Greater osteoporosis educational outreach is desirable among Chinese immigrants in Chinatown, Chicago |
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Authors: | S Tan L Ji J Tsai J Eng H-J Ko A Yau G Edwards A Bunta B J Edwards |
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Institution: | (1) Bone Health and Osteoporosis Center, Feinberg School of Medicine, Northwestern University, 645 North Michigan Avenue, Suite 630, Chicago, IL 60611, USA |
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Abstract: | Summary Osteoporosis beliefs were assessed in immigrant Chinese women in Chinatown, Chicago. Results from a survey utilizing the Osteoporosis
Health Belief Scale showed that women expressed concern about osteoporosis but lacked both knowledge of preventive care and
health motivation.
Introduction The objective of this study was to assess osteoporosis beliefs in immigrant Chinese women in Chinatown, Chicago.
Methods In a community-based health fair, osteoporosis knowledge and self-efficacy among postmenopausal Chinese immigrants were assessed
using the translated Osteoporosis Health Belief Scale. Bone mineral density (BMD) was assessed with calcaneal ultrasound.
Results The study population included 94 women with mean age of 51 ± 9 years, mean length of residence in the United States of 9 ± 7 years,
and 73% (n = 76) of whom were recent immigrants. Women expressed concern about the seriousness of osteoporosis and their relative susceptibility
to osteoporosis. In particular, women with a prior fracture reported higher seriousness to osteoporosis. Nonetheless, women
exhibited low health motivation and low awareness of the benefits of calcium and exercise. Bone densitometry results corresponded
to a T score of −1.2 ± 1.5. Multiple regression analysis revealed that a younger age and longer length of residence in the USA were
associated with higher BMD.
Conclusion Chinese immigrant women in Chicago exhibit concern regarding osteoporosis, but are unaware of the benefits of calcium and
exercise, and exhibit low health motivation. Chinese women in Chinatown lack necessary knowledge about osteoporosis to develop
adequate self-efficacy. Public health initiatives should be undertaken among recent immigrant Chinese women.
This study was presented at the annual meeting of the International Society of Clinical Densitometry, San Francisco, CA, March
2008. |
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Keywords: | Beliefs Chinese Education Fractures Osteoporosis |
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