Volume 9, Issue 3 (2021)
Health Educ Health Promot 2021, 9(3): 295-301 |
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Allahqoli L, Rahmani A, Fallahi A, Ghanei Gheshlagh R, Volken T, Allahveisi A, et al . Exercise Behaviors of Infertile Women at Risk of Osteoporosis: Application of the Health Belief and the Trans Theoretical Models. Health Educ Health Promot 2021; 9 (3) :295-301
URL: http://hehp.modares.ac.ir/article-5-50059-en.html
URL: http://hehp.modares.ac.ir/article-5-50059-en.html
L. Allahqoli1, A. Rahmani2, A. Fallahi *3, R. Ghanei Gheshlagh4, T. Volken5, A. Allahveisi6, M. Zarei7, B. Nemat8
1- School of Public Health, Iran University of Medical Sciences (IUMS), Tehran, Iran
2- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran ,arezofalahi91@gmail.com
4- Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
6- Department of Anatomy, Infertility Center of Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
7- Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences, Sanandaj, Iran
8- Health Network of Sanandaj, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran ,
4- Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
6- Department of Anatomy, Infertility Center of Besat Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran
7- Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences, Sanandaj, Iran
8- Health Network of Sanandaj, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract: (1837 Views)
Aims: We aimed to investigate the association between health beliefs and exercise behavior in infertile women at risk of developing osteoporosis.
Instrument & Methods: This cross-sectional study was conducted in Sanandaj city, west of Iran, in 2018. Four hundred and eighty-three infertile women were included in the study through convenience sampling from 35 comprehensive healthcare centers. Standardized face-to-face interviews were conducted using established and reliable instruments to assess exercise behavior and health beliefs. Data were analyzed by SPSS 22 using Logistic regression models, Chi-square, independent t-test, and Pearson correlations.
Findings: Employed women compared to homemakers had substantially higher odds of adopting exercise behaviors (OR=3.19; 95% CI=1.53-6.66; p<0.01). Moreover, the odds of exercise behavior adoption increased with self-efficacy (OR=1.35; 95% CI=1.2-1.52; p<0.01), and decreased with perceived barriers (OR=0.9; 95% CI=0.84-0.97; p<0.01).
Conclusion: It is essential to increase perceived self-efficacy and reduce perceived barriers to promote exercise behaviors in infertile women. Consequently, health professionals should develop or adopt appropriate strategies to decrease barriers and increase self-efficacy to enhance exercise behaviors in this group of women.
Instrument & Methods: This cross-sectional study was conducted in Sanandaj city, west of Iran, in 2018. Four hundred and eighty-three infertile women were included in the study through convenience sampling from 35 comprehensive healthcare centers. Standardized face-to-face interviews were conducted using established and reliable instruments to assess exercise behavior and health beliefs. Data were analyzed by SPSS 22 using Logistic regression models, Chi-square, independent t-test, and Pearson correlations.
Findings: Employed women compared to homemakers had substantially higher odds of adopting exercise behaviors (OR=3.19; 95% CI=1.53-6.66; p<0.01). Moreover, the odds of exercise behavior adoption increased with self-efficacy (OR=1.35; 95% CI=1.2-1.52; p<0.01), and decreased with perceived barriers (OR=0.9; 95% CI=0.84-0.97; p<0.01).
Conclusion: It is essential to increase perceived self-efficacy and reduce perceived barriers to promote exercise behaviors in infertile women. Consequently, health professionals should develop or adopt appropriate strategies to decrease barriers and increase self-efficacy to enhance exercise behaviors in this group of women.
Keywords: Infertility [MeSH], Women [MeSH], Exercise [MeSH], Osteoporosis [MeSH], Self-Efficacy [MeSH], HBM and TTM [MeSH]
Article Type: Descriptive & Survey |
Subject:
Health Promotion Approaches
Received: 2021/02/11 | Accepted: 2021/05/23 | Published: 2021/11/6
Received: 2021/02/11 | Accepted: 2021/05/23 | Published: 2021/11/6
References
1. Schmidt L. Social and psychological consequences of infertility and assisted reproduction-what are the research priorities. Hum Fertil. 2009;12(1):14-20. [Link] [DOI:10.1080/14647270802331487] [PMID]
2. Direkvand Moghadam A, Delpisheh A, Sayehmiri K. The prevalence of infertility in iran, a systematic review. Iran J Obstet Gynecol Infertil. 2013;16(81):1-7. [Persian] [Link]
3. Wiersema NJ, Drukker AJ, Dung Mai BT, Giang HN, Nguyen TN, Lambalk CB. Consequences of infertility in developing countries: results of a questionnaire and interview survey in the south of Vietnam. J Transl Med. 2006;4:54. [Link] [DOI:10.1186/1479-5876-4-54] [PMID] [PMCID]
4. Noruzinejad GH, Mohammadi SD, Seyedtabaee R, Sharifi AH. An investigation of the prevalence rate and severity of symptoms of depression and its relationship with duration of infertility among infertile men referred to infertility center Jahad Daneshgahi Qom in 2013, Iran. Qom Univ Med Sci J. 2016;10(2):81-7. [Persian] [Link]
5. Gallagher JC. Effect of early menopause on bone mineral density and fractures menopause. Menopause. 2007;14(3 Pt 2):67-71. [Link] [DOI:10.1097/gme.0b013e31804c793d] [PMID]
6. Munch S, Shapiro S. The silent thief: Osteoporosis and women's health care across the life span. Health Soc Work. 2006;31(1):44-53. [Link] [DOI:10.1093/hsw/31.1.44] [PMID]
7. Alswatm KA. Gender disparities in osteoporosis. J Clin Med Res. 2017;9(5):382-7. [Link] [DOI:10.14740/jocmr2970w] [PMID] [PMCID]
8. Rich-Edwards JW, Spiegelman D, Garland M, Hertzmark E, Hunter DJ, Colditz GA, et al. Physical activity, body mass index, and ovulatory disorder infertility. Epidemiology. 2002;13(2):184-90. [Link] [DOI:10.1097/00001648-200203000-00013] [PMID]
9. Yang B, Sun H, Wan Y, Wang H, Qin W, Yang L, et al. Associations between testosterone, bone mineral density, vitamin D and semen quality in fertile and infertile Chinese men. Int J Androl. 2012;35:783-92. [Link] [DOI:10.1111/j.1365-2605.2012.01287.x] [PMID]
10. Senderovich H, Tang H, Belmont S. The role of exercises in osteoporotic fracture prevention and current care gaps, where are we now? recent updates. Rambam Maimonides Med J. 2017;8(3):0032. [Link] [DOI:10.5041/RMMJ.10308] [PMID] [PMCID]
11. Santos L, Elliott-Sale KJ, Sale C. Exercise and bone health across the lifespan. Biogerontology. 2017;18(6):931-46. [Link] [DOI:10.1007/s10522-017-9732-6] [PMID] [PMCID]
12. Burton N, Pakenham KI, Brown WJ. Evaluating the effectiveness of psychosocial resilience training for heart health, and the added value of promoting physical activity: A cluster randomized trial of the ready program. BMC Public Health. 2009;9:427. [Link] [DOI:10.1186/1471-2458-9-427] [PMID] [PMCID]
13. De Assis MA, De Mello MF, Scorza FA, Cadrobbi MP, Schooedl AF, De Silva SG, et al. Evaluation of physical activity habits in patients with posttraumatic stress disorder. Clinics. 2008;63(4):473-8. [Link] [DOI:10.1590/S1807-59322008000400010] [PMID] [PMCID]
14. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry. 2008;62 Suppl 47:25-9. [Link] [DOI:10.1080/08039480802315640] [PMID]
15. Giacobbi PR, Stancil M, Hardin B, Bryant L. Physical activity and quality of life experienced by highly active individuals with physical disabilities. Adapt Phys Act Q. 2008;25(3):189-207. [Link] [DOI:10.1123/apaq.25.3.189] [PMID]
16. Edmonds E, Turner LW, Usdan SL. Osteoporosis knowledge, belifs and behaviors of college students: Utilization of the health belief model. Open J Prev Med. 2012;2(1):27-34. [Link] [DOI:10.4236/ojpm.2012.21005]
17. Wallace LS. Osteoporosis prevention in college women: Application of the expanded health belief model. Am J Health Behav. 2002;26(3):163-72. [Link] [DOI:10.5993/AJHB.26.3.1] [PMID]
18. Gammage KL, Klentrou P. Predicting osteoporosis prevention behaviors: Health beliefs and knowledge. Am J Health Behav. 2011;35(3):371-82. [Link] [DOI:10.5993/AJHB.35.3.10] [PMID]
19. Turner LW, Hunt SB, DiBrezzo R, Jones C. Design and implementation of an Osteoporosis Prevention Program using the health belief model. Am J Health Stud. 2004;19(2):115-21. [Link]
20. Fallahi A, Valiee S, Chan S W. Needs of women with osteoporosis in disease self-management: a qualitative study. Health Scope. 2019;8(2):e57234. [Link] [DOI:10.5812/jhealthscope.57234]
21. Albashtawy M, Gharaibeh H, Alhalaiqa F, Batiha AM, Freij M, Saifan A, et al. The Health Belief Model's Impacts on the Use of Complementary and Alternative Medicine by Parents or Guardians of Children with Cancer. Iran J Public Health. 2016;45(5):708-9. [Link] [DOI:10.14419/ijh.v5i1.7291]
22. Didarloo A, Shojaeizadeh D, Eftekhar Ardebili H, Niknami S, Hajizadeh E, Alizadeh M. Factors influencing physical activity behavior among iranian women with type 2 diabetes using the extended theory of reasoned action. Diabetes Metab J. 2011;35(5):513-22. [Link] [DOI:10.4093/dmj.2011.35.5.513] [PMID] [PMCID]
23. Fahrenwald NL, Walker SN. Application of the Transtheoretical Model of behavior change to the physical activity behavior of WIC mothers. Public Health Nurs. 2003;20(4):307-17. [Link] [DOI:10.1046/j.1525-1446.2003.20408.x] [PMID]
24. Melton LJ, Hesdorffer DC, Malkasian GD, Atkinson EJ, Brinton LA, O'Fallon WM. Long-term fracture risk among infertile women: a population-based cohort study. J Womens Health Gend Based Med. 2001;10(3):289-97. [Link] [DOI:10.1089/152460901300140040] [PMID]
25. Sadeghi F, Miri N, Barikani A, Hossein Rashidi B, Ghasemi Nejad A, Hojaji E, et al. Comparison of Food intake, physical activity and weight in infertile and healthy women aged 25-40 years. Iran J Obstet Gynocol Infertil. 2015;18(173):32-40. [Persian] [Link]
26. Benksim A, Elkhoudri N, Addi R, Baali A, Cherkaoui M. Difference between primary and secondary infertility in Morocco: Frequencies and associated factors. Int J Fertil Steril. 2018;12(2):142-6. [Link]
27. Jalilian F, Emdadi S, Mirzaie M, Barati M. The survey physical activity status of employed women in Hamadan university of medical sciences: The relationship between the benefits, barriers, self-efficacy and stages of change. TOLOOE BEHDASHT. 2011;4(9):89-98. [Persian] [Link]
28. Khaniyan H, Hosseini M, Shorideh F, Chaibakhsh S. Understanding exercise behavior among Tehran adolescent girls according. Adv Nurs Midwifery. 2015;24(85):11-20. [Persian] [Link]
29. Soleymanian A, Niknami S, Hajizadeh E, Shojaeizadeh D, Montazeri A. Development and validation of a health belief model based instrument for measuring factors influencing exercise behaviors to prevent osteoporosis in pre-menopausal women (HOPE). BMC Musculoskelet Disord. 2014;15:61. [Link] [DOI:10.1186/1471-2474-15-61] [PMID] [PMCID]
30. Roozbahani N, Ghofranipour F, Eftekhar-Ardebili H, Hajizadeh E. The relationship between self-efficacy and stage of change and physical activity behavior in postpartum women. J Arak Univ Med Sci. 2013;15(9):61-71. [Persian] [Link]
31. Mori K, Suzuki H, Wang D, Takaki J, Takigawa T, Ogino K. Relationship of psychological factors with physical activity stage of change in prime-and middle-aged Japanese. Acta Med Okayama. 2009;63(2):97-104. [Link]
32. Glanz KE, Rimer BK, Viswanath K. Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass; 2008. [Link]
33. Kamalikhah T, Mazllomi Mahmood Abad S, Khalighinejad N, Rahmati-Najarkolaei F. Dental flossing behaviour and its determinants among students in a suburb area of Tehran-Iran: Using transtheoretical model. Int J Dent Hyg. 2015;15(2):106-12. [Link] [DOI:10.1111/idh.12154] [PMID]
34. Astroth DB, Cross-Poline GN, Stach DJ, Tilliss TSI, Annan SD. The transtheoretical model: An approach to behavioral change. J Dent Hyg. 2002;76(4):286-95. [Link]
35. Abbasi S, Kamali K, Sepehrinia M, Mehdizade S. The relationship between self-efficacy and health-promoting lifestyle in students. J Holist Nurs Midwifery. 2020;30(3):159-65. [Persian] [Link] [DOI:10.32598/jhnm.30.3.2019]
36. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191-215. [Link] [DOI:10.1037/0033-295X.84.2.191] [PMCID]
37. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. Hoboken: Prentice Hall; 2002. [Link]
38. Gomez-Lopez M, Gallegos AG, Extremera AB. Perceived barriers by university students in the practice of physical activities. J Sci Med Sport. 2010;9(3):374-81. [Link]
39. Charkazi A, Nazari N, Samimi A, Koochaki G, Badeleh M, Shahnazi H, et al. The relationship between regular physical activity and the stages of change and decisional balance among Golestan university of medical sciences' students. J Res Dev Nurs Midwifery. 2013;9(2):74-81. [Persian] [Link]
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