Korean J Adult Nurs.  2015 Dec;27(6):624-633. 10.7475/kjan.2015.27.6.624.

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

• Jang HJ
• Ahn S

• KMID: 2221716
• DOI: http://doi.org/10.7475/kjan.2015.27.6.624

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.

MeSH Terms

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

Figure

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  Figure 1. Theoretical framework for this study.

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

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