Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2015 Dec;27(6):624-633. Korean.
    Published online Dec 31, 2015.
    https://doi.org/10.7475/kjan.2015.27.6.624
    © 2015 Korean Society of Adult Nursing
    Original Article

    An Equation Model Development and Test based on Health Belief Model Regarding Osteoporosis Prevention Behaviors among Postmenopausal Women

    Hyun-Jung Jang,1 and Sukhee Ahn2
      • 1Department of Nursing, Kkottongnae University, Chungju, Korea.
      • 2College of Nursing, Chungnam National University, Daejeon, Korea.
    • Corresponding author: Ahn, Sukhee. College of Nursing, Chungnam National University, 266 Munwha-ro, Jung-gu, Daejeon 301-747, Korea. Tel: +82-42-580-8324, Fax: +82-42-580-8309, Email: sukheeahn@cnu.ac.kr
    Received September 17, 2015; Revised November 27, 2015; Accepted November 29, 2015.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    This study was to develop and test a theoretical model based on the revised health belief model explaining osteoporosis prevention behaviors among postmenopausal women under 65.

    Methods

    This secondary data analysis included 342 postmenopausal women under 65 from original data sources of a total of 734 women. The measured instruments were scales for osteoporosis awareness, osteoporosis health belief scale (benefit, barrier, susceptibility, severity, and health motivation), self-efficacy, and osteoporosis prevention behaviors. Data were analyzed using SPSS/WIN 20.0 and AMOS 20.0.

    Results

    The mean age of the subjects was 55.2 years and the mean age of menopause was 51.10. The hypothetical model of osteoporosis prevention behaviors was relatively fit. Osteoporosis prevention behaviors were significantly explained up to 62% by expectation factors (relative benefit, self-efficacy, health motivation) and modifying factors(knowledge only). Expectation factors of health belief had a mediation effect between modifying factors and prevention behaviors.

    Conclusion

    This study partially supported the revised health belief model for explaining osteoporosis prevention behaviors. It provides a basis for developing an educational program focusing on expectation factors and knowledge with the aim of behavioral changes for osteoporosis prevention.

    Keywords
    Osteoporosis; Prevention; Menopause; Health belief; Knowledge

    Figures

    Figure 1
    Theoretical framework for this study.

    Figure 2
    Standardized estimates and explained variances in tue model for osteoporosis prevention behavior.

    Tables

    Table 1
    General Characteristics of the Subjects (N=342)

    Table 2
    Descriptive Statistics and Relationships among Study Variables for Osteoporosis Prevention Behaviors (N=342)

    Table 3
    Effects of Explanatory Variables on Osteoporosis Prevention Behaviors (N=342)

    Notes

    This manuscript is a revision of the first author's doctoral dissertation from Chungnam National University.

    This study was supported by the Basic Science Research Program fund in the National Research Foundation of Korea funded by the Ministry of Education(No. NRF-2010-0023125).

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    MeSH Terms
    Female
    Humans
    Information Storage and Retrieval
    Menopause
    Models, Theoretical
    Negotiating
    Osteoporosis*
    Statistics as Topic
    Weights and Measures
    Metrics
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