title: The prevalence and risk factors for osteoporosis among 18- to 49-year-old Turkish women.
abstract: The aim of this study was to determine the prevalence of osteoporosis and associated risk factors in Turkish women aged 18-49 years. A population-based, cross-sectional study was conducted between January and April 2014. The sample (n = 1,792) was comprised of women aged 18-49 years, who resided in Cubuk, Ankara, Turkey, and were selected by simple random sampling. The data were collected in face-to-face interviews using an Individual Information Form and an Osteoporosis Risk Estimation Scale. Bone mineral density was assessed using standard dual-energy X-ray absorptiometry. Multiple logistic regression and chi-square analyses were used for analyses. Most participants (80.1%) were at low risk of developing osteoporosis, while 6.9% were at medium to high risk of developing the disease. From bone mineral density levels, 33.3% were osteopenic; 4.0% were osteoporotic; 33.3% were osteopenic at the femoral neck; and 6.7% were osteoporotic at the lumbar vertebra L1-L4. Further, results of multiple logistic regression analyses showed that osteoporosis risk was significantly associated with smoking, having light skin, multiparity, and having a family history of osteoporosis (p < .05). These results indicated that public health screening strategies for protecting women's bone health at earlier ages than previously thought might be beneficial.
authors.affiliation: a Faculty of Health Sciences, Nursing Department , Yildirim Beyazit University , Ankara , Turkey.
authors.forename: Gul
authors.initials: G
authors.lastname: Pinar
authors.affiliation: a Faculty of Health Sciences, Nursing Department , Yildirim Beyazit University , Ankara , Turkey.
authors.forename: Sena
authors.initials: S
authors.lastname: Kaplan
authors.affiliation: b Institute of Public Health, Faculty of Medicine , Hacettepe University , Ankara , Turkey.
authors.forename: Tevfik
authors.initials: T
authors.lastname: Pinar
authors.affiliation: a Faculty of Health Sciences, Nursing Department , Yildirim Beyazit University , Ankara , Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Akalin
authors.affiliation: a Faculty of Health Sciences, Nursing Department , Yildirim Beyazit University , Ankara , Turkey.
authors.forename: Halime
authors.initials: H
authors.lastname: Abay
authors.affiliation: c Faculty of Medicine, Department of Biostatistics and Medical Informatics , Yildirim Beyazit University , Ankara , Turkey.
authors.forename: Mesut
authors.initials: M
authors.lastname: Akyol
authors.affiliation: d Faculty of Medicine, Department of Physical Medicine and Rehabilitation , Yildirim Beyazit University, Atatürk Training and Research Hospital , Ankara , Turkey.
authors.forename: Nebahat
authors.initials: N
authors.lastname: Sezer
authors.affiliation: d Faculty of Medicine, Department of Physical Medicine and Rehabilitation , Yildirim Beyazit University, Atatürk Training and Research Hospital , Ankara , Turkey.
authors.forename: Selami
authors.initials: S
authors.lastname: Akkus
authors.affiliation: e Department of Chest Diseases , Cubuk Halil Sıvgın State Hospital , Ankara , Turkey.
authors.forename: Salim
authors.initials: S
authors.lastname: Sariyildiz
authors.affiliation: f Nursing Department , Cubuk Halil Sıvgın State Hospital , Ankara , Turkey.
authors.forename: Semra
authors.initials: S
authors.lastname: Dinc
mesh_terms: D015502:Absorptiometry, Photon; D000293:Adolescent; D000328:Adult; D015519:Bone Density; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008875:Middle Aged; D010024:Osteoporosis / Q000453:epidemiology*; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
keywords: Bone mineral density; osteoporosis; osteoporosis risk factors; women