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Abstract：
Background Osteoporosis is a chronic bone disease associated with a reduction in bone mass and an increased risk of fractures. The prevalence of osteoporosis is rising globally, including in Saudi Arabia, where there is a lack of information regarding the uptake of osteoporosis screening services. This study aims to examine self-efficacy and barriers toward osteoporosis screening in older women and men in Al-Madina Munawara, Saudi Arabia. Methods A cross-sectional study was conducted among adults aged 60 and above who attended primary healthcare centers. Convenience sampling was used to recruit participants, and a self-administered questionnaire was used to assess sociodemographic characteristics, osteoporosis status, general health-related characteristics, and screening self-efficacy. Analyses included multivariable regression analyses to evaluate the association between osteoporosis screening self-efficacy and potential explanatory variables. Data were collected in the last quarter of 2023. Results In a study involving 342 completed questionnaires, the mean age of participants was 66.2 years (SD = 4.3), with a range from 60 to 79 years, and the majority were male (230, 67.3%), having chronic diseases (226, 66.3%). Regarding osteoporosis risk factors and screening behaviors, the majority did not use prednisolone (252, 74.1%), did not have a family history of osteoporosis (216, 63.2%), had not experienced falls in the past five years (223, 65.2%), and had not undergone osteoporosis screening (299, 87.4%). The mean self-efficacy score for osteoporosis screening was 37.7 (SD = 4.7), ranging from 10 to 50, which indicated a moderate level of screening self-efficacy. In multivariate analysis, smokers were more likely to have higher scores in self-efficacy for osteoporosis screening compared to non-smokers (RR = 1.10; 95% CI = 1.01, 1.21). Participants who did osteoporosis screening (RR = 1.12; 95% CI = 1.01, 1.24) and those who were planning to do osteoporosis screening (RR = 1.10; 95% CI = 1.03, 1.19) were more likely to have higher score in self-efficacy for osteoporosis screening compared to their counterparts. Conclusion The participants had a fair level of screening self-efficacy. The smokers and those who had undergone or planned to undertake osteoporosis screening demonstrated higher self-efficacy scores than others. A lot of progress could be made in decreasing the burden of osteoporosis and enhancing the overall health and well-being of the older population by addressing these issues using specific interventions and policy measures.
摘要：
背景骨质疏松症是一种与骨量减少和骨折风险增加相关的慢性骨疾病。骨质疏松症的患病率正在全球上升，包括在沙特阿拉伯，那里缺乏关于骨质疏松筛查服务的信息。这项研究旨在检查Al-MadinaMunawara的老年女性和男性的自我效能感和骨质疏松症筛查障碍。沙特阿拉伯。方法对60岁及以上到基层医疗中心就诊的成年人进行横断面研究。方便抽样被用来招募参与者，并使用自我管理的问卷来评估社会人口统计学特征，骨质疏松状态，一般健康相关特征，和筛选自我效能感。分析包括多变量回归分析，以评估骨质疏松症筛查自我效能与潜在解释变量之间的关联。数据是在2023年最后一个季度收集的。结果在一项涉及342份完整问卷的研究中，参与者的平均年龄为66.2岁（SD=4.3），从60到79岁，大多数是男性(230，67.3%)，患有慢性病（226，66.3%）。关于骨质疏松症的危险因素和筛查行为，大多数人没有使用泼尼松龙(252，74.1%)，没有骨质疏松家族史（216，63.2%），在过去五年中没有经历过下跌(223，65.2%)，并且没有进行过骨质疏松症筛查（299，87.4%）。骨质疏松症筛查的平均自我效能评分为37.7（SD=4.7），范围从10到50，这表明筛查自我效能处于中等水平。在多变量分析中，与不吸烟者相比,吸烟者在骨质疏松筛查中的自我效能评分更高(RR=1.10;95%CI=1.01,1.21).进行骨质疏松症筛查的参与者（RR=1.12；95％CI=1.01，1.24）和计划进行骨质疏松症筛查的参与者（RR=1.10；95％CI=1.03，1.19）更有可能在骨质疏松症筛查中获得更高的自我效能评分。结论参与者具有相当的筛查自我效能感。吸烟者和那些经历或计划进行骨质疏松症筛查的人表现出比其他人更高的自我效能分数。通过使用具体的干预措施和政策措施来解决这些问题，可以在减轻骨质疏松症的负担和增强老年人口的整体健康和福祉方面取得很大进展。
