Structural model for osteoporosis preventive behaviors in postmenopausal women: Focused on their own BMD awareness

Young Joo Park, Sook Ja Lee, Nah-Mee Shin, Hyun Cheol Kang, Sun Haeng Kim, Tak Kim, Song I. Jeon, In hae Cho

Research output: Contribution to journalArticle

4 Citations (Scopus)


Purpose: The purpose of this study was to develop a model that explains causal relationships between post-menopausal women's osteoporosis general knowledge and awareness of their own bone mass density(BMD) and their osteoporosis health beliefs and preventive behaviors. Methods: Retrospective design using structural equation model tested seven variables by using questionnaires of osteoporosis knowledge test, osteoporosis health belief scale, osteoporosis self-efficacy scale, and osteoporosis preventive behaviors scale. 162 middle age and post-menopausal women were recruited. Results: Mediating effect of health beliefs was not significant in the relationship between BMD awareness and preventive behaviors. Instead, BMD awareness had a direct influence on the preventive behaviors that is strong and significant. Between the relationship of the BMD awareness and health beliefs, direct pathways of perceived threat, relative benefits, and self-efficacy were not significant. However, relative benefits and self-efficacy showed direct influence on the preventive behaviors. Conclusion: Having middle age women get their BMD test done in order for them to be aware of their own BMD results might be a critical strategy to promote osteoporosis preventive behaviors. There is a need to develop diverse strategies to enhance their self- efficacy which has been shown to be important to osteoporosis preventive behaviors.

Original languageEnglish
Pages (from-to)527-538
Number of pages12
JournalKorean Journal of Adult Nursing
Issue number5
Publication statusPublished - 2013 Oct 1



  • Bone density
  • Osteoporosis
  • Post-menopause
  • Prevention

ASJC Scopus subject areas

  • Nursing(all)

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