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Influence of Residence Area and Basic Livelihood Conditions on the Prevalence and Diagnosis Experience of Osteoporosis in Postmenopausal Women Aged over 50 Years: Evaluation Using Korea National Health and Nutrition Examination Survey Data

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  • Suk-Woong Kang

    (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Department of Orthopedic Surgery, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Ji-Hee Yang

    (Department of Medicine, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Won-Chul Shin

    (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Department of Orthopedic Surgery, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Yoon-Ji Kim

    (Department of Preventive and Occupational & Environmental Medicine, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Min-Hyeok Choi

    (Department of Preventive and Occupational & Environmental Medicine, Medical College, Pusan National University, Yangsan 50612, Korea
    Office of Public Healthcare Service, Pusan National University Yangsan Hospital, Yangsan 50612, Korea)

Abstract

Patients with osteoporosis are asymptomatic and are at risk for fractures. Therefore, early detection and interventions are important. We found that a population with a low socioeconomic status living in rural areas was reported to have a high osteoporosis prevalence but a relatively low diagnosis rate. Research on the disparity of osteoporosis prevalence and treatment from the socioeconomic perspective was conducted. This study aimed to investigate the influence of residence area and basic livelihood conditions on osteoporosis prevalence and diagnosis in postmenopausal women aged over 50 years. The cross-sectional data of 1477 postmenopausal women aged over 50 years obtained from the Korea National Health and Nutrition Examination Survey V-2 were analyzed. Univariate analyses were performed to calculate the prevalence and diagnosis rate according to risk factor categories. A multivariate logistic regression analysis was performed to identify the influence of residence area and basic livelihood conditions after controlling for other factors. The osteoporosis prevalence in basic livelihood beneficiaries (53.7%) and rural area residents (41.9%) was higher than that in non-beneficiaries (33.1%) and urban area residents (31.8%). There was no significant difference in the diagnosis rates in relation to the basic livelihood conditions or residence areas. The adjusted odds ratio for the prevalence among the beneficiaries living in rural areas was 2.08 (95% confidence interval: 1.06–4.10). However, the odds ratio for diagnosis was not significantly different. Earlier screening examination policies for osteoporosis in postmenopausal women with a low socioeconomic status living in rural areas are needed.

Suggested Citation

  • Suk-Woong Kang & Ji-Hee Yang & Won-Chul Shin & Yoon-Ji Kim & Min-Hyeok Choi, 2021. "Influence of Residence Area and Basic Livelihood Conditions on the Prevalence and Diagnosis Experience of Osteoporosis in Postmenopausal Women Aged over 50 Years: Evaluation Using Korea National Healt," IJERPH, MDPI, vol. 18(18), pages 1-10, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9478-:d:631479
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    References listed on IDEAS

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    1. Young-Hoon Lee, 2018. "Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    2. Gehlbach, S.H. & Fournier, M. & Bigelow, C., 2002. "Recognition of osteoporosis by primary care physicians," American Journal of Public Health, American Public Health Association, vol. 92(2), pages 271-273.
    3. Min Hyeok Choi & Ji Hee Yang & Jae Seung Seo & Yoon-ji Kim & Suk-Woong Kang, 2021. "Prevalence and diagnosis experience of osteoporosis in postmenopausal women over 50: Focusing on socioeconomic factors," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-10, March.
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