Health promotion and health education with particular emphasis on bone diseases among rural population in Poland

• Autorzy: Filip R.S. , Bylina J. , Zagorski J.
• Języki publikacji: EN

Abstrakty

EN

Osteoporosis and osteoarthrosis are the most common diseases of bone tissue affecting both rural and urban populations. The aim of the study was to investigate the level of education and requirement for health promotion within the scope of common diseases of the skeletal system among rural population in Poland. This was an exploratory study with a cross-sectional design performed between May 2004–September 2005 in rural areas of 16 Voivodeships (main provinces) of Poland. The study population comprised of 404 (62.9%) rural women and 238 (37.1%) rural men (total 642). All subjects were randomly sampled and recruited by personal contact in primary health care centres. Study data were obtained using a specially prepared questionnaire. The most commonly reported diseases were: arterial hypertension (26.1%), joint degenerative disease (24.6%) and osteoarthritis (14.7%). The occurrence of osteoarthritis and joint degenerative disease increased with age and was highest in the group aged over 50 (21% and 38.7% respectively). Osteoarthitis was more frequent in women compared to men (16% and 12.2% respectively). In most cases, the basic information about methods of prevention and treatment given by a General Practitioner or a specialist was characterized as “satisfactory” (73.6% and 62.9% respectively). The most popular prophylactic action performed in local communities was bone densitometry (14.1%), and the most important source of knowledge - TV and radio (65%). Populations living in rural areas have limited access to health education and health prophylaxis actions, irrespective of the geographical region of Poland. Inhabitants with secondary or higher education, as well as those with a higher household income, have better knowledge about skeletal system diseases compared to those with a lower educational level. The practical implications of this study suggest the necessity for paying more attention to etiology, symptoms and methods of prevention and treatment of bone diseases when attending to patients in specialist practice.

Słowa kluczowe

EN

human disease; health promotion; Poland; osteoarthritis; health education; osteoporosis; rural population; bone disease

• Wydawca: -
• Czasopismo: Annals of Agricultural and Environmental Medicine
• Rocznik: 2006
• Tom: 13
• Numer: 1
• Opis fizyczny: p.71-76,fig.,ref.

Twórcy

autor

Filip R.S.

• Institute of Agricultural Medicine, Jaczewskiego 2, 20-950 Lublin, Poland

autor

Bylina J.

autor

Zagorski J.

Bibliografia

• 1. Albrand G, Munoz F, Sornay-Rendu E, DuBoeuf F, Delmas PD: Independent predictors of all osteoporosis-related fractures in healthy postmenopausal women: the OFELY study. Bone 2003, 32, 78-85.
• 2. Bainbridge KE, Sowers M, Lin X, Harlow SD: Risk factors for low bone mineral density and the 6-year rate of bone loss among premenopausal and perimenopausal women. Osteoporosis Int 2004, 15, 439-446.
• 3. Buckley LM, Vacek P, Cooper SM: Educational and psychosocial needs of patients with chronic disease. A survey of preferences of patients with rheumatoid arthritis. Arthritis Care Res 1990, 3, 5-10.
• 4. Canada Yearbook. Ottawa: Statistics Canada 1994.
• 5. Cummings SR, Kelsez JL, Nevitt MC, ODowd KJ. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 1985, 7, 178- 208.
• 6. Filip RS, Zagórski J: Bone mineral density and osteoporosis in rural and urban women. Epidemiological study of the Lublin region (Eastern Poland). Ann Agric Environ Med 2001, 8, 221-226.
• 7. Filip RS, Zagórski J: Age- and BMD-related differences in biochemical markers of bone metabolism in rural and urban women from Lublin region, Poland. Ann Agric Environ Med 2004, 11, 255-259.
• 8. Filip RS, Zagórski J: Osteoporosis risk factors in rural and urban women from Lublin Region (Poland). Ann Agric Environ Med 2005, 12, 21-26.
• 9. Hammond A, Freeman K: One year outcomes of a randomised controlled trial of an educational-behavioural joint protection programme for people with rheumatoid arthritis. Rheumathology 2001, 40, 1044-1051.
• 10. Hartvigsen J, Christensen K, Fredriksen H, Pedersen HC: Genetic and environmental contributions to back pain in old age: a study of 2,108 Danish twins aged 70 and older. Spine 2004, 29, 897-901.
• 11. Hernandez-Rauda R, Martinez-Gracia S: Osteoporosis-related life habits and knowledge about osteoporosis among women in El Salvador: A cross-sectional study. BMC Muscosceletal Disorders 2004, 5, 5-29.
• 12. Livaudais JC, Kaplan CP, Haas JS, Perez-Stable EJ, Stewart S, Jarlais GD: Lifestyle behavior counselling for women patients among a sample of California physicians. J Womens Health 2005,14, 485-495.
• 13. Melton LDJ, Chirschilles EA, Cooper C, Lane AW, Riggs BL: Perspective. How many women have osteoporosis. J Bone Miner Res 1992,7, 1005-1010.
• 14. Powell A, Teichtal AJ, Wluka AE, Cicuttini FM: Obesity: a preventable risk factor for large joint osteoarthritis which my act through biomechanical factors. Br J Sports Med 2005, 39, 4-5.
• 15. Saw SM, Hong CY, Lee J, Wong ML, Chan MF, Cheng A, Leong KH: Awareness and health beliefs of women towards osteoporosis. Osteoporosis Int 2003, 14, 595-601.
• 16. Terrio K, Auld G: Osteoporosis knowledge, calcium intake, and weight-bearing physical activity in three age groups of women. J Community Health 2002, 27, 307-320.
• 17. Velasco-Murillo V, Navarette-Hernandez E, Ojeda-Mijares RI, Pozos-Cavanzo JL, Camacho-Rodriguez MA, Cardona-Perez JA: Experimencia y conocimiento sobre climaterio y menopausia en mujeres de la ciudada de Mexico. Gac Med Mex 2000, 136, 555-564.
• 18. Yu S, Huang YC: Knowledge of, attitudes towards, and activity to prevent osteoporosis among middle-aged and elderly women. J Nurs Res 2003,11, 65-72.