A Cultural Models Approach to Osteoporosis Prevention and Treatment

This article identifies cultural models of osteoporosis, as shared by community-dwelling older women in southeastern Australia, and compares these with cultural knowledge conveyed through social marketing. Cultural models are mental constructs about specific domains in everyday life, such as health and illness, which are shared within a community. We applied domain analyses to data obtained from in-depth interviews and stakeholder-identified print materials. The response domains identified from our case studies made up the shared cultural model “Osteoporosis has low salience,” particularly when ranked against other threats to health. The cultural knowledge reflected in the print materials supported a cultural model of low salience. Cultural cues embedded in social marketing messages on osteoporosis may be internalized and motivating in unintended ways. Identifying and understanding cultural models of osteoporosis within a community may provide valuable insights to inform the development of targeted health messages.

[1]  S. Giannini,et al.  Determinants of adherence to osteoporosis treatment in clinical practice , 2006, Osteoporosis International.

[2]  D. Feeny,et al.  Self-reported hypertension prevalence and income among older adults in Canada and the United States. , 2010, Social science & medicine.

[3]  J. Reginster,et al.  Adherence to treatment of osteoporosis: a need for study , 2007, Osteoporosis International.

[4]  J. Wark,et al.  The vertebral fracture cascade in osteoporosis: a review of aetiopathogenesis , 2007, Osteoporosis International.

[5]  W. Neuman,et al.  Social Research Methods: Qualitative and Quantitative Approaches , 2002 .

[6]  F. Bull,et al.  Are tailored health education materials always more effective than non-tailored materials? , 2000, Health education research.

[7]  Séamus Ó Tuama,et al.  ‘I send the wife to the doctor’– Men's behaviour as health consumers , 2010 .

[8]  M. Crotty The Foundations of Social Research: Meaning and Perspective in the Research Process , 1998 .

[9]  J. Ruggiero,et al.  The popular approach to women's health issues: a content analysis of women's magazines in the 1970's. , 1986, Women & health.

[10]  E. Leonard A History of Popular Women's Magazines in the United States, 1792–1995. By Mary Ellen Zuckerman · Westport, Conn.: Greenwood Press, 1998. xvii + 272 pp. Tables, notes, bibliography, and index. $59.95. ISBN 0313306753 , 1999, Business History Review.

[11]  Anne M. Brumbaugh,et al.  Nontarget Markets and Viewer Distinctiveness: The Impact of Target Marketing on Advertising Attitudes , 2000 .

[12]  M. Staples,et al.  A cohort study of osteoporosis health knowledge and medication use in older adults with minimal trauma fracture , 2012, Archives of Osteoporosis.

[13]  J. Kaufman,et al.  Teriparatide effects on vertebral fractures and bone mineral density in men with osteoporosis: treatment and discontinuation of therapy , 2005, Osteoporosis International.

[14]  U. C. Bureau,et al.  Census of Population and Housing , 1993 .

[15]  S. Reventlow,et al.  Brittle bones: Ageing or threat of disease Exploring women's cultural models of osteoporosis , 2006, Scandinavian journal of public health.

[16]  M. Fishbein,et al.  Understanding tailoring in communicating about health. , 2008, Health education research.

[17]  D. Gold,et al.  Review of adherence to medications for the treatment of osteoporosis , 2006, Current osteoporosis reports.

[18]  Dorothy Holland,et al.  Cultural models in language and thought: Reasoning and problem solving from presupposed worlds , 1987 .

[19]  S. Eckstein Ethical principles for medical research involving human subjects. , 2001, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[20]  S. Wyatt,et al.  'Ignorance is bliss sometimes': constraints on the emergence of the 'informed patient' in the changing landscapes of health information. , 2003, Sociology of health & illness.

[21]  W. Dressler Culture and the risk of disease. , 2004, British medical bulletin.

[22]  P. Liamputtong Qualitative Research Methods , 2005 .

[23]  J. Reginster,et al.  The need for a transparent, ethical, and successful relationship between academic scientists and the pharmaceutical industry: a view of the Group for the Respect of Ethics and Excellence in Science (GREES) , 2010, Osteoporosis International.

[24]  Queensland,et al.  2011 Census of Population and Housing , 2011 .

[25]  J. Skolbekken,et al.  Brittle bones, pain and fractures--lay constructions of osteoporosis among Norwegian women attending the Nord-Trøndelag Health Study (HUNT). , 2008, Social science & medicine.

[26]  J. Cramer,et al.  A systematic review of persistence and compliance with bisphosphonates for osteoporosis , 2007, Osteoporosis International.

[27]  Alf H. Walle,et al.  A History of Popular Women’s Magazines in the United States, 1792‐1995 , 2000 .

[28]  Natalie Cheng,et al.  Osteoporosis screening for men: are family physicians following the guidelines? , 2008, Canadian family physician Medecin de famille canadien.

[29]  Gregory T. Gundlach,et al.  Handbook of Marketing and Society , 2000 .

[30]  F. Barg,et al.  Enhancing breast cancer communications: A cultural models approach , 2008 .

[31]  Julie Crosson,et al.  Treating and Precepting with RESPECT: A Relational Model Addressing Race, Ethnicity, and Culture in Medical Training , 2010, Journal of General Internal Medicine.

[32]  L. Meadows,et al.  After the Fall: Women's Views of Fractures in Relation to Bone Health at Midlife , 2004, Women & health.

[33]  T. Gill,et al.  A population perspective of osteoporosis. How common? What impact? How modifiable? , 2003 .

[34]  J. Pasco,et al.  Identification of incident fractures: the Geelong Osteoporosis Study. , 1999, Australian and New Zealand journal of medicine.

[35]  J. Pasco,et al.  Patterns of treatment in Australian men following fracture , 2010, Osteoporosis International.

[36]  Richard Lefebvre,et al.  Theories and models in social marketing , 2000 .

[37]  S. Fagerhaugh,et al.  Participant Observation , 1979 .

[38]  O. Parry,et al.  'I'll worry about that when it comes along': osteoporosis, a meaningful issue for women at mid-life? , 2000, Health education research.

[39]  D. Feeny,et al.  Socioeconomic status and health-related quality of life among elderly people: results from the Joint Canada/United States Survey of Health. , 2008, Social science & medicine.

[40]  Christopher A. Furlow Comparing Indicators of Knowledge within and between Cultural Domains , 2003 .

[41]  J. Pasco,et al.  The population burden of fractures originates in women with osteopenia, not osteoporosis , 2006, Osteoporosis International.

[42]  H. Boeije A Purposeful Approach to the Constant Comparative Method in the Analysis of Qualitative Interviews , 2002 .

[43]  R. Nisbett,et al.  Culture and Cognition , 2002 .

[44]  J. Krege,et al.  First fractures among postmenopausal women with osteoporosis , 2010, Journal of Bone and Mineral Metabolism.

[45]  David Silverman,et al.  Doing Qualitative Research: A Comprehensive Guide , 2008 .

[46]  I. Reid,et al.  Recommendations from the vitamin D and calcium forum , 2005 .

[47]  Anna De Fina,et al.  The ethnographic interview , 2019, The Routledge Handbook of Linguistic Ethnography.

[48]  Kerrie M. Sanders,et al.  The human cost of fracture , 2005, Osteoporosis International.

[49]  D. Beaton,et al.  Measuring patient perceptions about osteoporosis pharmacotherapy , 2009, BMC Research Notes.

[50]  The relationship between self‐reported health status and the increasing likelihood of South Australians seeking Internet health information , 2010, Australian and New Zealand journal of public health.

[51]  P. Sambrook,et al.  Men and osteoporosis. , 2001, Australian family physician.

[52]  Barbara Barnett Health as Women’s Work: A Pilot Study on How Women’s Magazines Frame Medical News and Femininity , 2006 .

[53]  L. Meadows,et al.  Women’s Perceptions of Future Risk After Low-Energy Fractures at Midlife , 2005, The Annals of Family Medicine.