Table 3.

Factors associated with contemplative level of readiness of behavior change using Precaution Adoption Process Model (PAPM) among women with major osteoporosis fracture (hip, spine, humerus, and wrist).

Characteristics	Odds ratio (95% CI) Bivariate	Adjusted Odds ratio (95% CI) Multivariable, Full Model
Age (continuous)	1.0 (1.0 - 1.0)	1.0 (1.0 - 1.0)
Race (white vs other)	2.7 (0.9 - 7.8)	2.6 (0.7 - 8.9)
Education (some college or more vs high school graduate or less)	1.3 (0.9 - 1.9)	1.6 (0.9 - 2.6)
Adequate health literacy (yes vs no)	0.7 (0.4 - 1.1)	0.8 (0.5 - 1.5)
Major osteoporotic fracture in the past 12 motnhs (hip, humerus, wrist, spine) (yes vs no)	2.1 (1.1 - 4.2)	1.9 (0.8 - 4.5)
Current estrogen treatment	0.3 (0.1 - 0.9)	0.9 (0.3 - 2.8)
Prior osteoporosis treatment	6.3 (4.1 - 9.4)	4.6 (2.9 - 7.3)
Concerns about osteoporosis	5.3 (3.4 - 8.1)	3.0 (1.8 - 4.9)
Having been told they have osteoporosis	6.5 (4.6 - 9.3)	10.0 (5.5 - 17.9)
Having been told they have osteopenia	5.6 (3.2 - 9.8)	3.3 (1.8 - 5.8)

Contemplative phase comprises women who self-classified in the in the third, fourth and fifth stages of PAPM. Pre-contemplative phase comprises women who self-classified in the first and second stages of PAPM. Having been told they have osteoporosis and having been told they have osteopenia are mutually exclusive, p < 0.05 in italics.