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Canadian Journal of Public Health

, Volume 94, Issue 6, pp 427–430 | Cite as

Breaking — Bad News

Women’s Experiences of Fractures at Midlife
  • Lynn M. Meadows
  • Linda A. Mrkonjic
Article

Abstract

Objective

To gain understanding of the experiences and sequelae of fractures in women aged 40–65 years and to assess whether it is linked to overall bone health assessment.

Method

A qualitative study using face-to-face indepth interviews.

Findings

Contrary to the common belief that fractures are benign, for middle-aged women, fractures have a significant impact on their well-being in both the short and long term. Women report significant pain as well as an immediate need for help from family and professional caregivers. They experience interruptions to daily and leisure activities, employment, daily life and mobility. Only a minority of women and/or their family physicians initiated follow up to investigate bone health subsequent to the fracture.

Conclusions

Bone health is often examined in the context of already established bone disease. This study suggests a need for a closer examination of fracture treatment in the context of preventive care, and early detection of osteoporosis.

Résumé

Objectif

Comprendre l’expérience et les séquelles des fractures chez les femmes de 40 à 65 ans et déterminer les liens possibles avec l’évaluation générale de leur santé osseuse.

Méthode

Étude qualitative à l’aide d’entretiens en profondeur menés de face à face.

Constatations

Contrairement à l’opinion répandue voulant qu’elles soient bénignes, les fractures ont d’importantes répercussions, à court et à long terme, sur le bien-être des femmes d’âge moyen. Ces femmes signalent une douleur importante, ainsi qu’un besoin immédiat de recevoir l’aide de leur famille et de pouvoyeurs de soins professionnels. Leurs activités et leurs loisirs quotidiens, leur emploi, leur vie quotidienne et leur mobilité sont perturbés. Seule une minorité de ces femmes et/ou de leurs médecins de famille font un suivi pour évaluer la santé osseuse après la fracture.

Conclusions

On étudie souvent la santé des os dans le contexte d’une maladie osseuse déjà établie. Notre étude suggère qu’il faudrait se pencher sur le traitement des fractures dans le contexte des soins préventifs et du dépistage précoce de l’ostéoporose.

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References

  1. 1.
    Murray JC, O’Farrell P, Huston P. The experiences of women with heart disease: What are their needs? Can J Public Health 2000;91(2):98–102.PubMedGoogle Scholar
  2. 2.
    Macey J, Krieger N, Sloan M, Lacroix J. Cancer prevention in the community: A survey of community residents. Can J Public Health 2001;92(1):48–52.PubMedGoogle Scholar
  3. 3.
    Olivotto IA, Kan L, King S. Waiting for a diagnosis after an abnormal screening mammogram. Can J Public Health 2000;91(2):113–17.PubMedGoogle Scholar
  4. 4.
    Lock M, Kaufert P. Menopause, local biologies and cultures of aging. Am J Human Biology 2001;13(4):494–504.CrossRefGoogle Scholar
  5. 5.
    Meadows LM, Thurston WE, Berenson C. Health promotion and prevention: Interpreting messages at midlife. Qualitative Health Res 2001;11(4):450–63.CrossRefGoogle Scholar
  6. 6.
    Melton LJ, Thamer M, Ray NF, Chan JK, Chesnut CH, Einhorn TA, et al. Fractures attributable to osteoporosis: Report from the National Osteoporosis Foundation. J Bone Mineral Res 1997;12(7):16–23.CrossRefGoogle Scholar
  7. 7.
    Watts NB. Postmenopausal osteoporosis. Obstetrical & Gynecological Survey 1999;54(8):532–38.CrossRefGoogle Scholar
  8. 8.
    Ray NF, Chan JK, Thamer M, Melton LJ. Medical expenditures for the treatment of osteo-porotic fractures in the United States in 1995: Report from the National Osteoporosis Foundation. J Bone Mineral Res 1997;12(1):24–35.CrossRefGoogle Scholar
  9. 9.
    Scienctific Advisory Board, Osteoporosis Society of Canada. Clinical practice guidelines for the diagnosis and management of osteoporosis. CMAJ 1996;155(8):1113–33.Google Scholar
  10. 10.
    Kuzel AJ. Sampling in qualitative inquiry. In: Crabtree BF, Miller WL (Eds.), Doing Qualitative Research. Second Edition. Thousand Oaks, CA: Sage Publications, 1999;33–46.Google Scholar
  11. 11.
    Meadows LM, Morse J. Constructing evidence within the qualitative project. In: Morse J, Swanson JM, Kuzel AJ (Eds.), The Nature of Qualitative Evidence. Thousand Oaks, CA: Sage Publications, 2001;187–200.Google Scholar
  12. 12.
    Borkan J. Immersion / Crystallization. In: Crabtree BF, Miller W (Eds.), Doing Qualitative Research. Second Edition. Thousand Oaks, CA: Sage Publications, 1999;179–94.Google Scholar
  13. 13.
    Crabtree BF, Miller WL (Eds.). Doing Qualitative Research. Second Edition. Thousand Oaks, CA: Sage Publications, 1999.Google Scholar
  14. 14.
    Patton MQ. How to Use Qualitative Methods in Evaluation. Newbury Park, CA: Sage Publications, 1987.Google Scholar
  15. 15.
    Lincoln Y, Guba EG (Eds.). Naturalistic Inquiry. Newbury Park, CA: Sage Publications, 1985.Google Scholar
  16. 16.
    Kuzel AJ, Like RC. Standards of trustworthiness for qualitative studies in primary care. In: Norton PG, Stewart M, Tudiver F, Bass MJ, Dunn EV (Eds.), Primary Care Research: Traditional and Innovative Approaches. Newbury Park, CA: Sage Publications, 1991;138–58.Google Scholar
  17. 17.
    Denzin NK. Interpretive Interactionism. Newbury Park, CA: Sage Publications, 1989.Google Scholar
  18. 18.
    Backett-Milburn K, Parry O, Mauthner N. ‘I’ll worry about that when it comes along’: Osteoporosis, a meaningful issue for women at mid-life? Health Educ Res 2000;15(2):153–62.CrossRefGoogle Scholar
  19. 19.
    Ribeiro V, Blakely J, Laryea M. Women’s knowledge and practices regarding the prevention and treatment of osteoporosis. Health Care for Women Int 2000;21(4):347–53.CrossRefGoogle Scholar
  20. 20.
    Kanis JA. Osteoporosis III: Diagnosis of osteoporosis and assessment of fracture risk. Lancet 2002:359;1929–36.CrossRefGoogle Scholar
  21. 21.
    Kirson F, Prior J. Young Women and Osteoporosis: Building our Knowledge and Resources. Building Bridges: Creating an Integrated Approach to Women’s Health, Victoria, BC, 2000.Google Scholar

Copyright information

© The Canadian Public Health Association 2003

Authors and Affiliations

  1. 1.Department of Family MedicineUniversity of CalgaryCalgaryCanada
  2. 2.Departments of Surgery and Community Health SciencesCanada

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