Volume 12, Issue 3 (2024)
Health Educ Health Promot 2024, 12(3): 521-527 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jalilian M, Darabi N, Bazgir N, Chenary R, Saeed Firoozabadi M, Mirzaei A. Prediction of Nutritional Behaviors that Prevent Osteoporosis in Adolescent Girls Using the Health Belief Model. Health Educ Health Promot 2024; 12 (3) :521-527
URL: http://hehp.modares.ac.ir/article-5-76350-en.html
URL: http://hehp.modares.ac.ir/article-5-76350-en.html
1- Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
2- Department of Rheumatology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
3- The Persian Gulf Tropical Medicine Research Center, the Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
2- Department of Rheumatology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
3- The Persian Gulf Tropical Medicine Research Center, the Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract: (426 Views)
Aims: Osteoporosis is one of the most common diseases among women, and dietary patterns, especially during adolescence, significantly impact its occurrence and prevention. The present study examined the determinants of osteoporosis in female students at the first secondary school level in Ilam City based on the health belief model.
Instrument & Methods: This cross-sectional study involved 819 participants selected by a two-stage cluster random sampling approach. Data were collected using a 52-item researcher-developed questionnaire based on the health belief model and analyzed using descriptive tests, Pearson’s correlation, multiple linear regression, one-way analysis of variance, and Chi-square test by SPSS 22 software.
Findings: The average age of participants was 13.72±0.97 years, with an age range of 12 to 16 years. Also, 22.2% of participants had a family history of osteoporosis. Additionally, 29.2% and 22.6% of the participants reported a history of calcium and vitamin D supplement intake in the last month, respectively. The health belief model constructs accounted for a total of 18.9% of the variance in behavior. Perceived barriers and perceived self-efficacy were identified as the most important predictors of behavior, while other constructs were not significant predictors despite showing significant correlations with behavior.
Conclusion: The constructs of self-efficacy and perceived barriers directly affected nutritional behavior preventing osteoporosis among teenage girls in Ilam City, while another construct had an indirect effect.
Instrument & Methods: This cross-sectional study involved 819 participants selected by a two-stage cluster random sampling approach. Data were collected using a 52-item researcher-developed questionnaire based on the health belief model and analyzed using descriptive tests, Pearson’s correlation, multiple linear regression, one-way analysis of variance, and Chi-square test by SPSS 22 software.
Findings: The average age of participants was 13.72±0.97 years, with an age range of 12 to 16 years. Also, 22.2% of participants had a family history of osteoporosis. Additionally, 29.2% and 22.6% of the participants reported a history of calcium and vitamin D supplement intake in the last month, respectively. The health belief model constructs accounted for a total of 18.9% of the variance in behavior. Perceived barriers and perceived self-efficacy were identified as the most important predictors of behavior, while other constructs were not significant predictors despite showing significant correlations with behavior.
Conclusion: The constructs of self-efficacy and perceived barriers directly affected nutritional behavior preventing osteoporosis among teenage girls in Ilam City, while another construct had an indirect effect.
Article Type: Descriptive & Survey |
Subject:
Health Education and Health Behavior
Received: 2024/07/31 | Accepted: 2024/10/21 | Published: 2024/10/30
Received: 2024/07/31 | Accepted: 2024/10/21 | Published: 2024/10/30
References
1. Fahimfar N, Noorali S, Yousefi S, Gharibzadeh S, Shafiee G, Panahi N, et al. Prevalence of osteoporosis among the elderly population of Iran. Arch Osteoporos. 2021;16(1):16. [Link] [DOI:10.1007/s11657-020-00872-8]
2. Abdolalipour S, Mirghafourvand M. Effect of education on preventive behaviors of osteoporosis in adolescents: A systematic review and meta-analysis. Int Q Community Health Educ. 2021;41(3):325-47. [Link] [DOI:10.1177/0272684X20936833]
3. Xiao PL, Cui AY, Hsu CJ, Peng R, Jiang N, Xu XH, et al. Global, regional prevalence, and risk factors of osteoporosis according to the World Health Organization diagnostic criteria: A systematic review and meta-analysis. Osteoporos Int. 2022;33(10):2137-53. [Link] [DOI:10.1007/s00198-022-06454-3]
4. Kemmak AR, Rezapour A, Jahangiri R, Nikjoo S, Farabi H, Soleimanpour S. Economic burden of osteoporosis in the world: A systematic review. Med J Islam Repub Iran. 2020;34:154. [Link] [DOI:10.21203/rs.2.22372/v1]
5. Cheraghi P, Cheraghi Z, Bozorgmehr S. The prevalence and risk factors of osteoporosis among the elderly in Hamadan province: A cross sectional study. Med J Islam Repub Iran. 2018;32:111. [Link] [DOI:10.14196/mjiri.32.111]
6. Salari N, Ghasemi H, Mohammadi L, Behzadi MH, Rabieenia E, Shohaimi S, et al. The global prevalence of osteoporosis in the world: A comprehensive systematic review and meta-analysis. J Orthop Surg Res. 2021;16(1):609. [Link] [DOI:10.1186/s13018-021-02772-0]
7. Nourmohammadi H, Abdan Z, Hashemipour SM, Sarokhani D, Abdan M, Fakhri M, et al. Prevalence of osteoporosis and osteopenia in people over 60 years in Iran: A systematic review and meta-analysis. Int J Prev Med. 2022;13(1):11. [Link] [DOI:10.4103/ijpvm.IJPVM_657_20]
8. Alipour V, Meshkani Z, Rezapour A, Aboutorabi A, Bagherzadeh R, Saber N. Medical costs of osteoporosis in the Iranian elderly patients. Med J Islam Repub Iran. 2020;34:37. [Link] [DOI:10.47176/mjiri.34.37]
9. Zeinivanmoghadam L, Jalilian M, Mirzaei A. Predictors of fruits and vegetable consumption in adolescent girls based on social cognitive theory. J Educ Community Health. 2020;7(4):285-91. [Persian] [Link] [DOI:10.29252/jech.7.4.285]
10. Khani Jeihooni A, Hidarnia A, Kaveh MH, 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. [Persian] [Link]
11. Khani Jihoni A, Haidarnia A, Kave M, Hajizadeh E, Askari A, Haghizadeh M. Designing the validity and reliability of osteoporosis prevention instrument based on health belief model in women. J Ilam Univ Med Sci. 2014;22(3):127-36. [Persian] [Link]
12. Allahverdipoor H. Passing through traditional health education towards theory oriented health education. Health Promot Educ Mag. 2005;1(3):75-9. [Persian] [Link]
13. Mirzaei A, Ghofranipour F, Ghazanfari Z. Social cognitive predictors of breakfast consumption in primary school's male students. Glob J Health Sci. 2015;8(1):124-32. [Link] [DOI:10.5539/gjhs.v8n1p124]
14. Saeidi A, Mirzaei A, Mahaki B, Jalali A, Jalilian M. Physical activity stage of change and its related factors in secondary school students of Sarableh City: A perspective from Iran. Open Access Maced J Med Sci. 2018;6(8):1517-21. [Link] [DOI:10.3889/oamjms.2018.298]
15. Shamsi M, Bayati A, Mohamadbeygi A, Tajik R. The effect of educational program based on health belief model (HBM) on preventive behavior of self-medication in woman with pregnancy in Arak, Iran. PAJOOHANDE. 2010;14(6):324-31. [Persian] [Link]
16. Hidarnia AR. Topics in the health education process. Tehran: Zamani Naser; 2003. [Persian] [Link]
17. 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]
18. Edmonds ET. Osteoporosis knowledge, beliefs, and behaviors of college students: Utilization of the health belief model [dissertation]. Tuscaloosa: The University of Alabama; 2009. [Link]
19. Tsai M. The relationship between osteoporosis knowledge, beliefs and dietary calcium intake among South Asian women in Auckland [dissertation]. Auckland: Massey University; 2008. [Link]
20. Swaim RA, Barner JC, Brown CM. The relationship of calcium intake and exercise to osteoporosis health beliefs in postmenopausal women. Res Soc Administr Pharm. 2008;4(2):153-63. [Link] [DOI:10.1016/j.sapharm.2007.03.004]
21. Vahedian-Shahroodi M, Lael-Monfared E, Esmaily H, Tehrani H, Mohaddes-Hakkak H. Prediction of osteoporosis preventive behaviors using the health belief model. Iran J Health Educ Health Promot. 2014;2(3):199-207. [Persian] [Link]
22. 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]
23. Kim KK, Horan ML, Gendler P, Patel MK. Development and evaluation of the osteoporosis health belief scale. Res Nurs Health. 1991;14(2):155-63. [Link] [DOI:10.1002/nur.4770140210]
24. Sedlak CA, Doheny MO, Estok PJ, Zeller RA, Winchell J. DXA, health beliefs, and osteoporosis prevention behaviors. J Aging Health. 2007;19(5):742-56. [Link] [DOI:10.1177/0898264307304303]
25. Kang S, Kim YA. Predictors of osteoporosis prevention behaviors in women in their 20s and 30s. Medicine. 2022;101(27):e29260. [Link] [DOI:10.1097/MD.0000000000029260]
26. Jeihooni AK, Hidarnia A, Kaveh MH, Hajizadeh E, Askari A. The effect of an educational program based on health belief model on preventing osteoporosis in women. Int J Prev Med. 2015;6:115. [Link] [DOI:10.4103/2008-7802.170429]
27. Hazavehei SM, Taghdisi MH, Saidi M. Application of the health belief model for osteoporosis prevention among middle school girl students, Garmsar, Iran. Educ Health. 2007;20(1):23. [Link] [DOI:10.4103/1357-6283.101628]
28. Abood DA, Black DR, Feral D. Nutrition education worksite intervention for university staff: Application of the health belief model. J Nutr Educ Behav. 2003;35(5):260-7. [Link] [DOI:10.1016/S1499-4046(06)60057-2]
29. Al Seraty WH, Ali WG. The impacts of health belief model based intervention for osteoporosis prevention among female students in Al Dawadmi Applied Medical Science, Shaqraa University, Saudi Arabia. J Biol Agric Healthc. 2014;4(7):125-31. [Link]
30. Anderson KD, Chad KE, Spink KS. Osteoporosis knowledge, beliefs, and practices among adolescent females. J Adolesc Health. 2005;36(4):305-12. [Link] [DOI:10.1016/j.jadohealth.2004.03.007]
31. Ievers-Landis CE, Burant C, Drotar D, Morgan L, Trapl ES, Kwoh CK. Social support, knowledge, and self-efficacy as correlates of osteoporosis preventive behaviors among preadolescent females. J Pediatr Psychol. 2003;28(5):335-45. [Link] [DOI:10.1093/jpepsy/jsg023]
32. Sharma SV, Hoelscher DM, Kelder SH, Day RS, Hergenroeder A. Psychosocial, environmental and behavioral factors associated with bone health in middle-school girls. Health Educ Res. 2009;24(2):173-84. [Link] [DOI:10.1093/her/cyn009]
33. Larson NI, Story M, Wall M, Neumark-Sztainer D. Calcium and dairy intakes of adolescents are associated with their home environment, taste preferences, personal health beliefs, and meal patterns. J Am Diet Assoc. 2006;106(11):1816-24. [Link] [DOI:10.1016/j.jada.2006.08.018]
34. Vue H, Reicks M. Individual and environmental influences on intake of calcium-rich food and beverages by young Hmong adolescent girls. J Nutr Educ Behav. 2007;39(5):264-72. [Link] [DOI:10.1016/j.jneb.2007.03.092]
35. Khani Jeihooni A, Askari A, Kashfi SM, Khiyali Z, Kashfi SH, Safari O, et al. Application of health belief model in prevention of osteoporosis among primary school girl students. J Pediatr Perspect. 2017;5(11):6017-29. [Link]
36. Auld G, Boushey CJ, Bock MA, Bruhn C, Gabel K, Gustafson D, et al. Perspectives on intake of calcium-rich foods among Asian, Hispanic, and white preadolescent and adolescent females. J Nutr Educ Behav. 2002;34(5):242-51. [Link] [DOI:10.1016/S1499-4046(06)60102-4]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |