骨质疏松症白皮书

  目的  调查山东省社区中老年居民骨质疏松知识知晓情况和健康教育需求，为开展社区骨质疏松防控工作提供策略依据。  方法  2016年12月 — 2017年3月，以山东省6个市内3 134名 ≥ 40岁社区居民为调查对象进行问卷调查。  结果  3 134名中老年人骨质疏松知识平均得分为（10.63 ± 4.14）分，40～49岁年龄组得分最高，与其他年龄组差异有统计学意义（P < 0.05），不同文化程度人群 骨质疏松差相关知识得分差异有统计学意义（P < 0.05），且随着文化程度的增高，骨质疏松相关知识得分有升高的趋势。有预防骨质疏松需求1 701人（54.3 %），接受过有关骨质疏松健康教育或宣传的有1 285人（41 %），有骨质疏松方面咨询的有效途径的人有1 857（59.3 %）。  结论  山东省中老年社区居民骨质疏松知识知晓率低，获得知识的途径少，对骨质疏松症的认识不足。文化程度低且 > 70岁老年人可作为重点干预对象。

Use of a case manager to improve osteoporosis treatment after hip fracture: results of a randomized controlled trial

  Objective  To examine the status of awareness on osteoporosis knowledge and health education demands among middle-aged and elderly residents in Shandong province, and to provide evidences for the prevention of osteoporosis among community residents.  Methods  We conducted a questionnaire survey among 3 134 residents aged ≥ 40 years selected with simple random sampling in 30 communities of 6 municipalities across Shandong province from December 2016 to March 2017.  Results  The average score of osteoporosis knowledge was 10.63 ± 4.14 for all the participants, with a significantly higher score among the participants aged 40 – 49 years than among those of other age groups (P < 0.05). The osteoporosis knowledge score differed significantly by participants′ education (P < 0.05) and increased with education level among the participants. Of the participants, 54.3% (1 710) reported the willingness for osteoporosis prevention; 41.0% (1 285) reported the experience of receiving education on osteoporosis; and 59.3% (1 857) reported the awareness on effective ways for acquiring consultation for osteoporosis control and prevention.   Conclusion  The middle-aged and elderly residents in Shandong province have a low awareness on osteoporosis knowledge and are lack of ways to acquire osteoporosis-related information; the residents more than 70 years old and with lower education are key people for osteoporosis intervention programs.