{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:52:37Z","timestamp":1784771557542,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T00:00:00Z","timestamp":1492560000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100002429","name":"Amgen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002429","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007775","name":"Universidade Cat\u00f3lica de Bras\u00edlia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007775","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,8]]},"abstract":"\n Objectives<\/jats:title>\n \n To identify women's beliefs and other factors associated with lack of osteoporosis (\n OP<\/jats:styled-content>\n ) pharmacotherapy (\n OP<\/jats:styled-content>\n \u2010\n RX<\/jats:styled-content>\n ) during the 6 months after a fragility fracture, including the woman's perspective on fracture risk,\n OP<\/jats:styled-content>\n , and treatment.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross\u2010sectional.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Group Health Cooperative, a mixed\u2010model delivery system.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Female Group Health Cooperative enrollees aged 55 and older with an\n OP<\/jats:styled-content>\n \u2010related fracture according to diagnostic and procedure codes from January 1, 2013, to March 30, 2014 (N = 985).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n OP<\/jats:styled-content>\n \u2010\n RX<\/jats:styled-content>\n and participant characteristics were ascertained from electronic health records including medications dispensed. A mailed survey was used to obtain data on health behaviors;\n OP<\/jats:styled-content>\n \u2010related history; concern about, knowledge of, and perceived risk of future fracture; beliefs about\n OP<\/jats:styled-content>\n \u2010\n RX<\/jats:styled-content>\n ; sources of information on\n OP<\/jats:styled-content>\n ; postfracture discussions with providers; and provider recommendations.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The response rate was 73%. Of 634 eligible respondents, 84% did not undergo\n OP<\/jats:styled-content>\n \u2010\n RX<\/jats:styled-content>\n during the 6 months after fracture. Fewer than 20% of women thought that\n OP<\/jats:styled-content>\n caused their fracture, 52% did not think they were at risk of future fracture, and 75% did not think or know whether\n OP<\/jats:styled-content>\n \u2010\n RX<\/jats:styled-content>\n reduces risk of fracture. Knowledge about\n OP<\/jats:styled-content>\n and the benefits of treatment was higher in the 16% of women who underwent\n OP<\/jats:styled-content>\n \u2010\n RX<\/jats:styled-content>\n after their fracture. Women reported low levels of engagement with their healthcare providers regarding\n OP<\/jats:styled-content>\n and fracture risk management.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n These findings suggest low awareness about\n OP<\/jats:styled-content>\n and its contribution to fracture risk, lack of understanding about the benefits of pharmacotherapy, and limited discussion about\n OP<\/jats:styled-content>\n with primary care physicians. Information about individual's beliefs and knowledge gaps can help design targeted patient and provider education to improve treatment rates.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14921","type":"journal-article","created":{"date-parts":[[2017,4,19]],"date-time":"2017-04-19T11:23:27Z","timestamp":1492601007000},"page":"1829-1835","source":"Crossref","is-referenced-by-count":23,"title":["A Survey of Women's Awareness of and Reasons for Lack of Postfracture Osteoporotic Care"],"prefix":"10.1111","volume":"65","author":[{"given":"Denise M.","family":"Boudreau","sequence":"first","affiliation":[{"name":"Group Health Research Institute Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onchee","family":"Yu","sequence":"additional","affiliation":[{"name":"Group Health Research Institute Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhila","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"Amgen Inc. 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