Assessment of Knowledge and Beliefs toward Osteoporosis among Iraqi Perimenopausal Women

Authors

  • Shaymaa Abdullateef Alfadhul Department of Medicine, College of Medicine, University of Kufa, Al-Najaf, Iraq https://orcid.org/0000-0002-8466-8344
  • Zahraa Hamad Abbas Al-Najaf Health Directorate, Iraq

DOI:

https://doi.org/10.54133/ajms.v5i.194

Keywords:

Beliefs, Knowledge, Osteoporosis, Perimenopause women

Abstract

Background: Osteoporosis is becoming more common, especially among women. Prevention through educational initiatives is the best way to lower the disease burden. Objective: To estimate perimenopausal women's knowledge and attitudes concerning osteoporosis and their relation to specific sociodemographic characteristics. Methods: 391 perimenopausal women who were utilizing the outpatient clinic facilities at the hospitals in Al-Najaf City participated in a cross-sectional study. Starting in May 2022, data was gathered for six months. Data were gathered using a questionnaire that asked about sociodemographic factors, the Osteoporosis Knowledge Assessment Tool, and the Osteoporosis Health Belief Scale. Results: In this study, a substantial proportion of the participants have poor knowledge (61.89%), while average and good knowledge encompass 31.97% and 6.10% of the participants, respectively. The mean score for osteoporosis knowledge was 7.18±3.49. About osteoporosis health beliefs, the best belief of women is in perceiving the benefits of calcium intake; the mean score was 20.32±4.69. A significant positive correlation (p<0.001) was found between knowledge and exercise benefits, calcium intake benefits, perceived severity, and health motivation, whereas a significant negative correlation (p<0.001) was found between knowledge and barriers to calcium intake and exercise. Conclusion: The participants have below-average knowledge and beliefs regarding osteoporosis. Knowledge of osteoporosis correlates positively with health beliefs, including perceived susceptibility, health motivation, the benefit of calcium intake, and the benefit of exercise, whereas it correlates negatively with barriers to calcium and barriers to exercise.

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References

Bolster MB. Osteoporosis - musculoskeletal and connective tissue disorders. MSD Manuals; 2023. Available from: https://www.msdmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/osteoporosis/osteoporosis

Salari N, Ghasemi H, Mohammadi L, Behzadi MH, Rabieenia E, Shohaimi S, et al. The global prevalence of osteoporosis in the world: a comprehensive systematic review and meta-analysis. J Orthop Surg Res. 2021;16(1):609. doi: 10.1186/s13018-021-02772-0. DOI: https://doi.org/10.1186/s13018-021-02772-0

Rashki Kemmak A, Rezapour A, Jahangiri R, Nikjoo S, Farabi H, Soleimanpour S. Economic burden of osteoporosis in the world: A systematic review. Med J Islam Repub Iran. 2020;34:154. doi: 10.34171/mjiri.34.154. DOI: https://doi.org/10.47176/mjiri.34.154

Gregson CL, Armstrong DJ, Bowden J, Cooper C, Edwards J, Gittoes NJ, et al. UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporosis. 2022;17(1):58. doi: 10.1007/s11657-022-01061-5. DOI: https://doi.org/10.1007/s11657-022-01115-8

Al-Hafidh AH, Saeed GT, Goral FL. Comparison of lean body mass and body fat mass in pre and postmenopausal women in Baghdad teaching hospital with their impact on bone mineral density. J Pharm Sci Res. 2018;10(12):3124.

Cheng CH, Chen LR, Chen KH. Osteoporosis due to hormone imbalance: an overview of the effects of estrogen deficiency and glucocorticoid overuse on bone turnover. Int J Mol Sci. 2022;23(3):1376. doi: 10.3390/ijms23031376. DOI: https://doi.org/10.3390/ijms23031376

Willacy DH. Osteoporosis risk assessment and primary prevention: Doctor. 2023 [cited 2023 Jul 4]. Available from: https://patient.info/doctor/osteoporosis-risk-assessment-and-primary-prevention

Pinar G, Pinar T. The impact of health belief model based educational intervention on women’s knowledge, beliefs, preventive behaviors and clinical outcomes about osteoporosis. SAGE Open. 2020;10(3). doi: 10.1177/2158244020941473. DOI: https://doi.org/10.1177/2158244020941473

Shahmohamadi F, Hoseini M, Matbouei M, Nasiri M. The effect of educational intervention based on the theory of planned behavior aimed at mothers on osteoporosis prevention behaviors in lower secondary school female students. J Educ Health Promot. 2022;11:15. doi: 10.4103/jehp.jehp_62_21.

El-Masry R, Elkhawaga G, El-Gilany AH, Alam RR. Knowledge and health beliefs of elderly women toward osteoporosis in Mansoura, Egypt. Prog Med Sci. 2018;2(2):27-23. doi: 10.5455/pms.20180728053351.

Mohammed LA, Dauod AS. Knowledge, awareness, and preventive behaviors toward osteoporosis among a sample of premenopausal women in Erbil city, Iraq. Zanco J Med Sci. 2021;25(1):464-472. doi: 10.15218/zjms.2021.008. DOI: https://doi.org/10.15218/zjms.2021.008

Ahmadieh H, Basho A, Chehade A, Al Mallah A, Dakour A. Perception of peri-menopausal and postmenopausal Lebanese women on osteoporosis: A cross-sectional study. J Clin Transl Endocrinol. 2018;14:19-24. doi: 10.1016/j.jcte.2018.10.001. DOI: https://doi.org/10.1016/j.jcte.2018.10.001

Alshareef S, Alwehaibi A, Alzahrani A, Faqihi A, Alkenani A, Alfentoukh M, et al. Knowledge and awareness about risk factors of osteoporosis among young college women at a university in Riyadh, KSA. J Bone Res. 2018;6(2):1000194. doi: 10.4172/2572-4916.1000194. DOI: https://doi.org/10.4172/2572-4916.1000194

Krist AH, Tong ST, Aycock RA, Longo DR. Engaging patients in decision-making and behavior change to promote prevention. Stud Health Technol Inform. 2017;240:284-302. DOI: https://doi.org/10.3233/ISU-170826

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

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

Kim KK, Horan ML, Gendler P, Patel MK. Development and evaluation of the osteoporosis health belief scale. Res Nurs Health. 1991;14(2):155-163. doi: 10.1002/nur.4770140210. DOI: https://doi.org/10.1002/nur.4770140210

Mortada EM, El Seifi OS, Abdo NM. Knowledge, health beliefs, and osteoporosis preventive behavior among women of reproductive age in Egypt. Malaysian J Med Health Sci. 2020;16:9-16.

Alhouri A, Zahrawi H, Alasaad S, Al Houri HN, Jomaa S, Torbey A, et al. Assessing the knowledge and attitude towards osteoporosis among Syrian women: a cross-sectional study. Int J Rheumatol. 2022;2022:6431151. doi: 10.1155/2022/6431151. DOI: https://doi.org/10.1155/2022/6431151

Chan CY, Subramaniam S, Chin KY, Ima-Nirwana S, Muhammad N, Fairus A, et al. Levels of knowledge, beliefs, and practices regarding osteoporosis and the associations with bone mineral density among populations more than 40 years old in Malaysia. Int J Environ Res Pub Health. 2019;16(21):4115. doi: 10.3390/ijerph16214115. DOI: https://doi.org/10.3390/ijerph16214115

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.

Kumar V, Nanda P. Social media in higher education: A framework for continuous engagement. Int J Inform Commun Technol Edu. 2019;15(1):97-108. doi: 10.4018/IJICTE.2019010107. DOI: https://doi.org/10.4018/IJICTE.2019010107

Sitati FC, Obimbo MM, Gichangi P. Knowledge and beliefs on osteoporosis among African postmenopausal women in a Kenyan semi-rural county of Kiambu. J Bone Metab. 2021;28(1):91-98. doi: 10.11005/jbm.2021.28.1.91. DOI: https://doi.org/10.11005/jbm.2021.28.1.91

Holt-Lunstad J. Social connection as a public health issue: The evidence and a systemic framework for prioritizing the “social” in social determinants of health. Ann Rev Pub Health. 2022;43:193-213. doi: 10.1146/annurev-publhealth-052020-110732. DOI: https://doi.org/10.1146/annurev-publhealth-052020-110732

El-Masry R, Elkhawaga G, El-Gilany AH, Alam RR. Knowledge and health beliefs of elderly women toward osteoporosis in Mansoura, Egypt. Prog Med Sci. 2018;2(2):27-23. doi: 10.5455/pms.20180728053351. DOI: https://doi.org/10.5455/pms.20180728053351

Chelf S, Davis RE, Bass MA, Ford MA, Firouzabadi AD, Leo JT, et al. Osteoporosis knowledge and health beliefs among middle-aged men and women in the Southern United States. J Osteopathic Med. 2022;122(9):453-459. doi: 10.1515/jom-2022-0011. DOI: https://doi.org/10.1515/jom-2022-0011

Sava M, Tseng LY, Valderrama M, Mabey D, García PJ, Hsieh E. Osteoporosis knowledge and health beliefs among female community leaders in Peru. Women’s Health Rep. 2020;1(1):47-54. doi: 10.1089/whr.2019.0005. DOI: https://doi.org/10.1089/whr.2019.0005

Ong SC, Low JZ, Ooi GS. Application of health belief model in the assessment of factors affecting exercise behaviours in preventing osteoporosis. J Pharm Health Services Res. 2022;13(4):299-307. doi: 10.1093/jphsr/rmac045. DOI: https://doi.org/10.1093/jphsr/rmac045

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Published

2023-08-19

How to Cite

Alfadhul, S. A., & Abbas , Z. H. (2023). Assessment of Knowledge and Beliefs toward Osteoporosis among Iraqi Perimenopausal Women . Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 ), 5, 150–156. https://doi.org/10.54133/ajms.v5i.194

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