Health Beliefs And Osteoporosis

Status Among A Group Of

Population In Sharkia
Governorate, Egypt:
An Intervention Study
Prepared By
Shereen Eassa ‫سح‬
Assisst Prof Of Public Health
Acknowledgment to:

 Prof Dr Amal Ahmed El Badawy.

 Prof Dr Samir Ahmed El Badawy.

 All Teams Who Participate In This

Work.
 Osteoporosis(OP) is a disease
of low bone mass.
affecting
up to 40% of
women and 12% of men at
some point during life .
 16.7% of 1190 Egyptian menopausal
females had lumbar osteoporosis .

 Egyptian women have a lower bone

mineral density compared to their
western countries
 Although,osteoporotic fractures
are a major cause of morbidity
and mortality among the elderly
population , it may be controlled
and prevented by proper
educational campaigns
 Prevention programs should start
at an early age to avoid the
behavioral risk factors.
 Aim And Objectives
 Assessment of osteoporosis
among population of two
districts in sharkia
governorate.
 Also,
to implement an
educational program to
change health beliefs about
osteoporosis.
 Subjects and methods
Across sectional study was
conducted on males and females
aged 18-80 y in two district
population in Sharkia Governorate
by using multistage random
sampling technique .
Our study consisted of two phases:

:phase one

A-Data collection through

predesigned and tested
questionnaire which included data
about
 1-Socio-demographic characteristics.

 2-Lifestylecharacteristics: smoking
habits, exposure to sunlight, and
physical activities.

 3-Family history of osteoporosis.

 4-Assessment of dietary calcium
intake

 5-Knowledge and beliefs about

osteoporosis, exercise and ca
intake
B- Measurement of bone mineral density (bone mass)

 All subjects underwent bone mineral

measurements at the right calcaneous
using the SONOST 3000
(osteosys.com ) quantitative
ultrasound bone densitometer
 Ultrasound bone densitometer was
used in this study was available with
the cooperation of ADWIA COMPANY
for pharmaceuticals.
:
 C-Anthropometric measurements:
measuring Wight and height and
calculate BMI.
 D-Investigations : estimation of

serum ca and 25 (OH) D .

 PHASE TWO
 Health educational sessions were
carried out and covered issues related
to medical , dietary and exercise
items.
 Post test was done 3 months after the

program .
Results
Distribution of BMD among the study
group

osreoporosis
18%
normal BMD
30%

osteopenia
52%
Significant risk factors for osteoporosis

OR( CI) variables

1.57(1.12-2.2) Female
2.07(1.35-3.16) Not working
2.59 (1.79-3.75) Low socioeconomic
status
1.92(1.24-2.98) +ve Family history
2.01(15-2.8) ⇩Regular exposure to
sun
OR(CI) VARIABLES

2.48(1.23-5.0) Low frequency walk

2.99(1.93-4.61) Low duration of walk
7.26(4.81-10.95) Low level of climbing stair
7.74(3.92-15.57) Low level of practice
exercise.
 Osteoporosis health belief

OR (CI) Variables
4.92(3.04-7.97) ⇩ susceptibility
4.92(2.8-6.3) ⇩Seriousness
2.43(1.5-3.80 ⇩Exercise benefit
3.2(1.78-5.81) ⇧Exercise barrier
4.2(2.8-6.3) ⇧Ca barrier
1.9(1.2-3.1) ⇩Health motivation
5.19(3.14-8.58) ⇩Ca benefit
Logistic regression analysis of factors
asssociated with low BMD

sig WALD SE B variables

0.000 63.98 0.573 4.58 ⇩Practice exercise
0.000 13.62 0.280 1.03 ⇩Exercise benefit
0.000 25.86 0.415 2.1 ⇩susceptibility
0.007 7.16 0.722 1.932 ⇩Low frequency walk
0.02 5.20 0.001 0.002 ⇩Intension to increase
ca
Knowledge about osteoprosis and
practice exercise after intervention
pretest posttest

86%

33% 52%

10%
exercise osteoporosis
Planning to change diet or practice
exercise after intervention
pretest posttest

70%

48%

40%
27%

practice exercise change diet

 Conclusion
low BMD was of high prevalence.
: It was significant among those

 low physical activities.

 low beliefs about susceptibility of

osteoporosis, benefit of exercise

 ⇧barrier against increasing dietary
intake and practice exercise
 Health education which stress
on knowledge and beliefs
successes in:
 - change knowledge.
 - intension to change

behavior.
 Recommendations
 From a public health point of
view, a public health program
should stress on
 behavioral measures to increase

knowledge and health beliefs to

cause actual behavior change
 Also,Behavioural changes must
stress on improving lifestyle such
as practice physical activity,
regular exposure to sunlight,
increasing ca continent on diet.
Thank you