Original Article

Knowledge of Osteoporosis Among Men in the Primary Care Setting

Authors: Hassan Shawa, MD, Emanuel Favela, MD, Josefina Diaz, MD

Abstract

Objectives: Osteoporosis has been often viewed as a disease affecting women; however, men are at risk for osteoporosis, and the mortality after hip fracture in men older than 75 years of age is significantly higher than in women. We aimed to assess knowledge of osteoporosis and its risk factors in men.


Methods: A questionnaire assessing knowledge of osteoporosis was presented to 136 male patients randomly in Internal Medicine and Family Practice clinics at Saint Joseph Hospital.


Results: A total of 136 men agreed to fill in the questionnaire. Only 130 patients who completed the entire questionnaire were included in the data analysis. Twenty-three percent of men surveyed had never heard about osteoporosis. Thirty-nine percent were unaware that osteoporosis is directly responsible for disabling hip fractures. Sixty-seven percent did not know that a potential outcome of hip fracture is death. Only 38% recognized that smoking is a risk factor, 20% knew that excessive caffeine intake can put them at risk, and 35% realized that excessive alcohol intake is a risk factor. Only 21% could correctly identify the calcium-rich foods among the choices. There was a positive relationship (P < 0.05) between receiving an official discussion with a physician regarding osteoporosis and the actual score on the "knowledge of osteoporosis" questionnaire.


Conclusion: A significant percentage of men are unaware of the complications and risk factors for osteoporosis. Receiving educational information about osteoporosis from a physician should be considered at an early stage, especially for those patients with modifiable risk factors.

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References

1. Nochowitz B, Siegert S, Wasik M. An update on osteoporosis. Am J Ther 2009;16:437-445.
 
2. Haney EM, Bliziotes MM. Male osteoporosis: new insights in an understudied disease. Curr Opin Rheumatol 2008;20:423-428.
 
3. Kanis JA, Oden A, Johnell O, et al. The components of excess mortality after hip fracture. Bone 2003;32:468.
 
4. Feldstein A, Elmer PJ, Orwoll E, et al. Bone mineral density measurement and treatment for osteoporosis in older individuals with fractures: a gap in evidence-based practice guideline implementation. Arch Intern Med 2003;163:2165-2172.
 
5. Ungan M, Tumer M. Turkish women's knowledge of osteoporosis. Fam Pract 2001;18:199-203.
 
6. Gaines JM, Marx KA. Older men's knowledge about osteoporosis and educational interventions to increase osteoporosis knowledge in older men: a systematic review. Maturitas 2011;68:5-12.
 
7. Gaines JM, Marx K, Narrett M, et al. Validation of the Male Osteoporosis Knowledge Quiz. Am J Mens Health 2011;5:78-83.
 
8. Sedlak CA, Doheny MO, Estok PJ, et al. DXA, health beliefs, and osteoporosis prevention behaviors. J Aging Health 2007;19:742-756.
 
9. Magnus JH, Joakimsen RM, Berntsen GK, et al. What do Norwegian women and men know about osteoporosis? Osteoporosis Int 1996;6:32-36.