Osteoporosis preventive care in white and black women in community family medicine settings.
BACKGROUND
Osteoporosis has been studied predominantly in white postmenopausal women.


METHODS
We performed a cross-sectional survey of a random sample of 400 women aged 45 years and older enrolled in a family medicine community-based research network. Participants responded to 42 items regarding osteoporosis screening and prevention during primary care visits. Odds ratios were calculated comparing black versus white women, adjusting for age, weight, fracture history, family history of osteoporosis, and practice site.


RESULTS
Compared with black women, white women had 5.96 (95% CI 3.01, 11.79) times the adjusted odds of having a past bone density test, 2.97 (95% CI 1.57, 5.60) times the odds of discussing osteoporosis with their doctor, and 2.42 (95% CI 1.30, 4.50) times the odds of a physician recommendation to take calcium.


CONCLUSIONS
Disparities in osteoporosis preventive care were found between black and white women, after adjustment for other osteoporosis risk factors.
Gourlay
Margaret L
ML
Department of Family Medicine, University of North Carolina, Chapel Hill, NC 27599-7595, USA. margaret_gourlay@med.unc.edu
Callahan
Leigh F
LF
Preisser
John S
JS
Sloane
Philip D
PD
D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D003153:Community Health Services; D003430:Cross-Sectional Studies; D005194:Family Practice; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D009657:North Carolina; D016017:Odds Ratio; D010024:Osteoporosis / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control*; D010818:Practice Patterns, Physicians'; D011315:Preventive Medicine; D011320:Primary Health Care; D044465:White People