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Current Gerontology and Geriatrics Research
Volume 2012 (2012), Article ID 179150, 8 pages
Research Article

Associations of Education Level and Bone Density Tests among Cognitively Intact Elderly White Women in Managed Medicare

1School of Medicine and Biomedical Sciences, University at Buffalo, 131 Biomedical Education Building, Buffalo, NY 14214, USA
2Division of Infectious Diseases, Columbia University Medical Center, PH8-876, 630 w168th Street, New York, NY 10032, USA
3Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College, Valhalla, New York, NY 10595, USA
4Department of Statistics and Institute for Health, Health Care Policy and Aging Research, Rutgers University, 110 Frelinghuysen Road, Room 473, Piscataway, NJ 08854, USA

Received 4 June 2012; Accepted 8 August 2012

Academic Editor: Francesc Formiga

Copyright © 2012 Di Shi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. To examine associations between having bone density tests and level of education among white elderly women in managed Medicare. Method. Data from the ninth through twelfth cohort (2006–2009) of the Medicare Health Outcome Survey (HOS) of managed Medicare plans were analyzed; 239331 white elderly women were included. Respondents were grouped by education level and the percentages of respondents who had lifetime bone density testing done among each group were analyzed. Results. 62.7% of respondents with less than a high school education reported previously taking a bone density test. This was lower than the 73.8% for respondents who completed high school and the 81.0% for respondents with more than a high school education. When potential confounding factors such as age, body mass index, marital status, smoking history, year of HOS survey, and region were factored in, the odds ratios of having a bone density test when compared to respondents with less than a high school education were 1.61 and 2.39, respectively, for those with just a high school education and more than a high school education ( ). Conclusion. Higher education was independently associated with greater use of bone density test in these elderly white women.