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

폐경여성의 골다공증 예방행위 구조모형: 골밀도인지를 중심으로

  • 박영주 (고려대학교 간호대학) ;
  • 이숙자 (고려대학교 간호대학) ;
  • 신나미 (고려대학교 간호대학) ;
  • 강현철 (호서대학교 정보통계학과) ;
  • 김선행 (고려대학교 의과대학) ;
  • 김탁 (고려대학교 의과대학) ;
  • 전송이 (고려대학교 간호대학 대학원) ;
  • 조인해 (고려대학교 간호대학 대학원)
  • Received : 2013.05.20
  • Accepted : 2013.10.09
  • Published : 2013.10.31

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.

Keywords

References

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