Khani Jeihooni A, Hidarnia A, Kaveh M H, Hajizadeh E. Survey of predictors osteoporosis preventive behaviors among women in Fasa: Integrated of the Health Belief Model and Social Cognitive Theory. J Health Syst Res 2015; 11 (1) :53-67
URL:
http://hsr.mui.ac.ir/article-1-762-en.html
1- Department of Health Education and health promotion, Tarbiat Modares University, Tehran, Iran
2- Department of Health Education and health promotion, Shiraz University of Medical Sciences, Shiraz, Iran
3- Department of Biostatistics, Tarbiat Modares University, Tehran, Iran
Abstract: (1010 Views)
Background: Investigating factors affecting the adoption of preventive behaviors in women with osteoporosis using patterns that identify the effective factors which influence and reinforce on behavior is necessary. This study aims to determine the preventive behaviors of osteoporosis in women of Fasa city using the health belief model and social cognitive theory in 2014.Methods: In this cross-sectional study, 401 women from age group of 30 to 50 years who were covered by health centers in Fasa were randomly selected. Scale factors for health belief model (perceived susceptibility, severity, threat, benefits, barriers and self-efficacy, practice guidelines) and the self-regulation, social support structures of social cognitive theory, and nutrition behaviors and walking were determined to prevent osteoporosis in women. Finally, gathered data were analyzed using the SPSS version 16software and descriptive statistics (mean and standard deviation) test and also Pearson correlation analysis, multiple linear regression, ANOVA and t-test at the significance level of less than 0.05 .Findings: The average age of women was 40/9± 6/2 years. The variables of perceived susceptibility, motivation, social support and self-regulation for walking behavior and variables of perceived sensitivity and self-regulation for nutrition behavior were addressed as predictors. There was a significant association between walking performance and perceived susceptibility (r=136 ,p=0.007), motivation (r=120 ,p=0.016), social support (r=0/068 ,p=0/030) and Self-regulation (r=118 ,p=0.018). In this study, there was a significant association between nutritional performance and perceived susceptibility (r=0.068,p=0.003), Self-efficacy (r=0/039 ,p=0/042) self-regulation (r=0.069 ,p=0.070) and there was a significant inverse correlation with perceived barriers (r=.047 ,p=-0.050). The surveyed variables expressed 29.1% of the variance in walking behavior and 20.2% of the variance in feeding behavior in osteoporosis prevention.Conclusion: This study indicated efficiency of health belief model constructs, and also self- regulation and social support in predicting nutrition and walking behaviors for the prevention of osteoporosis. Hence, these constructs can be used as a framework for designing and implementing educational interventions for the prevention of osteoporosis in women and can help to improve and maintain their health.Key Words: Health Belief Model, Social Cognitive Theory, Social support, Self-regulation, Feeding, Walking
Type of Study:
Research |
Subject:
education health and promotion Received: 2020/07/16 | Accepted: 2015/04/15 | Published: 2015/04/15