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Social Determinants of Preventive Testing and Adherence to Treatment for Osteoporosis

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Bone Health

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Abstract

The identification of osteoporosis prior to fracture and effective postfracture care is imperative to public health. However, disparities exist in screening, diagnosis and treatment of osteoporosis between sexes, social groups and ethnicities. Indeed, the osteoporosis ‘care gap’, itself a worldwide phenomenon, is disproportionately experienced by socially disadvantaged groups. Here we discuss barriers to prevention and treatment adherence in socially disadvantaged populations and potential strategies to increase uptake of testing and treatment, including non-pharmacological and pharmacological management. Postfracture care pathways are explored, as is the role played by low health literacy in the prevention and treatment of osteoporosis. At the broader scale, strategies to promote the development and implementation of health policies are key to reducing social and ethnic disparities in osteoporosis-related care and to improving health communications and healthcare systems that are accessible and equitable: this requires a whole-of-government and whole-of-society approach.

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Acknowledgements

Associate Professor Sharon L Brennan Olsen is a recipient of a National Health and Medical Research Council [NHMRC, of Australia] Career Development Fellowship [1107510]. Dr. Sarah M. Hosking is a recipient of a Deakin University Dean’s Postdoctoral Research Fellowship. Mr. Jason Talevski is a recipient of a NHMRC Postgraduate Scholarship [1151089]. Dr. Alison Beauchamp is a recipient of a Medical Research Future Fund NHMRC Translational Research into Practice Fellowship [1150745].

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Authors and Affiliations

  1. Department of Medicine-Western Health, University of Melbourne, Melbourne, VIC, Australia

    Sharon L. Brennan-Olsen, Jason Talevski & Alison Beauchamp

  2. Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, St Albans, VIC, Australia

    Sharon L. Brennan-Olsen, Jason Talevski & Alison Beauchamp

  3. Faculty of Health, Deakin University, Geelong, VIC, Australia

    Sarah M. Hosking

  4. School of Rural Health, Monash University, Moe, VIC, Australia

    Alison Beauchamp

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  1. Sharon L. Brennan-Olsen
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  2. Jason Talevski
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  3. Sarah M. Hosking
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  4. Alison Beauchamp
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Correspondence to Sharon L. Brennan-Olsen .

Editor information

Editors and Affiliations

  1. School of Archaeology and Anthropology, Australian National University, Canberra, ACT, Australia

    Justyna J. Miszkiewicz

  2. Department of Medicine-Western Health, University of Melbourne, Melbourne, VIC, Australia

    Sharon L. Brennan-Olsen

  3. Department of Internal Medicine, University of Cantabria, Santander, Cantabria, Spain

    Jose A. Riancho

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Brennan-Olsen, S.L., Talevski, J., Hosking, S.M., Beauchamp, A. (2019). Social Determinants of Preventive Testing and Adherence to Treatment for Osteoporosis. In: Miszkiewicz, J., Brennan-Olsen, S., Riancho, J. (eds) Bone Health. Springer, Singapore. https://doi.org/10.1007/978-981-13-7256-8_6

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  • DOI: https://doi.org/10.1007/978-981-13-7256-8_6

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