludman E, Von Korff M, Young B, Lin E (2006) Where is the patient? The association of psychosocial factors and missed primary care appointments in patients with diabetes. Gen Hosp Psychiatry 28:9–17CrossRef
28.
Zurück zum Zitat Dawson-Hughes B, Harris SS, Krall EA, Dallal GE (1997) Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. N Engl J Med 337:670–676CrossRef Dawson-Hughes B, Harris SS, Krall EA, Dallal GE (1997) Effect of calcium and vitamin D supplementation on bone density in men and women 65 years of age or older. N Engl J Med 337:670–676CrossRef
29.
Zurück zum Zitat Di Daniele N, Carbonelli MG, Candeloro N, Iacopino L, De Lorenzo A, Andreoli A (2004) Effect of supplementation of calcium and vitamin D on bone mineral density and bone mineral content in peri- and post-menopause women; a double-blind, randomized, controlled trial. Pharmacol Res 50:637–641CrossRef Di Daniele N, Carbonelli MG, Candeloro N, Iacopino L, De Lorenzo A, Andreoli A (2004) Effect of supplementation of calcium and vitamin D on bone mineral density and bone mineral content in peri- and post-menopause women; a double-blind, randomized, controlled trial. Pharmacol Res 50:637–641CrossRef
30.
Zurück zum Zitat Tenta R, Moschonis G, Koutsilieris M, Manios Y (2011) Calcium and vitamin D supplementation through fortified dairy products counterbalances seasonal variations of bone metabolism indices: the Postmenopausal Health Study. Eur J Nutr 50:341–349CrossRef Tenta R, Moschonis G, Koutsilieris M, Manios Y (2011) Calcium and vitamin D supplementation through fortified dairy products counterbalances seasonal variations of bone metabolism indices: the Postmenopausal Health Study. Eur J Nutr 50:341–349CrossRef
31.
Zurück zum Zitat Brandao-Burch A, Utting JC, Orriss IR, Arnett TR (2005) Acidosis inhibits bone formation by osteoblasts in vitro by preventing mineralization. Calcif Tissue Int 77:167–174CrossRef Brandao-Burch A, Utting JC, Orriss IR, Arnett TR (2005) Acidosis inhibits bone formation by osteoblasts in vitro by preventing mineralization. Calcif Tissue Int 77:167–174CrossRef
32.
Zurück zum Zitat Heaney RP (2009) Dairy and bone health. J Am Coll Nutr 28(Suppl 1):82S–90SCrossRef Heaney RP (2009) Dairy and bone health. J Am Coll Nutr 28(Suppl 1):82S–90SCrossRef
33.
Zurück zum Zitat New SA (2003) Intake of fruit and vegetables: implications for bone health. Proc Nutr Soc 62:889–899CrossRef New SA (2003) Intake of fruit and vegetables: implications for bone health. Proc Nutr Soc 62:889–899CrossRef
34.
Zurück zum Zitat Peterkofsky B (1991) Ascorbate requirement for hydroxylation and secretion of procollagen: relationship to inhibition of collagen synthesis in scurvy. Am J Clin Nutr 54:1135S–1140SCrossRef Peterkofsky B (1991) Ascorbate requirement for hydroxylation and secretion of procollagen: relationship to inhibition of collagen synthesis in scurvy. Am J Clin Nutr 54:1135S–1140SCrossRef
35.
Zurück zum Zitat Tucker KL (2009) Osteoporosis prevention and nutrition. Curr Osteoporos Rep 7:111–117CrossRef Tucker KL (2009) Osteoporosis prevention and nutrition. Curr Osteoporos Rep 7:111–117CrossRef
36.
Zurück zum Zitat Lin H, Bermudez OI, Tucker KL (2003) Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr 133:3651–3657CrossRef Lin H, Bermudez OI, Tucker KL (2003) Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr 133:3651–3657CrossRef
37.
Zurück zum Zitat Siega-Riz AM, Sotres-Alvarez D, Ayala GX, Ginsberg M, Himes JH, Liu K, Loria CM, Mossavar-Rahmani Y, Rock CL, Rodriguez B, Gellman MD, Van Horn L (2014) Food-group and nutrient-density intakes by Hispanic and Latino backgrounds in the Hispanic Community Health Study/Study of Latinos. Am J Clin Nutr 99:1487–1498CrossRef Siega-Riz AM, Sotres-Alvarez D, Ayala GX, Ginsberg M, Himes JH, Liu K, Loria CM, Mossavar-Rahmani Y, Rock CL, Rodriguez B, Gellman MD, Van Horn L (2014) Food-group and nutrient-density intakes by Hispanic and Latino backgrounds in the Hispanic Community Health Study/Study of Latinos. Am J Clin Nutr 99:1487–1498CrossRef
38.
Zurück zum Zitat van Rompay MI, McKeown NM, Castaneda-Sceppa C, Falcon LM, Ordovas JM, Tucker KL (2012) Acculturation and sociocultural influences on dietary intake and health status among Puerto Rican adults in Massachusetts. J Acad Nutr Diet 112:64–74CrossRef van Rompay MI, McKeown NM, Castaneda-Sceppa C, Falcon LM, Ordovas JM, Tucker KL (2012) Acculturation and sociocultural influences on dietary intake and health status among Puerto Rican adults in Massachusetts. J Acad Nutr Diet 112:64–74CrossRef
39.
Zurück zum Zitat Neighbors CJ, Marquez DX, Marcus BH (2008) Leisure-time physical activity disparities among Hispanic subgroups in the United States. Am J Public Health 98:1460–1464CrossRef Neighbors CJ, Marquez DX, Marcus BH (2008) Leisure-time physical activity disparities among Hispanic subgroups in the United States. Am J Public Health 98:1460–1464CrossRef
40.
Zurück zum Zitat Tucker KL, Mattei J, Noel SE, Collado BM, Mendez J, Nelson J, Griffith J, Ordovas JM, Falcon LM (2010) The Boston Puerto Rican Health Study, a longitudinal cohort study on health disparities in Puerto Rican adults: challenges and opportunities. BMC Public Health 10:107CrossRef Tucker KL, Mattei J, Noel SE, Collado BM, Mendez J, Nelson J, Griffith J, Ordovas JM, Falcon LM (2010) The Boston Puerto Rican Health Study, a longitudinal cohort study on health disparities in Puerto Rican adults: challenges and opportunities. BMC Public Health 10:107CrossRef
Metadaten
Titel
Knowledge, attitudes, beliefs, and health behaviors of bone health among Caribbean Hispanic/Latino adults
verfasst von
Sabrina E. Noel
Sandra P. Arevalo
Noereem Z. Mena
Kelsey Mangano
Martha Velez
Bess Dawson-Hughes
Katherine L. Tucker
Publikationsdatum
01.12.2019
Verlag
Springer London
Erschienen in
Archives of Osteoporosis / Ausgabe 1/2019
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-019-0566-5

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