Related Factors and Osteoporosis Health Beliefs and Self-Efficacy of Women
Objective: This study was conducted to determine osteoporosis health beliefs and self-efficacy of Turkish women and to investigate the relationship between women’s characteristics with osteoporosis health beliefs and self-efficacy. Methods: The study was planned as descriptive and cross-sectional study design. A convenience sample of 296 volunteer women who applied to the outpatient clinic of one public hospital was recruited. Data were collected via a questionnaire form, the Osteoporosis Health Belief Scale (OHBS) and the Osteoporosis Self-Efficacy Scale (OSES). The questionnaire form and scales were completed by the participants. Since the scales used self-reports, the inclusion criteria of this study required participants to be primary school graduates and being 18 age. Results: The participants’ OHBS subscales average scores were susceptibility,18.53±4.74; seriousness,14.68±4.46; benefits of exercise, 23.82±5.06; benefits of calcium intake, 22.12±4.63; barriers to exercise, 16.15±4.75; barriers to calcium intake,14.68±4.46; health motivation, 22.80±4.7. The total OHBS average score was 138.27±17.93. It was determined that the women’s total OSES average score was 790.64±260.96. The subscales of OSES; OSE-Exercise Scale average score was 361.38±162.72, and the OSE-Calcium Scale average score was 429.25±147.57. Conclusion: The levels of health beliefs and self-efficacy regarding osteoporosis of women were low. Nevertheless, women’s perceived benefits scores were found higher than perceived barriers. Nursing can take part in providing education to the public about life-long bone health, and they can also provide information about how to prevent osteoporosis and fracture risk.
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- Altın E, Karadeniz B, Türkyön F, Baldan F, Akkaya N, Şimşir Atalay N et al. Kadın ve erkek yetişkinlerde osteoporoz bilgi ve farkındalık düzeyinin karşılaştırılması. [The comparison of knowledge level and awareness of osteoporosis between women and men]. Turkish J Osteoporosis, 2014; 20, 98-103.
- Arslan SA, Daşkapan A, Atalay DK, Tüzün EH, Korkem D. Kırıkkale’de yaşayan kadınların osteoporoz bilgi düzeyi. [Osteoporosis knowledge level of the women living in the city of Kırıkkale]. Turk J Physiother Rehabil, 2015;26:120-127.
- Aslan G, Kılıç D. Osteoporosis health belief, knowledge level and risk factors in individuals whose bone mineral density was required. Belitung Nursing Journal 2017;3(3):162-173.
- Çakmak B, İnanır A, Öztürk GT. The comparison of bone mineral density between postmenopausal women and elderly women. Turkish J Osteoporosis, 2012;18: 86-88.
- Edmonds E, Turner LW, Usdan SL. Osteoporosis knowledge, beliefs, and calcium intake of college students: Utilization of the health belief model. Open Journal of Preventive Medicine, 2012;2:27-34.
- International Osteoporosis Foundation (IOF). What is osteoporosis? Retrieved from https://www.iofbonehealth.org/what-is-osteoporosis, 2009. (Accessed 2 November 2018).
- Kılıç D, Erci B. Osteoporoz sağlık inanç ölçeği, osteoporoz öz-etkililik/yeterlik ölçeği ve osteoporoz bilgi testi’nin geçerlilik ve güvenirliği [The reliability and validity of the osteoporosis health belief scale, osteoporosis self-efficacy scale and osteoporosis knowledge test]. Atatürk Üniv Hemşirelik Yüksekokulu Dergisi, 2004;7: 89-102.
- Kılıç D, Erci B. Premenopozal dönemdeki kadınlara verilen eğitiminin osteoporoza ilişkin sağlık inançları ve bilgi düzeylerine etkisi [The impact of the planned health education given to premenoposal women on the osteoporosis health beliefs and knowledge levels] Atatürk Üniv Hemşirelik Yüksekokulu Dergisi, 2007;10:34-44.
- Kim, K., Horan, M., Gendler, P. Osteoporosis knowledge tests, osteoporosis health belief scale, and osteoporosis self-efficacy scale. Allendale, MI: Grand Valley State University, 1991a.
- Kim K, Horan ML, Gendler P, Patel MK. Development and evaluation of the osteoporosis health belief scale. Res Nurs Health, 1991b:14: 155-163.
- McLeod KM, Johnson CS. A systematic review of osteoporosis health beliefs in adult men and women. J Osteoporos, 2011;1-11.
- Nayak S, Roberts MS, Chang CCH, Greenspan SL. Health beliefs about osteoporosis and osteoporosis screening in older women and men. Health Educ J, 2010; 69: 267-276.
- Öztürk A, Şendir M. Evaluation of knowledge of osteoporosis and self‐efficacy perception of female orthopaedic patients in Turkey. J Nurs and Healthcare Chronic Illness, 2011;3: 319-328.
- Piaseu N, Schepp K, Belza B. Causal analysis of exercise and calcium intake behaviors for osteoporosis prevention among young women in Thailand. Health Care Women Int, 2002;23:364-376.
- Sedlak CA, Doheny MO, Jones SL. Osteoporosis education programs: changing knowledge and behaviors. Public Health Nurs, 2000;17:398-402.
- Shin KR, Kang YM. A study on the relationships between osteoporosis knowledge, self-efficacy and health belief of women in an island. J Korean Acad Nurs, 2002;32: 89-99.
- Shirazi KK, Wallace LM, Niknami S, Hidarnia A, Torkaman G, Gilchrist M et al. A home-based, transtheoretical change model designed strength training intervention to increase exercise to prevent osteoporosis in Iranian women aged 40-65 years: a randomized controlled trial. Health Educ Res, 2007;22: 305-317.
- Song HR, So HY. Effects of the knowledge, health belief, and self-efficacy about osteoporosis on calcium intake behavior for postmenopausal osteoporosis patients. J Korean Acad Nurs, 2000;19:763-774.
- Spector RE. The health belief model. Mehalk C, ed. Cultural diversity in health & Illness. Fifth Edition. Prentice-Hall New Jersey, UK, 2002:12-16.
- Stubbs B. Osteoporosis and falls: some further considerations for the nursing profession. Britih Journal of Nursing, 2010;19:1431-1431.
- Swaim RA, Barner JC, Brown CM. The relationship of calcium intake and exercise to osteoporosis health beliefs in postmenopausal women. Res Social Adm Pharm, 2008;4:153-163.
- Tuzun S, Eskiyurt N, Akarirmak U, Saridoğan M, Senocak M, Johansson H, et al. Turkish Osteoporosis Society. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int, 2012;23:949-955.