Management in Health, Vol 19, No 2 (2015)

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PREVALENCE AND DEMOGRAPHIC AND SOCIOECONOMIC DETERMINANTS OF LOW BONE MINERAL DENSITY IN TIRANA, THE CAPITAL OF ALBANIA

Artur KOLLCAKU, Julia KOLLCAKU, Valbona DURAJ, Teuta BACKA, Argjend TAFAJ

Abstract


BACKGROUND: The aim of our study was to assess the prevalence and demographic and socioeconomic factors associated with low bone mineral density in Tirana, the capital city of Albania, a transitional former communist country in South Eastern Europe.

METHODS: We conducted a cross-sectional study in Tirana city in 2010 including a population-based sample of 549 women aged 35 years and over (overall response rate: 92%). The presence of low bone mineral density (osteopenia and/or osteoporosis defined as a bone mineral density T-score less than -1) among study participants was assessed with a bone ultrasound device which is simple and easy to use for screening of bone mineral density in population-based studies. Binary logistic regression was used to assess the association of low bone mineral density with demographic characteristics and socioeconomic factors among study participants.  

RESULTS: Overall, the prevalence of osteopenia and/or osteoporosis in this representative sample of women in Tirana was 28.4% (N=156). In multivariable-adjusted logistic regression models, low bone mineral density was significantly related to older age of women (OR=3.7, 95%CI=2.2-6.3, P


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