重庆市20岁以上人群骨质疏松症知识调查

Survey on knowledge of osteoporosis among people aged 20 years and above in Chongqing

目的了解重庆市20岁以上居民对骨质疏松症的认知情况。方法对中国重庆市居民采用多阶段分层整群随机抽样方法,抽取768名男性和1083名女性,年龄在20~87岁之间,填写基本信息和骨质疏松症知识评估工具(osteoporosis knowledge assessment tool,OKAT)问卷,统计及分析被调查者对骨质疏松症相关知识知晓率情况,使用骨质疏松症自我评估筛查工具(osteoporosis self-assessment screening tool for Asians,OSTA)评估绝经后女性骨质疏松症风险,采用双能X线吸收法(dual-energy X-ray absorptiometry,DXA)对被调查者进行骨密度测量。结果重庆市20岁以上居民对骨质疏松症相关知识知晓率为12.8%,其中男性与女性的知晓率分别为11.3%和13.9%。骨质疏松症相关知识知晓率随着年龄的增长而下降(<45岁29.3%,45~54岁18.6%,55~64岁13.9%,≥65岁11.4%;P<0.001)。在各年龄段中,城市地区人群知晓程度高于农村地区人群(P<0.05)。此外,绝经后妇女的骨质疏松症知识知晓率为9.1%。结论重庆市居民骨质疏松症相关知识知晓率均较低,尤其是农村地区居民及绝经后妇女,有必要加强骨质疏松症的公共教育和健康宣传。

Objective To ascertain the cognitive status of Chongqing residents aged 20 years and above with respect to osteoporosis.Methods A multi-stage stratified cluster random sampling method was utilized to extract a representative sample comprising 768 males and 1083 females from the population aged 20-87 years in Chengqing.The participants were required to complete a questionnaire,namely the osteoporosis knowledge assessment tool(OKAT),along with providing basic demographic information.Following that,a subsequent analysis was undertaken to ascertain the level of awareness regarding knowledge related to osteoporosis among the respondents.The osteoporosis self-assessment tool for Asians(OSTA)was utilized to evaluate osteoporosis risk in postmenopausal women,while dual energy X-ray absorptiometry(DXA)was employed for bone mineral density measurement.Results Our findings indicated that the prevalence of osteoporosis awareness among individuals aged 20 years and above in Chongqing was 12.8%with 11.3%among males and 13.9%among females.The awareness of osteoporosis-related knowledge diminished with the increasing age,with rates of 29.3%for individuals under 45 years old,18.6%for those aged 45-54,13.9%for those aged 55-64,and 11.4%for individuals over 65 years old(P<0.001).The awareness level of osteoporosis among the urban population was higher than that of the rural population across all age groups(P<0.05).Among postmenopausal women the awareness rate of osteoporosis was 9.1%.Conclusion The awareness rate of osteoporosis among residents in Chongqing is relatively low,especially in rural residents and postmenopausal women.It is necessary to strengthen public education and health promotion efforts targeting osteoporosis.