Investigating Preventive Behaviors of Osteoporosis Using the Health Belief Model in Female Health volunteers in the Health Care Centers in Rasht

N Mokhtari Lakeh, layla Zarat Dakheliparast, L. Mirhadian, Leili E Kazeminezhad, M. Roshan
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引用次数: 3

Abstract

Background and objectives: Osteoporosis is a worldwide public health problem with an increasing prevalence especially in women. This study was conducted to predict the preventive behavior of osteoporosis through applying Health Belief Model in Health Volunteers of community health centers of Rasht city in 2016. Methods: This descriptive-analytical study was done on all 217 female active Health Volunteers in community health centers in Rasht city in 2016 by survey method. The data collection tools were demographic data sheet, standard questionnaire on osteoporosis based on health belief model, food frequency questionnaire to evaluate milk and dairy group intake and short form of international physical activity questionnaire. Data was analyzed using SPSS21. Descriptive (mean and standard deviation) and inferential statistics (Spearman's correlation coefficient, analysis of multiple logistics regression and linear regression) were used. Results: Average age of Health Volunteers was 42.13 ± 9.24 and their average physical activity was 1033.44 ± 1272 min/wk. – MET (Metabolic Equivalent of Task) and average milk and dairy group intake was 1.69 ± 0.96 unit per day. Multiple logistics regression showed that perceived susceptibility (p=0.012) and construct self-efficacy (p=0.031) were the predictors of physical activity performance (high and middle activity). Linear regression test also indicated that perceived barriers (P=0.006) and knowledge (p=0.027) served as predictors of milk and dairy group intake performance. Conclusion: According to the present study findings, health belief model is a good predictor of preventive behaviors for osteoporosis in female Health Volunteers. Therefore implementing educational intervention based on this model with emphasis on knowledge and effective constructs of efficiency, susceptibility and barriers can help maintain and promote women’s health.
利用健康信念模型调查拉希特市卫生院女性健康志愿者骨质疏松预防行为
背景和目的:骨质疏松症是一个世界性的公共卫生问题,发病率越来越高,尤其是在女性中。本研究运用健康信念模型对2016年拉什特市社区卫生中心卫生志愿者骨质疏松预防行为进行预测。方法:采用描述性分析方法,对2016年拉什特市社区卫生服务中心217名在职女性卫生志愿者进行调查。数据收集工具为人口统计数据表、基于健康信念模型的骨质疏松症标准问卷、评价牛奶和乳制品组摄入量的食物频率问卷以及国际体育活动问卷简表。数据采用SPSS21进行分析。采用描述性统计(均值和标准差)和推理统计(Spearman相关系数、多元logistic回归分析和线性回归)。结果:健康志愿者的平均年龄为42.13±9.24岁,平均体力活动为1033.44±1272 min/w。- MET(任务代谢当量)和牛奶和乳制品组的平均摄入量为1.69±0.96单位/天。多元logistic回归结果显示,感知易感性(p=0.012)和建构自我效能感(p=0.031)是体育活动表现(高、中强度活动)的预测因子。线性回归检验还表明,感知障碍(P=0.006)和知识(P= 0.027)是牛奶和乳制品组摄入性能的预测因子。结论:健康信念模型对女性健康志愿者骨质疏松预防行为有较好的预测作用。因此,基于这一模式实施教育干预,强调知识和效率、易感性和障碍的有效构建,有助于维护和促进妇女的健康。
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