Social Determinants of Bone Densitometry Uptake for Osteoporosis Risk in Patients Aged 50 Yr and Older: A Systematic Review

Brennan, Sharon L., Wluka, Anita E., Gould, Haslinda, Nicholson, Geoffrey C., Leslie, William D., Ebeling, Peter R., Oldenburg, Brian, Kotowicz, Mark A. and Pasco, Julie A. (2012) Social Determinants of Bone Densitometry Uptake for Osteoporosis Risk in Patients Aged 50 Yr and Older: A Systematic Review. Journal of Clinical Densitometry, 15 2: 165-175. doi:10.1016/j.jocd.2011.12.005

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Author Brennan, Sharon L.
Wluka, Anita E.
Gould, Haslinda
Nicholson, Geoffrey C.
Leslie, William D.
Ebeling, Peter R.
Oldenburg, Brian
Kotowicz, Mark A.
Pasco, Julie A.
Title Social Determinants of Bone Densitometry Uptake for Osteoporosis Risk in Patients Aged 50 Yr and Older: A Systematic Review
Journal name Journal of Clinical Densitometry   Check publisher's open access policy
ISSN 1094-6950
1559-0747
Publication date 2012-04-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jocd.2011.12.005
Volume 15
Issue 2
Start page 165
End page 175
Total pages 11
Place of publication Amsterdam, AE, Netherlands
Publisher Elsevier BV
Collection year 2013
Language eng
Abstract The World Health Organization identifies that osteoporosis is one of the leading health problems in the Western world. An increased risk of fragility fracture is observed in more socially disadvantaged individuals in most Western countries. Dual-energy X-ray absorptiometry (DXA) is currently the procedure of choice to diagnose osteoporosis and assess fracture risk. We systematically reviewed the literature regarding social determinants of DXA utilization for osteoporosis detection in patients aged 50 yr and older using a computer-aided search of MEDLINE, EMBASE, CINAHL, and PsychINFO from January 1994 to December 2010. Five cross-sectional studies, incorporating 16 separate analyses, were identified for inclusion in this review. The best evidence analysis identified limited evidence for a positive association between either income or education with DXA utilization; furthermore, the best evidence analysis found no evidence for an association between either marital status or working status and DXA utilization. Further research is required to identify whether a relationship exists and elucidate reasons for disparities in DXA utilization between different social groups, such as choice and referral processes, as a necessary precursor in identifying modifiable determinants and appropriate strategies to promote preventive screening to identify fracture risk.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Medicine Publications
 
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