INTRODUCTION
METHODS
Study Participants and Procedures
Statistical Analysis
RESULTS
Characteristics of Survey Respondents
Characteristics | Number (%) |
---|---|
Sociodemographic characteristics
| |
Female sex | 664 (58.7) |
White race | 1,148 (92.9) |
Completed college | 926 (75.0) |
Osteoporosis-related characteristics
| |
Has heard of osteoporosis | 1,215 (96.1) |
Has received physician recommendation for screening | 594 (47.6) |
Has been screened or tested for osteoporosis | 783 (62.6) |
Has been diagnosed with osteoporosis | 283 (22.6) |
Has had a low-trauma fracture (fracture resulting from a fall from standing height or less) | 236 (18.8) |
Has a family history of osteoporosis | 292 (23.8) |
Other health-related characteristics
| |
Has a high self-rated health status (rated as good, very good, or excellent) | 1,114 (88.2) |
Is a non-smoker | 1,248 (98.7) |
Has a history of alcohol use ≥4 times per week, ≥3 drinks at a time | 32 (2.6) |
Has a history of oral steroid use for more than 1 month | 103 (8.2) |
Has experienced a height loss >2.54 cm (1 inch) over the lifetime | 435 (35.3) |
Uses arms to get up from a chair most of the time | 460 (36.8) |
Has fallen within the past 5 years | 609 (48.6) |
Bivariate Associations
Explanatory variables | Response variables | |||
---|---|---|---|---|
Physician recommendation for osteoporosis screening | Receipt of osteoporosis screening | |||
OR (95%CI) |
P value | OR (95%CI) |
P value | |
Increased age (in 5-year increments) | 0.90 (0.84–0.97) | 0.01 | 0.99 (0.91–1.07) | 0.75 |
Female sex | 17.10 (12.43–23.52) | <0.001 | 14.09 (10.49–18.94) | <0.001 |
White race | 1.91 (1.14–3.23) | 0.02 | 1.29 (0.78–2.14) | 0.32 |
Completed college | 0.98 (0.76–1.27) | 0.89 | 0.85 (0.64–1.11) | 0.24 |
Family history of osteoporosis | 3.44 (2.59–4.56) | <0.001 | 3.71 (2.68–5.15) | <0.001 |
High self-rated health status | 0.75 (0.53–1.07) | 0.11 | 0.98 (0.69–1.41) | 0.92 |
Increased weight (in 11.4 kg increments) | 0.54 (0.49–0.60) | <0.001 | 0.57 (0.52–0.62) | <0.001 |
Current smoking | 0.85 (0.31–2.30) | 0.75 | 0.52 (0.20–1.36) | 0.18 |
History of alcohol use ≥4 times per week, ≥3 drinks at a time | 0.36 (0.16–0.80) | 0.01 | 0.32 (0.15–0.67) | 0.002 |
History of oral steroid use >1 month | 2.20 (1.44–3.35) | <0.001 | 1.86 (1.17–2.94) | 0.01 |
Height loss >2.54 cm over the lifetime | 1.64 (1.29–2.08) | <0.001 | 2.08 (1.61–2.68) | <0.001 |
Use of arms to get up from a chair most of time | 1.24 (0.99–1.57) | 0.07 | 0.93 (0.73–1.19) | 0.57 |
Fall within past 5 years | 1.50 (1.20–1.88) | <0.001 | 1.50 (1.19–1.89) | 0.001 |
History of low-trauma fracture (resulting from fall from standing height or less) | 2.52 (1.87–3.41) | <0.001 | 3.16 (2.22–4.50) | <0.001 |
Multivariable Models
Receipt of Osteoporosis Screening Recommendation
Explanatory variables | Response variables | |||
---|---|---|---|---|
Physician recommendation for osteoporosis screening* | Receipt of osteoporosis screening† | |||
OR (95%CI) |
P value | OR (95%CI) |
P value | |
Increased age (in 5-year increments) | 0.87 (0.77–0.97) | 0.01 | NR‡ | – |
Female sex | 11.71 (8.15–16.82) | <0.001 | 9.18 (6.61–12.74) | <0.001 |
White race | 2.95 (1.48–5.88) | 0.002 | NR‡ | – |
Family history of osteoporosis | 2.10 (1.43–3.10) | <0.001 | 2.26 (1.48–3.43) | <0.001 |
Increased weight (in 11.4 kg increments) | 0.70 (0.61–0.80) | <0.001 | 0.63 (0.54–0.74) | <0.001 |
Use of arms to get up from a chair most of time | 1.56 (1.08–2.25) | 0.02 | NR‡ | – |
History of low-trauma fracture (resulting from fall from standing height or less) | NR‡ | – | 2.05 (1.29–3.23) | 0.002 |
Interaction term: weight × (height loss >2.54 cm over the lifetime) | NR‡ | – | 1.35 (1.04–1.75) | 0.02 |