Knowledge of Osteoporosis and its Determinants among Iraqi Healthcare Workers

Saba Abdmuslim  Kadhum; Dena Raad Alhillawy; Rawaa Azhar Ghena; Haider Mahmood Al-Sahlawi; Taqi Mohammed Jwad Taher; Shaymaa Abdullateef Alfadhul

doi:10.54133/ajms.v7i1.1103

Authors

Saba Abdmuslim Kadhum Al-Najaf Health Directorate, Al-Najaf, Iraq
Dena Raad Alhillawy Al-Najaf Health Directorate, Al-Najaf, Iraq https://orcid.org/0009-0008-1298-0591
Rawaa Azhar Ghena Al-Najaf Health Directorate, Al-Najaf, Iraq https://orcid.org/0009-0000-0275-5819
Haider Mahmood Al-Sahlawi Acadian Urgent Care Clinic and Primary Care Clinic at 7742 Schaefer Rd, Dearborn, MI 48126, USA https://orcid.org/0009-0000-8087-2762
Taqi Mohammed Jwad Taher Department of Family and Community Medicine, College of Medicine, Wasit University, Wasit, Iraq https://orcid.org/0000-0002-0954-5440
Shaymaa Abdullateef Alfadhul Department of Community Medicine, Faculty of Medicine, University of Kufa, Al-Najaf, Iraq

DOI:

https://doi.org/10.54133/ajms.v7i1.1103

Keywords:

Awareness, Healthcare workers, Iraq, Knowledge, Osteoporosis

Abstract

Background: Osteoporosis is a major public health problem. Sufficient osteoporosis knowledge by healthcare workers is essential to guaranteeing that they possess the abilities and skills to treat patients with osteoporosis effectively. Objectives: This study aimed to assess the knowledge and awareness of osteoporosis among medical health workers, in addition to defining associated factors related to knowledge levels. Methods: A cross-sectional study was conducted among healthcare workers in hospitals and primary healthcare centers in Al Najaf Governorate from May 1st, 2022, to March 1st, 2023. A self-structured questionnaire was used to collect data, including the sociodemographic characteristics of the participants and the Osteoporosis Knowledge Assessment Tool (OKAT) score. The collected data were analyzed using SPSS version 25. Results: A total of 343 healthcare workers participated in this study. Their mean age was 32.45 years. Most participants had average and good knowledge (50% and 37%, respectively). Regarding awareness, 51.6% knew that calcium supplements alone cannot prevent bone loss, 16.9% identified that osteoporosis does not cause pain before a fracture, 44.3% knew that not all types of physical activity are useful for osteoporosis patients, and only 19.3% were aware that personal risk factors could predict the occurrence of the disease. Conclusions: Most healthcare workers have average knowledge of osteoporosis. There is a significant gap in knowledge among the participants regarding symptoms, risk factors, and treatment availability.

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References

International Osteoporosis Foundation. About Osteoporosis. [cited 2024 May 29]. Available from: https://www.osteoporosis.foundation/health-professionals/about-osteoporosis

Bouvard B, Annweiler C, Legrand E. Osteoporosis in older adults. Joint Bone Spine. 2021;88(3):105135. doi: 10.1016/j.jbspin.2021.105135. DOI: https://doi.org/10.1016/j.jbspin.2021.105135

Shen Y, Huang X, Wu J, Lin X, Zhou X, Zhu Z, et al. The global burden of osteoporosis, low bone mass, and its related fracture in 204 countries and territories, 1990-2019. Front Endocrinol (Lausanne). 2022;13:882241. doi: 10.3389/fendo.2022.882241.

Hsu CY, Chen LR, Chen KH. Osteoporosis in patients with chronic kidney diseases: A systemic review. Int J Mol Sci. 2020;21(18):6846. doi: 10.3390/ijms21186846. DOI: https://doi.org/10.3390/ijms21186846

Martin J, Viprey M, Castagne B, Merle B, Giroudon C, Chapurlat R, et al. Interventions to improve osteoporosis care: a systematic review and meta-analysis. Osteoporos Int. 2020;31(3):429-446. doi: 10.1007/s00198-020-05308-0. DOI: https://doi.org/10.1007/s00198-020-05308-0

Cornelissen D, Boonen A, Evers S, van den Bergh JP, Bours S, Wyers CE, et al. Improvement of osteoporosis Care Organized by Nurses: ICON study - Protocol of a quasi-experimental study to assess the (cost)-effectiveness of combining a decision aid with motivational interviewing for improving medication persistence in patients with a recent fracture being treated at the fracture liaison service. BMC Musculoskelet Disord. 2021;22(1):913. doi: 10.1186/s12891-021-04743-2. DOI: https://doi.org/10.1186/s12891-021-04743-2

Khan YH, Sarriff A, Khan AH, Mallhi TH. Knowledge, attitude and practice (KAP) survey of osteoporosis among students of a tertiary institution in Malaysia. Trop J Pharm Res. 2014;13(1):155-162. doi: 10.4314/tjpr.v13i1.22. DOI: https://doi.org/10.4314/tjpr.v13i1.22

Nguyen VH, Nott MT, Bowe SJ, Anthony B. Knowledge, attitudes, and practices in osteoporosis among nursing staff in a regional emergency department. Cureus. 2020;12(5). doi: 10.7759/cureus.7993. DOI: https://doi.org/10.7759/cureus.7993

Mohammed G. Knowledge and awareness of osteoporosis among healthcare professionals in a tertiary care hospital, Riyadh, Saudi Arabia. Int J Med Sci Public Health. 2018;7(4):1. doi: 10.5455/ijmsph.2018.0516417072018.

Grassi L, Ghelarducci C, Oranges GR. Risk analysis in healthcare organizations: Methodological framework and critical variables. Risk Manag Healthc Policy. 2021;14:2181-2192. doi: 10.2147/RMHP.S317186. DOI: https://doi.org/10.2147/RMHP.S309098

Nguyen VH. Osteoporosis knowledge assessment and osteoporosis education recommendations in the health professions. Osteoporos Sarcopenia. 2016;2(2):82-88. doi: 10.1016/j.afos.2016.03.001. DOI: https://doi.org/10.1016/j.afos.2016.03.001

Sayed-Hassan RM, Bashour HN. The reliability of the Arabic version of the osteoporosis knowledge assessment tool (OKAT) and the osteoporosis Health Belief Scale (OHBS). BMC Res Notes. 2013;6(1):138. doi: 10.1186/1756-0500-6-138. DOI: https://doi.org/10.1186/1756-0500-6-138

Winzenberg TM, Oldenburg B, Frendin S, Jones G. The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: The Osteoporosis Knowledge Assessment Tool (OKAT). BMC Musculoskelet Disord. 2003;4(1):17. doi: 10.1186/1471-2474-4-17. DOI: https://doi.org/10.1186/1471-2474-4-17

Shen Y, Huang X, Wu J, Lin X, Zhou X, Zhu Z, et al. The global burden of ostoporosis, low bone mass, and its related fracture in 204 countries and territories, 1990-2019. Front Endocrinol (Lausanne). 2022;13:882241. doi: 10.3389/fendo.2022.882241. DOI: https://doi.org/10.3389/fendo.2022.882241

AlHefdhi HA, Alshahrani MA, Alalyani RTH, Alshamrani NSM, Alqathanin MAA, Asiri NAA, et al. Assessment of osteoporosis nowledge among the general population in Aseer region, Saudi Arabia. Med Sci. 2023;27(138). doi: 10.54905/disssi/v27i138/e333ms3129. DOI: https://doi.org/10.54905/disssi/v27i138/e333ms3129

Aljohani DAE, Alharbi RA, Atik MA, Zakri AY, Almajnoni FS, Albajaly JM. Assessment of knowledge, attitude, and practice towards osteoporosis screening among primary health care physicians in primary health care centers in Makkah Al-Mokarramah City, 2023. Int J Adv Res. 2023;11(10):42795. doi: 10.21474/IJAR01/17752. DOI: https://doi.org/10.21474/IJAR01/17752

Almaddah M, Alzahrani F, Gaowgzeh R, Alqarni A, Othman R, Gmmash A. Knowledge and awareness of osteoporosis: A survey of physical therapy providers in Saudi Arabia. Int J Clin Pract. 2024;2024:2797382. doi: 10.1155/2024/2797382. DOI: https://doi.org/10.1155/2024/2797382

Alfadhul SA, Abbas ZH. Assessment of knowledge and beliefs toward osteoporosis among Iraqi perimenopausal women. Al-Rafidain J Med Sci. 2023;5:150–156. doi: 10.54133/ajms.v5i.194. DOI: https://doi.org/10.54133/ajms.v5i.194

Thakur P, Kuriakose C, Cherian KE, Asha HS, Kapoor N, Paul TV. Knowledge gap regarding osteoporosis among medical professionals in Southern India. J Eval Clin Pract. 2019;1-9. doi: 10.1111/jep.13164. DOI: https://doi.org/10.1111/jep.13164

Eslami-Mahmoodabadi A, Foroughameri G, Maazallahi M, Farokhzadian J. Nurses’ knowledge, attitude, and practice regarding osteoporosis prevention and its correlation with their nutritional behaviors. J Prevent Med Hygiene. 2023;64(4):E429. doi: 10.15167/2421-4248/jpmh2023.64.4.2709.

Alghamdi MA, Mohammed AGA. Knowledge and awareness of osteoporosis among Saudi physicians and nurses: A cross-sectional study. Open Access Maced J Med Sci. 2018;6(5):913-916. doi: 10.3889/oamjms.2018.177. DOI: https://doi.org/10.3889/oamjms.2018.177

Elwakil W, El Gaafary M, El Miedany Y. Screening and management of osteoporosis: a survey of knowledge, attitude, and practice among healthcare professionals in Egypt-a study by the Egyptian Academy of Bone Health. Osteoporos Int. 2024;35(1):93-103. doi: 10.1007/s00198-023-06914-4. DOI: https://doi.org/10.1007/s00198-023-06914-4

Aladwani S, Alosaimi ME, Althunayan SA, Khalaf A, Al-Abrah SM, Alhawas FAA, et al. A Survey to Assess Osteoporosis Knowledge of the General population of Riyadh, Saudi Arabia. Int J Pharm Res Allied Sci. 2019:8(4):174-179.

Peng L, Reynolds N, He A, Liu M, Yang J, She P, et al. Osteoporosis knowledge and related factors among orthopedic nurses in Hunan province of China. Int J Orthop Trauma Nurs. 2020;36:100714. doi: 10.1016/j.ijotn.2019.100714. DOI: https://doi.org/10.1016/j.ijotn.2019.100714