绝经后妇女骨质疏松症治疗的地理差异:15年的纵向分析
Alicia R Jones1,2, Joanne E Enticott1, Peter R Ebeling2,3
1Monash Centre for Health Research and Implementation, Monash University, Melbourne, Australia, 3168.
Journal of the Endocrine Society
|July 22, 2024
概括
澳大利亚妇女的骨质疏松症治疗水平较低,三分之一的妇女接受护理. 在调整风险因素后,没有发现城市和农村治疗的显著差异,尽管依从程度有所不同.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 药物经济学 药物经济学
背景情况:
- 骨质疏松症影响超过一半的澳大利亚老年女性,但许多仍然没有接受治疗.
- 了解骨质疏松症管理中的地理差异对于公平获得医疗保健至关重要.
研究的目的:
- 调查澳大利亚城市和农村地区的绝经后妇女骨质疏松症治疗率和坚持治疗的差异.
主要方法:
- 利用了澳大利亚妇女健康纵向研究 (1946-1951年出生队列) 的数据.
- 将调查数据 (2004-2019) 与制药福利计划联系起来,以评估抗骨质疏松症药物的使用和遵守.
- 在各大城市,内区域,外区域和偏远地理分类中比较治疗模式.
主要成果:
- 在15年内,32.9%的符合条件的妇女接受了骨质疏松症治疗.
- 虽然单变量分析表明,外围区域和偏远地区的治疗使用率较低,但在多变量调整后,这种差异并不显著.
- 治疗坚持因药物类型而异 (34%-100%) 并没有与事件骨折相关.
结论:
- 大约三分之一的患有骨质疏松症或骨折的澳大利亚女性接受了治疗,其坚持程度有显著差异.
- 在考虑混因素后,城市和农村人口之间在接受骨质疏松症治疗的可能性上没有发现显著差异.
- 具体的治疗选择和坚持模式在地理上有所不同,突出了针对性干预的领域.
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