Startseite Self-efficacy of osteoporosis preventive behaviors and its predictors in Iranian adolescents
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Self-efficacy of osteoporosis preventive behaviors and its predictors in Iranian adolescents

  • Fatemeh Ghelichkhani , Mojgan Mirghafourvand , Elahe Bahrami-Vazir , Esmaeil Vali und Azam Mohammadi EMAIL logo
Veröffentlicht/Copyright: 20. Oktober 2018

Abstract

Introduction

Almost all the bone mass in females is accumulated during adolescence and especially in the years immediately following menstruation. Self-efficacy plays an important role in moderating the relationship between knowledge and behavior. This study aimed to determine the self-efficacy of osteoporosis preventive behaviors and its predictors in female high school students.

Methodology

This descriptive-analytical cross-sectional study was conducted on 330 female high school students in Saveh, Iran during 2016–2017. A two-stage cluster sampling method was used to select the participants. Data were collected using a socio-demographic questionnaire, the Osteoporosis Knowledge Test (OKT) and the Osteoporosis Self-Efficacy Scale (OSES). A general linear model was used to determine the self-efficacy predictors of osteoporosis preventive behaviors.

Results

The mean [standard deviation (SD)] of the total OKT score was 11.08 (4.08) of attainable range from 0 to 32. The mean (SD) of the total OSES score was 121.97 (37.36) of attainable range from 0 to 200. The mean (SD) of the exercise and calcium subscales of OSES were 58.39 (22.56) and 63.57 (21.02), respectively. There were significant relationships between the total OKT score with the total OSES score (r = 0.16, p = 0.003) and its subscales, including exercise (r = 0.16, p = 0.002) and calcium (r = 0.11, p = 0.03) scores. According to the adjusted general linear model, the variables of economic status, educational level and osteoporosis knowledge were predictors of the self-efficacy in the studied students.

Conclusion

Findings suggested that most of the students had moderate levels of knowledge and self-efficacy regarding osteoporosis preventive behaviors; therefore, improving the knowledge and self-efficacy of this group can play a significant role in promoting their health.

Acknowledgments

This article is a part of a research project approved by the Ethical Committee of Saveh University of Medical Sciences. We acknowledge the Research Department of Saveh University of Medical Sciences for financing part of the expenditures, Saveh educational administration and also all the student who participated in the research patiently.

  1. Conflict of interest statement: The authors declare that they have no competing interests.

  2. Authors’ contributions: Mojgan Mirghafourvand, Azam Mohammadi and Fatemeh Ghelichkhani: study concept, and design and acquisition of data, analysis and interpretation of data and drafting of the manuscript. Esmail Vali and Fatemeh Ghelichkhani: acquisition of data. Mojgan Mirghafourvand and Elahe Bahrami-Vazir and Fatemeh Ghelichkhani: critical revision of the manuscript for important intellectual content. Mojgan Mirghafourvand: study supervision.

References

[1] Firestein GS, Budd RC, Harris ED, McInnes IB, Ruddy S, Sergent JS, editors. Kelley’s textbook of rheumatology, 8th ed. Philadelphia, PA: Saunders; 2009.Suche in Google Scholar

[2] Irani AD, Poorolajal J, Khalilian A, Esmailnasab N, Cheraghi Z. Prevalence of osteoporosis in Iran: a meta-analysis. J Res Med Sci. 2013;18(9):759–66.Suche in Google Scholar

[3] Magee JA, Stuberg WA, Schmutte GT. Bone health knowledge, self-efficacy, and behaviors in adolescent females. Pediatr Phys Ther. 2008;20(2):160–6.10.1097/PEP.0b013e3181705814Suche in Google Scholar PubMed

[4] Edmonds E, Turner LW, Usdan SL. Osteoporosis knowledge, beliefs, and calcium intake of college students: utilization of the health belief model. Open J Prev Med. 2012;2(1):27–34.10.4236/ojpm.2012.21005Suche in Google Scholar

[5] Burge R, Dawson‐Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis‐related fractures in the United States, 2005–2025. J Bone Miner Res. 2007;22(3):465–75.10.1359/jbmr.061113Suche in Google Scholar PubMed

[6] El-Hajj Fuleihan G, Gemma Adib M, Nauroy L. The Middle East& Africa Regional Audit. Epidemiology, costs & burden of osteoporosis in 2011, Nyon, Switzerland, International Osteoporosis Foundation, 2011, 13–48. Available at https://www.iofbonehealth.org/sites/default/files/PDFs/Audit%20Middle%20East_Africa/Middle_East_Africa_audit.pdf.Suche in Google Scholar

[7] Lypaczewski G, Lappe J, Stubby J. ‘Mom & me’ and healthy bones: an innovative approach to teaching bone health. Orthop Nurs. 2002;21(2):35–42.10.1097/00006416-200203000-00007Suche in Google Scholar PubMed

[8] Cecil RL, Bennett JC, Plum F. Cecil textbook of medicine. Osteoporosis In: Goldman LDA, editor. Philadelphia, PA: WB Saunders; 2004. p. 1547–53.Suche in Google Scholar

[9] Magaziner J, Lydick E, Hawkes W, Fox KM, Zimmerman SI, Epstein RS, et al. Excess mortality attributable to hip fracture in white women aged 70 years and older. Am J Public Health. 1997;87(10):1630–6.10.2105/AJPH.87.10.1630Suche in Google Scholar PubMed PubMed Central

[10] Speroff L, Glass RH, Kase NG. Clinical gynecologic endocrinology and infertility, 5th ed. Baltimore, MD: Williams & Wilkins; 2005. p. 652–72.Suche in Google Scholar

[11] Rodzik EB. Osteoporosis education in college-age women. Master’s thesis and Doctoral Dissertation. 2008. p. 1–51.Suche in Google Scholar

[12] Sarokhani D, Hemmati F, Sayehmiri K, Motadayen M. Prevalence of osteoporosis in postmenopausal women in Iran: a systematic review and meta-analysis. Iran J Obstet Gynecol Infertil. 2018;21(3):90–102.Suche in Google Scholar

[13] Bianchi ML. Osteoporosis in children and adolescents. Bone, 2007;41(4):486–95.10.1016/j.bone.2007.07.008Suche in Google Scholar PubMed

[14] Drozdzowska B, Pluskiewicz W, Skiba M. Knowledge about osteoporosis in a cohort of Polish females: the influence of age, level of education and personal experiences. Osteoporos Int. 2004;15:645–8.10.1007/s00198-003-1581-2Suche in Google Scholar PubMed

[15] Stránský M, Rysavá L. Nutrition as prevention and treatment of osteoporosis. Physiol Res. 2009;58(1):S7–11.10.33549/physiolres.931858Suche in Google Scholar PubMed

[16] Mitha A, Bansa B, Kyer CS, Ebeling P. The Asia-Pacific regional audit-epidemiology, costs, and burden of osteoporosis in India 2013: a report of International Osteoporosis Foundation. Indian J Endocrinol Metab. 2014;18(4):449–54.10.4103/2230-8210.137485Suche in Google Scholar PubMed PubMed Central

[17] Winzenberg TM, Oldenburg B, Frendin S, Jones G. The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the Osteoporosis Knowledge Assessment Tool (OKAT). BMC Musculoskelet Disord. 2003;4:1–17.10.1186/1471-2474-4-17Suche in Google Scholar PubMed PubMed Central

[18] Abushaikha L, Omran S, Barrouq L. Osteoporosis knowledge among female school students in Jordan. East Mediterr Health J. 2009;15(4):906–11.10.26719/2009.15.4.906Suche in Google Scholar

[19] El-Sayed MM, Abdel Megeid FY. Osteoporosis-related life habits, knowledge and attitude among group of female employees in King Saud University. World Appl Sci J. 2013;22(7):919–25.Suche in Google Scholar

[20] Siegrist M. Role of physical activity in the prevention of osteoporosis. Med Monatsschr Pharm. 2008;31(7):259–64.Suche in Google Scholar

[21] Khashayar P, Qorbani M, Keshtkar A, Khashayar P, Ziaee A, Larijani B. Awareness of osteoporosis among female head of household: an Iranian experience. Arch Osteoporos. 2017;12(1):36.10.1007/s11657-017-0330-7Suche in Google Scholar

[22] Fleming R, Patrick K. Osteoporosis prevention: pediatricians’ knowledge, attitudes, and counseling practices. Prev Med. 2002;34(4):411–21.10.1006/pmed.2002.1006Suche in Google Scholar

[23] Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Asghari Jafarabadi M, Fathi F. Psychometric properties of maternal self-efficacy questionnaire in a population of Iranian mothers. J Child Fam Stud. 2016;25(7):1–6.10.1007/s10826-016-0470-1Suche in Google Scholar

[24] Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Tavananezhad N, Karkhaneh M. Health-promoting lifestyle and its predictors among Iranian adolescent girls, 2013. Int J Adolesc Med Health. 2014;26(4):495–502.10.1515/ijamh-2013-0324Suche in Google Scholar

[25] Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Tavananezhad N, Karkhaneh M. Health promoting lifestyles and self-efficacy in adolescent boys. J Mazandaran Univ Medical Sci. 2014;23(109):152–162.Suche in Google Scholar

[26] Perlman D, Lockwood P, editors. The Influence of the sport education model on physical self-efficacy. Public Health Nurs. 2010;24:1–5.Suche in Google Scholar

[27] Nguyen VH, Wang Z, Waigandt AC. The development of an osteoporosis prevention education intervention:its effectiveness, conclusions, and recommendations. Am J Health Educ. 2012;43(4):209–17.10.1080/19325037.2012.10599237Suche in Google Scholar

[28] Gendler PE, Coviak CP, Martin JT, Kim KK, Dankers JK, Barclay JM, et al. Revision of the Osteoporosis Knowledge Test: reliability and validity. West J Nurs Res. 2014;37(12):1623–43.10.1177/0193945914537565Suche in Google Scholar

[29] Horan ML, Kim KK, Gendler P, Froman RD, Patel MD. Development and evaluation of the Osteoporosis Self-Efficacy Scale. Res Nurs Health. 1998;21(5):395–403.10.1002/(SICI)1098-240X(199810)21:5<395::AID-NUR3>3.0.CO;2-ISuche in Google Scholar

[30] Baheiraei A, Ritchie JE, Eisman JA, Nguyen TV. Psychometric properties of the Persian version of knowledge and health belief questionnaire. Maturitas. 2004;50(2):134–9.10.1016/j.maturitas.2004.05.001Suche in Google Scholar

[31] Cadarette SM, Burden AM. Measuring and improving adherence to osteoporosis pharmacotherapy. Curr Opin Rheumatol. 2010;22(4):397.10.1097/BOR.0b013e32833ac7feSuche in Google Scholar

[32] Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2013;24(1):23–57.10.1007/s00198-012-2074-ySuche in Google Scholar PubMed PubMed Central

[33] Bagheri P, Haghdoost A, Dortaj RE, Halimi L, Vafaei Z, Farhangnia M, et al. Ultra analysis of prevalence of osteoporosis in iranian women. Iran J Endocrinol Metab. 2011;13(3):315–38 [Article in Persian, English abstract].Suche in Google Scholar

[34] Pazhouhi M, Komeylian Z, Sedaghat M, Baradar JR, Soltani A. Efficacy of educational pamphlets for improvement of knowledge and practice in patients with osteoporosis. Payesh Health Monit. 2004;3(1):67–74 [Article in Persian, English abstract].Suche in Google Scholar

[35] Kamjoo A, Shahi A, Dabiri F, Abedini S, Hosseini Teshnizi S, Pormehr Yabandeh A. The effectiveness of education about osteoporosis prevention on awareness of female students. Hormozgan Med J. 2012;16(1):60–5 [Article in Persian, English abstract].Suche in Google Scholar

[36] Sabzevari A, Amani F, Mohammadi P, Valizadeh M, Farzaneh E. Students’ awareness on osteoporosis in Khalkhal city, 2014. Int J Adv Med. 2017;2(4):354–8.10.18203/2349-3933.ijam20151008Suche in Google Scholar

[37] Robitaille J, Yoon PW, Moore CA, Liu T, Irizarry-Delacruz M, Looker AC, et al. Prevalence, family history, and prevention of reported osteoporosis in U.S. women. Am J Prev Med. 2008;35(1):47–54.10.1016/j.amepre.2008.03.027Suche in Google Scholar PubMed

[38] Mirghaforvand M, Mohmmad Alizadeh Charanabi S, Tavananezhad N, Karkhaneh M. Self-efficacy in adolescents and its socio demographic predictors. J Urmia Nurs Midwifery Fac. 2014;12(2):153–65 [Article in Persian, English abstract].Suche in Google Scholar

[39] Francis L, Weiss BD, Senf JH, Heist K, Hargraves R. Does literacy education improve symptoms of depression and self-efficacy in individuals with low literacy and depressive symptoms? A preliminary investigation. J Am Board Fam Med. 2007;20(1):23–7.10.3122/jabfm.2007.01.060058Suche in Google Scholar PubMed

[40] Shin SJ, Shin KR, Yi HR, Ju SK. Knowledge, health belief, and self-efficacy related to osteoporosis. J Korean Acad Nurs. 2005;35(5):850–7.10.4040/jkan.2005.35.5.850Suche in Google Scholar PubMed

[41] Kaveh MH, Golij M, Nazari M, Mazloom Z, Rezaeian Zadeh A. Effects of an osteoporosis prevention training program on physical activity-related stages of change and self-efficacy among university students, Shiraz, Iran: a randomized clinical trial. J Adv Med Educ Prof. 2014;2(4):158–64.Suche in Google Scholar

[42] Evenson AL, Sanders GF. Educational intervention impact on osteoporosis knowledge, health beliefs, self-efficacy, Dietary calcium, and vitamin D intakes in young adults. Orthop Nurs. 2016;35(1):30–6.10.1097/NOR.0000000000000211Suche in Google Scholar PubMed

[43] Sun J, Buys N, Wang X. Association between low income, depression, self-efficacy and mass-incident-related strains: an understanding of mass incidents in China. J Public Health (Oxf). 2012;34(3):340–7.10.1093/pubmed/fdr107Suche in Google Scholar PubMed

Received: 2018-02-14
Accepted: 2018-03-27
Published Online: 2018-10-20

©2018 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Original Articles
  3. Awareness and practices of menstrual hygiene among females of reproductive age in rural Puducherry – a mixed method study
  4. Many hours of watching medical TV shows is associated with greater medical knowledge
  5. Spatio-temporal trends in the risk of adolescent pregnancy in Minas Gerais, Brazil, 2000–2015
  6. Sexual behaviour and its correlates among adolescents in Brunei Darussalam
  7. The relationship between anxiety and social support in male and female students in high schools in the southeast of Iran
  8. Cannabis and amphetamine use and socio-ecological (proximal and distal) factors among school-going adolescents in four countries in the Caribbean and four countries in South America
  9. Gender differences in concussion-related knowledge, attitudes and reporting-behaviours among high school student-athletes
  10. Determinants of overweight and obesity among urban school-going children and adolescents: a case-control study in Bangladesh
  11. Addiction to the Internet and mobile phones and its relationship with loneliness in Iranian adolescents
  12. Prevalence and associated factors for social phobia among school-going adolescents in a rural area of Puducherry, South India
  13. Self-efficacy of osteoporosis preventive behaviors and its predictors in Iranian adolescents
  14. Prevalence of pediculosis and its related factors among primary school girls in the north of Iran
  15. Risk behaviors in adolescence – a study in a Portuguese health unit
  16. Statistical analysis for the impact of smoking on the behavior and health of Qatari adolescents
  17. Risk behaviors screening in Thai adolescents with acute and chronic illnesses
  18. Prenatal and early life origins of adolescence sleep problems: evidence from a birth cohort
  19. Intake of fruit, vegetables and milk products and correlates among school boys in Saudi Arabia
  20. Determinants of early marriage among female adolescent in Indonesia
  21. Social health needs of Iranian male adolescents
  22. Radiation and its associated health risks: assessment of knowledge and risk perception among adolescents and young adults in Saudi Arabia
  23. What does social media have to do with health? A case study of Bangkok youths
  24. Determining the development of syntax in typically-developing Indian adolescents using a syntactic analysis package
  25. Prevalence of traumatic injuries to the anterior teeth among 3–17-year-old school children of Indore and correlating it with Kuppuswamy SES, occlusal relationship and ascertaining percentage of those seeking the treatment
  26. Impaired dynamic thiol/disulfide homeostasis in pubertal gynecomastia
  27. Can upper limb taping or exercises improve hand function, writing speed and self-perception of performance in adolescent school children?
  28. Hemihyperplasia/hemihypertrophy in adolescents: prospective international study
  29. Depression in a sample of Tunisian adolescents: prevalence, associated factors and comorbidity with anxiety disorders
  30. Predictors of sexual function in pregnant Iranian adolescents
  31. Spiritual belief and its link with potentially addictive behaviors in a youth sample in Switzerland
  32. Short Communications
  33. Violence depicted in advertisements on LinkNYC kiosks in Manhattan, New York City
  34. Major food groups contributing to sodium intake in school-attending adolescents
Heruntergeladen am 5.11.2025 von https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2018-0038/pdf
Button zum nach oben scrollen