Korean J Adult Nurs.  2013 Oct;25(5):527-538.

Structural Model for Osteoporosis Preventive Behaviors in Postmenopausal Women: Focused on their Own BMD Awareness

• Park YJ
• Lee SJ
• Shin NM
• Kang HC
• Kim SH
• Kim T
• Jeon SI
• Cho IH

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.

MeSH Terms

Bone Density
Female
Humans
Middle Aged
Models, Structural*
Negotiating
Osteoporosis*
Postmenopause
Retrospective Studies
Surveys and Questionnaires

Figure

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  Figure 1. Theoretical framework.

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  Figure 2. Standardized parameter estimates of path diagram for the final model.

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