{
  "abstract": "Background Osteoporosis is a condition often associated with older White women. However, women from South Asian backgrounds have risk factors for osteoporosis including higher levels of vitamin D deficiency and higher bone resorption at an earlier age than women from white ethnicities. There is also evidence to suggest that a higher prevalence of co-morbidities such as diabetes could lead to poor bone health and osteoporosis in this population. In addition, older South Asian women are also more likely to experience poorer healthcare compared to their British White counterparts due to cultural and institutional factors. This sub-group analysis aimed to compare the experience of primary care management of osteoporosis for older South Asian women with that of their White counterparts.Methods We recruited 30 older women through the Community Ageing Research 75+ cohort and via the Fracture Liaison Service at Bradford Teaching Hospitals Foundation Trust. In addition, South Asian participants were identified via community organisations across the West Yorkshire region of the UK.Women were eligible if they had a confirmed diagnosis of osteoporosis and were living in the community. We did not include care home residents or women with a diagnosis of dementia.We undertook semi-structured interviews with older women aged 70+ between September 2024 and March 2025. Interviews were conducted by three researchers in English, Punjabi and Urdu, in participant’s homes, community settings and via telephone, according to individuals’ preference. The focus of the interviews was iteratively shaped by discussions with our co-production group comprised older women with osteoporosis.Where possible we compared a sub-sample of particpants matched on Index for Multiple Deprivation scores based on postcode. We analysed the data using Constructivist Grounded Theory and with input from our co-production group.Results There was a commonality of experience for all the older women. Poor communication and inadequate information provision were often reported along with lack of referrals to appropriate physical and psychological support services, and poor follow up post diagnosis. However, our findings suggest that South Asian older women’s socio-cultural perspectives influenced their experiences of support from primary care, and emotional and coping responses for management of osteoporosis.Conclusion There is generally a need for more tailored support specifically for older women with osteoporosis. In addition care should be taken to consider the socio-cultural perspectives of older women from South Asian backgrounds to avoid compounding age related inequalities with ethnicity based inequalities.",
  "authors": [
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK",
        "Leeds Institute of Health Sciences, University of Leeds, Leeds, UK"
      ],
      "name": "Shabana Shafiq"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK",
        "Leeds Institute of Health Sciences, University of Leeds, Leeds, UK"
      ],
      "name": "Nicola Kime"
    },
    {
      "affiliations": [
        "Academic Unit for Ageing and Stroke Research, Bradford Institute for Health Research, Bradford, UK",
        "Leeds Institute of Health Sciences, University of Leeds, Leeds, UK"
      ],
      "name": "Anne Heaven"
    }
  ],
  "title": "P90 A comparison of primary care management of osteoporosis in women aged 70+ from UK South Asian and White populations",
  "uid": "052de241-a9ab-50aa-b1c8-75eaba86ac9a"
}