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Table 1 BDM in women according to sociodemographic, socioeconomic, risk and healthcare-related factors

From: Disparities in bone density measurement history and osteoporosis medication utilisation in Swiss women: results from the Swiss Health Survey 2007

BDM

Samplea

Population

 Proportion with BDM

  Unadjusted model

  Adjusted modelb

Ever performed

N

%

(95% CI)

%

(95% CI)

crude OR

(95% CI)

adjusted OR

(95% CI)

Total

6,725

100.0%

 

25.6%

(24.3-26.9%)

    

Sociodemographic factors

         

Age group

   

p=0.0000

 

p=0.0000

 

p=0.0000

 

40-49 years

1,760

31.1%

(29.7-32.6%)

5.8%

(4.6-7.3%)

0.19

(0.14-0.25)

0.21

(0.16-0.29)

50-59 years

1,536

24.9%

(23.6-26.3%)

24.8%

(22.2-27.5%)

1.00

(ref.)

1.00

(ref.)

60-69 years

1,629

21.5%

(20.4-22.8%)

41.8%

(38.8-44.8%)

2.18

(1.80-2.63)

2.48

(2.02-3.03)

70-79 years

1,195

14.8%

(13.9-15.9%)

41.8%

(38.4-45.4%)

2.18

(1.78-2.67)

2.70

(2.16-3.38)

≥80 years

605

7.6%

(6.9-8.3%)

32.0%

(27.5-36.8%)

1.43

(1.10-1.85)

1.78

(1.34-2.37)

mean age (years)

 

58.5

(58.2-58.9)

      

Nationality

   

p=0.1109

 

p=0.0916 

 

p=0.0074 

 

Swiss citizen

5,502

78.3%

(76.9-79.6%)

25.5%

(24.2-27.0%)

1.00

(ref.)

1.00

(ref.)

Swiss dual citizen

712

10.1%

(9.3-11.0%)

29.2%

(25.4-33.4%)

1.20

(0.98-1.48)

1.43

(1.12-1.83)

others

510

11.6%

(10.5-12.9%)

22.6%

(18.3-27.5%)

0.85

(0.65-1.12)

1.32

(0.96-1.83)

unknown

1

        

Language region

   

p=0.0000

 

p=0.0000

 

p=0.0000

 

German

4,148

72.8%

(72.0-73.5%)

23.8%

(22.3-25.4%)

1.00

(ref.)

1.00

(ref.)

French

1,965

22.1%

(21.5-22.8%)

30.0%

(27.6-32.6%)

1.37

(1.18-1.59)

1.58

(1.34-1.87)

Italian

612

5.1%

(4.8-5.4%)

31.4%

(27.3-35.8%)

1.46

(1.18-1.81)

1.56

(1.20-2.03)

Region

   

p=0.0000

 

p=0.0000 

 

p=0.0000 

 

Lake Geneva

1,190

17.2%

(16.6-17.8%)

30.0%

(27.0-33.1%)

1.29

(1.06-1.58)

1.37

(1.09-1.72)

Midland

1,750

23.0%

(22.2-23.7%)

24.8%

(22.4-27.5%)

1.00

(ref.)

1.00

(ref.)

Northwest

752

14.9%

(14.3-15.5%)

28.8%

(25.2-32.6%)

1.22

(0.97-1.53)

1.13

(0.86-1.46)

Zurich

891

17.8%

(17.2-18.5%)

24.0%

(21.0-27.3%)

0.95

(0.76-1.19)

0.87

(0.68-1.12)

East

698

13.0%

(12.4-13.6%)

23.1%

(19.4-27.2%)

0.91

(0.70-1.17)

0.90

(0.68-1.21)

Central

839

9.3%

(8.9-9.7%)

17.8%

(14.9-21.1%)

0.65

(0.51-0.84)

0.65

(0.49-0.86)

Ticino

605

4.9%

(4.6-5.1%)

32.0%

(27.9-36.3%)

1.42

(1.12-1.80)

1.44

(1.09-1.92)

Residential area

   

p=0.0035

 

p=0.0036 

 

p=0.2215 

 

urban

4,734

74.4%

(73.2-75.6%)

26.7%

(25.2-28.3%)

1.00

(ref.)

1.00

(ref.)

rural

1,991

25.6%

(24.4-26.8%)

22.4%

(20.0-24.9%)

0.79

(0.67-0.93)

0.89

(0.74-1.07)

Socioeconomic factors

         

Education level

   

p=0.0905

 

p=0.0926 

 

p=0.0041 

 

compulsory

1,438

18.8%

(17.7-20.1%)

24.3%

(21.5-27.2%)

1.00

(ref.)

1.00

(ref.)

secondary

4,108

62.8%

(61.3-64.3%)

26.7%

(25.1-28.4%)

1.14

(0.95-1.36)

1.45

(1.16-1.81)

tertiary

1,179

18.3%

(17.2-19.6%)

23.3%

(20.5-26.3%)

0.95

(0.76-1.19)

1.44

(1.08-1.92)

Income per capita

   

p=0.0000

 

p=0.0000 

 

p=0.0271 

 

lower tertile

2,058

32.4%

(30.9-33.9%)

19.8%

(17.7-22.0%)

1.00

(ref.)

1.00

(ref.)

middle tertile

2,121

35.2%

(33.7-36.8%)

26.5%

(24.3-28.8%)

1.46

(1.22-1.75)

1.10

(0.90-1.34)

upper tertile

2,073

32.3%

(30.9-33.8%)

29.8%

(27.5-32.3%)

1.72

(1.44-2.06)

1.32

(1.07-1.63)

unknown

473

        

mean income (CHF per month)

 

4023

(3945-4101)

      

Hospitalisation insurance

   

p=0.0000

 

p=0.0000 

 

p=0.0001 

 

public

3,899

60.8%

(59.3-62.3%)

21.5%

(20.0-23.1%)

1.00

(ref.)

1.00

(ref.)

semiprivate

1,785

27.9%

(26.6-29.4%)

30.9%

(28.3-33.5%)

1.63

(1.40-1.90)

1.42

(1.19-1.70)

private

774

11.3%

(10.4-12.2%)

36.6%

(32.6-40.9%)

2.11

(1.72-2.58)

1.45

(1.15-1.83)

unknown

267

        

Healthcare-related factors and medication

Osteoporosis medication c in the last 7 days

   

p=0.0000

 

p=0.0000

 

p=0.0000

 

none

5,316

82.5%

(81.3-83.6%)

20.5%

(19.3-21.9%)

1.00

(ref.)

1.00

(ref.)

self-ordered

24

0.3%

(0.2-0.4%)

43.7%

(23.5-66.3%)

3.00

(1.18-7.63)

1.83

(0.63-5.32)

prescribed (not including HRT)

448

6.2%

(5.6-7.0%)

79.9%

(74.9-84.1%)

15.37

(11.45-20.63)

11.14

(8.07-15.39)

prescribed HRT

740

11.1%

(10.1-12.1%)

38.0%

(33.7-42.6%)

2.38

(1.93-2.92)

1.62

(1.28-2.06)

unknown

197

        

Number of doctor visits in the past 12 months

   

p=0.0000

 

p=0.0000

 

p=0.0000

 

no visits

889

13.6%

(12.6-14.7%)

15.3%

(12.6-18.4%)

1.00

(ref.)

1.00

(ref.)

1 visit

1,339

22.2%

(20.9-23.5%)

18.7%

(16.4-21.3%)

1.28

(0.97-1.69)

1.49

(1.09-2.04)

2-6 visits

3,166

47.5%

(46.0-49.0%)

27.8%

(26.0-29.8%)

2.14

(1.67-2.73)

2.09

(1.58-2.76)

>6 visits

1,167

16.7%

(15.6-17.9%)

35.7%

(32.3-39.2%)

3.07

(2.34-4.03)

2.87

(2.10-3.92)

unknown

164

        

mean number of visits

 

4.6

(4.3-4.8)

      

Gynaecologist check-up in the last 12 months

   

p=0.0043

 

p=0.0043

 

p=0.0000

 

no

3,618

51.8%

(50.3-53.3%)

23.8%

(22.1-25.5%)

1.00

(ref.)

1.00

(ref.)

yes

3,088

48.2%

(46.7-49.7%)

27.5%

(25.6-29.5%)

1.22

(1.06-1.39)

1.79

(1.51-2.12)

unknown

19

        

Cancer screening (breast, colon) ever performed

   

p=0.0000

 

p=0.0000

 

p=0.0000

 

no

2,978

47.5%

(46.0-49.0%)

16.7%

(15.1-18.4%)

1.00

(ref.)

1.00

(ref.)

yes

3,710

52.5%

(51.0-54.1%)

33.7%

(31.9-35.7%)

2.55

(2.20-2.95)

1.51

(1.27-1.79)

unknown

37

        

Health-oriented lifestyle

   

p=0.0242

 

p=0.0249 

 

p=0.0050 

 

no

379

7.2%

(6.4-8.2%)

20.3%

(15.7-25.7%)

1.00

(ref.)

1.00

(ref.)

yes

4,861

92.8%

(91.9-93.6%)

26.8%

(25.3-28.4%)

1.44

(1.05-1.98)

1.66

(1.16-2.35)

unknown

485

        

Self-assessed health state

   

p=0.0000

 

p=0.0000 

 

p=0.0000 

 

(very) good

5,414

81.8%

(80.6-82.9%)

23.0%

(21.6-24.3%)

1.00

(ref.)

1.00

(ref.)

medium

1,010

14.2%

(13.2-15.3%)

36.3%

(32.6-40.2%)

1.92

(1.60-2.30)

1.66

(1.33-2.08)

(very) poor

297

3.9%

(3.4-4.6%)

41.8%

(34.7-49.4%)

2.42

(1.77-3.30)

2.76

(1.88-4.06)

unknown

4

        

Risk factors

         

Smoking (smoker)

   

p=0.0006

 

p=0.0006

 

p=0.5451

 

no

3,806

56.8%

(55.3-58.3%)

26.8%

(25.1-28.5%)

1.00

(ref.)

1.00

(ref.)

ex (former or not daily)

1,692

25.5%

(24.2-26.8%)

26.6%

(24.2-29.3%)

0.99

(0.85-1.16)

1.09

(0.91-1.31)

yes

1,225

17.7%

(16.6-19.0%)

20.2%

(17.7-23.1%)

0.69

(0.57-0.84)

0.97

(0.77-1.22)

unknown

2

        

Tobacco consumption per day

   

p=0.0000

 

p=0.0000

 

p=0.7711

 

none

5,328

79.9%

(78.6-81.1%)

27.1%

(25.6-28.6%)

1.00

(ref.)

1.00

(ref.)

0-9 cigarettes

541

8.0%

(7.2-8.9%)

18.8%

(15.2-23.0%)

0.62

(0.48-0.81)

0.91

(0.67-1.25)

≥10 cigarettes

836

12.1%

(11.2-13.2%)

20.8%

(17.6-24.3%)

0.71

(0.57-0.88)

0.93

(0.72-1.21)

unknown

20

        

Alcohol intake per day

   

p=0.8684

 

p=0.8670

 

p=0.6308

 

none

2,443

34.7%

(33.3-36.2%)

25.9%

(23.8-28.1%)

1.00

(ref.)

1.00

(ref.)

0-30 g

4,175

63.9%

(62.4-65.3%)

25.5%

(23.9-27.1%)

0.98

(0.85-1.13)

0.97

(0.82-1.14)

>30 g

92

1.4%

(1.1-1.8%)

23.2%

(14.6-34.9%)

0.87

(0.48-1.55)

0.74

(0.40-1.39)

unknown

15

        

mean alcohol intake (g/d)

 

5.6

(5.3-5.8)

      

Underweight (BMI <20 kg/m 2 )

   

p=0.8712

 

p=0.8712

 

p=0.0146

 

no

5,694

86.3%

(85.2-87.4%)

25.7%

(24.4-27.1%)

1.00

(ref.)

1.00

(ref.)

yes

892

13.7%

(12.7-14.8%)

26.0%

(22.7-29.7%)

1.02

(0.83-1.24)

1.34

(1.06-1.69)

unknown

139

        

mean BMI (kg/m2)

 

24.2

(24.0-24.3)

      

Physical activity

   

p=0.1262

 

p=0.1286

 

p=0.0398

 

inactive

1,596

20.9%

(19.8-22.2%)

27.5%

(24.9-30.4%)

1.00

(ref.)

1.00

(ref.)

partially active

2,675

41.5%

(40.0-43.0%)

24.2%

(22.2-26.2%)

0.84

(0.70-1.00)

1.06

(0.86-1.30)

active

2,442

37.6%

(36.1-39.1%)

26.2%

(24.1-28.3%)

0.93

(0.78-1.11)

1.27

(1.03-1.56)

unknown

12

        

Falls in the past 12 months d

   

p=0.0623

 

p=0.0625

 

p=0.0128

 

no

2,528

75.0%

(73.2-76.8%)

38.9%

(36.6-41.3%)

1.00

(ref.)

1.00

(ref.)

yes

892

25.0%

(23.2-26.8%)

43.3%

(39.4-47.4%)

1.20

(0.99-1.45)

1.30

(1.06-1.60)

unknown

3,305

        
  1. a respondents, unweighted data.
  2. b controlled for sociodemographic and socioeconomic factors (age, region and residential area, income, hospitalisation insurance type, and education level) except language region was not controlled for region because of collinearity.
  3. c information only available for women older than 40 years.
  4. d information only available for women aged 60 years and older.
  5. BDM ever performed in women aged 40 years and older living in Switzerland according to sociodemographic, socioeconomic, risk and healthcare- related factors (SHS 2007 data).