台灣中年男性企業經理人對骨質疏鬆症的認知與骨折風險相關性調查－先驅性研究

Association between the Knowledge of Osteoporosis and Fracture Risk in the Middle-Aged Male Managers in Taiwan-A Pilot Study

10.7023/TJFM.200909.0163

侯君穎(Chun-Yin Hou)；張皓翔(Hao-Hsiang Chang)；姚建安(Chien-An Yao)

FRAX ； hip fracture ； bone density

台灣家庭醫學雜誌

19卷3期（2009 / 09 / 01）

163 - 173

繁體中文

Background: With the rapid growth of the aged population, osteoporosis is becoming an important health issue in Taiwan. Even though osteoporosis is more frequent in females, mortality due to osteoporosis is higher in males. We therefore investigated osteoporosis knowledge in middle-aged males in Taiwan. Methods: In July 2008, a total of 300 male business managers aged more than 50 years were surveyed by questionnaire over the telephone or using the internet. The framework of this questionnaire was based on the WHO fracture risk assessment tool (FRAX) proposed by Kanis JA. The 10-year risk for total and partial hip fracture was estimated by the FRAX formula for each subject. Results: The top three risk factors for osteoporosis in males were the habit of smoking (45%), history of parental hip fracture (25%), and consumption of more than three units of alcohol per day (22%). Thirty-five percent of the respondents thought that only menopausal women needed to be aware of osteoporosis, 75% thought that osteoporosis can be treated with glucosamine, and 91% of respondents underestimated the rate of mortality associated with osteoporotic fracture. The rate of correctly answered questionnaires was negatively associated with the estimated risk for total (p＜0.05) and partial hip fracture (p＜0.05). Conclusion: Taiwanese middle-age male managers have inadequate knowledge of osteoporosis. Lower osteoporosis knowledge is associated with higher estimated 10-year risk of fracture, suggesting that health education about osteoporosis can facilitate efforts to prevent and treat osteoporosis in the future.

Background: With the rapid growth of the aged population, osteoporosis is becoming an important health issue in Taiwan. Even though osteoporosis is more frequent in females, mortality due to osteoporosis is higher in males. We therefore investigated osteoporosis knowledge in middle-aged males in Taiwan. Methods: In July 2008, a total of 300 male business managers aged more than 50 years were surveyed by questionnaire over the telephone or using the internet. The framework of this questionnaire was based on the WHO fracture risk assessment tool (FRAX) proposed by Kanis JA. The 10-year risk for total and partial hip fracture was estimated by the FRAX formula for each subject. Results: The top three risk factors for osteoporosis in males were the habit of smoking (45%), history of parental hip fracture (25%), and consumption of more than three units of alcohol per day (22%). Thirty-five percent of the respondents thought that only menopausal women needed to be aware of osteoporosis, 75% thought that osteoporosis can be treated with glucosamine, and 91% of respondents underestimated the rate of mortality associated with osteoporotic fracture. The rate of correctly answered questionnaires was negatively associated with the estimated risk for total (p＜0.05) and partial hip fracture (p＜0.05). Conclusion: Taiwanese middle-age male managers have inadequate knowledge of osteoporosis. Lower osteoporosis knowledge is associated with higher estimated 10-year risk of fracture, suggesting that health education about osteoporosis can facilitate efforts to prevent and treat osteoporosis in the future.

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