Maturitas 56 (2007) 21–29
Knowledge of osteoporosis correlated with hormone
therapy use and health status
Magda Vytrisalova
a,∗
, Ales Kubena
a
, Jiri Vlcek
a
,
Vladimir Palicka
b
, Tomas Hala
c
, Karel Pavelka
d
a
Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove,
Charles University in Prague, Heyrovskeho 1203, 500 05 Hradec Kralove, Czech Republic
b
Osteoporosis Centre, Department of Clinical Biochemistry, Faculty of Medicine in Hradec Kralove,
Charles University in Prague, Czech Republic
c
Osteoporosis Centre, Pardubice Regional Hospital and Center for Clinical and Basic Research,
CCBR Czech, Pardubice, Czech Republic
d
Institute of Rheumatology, Prague and Department of Rheumatology of the First Faculty of Medicine,
Charles University in Prague, Czech Republic
Received 6 February 2006; received in revised form 11 May 2006; accepted 12 May 2006
Abstract
Objectives: The study objectives were: (a) to evaluate knowledge about osteoporosis and to identify its correlates among women
≥40 years of age attending outpatient centers; (b) to compare the level of knowledge between women already receiving treatment
for osteoporosis and first-time attendees.
Methods: A cross-sectional survey was conducted with women recruited from nine outpatient centres in the Czech Republic.
The women were divided into two subgroups: patients who have already been diagnosed with osteoporosis (osteopenia) and
who are receiving treatment for the disease (OS group); first-time attendees who have been referred for the assessment of
osteoporosis (comparison group). The patient’s knowledge of osteoporosis was assessed using the Osteoporosis Questionnaire
(OPQ) developed by Pande et al. [Pande KC, Takats D, Kanis JA, Edwards V, Slade P, McCloskey EV. Development of a
questionnaire (OPQ) to assess patient’s knowledge about osteoporosis. Maturitas 2000;37:75–81].
Results: A total of 474 women (median age 63 years) were studied (306 in the OS group, 168 in the comparison group).
Knowledge scores based on OPQ (median) were 7 and 6 points in the OS and comparison groups, respectively. When adjusted
for age, the statistics showed better knowledge patients in the OS group (P = 0.019). In both the OS and comparison groups,
knowledge was found to be correlated positively with education (P < 0.001) and experience of hormone replacement therapy
(HRT) (P < 0.001) and negatively with age (P < 0.001). Knowledge was higher among women with better health status in the OS
group.
∗
Corresponding author. Tel.: +420 495067486; fax: +420 495512266.
E-mail address: magda.vytrisalova@faf.cuni.cz (M. Vytrisalova).
0378-5122/$ – see front matter © 2006 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.maturitas.2006.05.005