Source Of Information For Women Research Articles

WOMEN’S SOURCES OF INFORMATION AND KNOWLEDGE ABOUT EPIDURAL ANALGESIA

Labor pain is one of the greatest pains experienced by women throughout their life. Relief of this pain is an important issue for women in labor [1]. Epidural analgesia is the most effective pain relief method and is considered the gold standard of labor analgesia [2]. Nevertheless, scientific studies reveal limited parturient knowledge about epidural anesthesia [3,4]. This study has been conducted to assess the knowledge, sources of information, and attitudes regarding epidural analgesia among young mothers. The study was conducted at the Hospital of Lithuanian University of Health Sciences Kaunas Clinics. The study took place in November 2022 by using a pre-designed questionnaire. A total of 102 questionnaires were distributed to parturient and 100 were returned, the response rate was 98%. The study shows that more than two-thirds of women agree that epidural analgesia is the most effective method for labor pain management. The internet remains the main source of information for women. The demographic variables were not associated with the desire to request epidural analgesia in the future. Women who know about the effectiveness of epidural analgesia are more likely to choose an epidural in the future. Therefore, it is important to provide more information about the methods of labor pain relief to women during pregnancy.

Written information and health professionals are the information sources about alcohol use in pregnancy most often used by pregnant women.

Alcohol use in pregnancy remains common in Australia, despite national guidelines recommending that pregnant women abstain. The aims of this study were to investigate where pregnant women obtain information about alcohol use in pregnancy and the relationship between the information source used and women's demographic characteristics and alcohol use. In this cross-sectional survey of pregnant women attending public maternity services in the Hunter New England region (New South Wales), women were asked, 'Where did you get information to help you make decisions about alcohol use during pregnancy?'. The number and types of information sources were analysed using descriptive statistics. Associations between women's information sources, and their demographic characteristics and alcohol use in pregnancy were assessed using chi-square tests and logistic regression. Of 4511 pregnant women surveyed, 80.1% used at least one type of information source (range 0-5). Written/electronic information (45.4%), health providers (37.6%) and family/friends (19.5%) were the sources most reported. Higher use of written/electronic information, antenatal health providers and family/friends was associated with first pregnancy, younger age and higher education. The type of information source used was associated with alcohol use in pregnancy. Women who reported alcohol use were more likely to receive information from written/electronic sources. Almost 20% of women (older, multiparous [>1 pregnancy] and more highly educated) obtained no information regarding alcohol use in pregnancy. Antenatal providers should routinely provide information on alcohol use in pregnancy, including for women least likely to access available information.

An Exploratory Study of the Gaps and Barriers to Nutrition Education for Pregnant Women in Tamale, Ghana

Abstract Objectives Nutrition education (NE) remains a popular intervention to improve maternal health literacy (MHL), with the promise of behavior change and improved maternal and child health outcomes. However, there continue to be gaps and barriers that impede the delivery of NE to women, and/or affect maternal compliance to NE guidelines. This is the first phase of a larger project that examines the role of NE on MHL and pregnancy outcomes. Specifically, this phase aimed to identify the gaps in, and barriers to current NE delivered at hospitals to women in Tamale, Ghana. Methods A series of focus group discussions were used to engage health providers and pregnant women. Field observations of the antenatal care (ANC) process and informal interviews with focal personnel were also employed. Data were thematized using recurrent themes from field notes and audio loggings. Results Preliminary analysis of discussions with 33 health providers and 13 pregnant women identified 3 thematic areas describing gaps and challenges to successful delivery and implementation of NE: 1) Sociocultural: Women's adherence to NE advice was affected by constrained autonomy resulting from patriarchal norms including spousal control, polygamy, coercion, and financial abuse. Food insecurity resulting from low socioeconomic status and a lack of social safety nets also impacted maternal ability to access and comply with NE 2) Communication: Midwives were cited as the most common sources of information for women at ANC sessions, yet owing to dissatisfaction with the hospital set up, some mothers preferred and continued to seek health information from traditional birth attendants. Also, more emphasis was placed on anemia prevention at ANC visits compared to other salient topics like weight gain during pregnancy. 3) Administrative: Lack of professional language translation, health professional workload and inadequate health worker retraining also affected the quality of NE. Conclusions Attention should be paid especially to the sociocultural factors plaguing vulnerable women in low-middle income settings like Tamale when designing NE interventions. The study investigators will continue to engage community members in exploring ways of incorporating these in the design of a NE intervention for pregnant women in the area. Funding Sources N/A.

Social Desirability and Mentorship Influencing New Venture Creation by Women Entrepreneurs in India

Women entrepreneurs in developing countries like India find opportunity recognition challenging thereby, preventing them from creating new ventures, particularly SMEs. Social desirability and mentorship have been recognised an important dimension of social support for women entrepreneurs. Environments, where the social desirability of women entrepreneurship is higher, can encourage entrepreneurship as a career path for women. Similarly, external knowledge provided by experienced mentor can be one of the most relevant sources of information for women to recognise opportunities and exploit it by creating new ventures. Mentorship becomes more important for women considering they have less networks, awareness and social capital. However, little knowledge has been advanced to investigate their influence on mentorship and social desirability opportunity recognition and creation of women owned SMEs in India. Presence of these support factors can encourage women entrepreneurship whereas lack of them can discourage women to pursue entrepreneurship. Furthermore, there is a dearth of studies examining the mediating role of opportunity recognition between social desirability, mentorship and venture creation. Based on the synthesis of vast amount of prior literature, a conceptual model of venture creation is developed to explain the relationships amongst the constructs under study. Consequently, testable propositions are proposed for future empirical examinations. The proposed relationships are further explained with the support of Institutional theory and Resource based theory.

Influences on drinking choices among Indigenous and non-Indigenous pregnant women in Australia: A qualitative study.

Despite women's awareness that drinking alcohol in pregnancy can lead to lifelong disabilities in a child, it appears that an awareness alone does not discourage some pregnant women from drinking. To explore influences on pregnant women's choices around alcohol use, we conducted interviews and group discussions with 14 Indigenous Australian and 14 non-Indigenous pregnant women attending antenatal care in a range of socioeconomic settings. Inductive content analysis identified five main influences on pregnant women's alcohol use: the level and detail of women's understanding of harm; women's information sources on alcohol use in pregnancy; how this information influenced their choices; how women conceptualised their pregnancy; and whether the social and cultural environment supported abstinence. Results provide insight into how Indigenous Australian and non-Indigenous pregnant women understand and conceptualise the harms from drinking alcohol when making drinking choices, including how their social and cultural environments impact their ability to abstain. Strategies for behaviour change need to: correct misinformation about supposed 'safe' timing, quantity and types of alcohol; develop a more accurate perception of Fetal Alcohol Spectrum Disorder; reframe messages about harm to messages about optimising the child's health and cognitive outcomes; and develop a holistic approach encompassing women's social and cultural context.

Effectiveness of social marketing in improving knowledge, attitudes and practice of consumption of vitamin A-fortified oil in Tanzania.

To evaluate the effectiveness of a social marketing intervention in enhancing knowledge, attitudes and practice (KAP) related to consumption of vitamin A-fortified oil. The intervention employed community events, distribution of educational materials and radio broadcasts. The intervention was assessed in a quasi-experimental non-equivalent control group study design by collecting information on KAP regarding vitamin A-fortified oil consumption before and after 9 months of a 13-month intervention. Six districts in Manyara and Shinyanga regions in Tanzania were non-randomly selected as the intervention districts and two districts served as the control districts. At baseline, 568 lactating mothers with children aged <5 years were randomly selected from the intervention and control districts. Of these, 494 mothers were followed up at endline. After 9 months of intervention, knowledge of fortification and actual consumption of adequately fortified oil were significantly higher in the intervention districts compared with the control districts (P <0·05). Knowledge of the health benefits of vitamin A improved significantly from about 33 to 45 % in both the intervention and control districts. The major sources of information for women were health clinics and community health workers (CHW). The study showed that a social marketing intervention is effective in improving KAP regarding fortified oil consumption at the household level. Clinics and CHW are channels that should be prioritized when communicating health messages, particularly those targeting women.

Evaluation of Content on Commonly Used Web sites About Induction of Labor and Pain Management During Labor.

The Internet is a common source of information for women during pregnancy. A multitude of data about birth can be found on the Internet, yet there are few guidelines to direct women to credible Web sites. Providers are often unaware of the health sites their patients access. The purpose of this study was to evaluate the quality of the written content on Web sites about induction of labor and pain management during labor. Descriptive study of 11 Web sites on induction of labor and pain management during labor. Searches on Google, Yahoo, and Bing were used to identify Web sites women use to seek information about labor and birth. The Web sites were evaluated using the Health Information Technology Institute (HITI) criteria, readability, and content criteria from UpToDate, an evidence-based, healthcare professional-authored clinical resource. No Web sites met all the HITI criteria for both topics. One Web site was written at or below a seventh-grade reading level and six were written at or above a ninth-grade level. Although there was no perfect Web site, we noted government Web sites provided the highest quality information. Evaluation and discussion of Web sites used by pregnant women is needed. Nurses and other healthcare providers should be aware of what information exists and what Web sites women are using so they can guide women to credible, evidence-based data. Directing women to government-sponsored Web sites on childbirth topics may help them access accurate information.

Evaluating the quality of perinatal anxiety information available online.

The Internet is an easily accessible source of information for women experiencing anxiety in pregnancy and/or postpartum to use when seeking health information. However, the Internet has several drawbacks, including inaccurate content that may be perceived as being accurate, non-biased, and evidence-based. Prior research indicates that anxiety and postpartum mental health websites have poor quality in terms of describing treatment options. There is a lack of research and knowledge in the area of perinatal anxiety, and an absence of research evaluating perinatal anxiety websites. The purpose of this study was to evaluate the quality of information regarding perinatal anxiety available on the Internet. Websites concerning perinatal anxiety were selected using the Google search engine. Each website was evaluated based on quality of health information, website usability, and readability. The 20 websites included in this study had low to moderate quality scores based on the DISCERN tool. There were no associations found between website order and website quality, or between website readability and website quality. Many websites had high PEMAT scores for the understandability section, which included content, style, and layout of information; however, most did not use visual aids to enhance comprehension. Most websites had low actionability scores, suggesting that information may not be useful in describing what actions may be taken to manage perinatal anxiety. This study highlights the need for high-quality websites concerning perinatal anxiety that are easy to navigate and provide the public with evidence-based information.

The Health-e Babies App for antenatal education: Feasibility for socially disadvantaged women.

BackgroundThe use of mobile technology such as phone applications (apps) has been proposed as an efficient means of providing health and clinical information in a variety of healthcare settings. We developed the Health-e Babies app as an Android smart phone application for pregnant women attending a tertiary hospital in a low socio-economic community, with the objective of providing health information about early pregnancy that would increase maternal confidence and reduce anxiety. Based on our earlier research, this form of health communication was viewed as a preferred source of information for women of reproductive age. However, the pilot study had a poor participation rate with 76% (n = 94) not completing the study requirements. These initial findings raised some very important issues in relation to the difficulties of engaging women with a pregnancy app. This paper analyses the characteristics of the participants who did not complete the study requirements in an attempt to identify potential barriers associated with the implementation of a pregnancy app.MethodsThis retrospective review of quantitative and qualitative data collected at the commencement of the Health-e Babies App trial, related to the participant’s communication technology use, confidence in knowing where to seek help and mental health status, maternal-fetal attachment and parenting confidence. Engagement and use of the Health-e Babies App was measured by the completion of a questionnaire about the app and downloaded data from participant’s phones. Mental health status, confidence and self-efficacy were measured by questionnaires.ResultsAll women were similar in terms of age, race, marital status and level of education. Of the 94 women (76%) who did not complete the trial, they were significantly more anxious as indicated by State Trait Anxiety Inventory (p = 0.001 Student T-test) and more likely to be unemployed (50% vs 31%, p = 0.012 Student T-Test).ConclusionThis study provides important information about the challenges associated with the implementation of a pregnancy app in a socially disadvantaged community. The data suggests that factors including social and mental health issues, financial constraints and technological ability can affect women’s engagement with a mobile phone app.

Online information for women and their families regarding reduced fetal movements is of variable quality, readability and accountability

Objectivereduced fetal movements (RFM) are experienced by 46–50% of women prior to the diagnosis of stillbirth. Empowering women with evidenced-based information regarding RFM may allow for prompt contact with a health care provider and access to appropriate management. Use of the Internet is growing in popularity as a source of pregnancy information to aid mothers׳ decision-making. This study aimed to identify and examine the available online information for pregnant women regarding RFM. Designa systematic search was performed using Google, Yahoo and Bing to identify the most popular websites giving information about RFM. The websites were assessed for readability, accountability and content using the Flesh–Kincaid ease of readability score; the Silberg criteria; and by comparison to evidence-based guidelines respectively. Chat forums were assessed using a qualitative thematic analysis. Findings70 information articles and 63 chat forums were analysed from 77 unique websites. The mean readability score was 65.7 (suitable for the average 13–15 year old) and therefore above the recommended level set for health materials; only 15 (21.4%) websites met all accountability criteria; and 43 (70%) websites contained information that was not in accordance with evidence-based recommendations. Typical questions on forums were ‘Is this normal? What should I do?’ and responses were ‘Better safe than sorry’, ‘There is no harm in calling’. Key conclusionoverall, there was wide variation in the quality of information regarding RFM on the Internet. However, the study identified four excellent websites on RFM that may be suitable sources of information for women. Women׳s uncertainty displayed in the chat forums may suggest that clearer, accessible guidance is needed if they experience RFM. Implications for practicethe Internet can compliment and support current methods of antenatal information provision. However, due to varying levels of quality it is essential that professionals discuss and direct women to useful evidenced-based websites. Care must be taken to ensure consistent advice and management of those presenting with RFM and that women׳s concerns are addressed.

Needs and sources of information for women in the treatment and management of breast cancer in Lagos State, Nigeria

The purpose of this study was to examine the needs and sources of information women with breast cancer found helpful during the treatment procedure. The target population consists of women living in Lagos State who were in the process of breast cancer treatment. A self-administered questionnaire was used to collect data from a purposive sample of 125 women who had been diagnosed and were undergoing treatment in a teaching hospital in Lagos State, Nigeria. Descriptive analysis was used to represent information needs, information sources utilized and helpfulness of the information sources. The result shows that the women expressed a great need for almost all types of information but those with higher levels of education indicated a greater need to know the reasons that their doctors had for suggesting treatments. The data indicated that personal doctors, oncologists, family and friends, mass media and leaflets and brochure were important information sources utilized by respondents; but the major sources of information respondents found very helpful were personal doctors, oncologists, family and friends. The paper concludes with a suggestion for a proactive stance by health sciences librarians and librarians in public libraries in disseminating information to Nigerian women about breast cancer. This could be achieved by guiding them to easily readable, authoritative, and reliable information sources, including local demonstrations on treatment options available. The implications of the findings are discussed and recommendations offered.

Deciding on home or hospital birth: Results of the Ontario choice of birthplace survey

Objectivedecision-making autonomy regarding where to give birth is associated with maternal satisfaction with childbirth but how women decide their location of birth is poorly understood. The aim of this study was to understand how pregnant women in Ontario, Canada decide to give birth at home or hospital and why they choose one birthplace over another. Designa mixed methods survey completed by midwifery clients in Ontario pertaining to sources of information about choice of birthplace and decision-making priorities. Findingsdecisions about choice of birthplace are made before becoming pregnant or during the first trimester. Books and research are important sources of information for women when deciding where to give birth. Women who planned home birth wanted to avoid interventions and felt most comfortable at home. Those who planned hospital birth wanted access to pain medication and found the idea of home birth stressful. Questions about the safety of home birth are a critical barrier to those who are undecided about where to give birth. Key conclusionsbeliefs and values about birth and the desire for pain relief options play significant roles in women׳s decisions, but are balanced with views of safety and risk. Regardless of where they have their baby, midwifery clients believe that birth is a natural process. Implications for practicethe findings provide health care providers and women with a deeper understanding of the factors for consideration when deciding where to give birth.

Women's Awareness of Periconceptional Use of Folic Acid Before and After Their Antenatal Visits.

OBJECTIVEThe aim of this study is to assess women’s awareness of the benefit and use of folic acid during pregnancy and to assess whether their knowledge has improved following hospital visits.METHODThis is a prospective survey conducted in a large teaching hospital in the UK. The survey questionnaire consisted of 28 questions about demographic variables, behavioral variables, and knowledge about folic acid and neural tube defects (NTDs).RESULTA total of 603 women participated in this study. Some of them attended for the first time and others had more than one visit, either in their current or previous pregnancies. In about 25% of cases, the pregnancy was not planned. Between 14 and 19% of the women of First and Two+ Visit groups consulted their doctor or other healthcare professional before conception. Nearly 98% of the women stated that they had heard of folic acid, but only 42–52% knew the medical condition it protects against. The main sources of information for women who were aware of folic acid were midwives and general practitioners. Nearly 90% of women who attended their first antenatal visit were taking folic acid. However, only 40% of women knew that they should take it before pregnancy, and only between 36 and 46% knew the dietary sources of folic acid, although about 84% know the foods that should be avoided during pregnancy. This study found that attending antenatal clinic has not increased women’s awareness about folic acid.CONCLUSIONThere is still a high proportion of women who do not know that folic acid should be taken before pregnancy and continued for the first three months of pregnancy. School education, primary care team, and family planning service should take the lead in providing information to women about folic acid.

Sources of information used by women during pregnancy to meet their information needs

Aim of the studyto explore the information sources used by women during pregnancy to meet their information needs regarding pregnancy, birth and the postpartum period. Designa cross-sectional postal survey of all eligible women who birthed at the Royal Women's Hospital, Melbourne, Australia between November 2010 and January 2011. Surveys were sent at four months post partum. Findingsforty-seven per cent (350/752) of eligible women returned the surveys, of whom 62% were primiparous. ‘Discussion with a midwife’ was the source of information used by the greatest number of women during pregnancy (246/350, 70%). Less than half of the women used the internet to access information (154/350, 44%), and group information sessions were the least preferred information format (8/330, 2.4%). Women from non-English speaking backgrounds (NESB) were less likely to use written and online resources. One-third of the women had unmet learning needs, particularly in relation to breast feeding and postnatal recovery. Overall, women rated books as the most useful source of information (57/332, 17.2%). The model of pregnancy care influenced the source women rated as most useful. Women who received most of their pregnancy care from a midwife described discussion with a midwife as their most useful source of information (42/150, 28%). In contrast, of the group who received most of their care from a doctor in antenatal clinic, the largest proportion reported that the internet was their most useful source of information (10/57, 28%). Conclusion and recommendationsdiscussion with midwives is an important source of information for women. The internet did not play a significant role in information seeking for more than half of the women in the study. Existing sources of information may not meet the needs of women from NESB, either because women do not access the multilingual resources currently available or because resources may only be provided in English or a few other common languages.

Confronting Hereditary Breast and Ovarian Cancer

The combination of a lay advocate, a clinician with an intimate knowledge of cancer genetics, and a journalist have produced an exceptionally well written and well researched book, providing a great source of information for women with, or at risk for, hereditary breast cancer. Confronting Hereditary Breast and Ovarian Cancer: Identify Your Risk, Understand Your Options, Change Your Destiny would also be a useful read for many clinicians, nurse practitioners, and genetic counsellors who work with patients who are at risk of hereditary cancer.

Information Sources for Serbian Women on Cervical Carcinoma Risk Factors

The epidemiological situation regarding cervical carcinoma in Serbia is rather unfavorable and one of contributing factors is the insufficient interest of women concerning the risk factors responsible for occurrence of this disease. The aim of this study was to determine the sources of relevant information for women An anonymous questionnaire was used for questioning of patients, students and women undergoing systematic examinations. There were 600 women in total in 2006, 2009 and 2010, and the data were statistically processed by the χ 2 test with Yates correction and the Fisher test. When observed for certain groups of tested women, and summed up for all three periods, there was a statistically significant difference for the answer "without any knowledge" (p=0.0001). When observed for certain years and summed up for all three tested groups, there was a statistically significant difference in answers regarding the source of information, the "doctor" (p=0.0011), "media" (p=0.0349) and "encyclopedia-internet" (p=0.0136). The media are a dominant source of information for women on risk factors for cervical cancer. The significance of the Internet increased during the three observed periods, while the students considered themselves least informed of all concerning risk factors.

Network Diversity and Vote Choice: Women's Social Ties and Left Voting in Canada

Building on Mark Granovetter's concept of weak ties, we argue that diverse social networks can enhance the propensity of women to vote for a party of the Left. Using data from the 2000 Canadian Election Study, we test two hypotheses: First, the wider the range of women known, the more likely women are to vote for the Left, and second, the wider the range of higher-status women known, the more likely married women are to vote for the Left. We argue that socially communicated cues may be particularly consequential for women because they tend to know less about the parties and their platforms than men do. Accordingly, casual acquaintances can be an important source of new information for women. Women with more diverse ties to other women, we argue, are more likely to encounter women who are voting for the party of the Left and to recognize their shared interest in voting similarly. Our second hypothesis builds on Susan Carroll's argument that women require sufficient autonomy to express their gender-related interests in their choice of party. We argue that married women's political autonomy can be enhanced if their social networks include a range of women who do enjoy such autonomy. Ties with higher-status women can be a source of psychological resources that facilitate voting for a party of the Left. We find support for both of these hypotheses.

Driver’s licenses as a source of data on height and weight

We investigated the feasibility of using driver’s license records to obtain height and weight data of individuals. First, we linked Washington State driver’s license records (DOL) to the state birth files to assess how well driver’s licenses can be linked to a public health database. We were able to match 78.4% of mothers and 71.7% of fathers on birth records to driver’s license records. Then we assessed the accuracy of DOL height and weight data by comparing them to heights and weights measured on control women enrolled in a cancer etiology study (CES). There is a close relation between CES and DOL heights, but not a close relation between weights. Our results suggest that driver’s license files are a good source of information for women’s heights, but are not as good for women’s weights.

Women's behaviour, beliefs and information sources about physical exercise in pregnancy

Objective: to examine the potential effect of low-risk pregnancy on women's recreational activity patterns and to explore pregnant women's beliefs and information sources regarding physical exercise participation. Design: preliminary, prospective survey Setting: participants’ homes in the East Midlands, UK. Participants: fifty-seven nulliparous, pregnant women. Measurements: levels of maternal physical activity participation were assessed by semi-structured interview at 16, 25, 34 and 38 weeks gestation. The modified Baecke questionnaire provided a measure of women's habitual sport and leisure activities in the 12 months prior to pregnancy. A 10-item scale assessed maternal beliefs regarding the importance of physical activity in pregnancy. The fetal health locus of control scale measured the extent to which women believed their own behaviour, the behaviour of others and/or chance would influence fetal health. Open-ended questions assessed women's information sources. Findings: fourteen of the 36 (39%) women who reported participating in some form of weekly exercise before pregnancy did not report pursuing any similar activities during pregnancy. Rest and relaxation were perceived as being significantly more important during pregnancy than was regular exercise or the maintenance of an active lifestyle. Fifty-five respondents (96%) indicated that they had received advice about physical activity at least once during pregnancy. At 16 weeks gestation, women obtained most of their information from books and magazines. Between 25 and 38 weeks gestation, most advice came from family and friends. Participants who reported receiving this advice were significantly older, more educated and of a higher activity level pre-pregnancy. Key conclusions: levels of maternal exercise may decline during pregnancy both as a result of the physical changes of pregnancy and from a combination of social and psychological factors. Present health education may be failing to correct inaccurate perceptions of the risks associated with physical exercise in pregnancy. Implications for practice: improving the quantity and quality of information related to physical exercise has the potential to correct inaccurate perceptions and confer several benefits on maternal and fetal health. Effective intervention strategies should focus not only on the pregnant woman but also extend to her family, friends and exercise provider.

Acceptability of pharmacy-based bone density measurement by women and primary healthcare providers.

To assess women's information sources regarding, and monetary value placed on, pharmacy-based bone density screening. In addition, we evaluated clinicians' response to peripheral bone mass measurements. We recruited 197 women 50 years of age or older in four rural Midwestern community pharmacies. Each woman completed a questionnaire and underwent calcaneal bone density testing. Results were sent to participants' primary care providers. These providers, and others practicing within a 50-mile radius, were surveyed anonymously to evaluate usefulness of bone density data provided by this program or pharmacy-based osteoporosis screening in general. In addition, clinicians were asked how they would manage a woman with a calcaneal T-score of -1.3. Fifty-six percent of participants [95% CI, 49%-63%] became interested in screening through the media, and only 6% (CI, 3%-9%) became interested through contact with their primary care provider. Women were willing to pay a median of $25 for screening. Of 18 responding clinicians with patients in this study, 72% (CI, 47%-90%) found the results useful. Of the 67 responding clinicians, 51% (CI, 39%-63%) supported pharmacy-based bone mass measurement. For a case scenario of a woman with a calcaneal T-score of -1.3, 57% (CI, 46%-68%) of clinicians indicated that they would have ordered central dual-energy x-ray absorptiometry, and 20% (CI, 11%-29%) would have prescribed antiresorptive therapy. This study suggests that (1) women are an important force in obtaining bone density testing outside the clinic setting, both by self-education and willingness to pay, and (2) primary care clinicians receiving such results find them useful and indicate willingness to use them in decision-making.