Understanding Patients’ Perspectives and Educational Needs by Type of Osteoporosis in Men and Women and People with Glucocorticosteroid-Induced Osteoporosis: A Qualitative Study to Improve Disease Management

Objective.To evaluate the clinical and etiological factors of osteoporosis. We also tested the FRAX algorithm to compare the assessment of fracture risk in patients with primary or secondary osteoporosis.Methods.A prospective study carried out in a large sample of 123 men and 246 women. All subjects had a biochemical, densitometric, and radiological examination of thoracic and lumbar spine.Results.The prevalence of primary (men 52.9% vs women 50%; p = nonsignificant) and secondary (men 21.1% vs women 17.5%; p = nonsignificant) osteoporosis did not differ between the sexes. In contrast, the prevalence of primary osteoporosis was significantly higher than secondary causes (p < 0.0001) in both men and women. While women came to our attention for prevention of osteoporosis, men sought help because of clinical symptoms or disease-related complications, such as fractures. As evaluated by the FRAX tool, patients with osteopenia do not need treatment, in agreement with Italian guidelines. The estimated risk of major osteoporotic and hip fractures was significantly higher in women with secondary osteoporosis compared to men and also compared to women with primary osteoporosis.Conclusion.The prevalence of secondary osteoporosis in men is similar to that in women and it is less frequent than commonly reported. In patients with secondary osteoporosis, FRAX calculation may provide an estimate of a particularly high fracture risk in patients whose bone fragility is usually attributed to another disease.

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Consequences of Gossiping on Women Empowerment

European Review Of Applied Sociology ◽

10.1515/eras-2017-0004 ◽

2017 ◽

Vol 10 (15) ◽

pp. 6-12

Author(s):

Shumaila Umer ◽

Zaheruddin Othman ◽

Kalthum Bt Haji Hassan ◽

Rahila Umer ◽

Habib Ur Rehman

Keyword(s):

Qualitative Study ◽

Social Control ◽

Human Society ◽

Women Empowerment ◽

Men And Women ◽

Women’S Experiences ◽

Inductive Approach ◽

Women's Experiences ◽

The Social ◽

Depth Interviews

AbstractGossip is prevalent and is widespread in human society. Gossip has been denigrated as ‘idle talk’, mostly among women based on ‘trifling or groundless rumour’. The nature and intensity of gossiping victimise women in society. Consequently, women bear serious threat to their well standardized lives. The study aims to understand the women’s experiences with gossiping as a barrier to empowerment. This is a qualitative study with inductive approach. Men and Women are selected as a informants for this study. The data were congregated through in-depth interviews. The results indicate that gossiping or fear of being gossiped is a strong social control in the social setup of Balochistan. This prevents women from being empowered. This paper is intended to be a contribution to exploiting the ideas of women about gossiping as an essential social control or barrier for empowering women.

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Binary blues: Exploring beyond dichotomized gender comparisons with a theory-driven approach

Qualitative Research ◽

10.1177/14687941211049323 ◽

2021 ◽

pp. 146879412110493

Author(s):

Cheryl Pritlove ◽

Jan E Angus ◽

Craig Dale ◽

Lisa Seto Nielsen ◽

Marnie Kramer

Keyword(s):

Qualitative Study ◽

Cardiac Rehabilitation ◽

Health Sciences ◽

Gender Analysis ◽

Men And Women ◽

Gender Comparisons ◽

Theory Of Practice ◽

The Everyday ◽

Gender And Health ◽

Conducting Research

The call to move beyond binary conceptualizations of gender is not new, and yet, this categorical and contrastive approach to gender analysis remains common, particularly in health sciences. It has been posited that the problem of gender dualism rests partially in the minimal interplay between theory and method. Drawing on our experiences during a qualitative study of men’s and women’s involvement in cardiac rehabilitation, this article provides an account of the analytic and reflexive challenges of conducting research on gender and health and explores how the careful use of theory, specifically Bourdieu’s theory of practice, can facilitate a departure from narrow gender binaries. The analysis presented in this article adds to methodological writings on gender and health, offering a theory-driven process to help researchers address the fluidity of gender as lived and negotiated in the everyday social and material circumstances of men and women, particularly during times of illness.

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A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland

Physiotherapy ◽

10.1016/j.physio.2019.08.006 ◽

2020 ◽

Vol 107 ◽

pp. 267-274

Author(s):

Tony Foley ◽

Cormac Sheehan ◽

Aisling A. Jennings ◽

Trish O’Sullivan

Keyword(s):

Qualitative Study ◽

Educational Needs ◽

Dementia Care ◽

Republic Of Ireland ◽

The Republic

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Patient, cured, victim or survivor of urological cancer? A qualitative study

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2715.3089 ◽

2018 ◽

Vol 26 (0) ◽

Cited By ~ 1

Author(s):

Rafaela Azevedo Abrantes de Oliveira ◽

Márcia Maria Fontão Zago

Keyword(s):

Qualitative Study ◽

Cancer Patient ◽

Medical Anthropology ◽

Cancer Survivor ◽

Direct Care ◽

Structured Interviews ◽

Urological Cancer ◽

Men And Women ◽

Identity Concept ◽

Urologic Cancer

ABSTRACT Purpose: to describe the meanings that patients attribute to the term cancer survivor and to analyze the identities assumed by them according to their experience with the disease. Methods: qualitative study with a narrative method, theoretical framework of the medical anthropology and identity concept. The study included 14 participants, men and women, diagnosed with urologic cancer. The semi-structured interviews were performed at the individual’s home, after confirming participation. Results: eight participants assumed to be survivors, but five also assumed at least one other identity, in addition to cancer survivor. In contrast, among the six who defined themselves as cured, only one indicated another identity. Four considered themselves as victims and only two as cancer patients. However, the latter - cancer patient and victim - assumed at least one other associated identity. Conclusions: allowing patients to reflect on themselves and their experience with the disease, as well as attributing themselves a new identity, will be directly related to the wellbeing and momentum the survivor is going through. Therefore, it can direct care in the cancer survivorship phase according to each survivor’s individual context.

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Chronic disease management: a qualitative study investigating the barriers, facilitators and incentives perceived by Swiss healthcare stakeholders

BMC Health Services Research ◽

10.1186/1472-6963-12-176 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 14

Author(s):

Stéphanie Lauvergeon ◽

Bernard Burnand ◽

Isabelle Peytremann-Bridevaux

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Qualitative Study ◽

Chronic Disease Management

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Osteoporosis in Men and Women

Principles of Gender-Specific Medicine ◽

10.1016/b978-0-12-374271-1.00059-9 ◽

2010 ◽

pp. 716-736 ◽

Cited By ~ 1

Author(s):

Kendall F. Moseley ◽

Suzanne M. Jan de Beur

Keyword(s):

Men And Women ◽

Osteoporosis In Men

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Chronic disease management and dementia: a qualitative study of knowledge and needs of staff

Australian Journal of Primary Health ◽

10.1071/py18197 ◽

2019 ◽

Vol 25 (4) ◽

pp. 359 ◽

Cited By ~ 1

Author(s):

Chelsea Baird ◽

Marta H. Woolford ◽

Carmel Young ◽

Margaret Winbolt ◽

Joseph Ibrahim

Keyword(s):

Cognitive Impairment ◽

Chronic Disease ◽

Disease Management ◽

Qualitative Study ◽

Cognitive Abilities ◽

Chronic Disease Management ◽

Self Management ◽

Semistructured Interviews ◽

Management Approaches

Effective self-management is the cornerstone of chronic disease self-management. However, self-management of chronic disease in patients with comorbid dementia is particularly challenging. It is vital that clinicians, patients and carers work collaboratively to tailor self-management programs to each patient with dementia. This study aimed to identify barriers and facilitators of successful self-management in the context of cognitive impairment in order to optimise the capacity for self-management for persons with dementia (PWD). A qualitative study based on semistructured interviews was conducted in Victoria, Australia. Interviews were conducted with 12 people (employed in the ambulatory and dementia care sectors), representing six health services. Participants identified a healthcare system that is complex, not dementia friendly and not accommodating the needs of PWD who have comorbidities. Individual and systemic barriers contributed to ineffective self-management. Chronic disease support programs do not routinely undertake cognitive assessment or have guidelines for modified management approaches for those with cognitive impairment. Support needs to be long-term and requires a specialised skillset that recognises not only chronic disease management, but also the effect of cognition on self-management. Although formal guidelines are needed, care also needs to be tailored to individual cognitive abilities and deficits.

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