Structural model for osteoporosis preventive behaviors in postmenopausal women: Focused on their own BMD awareness
- Authors
- Park, Y.P.; Lee, S.J.; Shin, N.M.; Kang, H.C.; Kim, S.H.; Kim, T.; Jeon, S.I.; Cho, I.H.
- Issue Date
- 2013
- Publisher
- Korean Society of Adult Nursing
- Keywords
- Bone density; Osteoporosis; Post-menopause; Prevention
- Citation
- Korean Journal of Adult Nursing, v.25, no.5, pp.527 - 538
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Adult Nursing
- Volume
- 25
- Number
- 5
- Start Page
- 527
- End Page
- 538
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/106007
- DOI
- 10.7475/kjan.2013.25.5.527
- ISSN
- 1225-4886
- Abstract
- Purpose: The purpose of this study was to develop a model that explains causal relationships between post-menopausal women's osteoporosis general knowledge and awareness of their own bone mass density(BMD) and their osteoporosis health beliefs and preventive behaviors. Methods: Retrospective design using structural equation model tested seven variables by using questionnaires of osteoporosis knowledge test, osteoporosis health belief scale, osteoporosis self-efficacy scale, and osteoporosis preventive behaviors scale. 162 middle age and post-menopausal women were recruited. Results: Mediating effect of health beliefs was not significant in the relationship between BMD awareness and preventive behaviors. Instead, BMD awareness had a direct influence on the preventive behaviors that is strong and significant. Between the relationship of the BMD awareness and health beliefs, direct pathways of perceived threat, relative benefits, and self-efficacy were not significant. However, relative benefits and self-efficacy showed direct influence on the preventive behaviors. Conclusion: Having middle age women get their BMD test done in order for them to be aware of their own BMD results might be a critical strategy to promote osteoporosis preventive behaviors. There is a need to develop diverse strategies to enhance their self- efficacy which has been shown to be important to osteoporosis preventive behaviors. © 2013 Korean Society of Adult Nursing.
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