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Adherence to Osteoporosis Screening and Its Related Factors: A Population-Based Study, Kerman, Iran

Abstract
Background: Adherence to screening services is a prerequisite for the success of screening programs
Objectives: This study aimed at determining factors associated with participants’ compliance with Dual-energy X-ray Absorptiometry (DXA) screening for osteoporosis
Methods: In this population-based participatory study, 1000 males and females older than 55 years old were invited to participate in the study. The study took place in the city of Kerman, Iran, where subjects were informed face to face about the risk factors and complications of osteoporosis and asked to complete a questionnaire. The subjects were  then invited to visit a densitometry center for a free DXA study. Four rural areas and 4 locations in Kerman were selected based on municipal division 
Results: A total of 923 individuals completed the questionnaire: 562 (60.9%) were female, nearly two-thirds were from urban areas  and 284 (30.8%) were willing to undergo densitometry. Eight percent had a history of corticosteroid use for more than 3 months Abouttwo-thirdsof theparticipantswerewalkinglessthan150minutesperweek. Inthelogisticregressionanalysis,urbanresidents (OR = 1.88), females (OR = 1.52), and those who perceived high risk of osteoporosis (OR = 1.67) were more likely to adhere to DXA screening.
Conclusions: On the whole, despite informing people about osteoporosis and offering free services, compliance to densitometry was not remarkable
Keywords: Hip Fracture, Prevention, Population-Based Screening


 AuthorsMohammad Jafari Sirizi, Mohammad Reza Shakibi, Mehdi Shafie, Seddighe Mohammad-Taghizadeh, Mohsen Barouni, and Nouzar Nakhaee