건강신념 모형 기반 폐경 여성의 골다공증 예방행위 모형 개발 및 검정

• Published in: Sŏngin Kanho Hakhoe chi Vol. 27; no. 6; pp. 624 - 633
• Main Authors: 장현정(Jang, Hyun-Jung), 안숙희(Ahn, Sukhee)
• Format: Journal Article
• Language: Korean
• Published: 한국성인간호학회 2015
• Subjects: Prevention; Osteoporosis; Health belief; 건강신념; 지식; Menopause; 폐경; 예방; 골다공증; Knowledge
• ISSN: 1225-4886; 2288-338X

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.