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KMID : 0367020130250050527
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Journal of Korean Academic of Adult Nursing
2013 Volume.25 No. 5 p.527 ~ p.538
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Structural Model for Osteoporosis Preventive Behaviors in Postmenopausal Women : Focused on their Own BMD Awareness
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Park Young-Joo
Lee Sook-Ja
Shin Nah-Mee
Kang Hyun-Cheol
Kim Sun-Haeng
Kim Tak
Jeon Song-I
Cho In-Hae
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Abstract
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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.
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KEYWORD
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Bone density, Osteoporosis, Prevention, Post-menopause
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