Predictors of osteoporosis preventive behaviors among adolescent (original) (raw)
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Predictors of osteoporosis preventive behaviors among adolescent: a cross-sectional study
Pediatric Endocrinology Diabetes and Metabolism
Background: Osteoporosis is a preventable progressive metabolic disease. Girls have an increased risk of occurrence of osteoporosis in their old age. The BASNEF model can be employed to change behaviors related to health. Aim of the study: The BASNEF model was employed to determine the predictors of osteoporosis preventive behaviors among adolescent girls. Material and methods: This cross-sectional study was carried out on 209 adolescent girls selected from high schools in the Quchan County in 2016 using path analysis by stratified sampling. The data was collected through a demographic questionnaire and a 52-item researcher-made questionnaire, based on the BASNEF model constructs. The data was analyzed using Shapiro-Wilk test, bootstrapping, and path analysis. Results: The average age of the students was 16.10 ±0.59. The results of path analysis showed that Model 1 matched the BASNEF model relationships completely; however, it could not predict osteoporosis preventive behaviors. The constructs of Model 2 (modified) was able to predict 50% of variances in osteoporosis preventive behaviors. There were positive and direct relationships between the following pairs of constructs: knowledge and attitudes (B = 0.23, p < 0.001); attitudes and the intention of osteoporosis preventive behaviors (B = 0.37, p < 0.001); subjective norms and the intention of osteoporosis preventive behaviors (B = 0.53, p < 0.001); behavioral intention and osteoporosis preventive behaviors (B = 0.36, p < 0.001); subjective norms and osteoporosis preventive behaviors (B = 0.33, p < 0.001), and enabling factors and osteoporosis preventive behaviors (B = 0.29, p < 0.001). Conclusions: The community health nurse can use the constructs of the BASNEF model to change the osteoporosis preventive behaviors like knowledge, attitudes subjective norms and enabling factors.
Factors Predicting Preventive Behavior for Osteoporosis in University Students
Zenodo (CERN European Organization for Nuclear Research), 2014
This predictive study was aimed to 1) describe self efficacy for risk reduction and preventive behavior for osteoporosis, and 2) examine factors predicting preventive behavior for osteoporosis in nursing students. Through purposive sampling, the sample included 746 nursing students in a public university in Bangkok, Thailand. Data were collected by a selfreported questionnaire on self efficacy and preventive behavior for osteoporosis. Data were analyzed using descriptive statistics and multiple regression analysis with stepwise method. Results revealed that majority of the students were female (98.3%) with mean age of 19.86 + 1.26 years. The students had self efficacy and preventive behavior for osteoporosis at moderate level. Self efficacy and level of education could together predicted 35.2% variance of preventive behavior for osteoporosis (p< .001). Results suggest approaches for promoting preventive behavior for osteoporosis through enhancing self efficacy among nursing students in a public university in Bangkok, Thailand.
The predictors of osteoporosis preventive behaviors in women based on health belief model
Journal of Research & Health, 2017
Osteoporosis, as a disease, is characterized by low bone mass and micro architectural deterioration of bone tissue. The aim of this study was to survey the predictors of osteoporosis preventive behaviors based on health belief model. This cross-sectional study was carried out on 401 randomly selected women referring to health centers. Data collection was based on health belief model. The employed instrument was confirmed by a panel of experts. Content validity ratio, content validity index, face validity, and exploratory factor analysis were used to determine the validity of the tool. Test-retest internal consistency was employed to determine the reliability. The mean age of women was 40.9±6.2 years. The variables of perceived susceptibility, motivation for walking behavior and variable of perceived sensitivity for nutrition behavior were predicted. The walking performance had a significant association with perceived susceptibility and motivation, the nutritional performance had a s...
BMC Women's Health, 2014
Background: As silent and preventable in nature, postmenopausal osteoporosis awareness should be raised among young women prior to an irreversible period of declining bone mass. We therefore decided to assess the inter-correlation of knowledge, attitude and osteoporosis preventive behaviors in women around the age of peak bone mass. Methods: A cross-sectional study was conducted in 430 women aged 20-35 years. The participants' knowledge, attitude and behaviors concerning osteoporosis prevention were assessed along with demographic data using a four-part questionnaire. The items in this questionnaire were established by extensive literature review, including the Guideline for Management of Osteoporosis of the Thai Osteoporosis Foundation (TOPF) 2010. The content was validated by experts in osteoporosis and reliability was obtained with a Cronbach's alpha score of 0.83. Results: The mean age of women in this study was 29.4 ± 4.6 years. Half of the participants (49.5%) had heard about osteoporosis, mostly from television (95.3%, n = 203/213) and the internet (72.8%, n = 155/213). Most women had certain knowledge (85.2%) and positive attitude towards osteoporosis (53.3%). Nevertheless, 80% of the studied population did not have appropriate osteoporosis behaviors. We found significant correlation between the level of attitudes and osteoporosis behaviors (adjusted odd ratio = 3.3 with 95% confidence interval of 1.9-5.7); attitude and educational level (adjusted odd ratio = 2.2 with 95% confidence interval of 1.4-3.4); and attitude and knowledge (adjusted odd ratio = 3.5 with 95% confidence interval of 1.8-6.8). Conclusion: Despite having certain knowledge about osteoporosis, the young women did not seem to have appropriate osteoporosis preventive behaviors. Developing a right attitude towards osteoporosis may be a key determinant to improving health practices in order to prevent osteoporosis.
Global Journal of Health Science, 2015
Osteoporosis is a major public health priority in Iran and throughout the world. The prevention of osteoporosis has recently become the ultimate goal of many health professionals. Behavior change is one of the most powerful strategies to prevent osteoporosis. This study aimed to determine the predictive construct of physical preventive behavior of osteoporosis in women aged 30-50 in Khorramabad, west of Iran. This study included 269 women selected from all the health centers of Khorramabad city according to the inclusion criteria of the study and through random cluster and systematic sampling. The data gathering tools were valid and reliable questionnaires of demographic information, stages of change, decisional balance, self-efficacy, and physical activity. Data were analyzed using descriptive and inferential statistics. The mean of the subjects' age was 38.72±7.003, and the mean of light weekly physical activity was 38.83±56.400. The results showed that the construct of self-efficacy had the highest predictive power of the preventive behavior. The results also showed that self-efficacy among the constructs of the Trans-theoretical Model was the only predictive construct for osteoporosis prevention behavior. Therefore, the findings of this study can serve as a base for educational interventions in behavioral changes to prevent of osteoporosis by health authorities.
) Prediction of Osteoporosis Preventive … Health Education and Health Promotion (HEHP
2016
Aim: Nowadays, life is endangering women's health, so that without organizational support, women are engaged in unhealthy life styles. Osteoporosis is the most common metabolic bone disease that increases the risk of bone fracture by creating a structural abnormality in the bone. Osteoporosis is a common disease among middle-age and older persons, especially women. Therefore, the necessity of implementing strategic plans to prevent osteoporosis is significantly important. This study was designed to determine the prediction of osteoporosis preventive behaviors using the Health Belief Model (HBM). Methods: This cross-sectional study was done among 200 women referred to the health centers in Taft in 2016. A stage simple random sampling was used. In order to gather the data a questionnaire consistent with the structures of HBM was used. Data were analyzed using the SPSS v16 and descriptive statistics (frequency, percentage, and mean±SD) and analysis (Linear regression). The signific...
Journal of Research Development in Nursing and Midwifery, 2019
Background and objectives: Osteoporosis is a worldwide public health problem with an increasing prevalence especially in women. This study was conducted to predict the preventive behavior of osteoporosis through applying Health Belief Model in Health Volunteers of community health centers of Rasht city in 2016. Methods: This descriptive-analytical study was done on all 217 female active Health Volunteers in community health centers in Rasht city in 2016 by survey method. The data collection tools were demographic data sheet, standard questionnaire on osteoporosis based on health belief model, food frequency questionnaire to evaluate milk and dairy group intake and short form of international physical activity questionnaire. Data was analyzed using SPSS21. Descriptive (mean and standard deviation) and inferential statistics (Spearman's correlation coefficient, analysis of multiple logistics regression and linear regression) were used. Results: Average age of Health Volunteers was 42.13 ± 9.24 and their average physical activity was 1033.44 ± 1272 min/wk. – MET (Metabolic Equivalent of Task) and average milk and dairy group intake was 1.69 ± 0.96 unit per day. Multiple logistics regression showed that perceived susceptibility (p=0.012) and construct self-efficacy (p=0.031) were the predictors of physical activity performance (high and middle activity). Linear regression test also indicated that perceived barriers (P=0.006) and knowledge (p=0.027) served as predictors of milk and dairy group intake performance. Conclusion: According to the present study findings, health belief model is a good predictor of preventive behaviors for osteoporosis in female Health Volunteers. Therefore implementing educational intervention based on this model with emphasis on knowledge and effective constructs of efficiency, susceptibility and barriers can help maintain and promote women’s health.
Effects of an Osteoporosis Prevention Program Based on Health Belief Model Among Females
Nursing and Midwifery Studies, 2015
Background: Several studies reported the efficacy of osteoporosis prevention interventions in improvement of people's preventive behaviors. However, there are reports that the interventions were not successful in altering osteoporosis health beliefs and preventive behaviors. Objectives: The current study aimed to assess the effect of a program based on health beliefs model (HBM) on females' health beliefs and performances about osteoporosis preventive behaviors. Patients and Methods: This quasi-experimental study was conducted on 120 patients registered in two healthcare centers of Fasa, Fars Province, Iran in 2014. A questionnaire including demographic information and HBM constructs was employed to measure the females' beliefs regarding nutrition and walking performance in prevention of osteoporosis bone mineral density (BMD) measured at the lumbar spine and femur before, immediately after the intervention, and six months after the intervention. Data were analyzed using Chi-square, independent samples t-, Mann-Whitney U tests and repeated measures ANOVA. Results: Immediately and six months after the intervention, a significant increase was found in the intervention group's health beliefs, nutrition, and walking performances to prevent osteoporosis. Six months after the intervention, lumbar spine BMD T-score increased to 0.127 ± 0.061 in the intervention group but reduced to-0.043 ± 0.059 in the control group. Also, hip BMD T-score increased to 0.125 ± 0.088 in the intervention group, but decreased to-0.028 ± 0.052 in control group. Conclusions: The current study showed the effectiveness of HBM in adoption of nutrition and walking behaviors as well as the increase of bone density to prevent osteoporosis.
Prediction of Osteoporosis Preventive Behaviors through the Use of the Health Belief Model (HBM)
2016
Aim: Nowadays, life is endangering women’s health, so tha t without organizational support, women are engaged in unhealthy life styles. Osteoporosis is the most common metabolic bone disease that increases the risk of bone fracture by creating a structural abnormality in the bone. Osteoporosis is a common disease among middle-age and older persons, especially women. Therefore, the necessity of implementing strategic plans to prevent osteoporosis is significantly important. This study was designed to determine the prediction of osteoporosis preventive behaviors using the Health Belief Model (HBM). Methods: This cross-sectional study was done among 200 women referred to the health centers in Taft in 2016. A stage simple random sampling was used. In order to gather the data a questionnaire consistent with the structures of HBM was used. Data were analyzed using the SPSS v16 and descriptive statistics (frequency, percentage, and mean±SD) and analysis (Linear regression). The significanc...
2015
Background and Purpose: Investigating factors affecting the adoption of preventive behaviors in women with osteoporosis using patterns that identify the effective factors which influence and reinforce on behavior is necessary. This study aims to evaluate the preventive treatment of osteoporosis in women in Fasa, Fars Province of Iran's southeastern city, using the health belief model and social cognitive theory in 2014. Materials and Methods: In this cross-sectional study, 401 women 30 to 50 years old, who were covered by Fasa health centers had been randomly selected. Scale factors for health belief model (perceived susceptibility, severity, threat, benefits, barriers and self-efficacy, practice guidelines) and the structure of self-regulation and social support of social cognitive theory, and function of feeding and walking were determined to prevent osteoporosis in women. The data were analyzed using SPSS version 16 software. Results: The average age of women was 40.9± 6.2 ye...