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Osteoporosis and premature ovarian insufficiency: geographic variation in clinicians' and consumers' knowledge gaps and barriers to care.
- Source :
-
Archives of osteoporosis [Arch Osteoporos] 2020 Mar 03; Vol. 15 (1), pp. 38. Date of Electronic Publication: 2020 Mar 03. - Publication Year :
- 2020
-
Abstract
- Purpose: To determine whether geographic variation exists in osteoporosis knowledge, management, and barriers to care in the setting of premature ovarian insufficiency (POI), among general practitioners (GPs) and women with POI.<br />Methods: Australian GPs completed an online questionnaire regarding osteoporosis knowledge, barriers to care and educational preferences for managing osteoporosis in POI. Women with POI/early menopause (EM) completed an online questionnaire regarding osteoporosis knowledge, risk factors and health beliefs. Clinicians and consumers in metropolitan areas were compared to those in rural areas.<br />Results: Of 688 GP respondents, 62.2% practised in major capital cities, 13.1% in major regional cities, 7.8% in regional centres, 8.7% in rural areas and 8.1% in remote areas. Mean ± SD osteoporosis knowledge score was 9.1 ± 1.5/13, with no difference by location. Forty-one percent of GPs reported barriers to care which varied by location. Of 316 women with POI/EM, 61.1% lived in metropolitan, 22.5% in regional, 11.7% in rural and 4.4% in remote locations. The mean osteoporosis knowledge score was 8.2 ± 3.1/20, with lower scores in women living in rural and remote versus metropolitan locations (difference - 1.3; 95% CI - 2.3, - 0.25; p = 0.02). Women in rural areas were less likely to use vitamin D supplements and more likely to have a family history of osteoporosis (both p < 0.05).<br />Conclusions: GP knowledge gaps and specific, location-dependent care barriers for osteoporosis in POI were identified. Geographic differences in osteoporosis knowledge and risk factors exist in women with POI/EM. These factors require consideration when designing programs to improve bone health in POI.
- Subjects :
- Adult
Australia
Female
Geography
Humans
Male
Middle Aged
Osteoporosis etiology
Primary Ovarian Insufficiency complications
Risk Factors
Rural Population statistics & numerical data
Surveys and Questionnaires
Urban Population statistics & numerical data
General Practitioners psychology
Health Knowledge, Attitudes, Practice
Health Services Accessibility statistics & numerical data
Osteoporosis psychology
Primary Ovarian Insufficiency psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1862-3514
- Volume :
- 15
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Archives of osteoporosis
- Publication Type :
- Academic Journal
- Accession number :
- 32125551
- Full Text :
- https://doi.org/10.1007/s11657-020-00713-8