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Osteoporosis guideline awareness among Iranian family physicians: results of a knowledge, attitudes, and practices survey

  • Hamideh Mahdaviazad (a1), Vahid Keshtkar (a2) and Mohammad Jafar Emami (a3)

Abstract

Aim

This study investigates the knowledge, attitudes, and practices (KAP) of family physicians in Iran, regarding osteoporosis and their experience with national osteoporosis guideline.

Background

Osteoporosis is a relatively preventable, chronic and progressive disease. Family physicians play a crucial role in relieving the burden of care.

Methods

This cross-sectional study was addressed at all qualified family physicians who registered at urban family physicians and referral system program. Data collection included demographics, professional experience, and knowledge of guidelines based on a standardized KAP questionnaire. Student’s t-test was used to measure the associations between KAP scores and demographic, professional experience variables.

Findings

The response rate was 72% (540/750). Based on Bloom’s cut off scale, family physicians knowledge and practice scores were in moderate level, and only 14 and 38.5% of them had good knowledge and practice, respectively. Attitude score was in good level, and 64.1% of participants had positive attitude. Mean score of knowledge and practice were higher significantly among family physicians that practice in public settings. Family physicians, who completed osteoporosis training courses, had higher attitude score (P=0.03). Only 23.5% of family physicians were aware of the existence of national osteoporosis guideline.

Conclusion

Although most family physicians believed in the importance of preventive measures, however, limited number of them had good knowledge and practice regarding osteoporosis and less than a quarter were aware of national guideline. This is a clear need to disseminate the guideline more effectively, make greater use of efficient training methods.

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Copyright

Corresponding author

Correspondence to: Assistant Professor Hamideh Mahdaviazad, Department of Community and Preventive Medicine, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, P.O. Box: 7193634154, Shiraz, Iran. Email: mahdavih@sums.ac.ir

References

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Abolhassani, F., Mohammadi, M. and Soltani, A. 2004: Burden of osteoporosis in Iran. Iranian Journal of Public Health, 1828.
Beshyah, S.A., Mehri, W.A. and Khalil, A.B. 2013: Osteoporosis and its management: knowledge, attitudes and practices of physicians in United Arab Emirates. Ibnosina Journal of Medical and Biomedical Sciences 5, 270279.
Cheng, N. and Green, M.E. 2008: Osteoporosis screening for men: are family physicians following the guidelines? Canadian Family Physician 54, 11401141.
Chenot, R., Scheidt-Nave, C., Gabler, S., Kochen, M. and Himmel, W. 2007: German primary care doctors’ awareness of osteoporosis and knowledge of national guidelines. Experimental and Clinical Endocrinology & Diabetes 115, 584589.
Curtis, E.M., Moon, R.J., Harvey, N.C. and Cooper, C. 2017: The impact of fragility fracture and approaches to osteoporosis risk assessment worldwide. Bone 104, 2938.
De Villiers, T.J. 2008: Preventing osteoporosis in postmenopausal women: treatment approaches for family physicians. South African Family Practice 50, 4147.
Fogelman, Y., Goldshtein, I., Segal, E. and Ish-Shalom, S. 2016: Managing osteoporosis: a survey of knowledge, attitudes and practices among primary care physicians in Israel. PLoS One 11, e0160661.
Hadi, N. and Shiralli, R. 2005: Level of knowledge and attitude toward osteoporosis among general physicians in Shiraz 2003. Hormozgan Medical Journal 4, 373378. [In Persian].
Hwaid, A.H. 2013: Knowledge and awareness of papillomavirus and cervical cancer among college students and health care workers women in Diyala, Iraq. American Journal of Public Health Research 1, 221225.
Ioannidis, G., Papaioannou, A., Thabane, L., Gafni, A., Hodsman, A., Kvern, B., Walsh, A., Jiwa, F. and Adachi, J.D. 2009: Family physicians’ personal and practice characteristics that are associated with improved utilization of bone mineral density testing and osteoporosis medication prescribing. Population Health Management 12, 131138.
Jaglal, S.B., Carroll, J., Hawker, G., Mcisaac, W.J., Jaakkimainen, L., Cadarette, S.M., Cameron, C. and Davis, D. 2003: How are family physicians managing osteoporosis? Qualitative study of their experiences and educational needs. Canadian Family Physician 49, 462468.
Larijani, B., Resch, H., Bonjour, J., Meybodi, H.A. and Tehrani, M.M. 2007: Osteoporosis in Iran, overview and management. Iranian Journal of Public Health 113.
Mckercher, H. 2003: Family physicians and osteoporosis. Meeting the challenge. Canadian Family Physician 49, 405.
Meybodi, H.A., Heshmat, R., Maasoumi, Z., Soltani, A., Hossein-Nezhad, A., Keshtkar, A., Bahrami, A., Rajabian, R., Nabipour, I. and Omrani, G. 2008: Iranian osteoporosis research network: background, mission and its role in osteoporosis management. Iranian Journal of Public Health 37, 16.
National Osteoporosis Research Network. 2014: Osteoporos clinical guideline. Retrieved 23 January 2018 from http://vch.iums.ac.ir/uploadesteoproz.pdf. [in persian]
Romagnoli, E., Colangeli, I. and Minisola, S. 2000: Awareness, attitudes and opinions on osteoporosis of primary care physicians working in the metropolitan area of Rome: a brief report. Aging Clinical and Experimental Research 12, 240244.
Saeedi, M.Y., Al-Amri, F., Mohamed, A. and Ibrahim, A.K. 2014: Knowledge, attitude and practice towards osteoporosis among primary health care physicians in Riyadh, Saudi Arabia. Science Journal of Public Health 2, 624630.
Taylor, J., Sterkel, B., Utley, M., Shipley, M., Newman, S., Horton, M. and Fitz-Clarence, H. 2001: Opinions and experiences in general practice on osteoporosis prevention, diagnosis and management. Osteoporosis International 12, 844848.
US Department of Health and Human Services. 2004: Bone health and osteoporosis: a report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Office of the Surgeon General, 87 pp.
World Health Organization (WHO). 1994: Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: report of a WHO study group, meeting held in Rome, 22 to 25 June 1992.
Wright, N.C., Looker, A.C., Saag, K.G., Curtis, J.R., Delzell, E.S., Randall, S. and Dawson‐Hughes, B. 2014: The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine. Journal of Bone and Mineral Research 29, 25202526.

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