@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):105-112
ISSN: 2383-2150 Journal of Education and Community Health 2020;7(2):105-112
Factors Related to Adoption of Osteoporosis Preventive Behaviors among Females' High School Students; a Case Study of Qazvin City
ARTICLE INFO
Article Type
Original ResearchAuthors
Panahi R. (1)Dehghankar L. (*2)
Hosseini N. (3)
Hasannia E. (3)
(*2) Nursing Department, School of Nursing & Midwifery” and “Social Determinants of Health Research Center”, Qazvin University of Medical Sciences, Qazvin, Iran
(1) Health Education & Promotion Department, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
(3) Student Research Committee, School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
Correspondence
Address: School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran. Postal code: 3419915315Phone: +98 (28) 33338034
Fax: +98 (28) 33237268
dehghan247@gmail.com
Article History
Received: July 8, 2019Accepted: February 18, 2020
ePublished: June 20, 2020
ABSTRACT
Aims
Adolescence is a critical step in implementing health interventions to create a healthy lifestyle, including prevention of osteoporosis. The aim of this study was to determine the factors affecting the adoption of osteoporosis preventive behaviors (OPB) among high school female students.
Materials & Methods This cross-sectional descriptive study was conducted among 372 female students from Qazvin high schools who were selected by multistage random sampling method in 2019. Data collection tool was a questionnaire including demographic information and the osteoporosis preventive behaviors questionnaire. Data were analyzed using SPSS 23 software by descriptive statistics and logistic regression.
Findings The mean overall score of the adoption of OPB were 22.43±5.62 from 36 and it was low. Variables of maternal education level (p=0.042) and assessment of oneself health status (p=0.039) were effective factors in adoption of OPB, that way the chances of having a desirable level of adoption of OPB in students with mothers with university and diploma level were 2.20 and 1.50 times higher than those with mothers with sub-diploma, respectively. Also, the chances of having a desirable level of adoption of OPB in students with good, average and bad assessment of their health status were 0.67, 0.46 and, 0.33 times higher than students with very bad assessment of their health status, respectively.
Conclusion Maternal education level and assessment of oneself health status are effective factors in adoption of osteoporosis preventive behaviors among female students.
Materials & Methods This cross-sectional descriptive study was conducted among 372 female students from Qazvin high schools who were selected by multistage random sampling method in 2019. Data collection tool was a questionnaire including demographic information and the osteoporosis preventive behaviors questionnaire. Data were analyzed using SPSS 23 software by descriptive statistics and logistic regression.
Findings The mean overall score of the adoption of OPB were 22.43±5.62 from 36 and it was low. Variables of maternal education level (p=0.042) and assessment of oneself health status (p=0.039) were effective factors in adoption of OPB, that way the chances of having a desirable level of adoption of OPB in students with mothers with university and diploma level were 2.20 and 1.50 times higher than those with mothers with sub-diploma, respectively. Also, the chances of having a desirable level of adoption of OPB in students with good, average and bad assessment of their health status were 0.67, 0.46 and, 0.33 times higher than students with very bad assessment of their health status, respectively.
Conclusion Maternal education level and assessment of oneself health status are effective factors in adoption of osteoporosis preventive behaviors among female students.
CITATION LINKS
[1]Kalhornia Golkar M, Banijamali S, Bahrami H, Hatami H, Ahadi H. Effect of spiritual therapy on blood pressure, anxiety and quality of life in patients with high blood pressure. J Kermanshah Univ Med Sci. 2014;18(8):462-70. [Persian]
[2]Amini A, Tavousi M, Niknami S. The impact of an educational intervention on nutritional preventive behaviors in osteoporosis among adolescent girls. Payesh. 2014;13(5):609-19. [Persian]
[3]Sharifi N, Majlessi F. Self-empowerment of female students in prevention of osteoporosis. Glob J Health Sci. 2016;9(2):7-14.
[4]Ghaffari M, Tavassoli E, Eslamizadeh A, Hasanzadeh A. The effect of education based on health belief model on the improvement of osteoporosis preventive nutritional behaviors of second grade middle school girls in Isfahan. Health Syst Res. 2011;6(4):714-23. [Persian]
[5]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):315-25. [Persian]
[6]Moghimi J, Safaei Z, Behnam B, Ghorbani R. Knowledge Towards Prevention of Osteoporosis in Adolescent Girls: Effect of Educational Program. Middle East J Rehabil Health. 2017;4(1):1-6.
[7]Zali H, Ghaffari M, Darabi L, Babaei Heidarabadi A, Rakhshandehrou S, Mansorian M. Effects of brief intervention on the osteoporosis-related knowledge of middle school girl students. J Ilam Univ Med Sci. 2013;21(4):37-44. [Persian]
[8]Shobeiri F, Hesami E, Khodakarami B, Soltanian A. Effect of counseling on preventive behaviors of osteoporosis in women referred to health centers in Hamedan, Iran in 2015. J Educ Community Health. 2015;2(3):51-7. [Persian]
[9]Ebadifard Azar F, Solhi M, Zohoor A, Alihosseini M. The effect of health belief model on promoting preventive behaviors of osteoporosis among rural women of Malayer. J Qazvin Univ Med Sci. 2012;16(2):58-64. [Persian]
[10]Mousaviasl S, Alijani Renani H, Gheibizadeh M, Saki Malehi A. The effect of education based on the health belief model on osteoporosis prevention behaviors in female high school students. Jundishapur J Chron Dis Care . 2016;5(4):1-7.
[11]Afrasiabi S, Gashmard R, Malchi F, Rabiei Z, Bagherzadeh R, Hosseinnezhad A, et al. Evaluation of knowledge, attitude and performance of high school girls about osteoporosis in 2011. Iran J Obstet Gynecol Infertil. 2016;18(184):20-8. [Persian]
[12]Mohammadi S, Ghofranipour F, Gholami-Fesharaki M. The effect of osteoporosis prevention education on knowledge, attitude and behavior of adolescent female students in Kermanshah, Iran. J Educ Community Health. 2015;2(2):47-55. [Persian]
[13]Yeke Fallah L, Vaezi A, Pazookian M, Yeke Fallah F, Samieifard F. Study of lifestyle and preventive behaviors of osteoporosis among adolescents in Qazvin. J Shahid Sadoughi Univ Med Sci. 2012;20(3):259-68. [Persian]
[14]Yeke Fallah L, Pazookian M, Vaezi AA, Yeke Fallah F, Samieifard F. The relationship between teenagers’ lifestyle and osteoporosis in Qazvin, Iran. Int J Community Based Nurs Midwifery. 2013;1(3):173-81.
[15]Niazi S, Ghaffari M, Noori A, Khodadoost M. Impacts of a health belief model-based education program about osteoporosis prevention on junior high school students’ physical activity, Kalaleh, Iran, 2012. Jorjani Biomed J. 2013;1(1):1-9. [Persian]
[16]Pour Namdar Z, Khamarnia M, Razavi Amin M. Effects of training course on the knowledge and attitudes towards risk factors and preventive methods of osteoporosis in female high school students in Shiraz-Iran. J Rafsanjan Univ Med Sci. 2012;11(3):285-92. [Persian]
[17]Khodamoradi F, Mozafar Saadati H, Nabavi SH, Hosseini SH. The survey level of physical activity and stage of change among high school. J North Khorasan Univ Med Sci. 2014;6(2):289-95. [Persian]
[18]Yeke Fallah L, Dehghankar L, Aliakbari M, Mafi M. Lifestyle and preventive behaviors of osteoporosis among women of reproductive age in Qazvin-Iran: a cross sectional study. Soc Health Behav. 2019;2(2):70-5.
[19]Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010;13(5):654-62.
[20]Mahdavi S, Karimzadeh Shirazi K, Malekzadeh J, Fararooei M. Preventing of osteoporosis: applying the health belief model. Adv Nurs Midwifery. 2015;24(87):15-22. [Persian]
[21]Mohamed SG, Tayel DI. Dietary behavior toward osteoporosis among women in a slum area influenced by nutritional knowledge and stages of precaution adoption model. J Am Sci. 2012;8(8):222-7.
[22]Gheysvandi E, Eftekhar Ardebili H, Azam K, Vafa M R, Azadbakht M, Babazadeh T, et al. Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils. J Sch Public Health and Inst Public Health Res. 2015;13(2):45-54. [Persian]
[23]Kamran M, Iftikhar A, Awan AA. Knowledge and behavior regarding osteoporosis in women. Pak Armed Forces Med J. 2016;66(6):927 32.
[24]EL Sayed Hossein Y. Osteoporosis: knowledge practices and prevention among female adolescent in El Minia, Egypt. J Res Nurs Midwifery. 2014;3(4):66 72.
[25]Kaheni F, Kaheni S, Sharifzadeh G, Nasiri Foorg A, Avan M. Consumption amount of milk and dairy products in school children of 6-11 year olds in Birjand during 2007. J Birjand Univ Med Sci. 2009;16(2):61-7. [Persian]
[26]Panahi R, Ramezankhani A, Haerimehrizi AA, Tavousi M, Khalilipour Darestani M, Niknami S. Which dimensions of Health Literacy predict the adoption of Smoking Preventive Behaviors? J Health Field. 2018;5(4):8-17. [Persian]
[27]Sukhee A, Jiwon O. Relationships among knowledge, self-efficacy, and health behavior of osteoporosis and fall prevention in old aged women. Korean J Women Health Nurs. 2018;24(2):209-18.
[28]Kasper MJ, Peterson MG, Allegrante JP. The need for comprehensive educational osteoporosis prevention programs for young women: results from a second osteoporosis prevention survey. Arthritis Rheum. 2001;45(1):28-34.
[29]Idrees Z, Zakir U, Khushdil AR, Shehzadi H. Osteoporosis: knowledge and practices among females of reproductive age group. Rawal Med J. 2018;43(1):56 60.
[30]El-Tawab SS, Aziz Saba EK, Taha Elweshahi HM, Hamdy Ashry Mona. Knowledge of osteoporosis among women in Alexandria (Egypt): A community based survey. The Egyptian Rheumatologist. 2016;38(3):225-31.
[31]Etehadnezhad S, Moradi Z, Kashfi SM, Khani-Jeihooni A, khiyali Z. Predictors of osteoporosis preventive behaviors among women: an application of the transtheoretical model. J Educ Community Health. 2018;5(3):48-56. [Persian]
[32]Khani Jeihooni A, Heidarnia AR, Kaveh MH, Hajizadeh E, Gholami T. Survey of osteoporosis preventive behaviors among women in Fasa: The application of the health belief model and social cognitive theory. Iran South Med J. 2016;19(1):48-62. [Persian]
[33]Menshadi F, Azari A, Kouhpayehzadeh J, Ghasemi M. Knowledge, attitude and practice of osteoporosis among a group of Iranian adolescent females (2007). J Mod Rehibilit. 2009;2(3 and 4):47-54. [Persian]
[34]Min H, Young Oh H. A study on osteoporosis knowledge, health beliefs and health behaviors among female college students. J Korean Acad Community Health Nurs. 2011;22(2):111-20.
[35]Hosseini Z, Karimi Z, Mohebi S, Sharifirad G, Rahbar A, Gharlipour Z. Nutritional preventive behavior of osteoporosis in female students: applying Health Belief Model (HBM). International Journal of Pediatrics. 2017;5(1):4137-44.
[36]Hernandez-Rauda R, Martinez-Garcia S. Osteoporosis-related life habits and knowledge about osteoporosis among women in El Salvador: a cross-sectional study. BMC Musculoskelet Disord. 2004;5:29.
[37]Peyman N, Amani M, Esmaeili H. The relationship between health literacy and the theory of planned behavior on breast cancer screening programs among rural women in Roshtkhar, Iran 2015. Iran J Breast Dis. 2016;9(3):60-9. [Persian]
[38]Panahi R, Ramezankhani A, Javanmardi E, Pishvaei M, Niknami SH. Adoption of smoking preventive behaviors and its related factors among Dormitory Students of Shahid Beheshti University of Medical Sciences in Tehran in 2016. J Health Field. [In Press]
[2]Amini A, Tavousi M, Niknami S. The impact of an educational intervention on nutritional preventive behaviors in osteoporosis among adolescent girls. Payesh. 2014;13(5):609-19. [Persian]
[3]Sharifi N, Majlessi F. Self-empowerment of female students in prevention of osteoporosis. Glob J Health Sci. 2016;9(2):7-14.
[4]Ghaffari M, Tavassoli E, Eslamizadeh A, Hasanzadeh A. The effect of education based on health belief model on the improvement of osteoporosis preventive nutritional behaviors of second grade middle school girls in Isfahan. Health Syst Res. 2011;6(4):714-23. [Persian]
[5]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):315-25. [Persian]
[6]Moghimi J, Safaei Z, Behnam B, Ghorbani R. Knowledge Towards Prevention of Osteoporosis in Adolescent Girls: Effect of Educational Program. Middle East J Rehabil Health. 2017;4(1):1-6.
[7]Zali H, Ghaffari M, Darabi L, Babaei Heidarabadi A, Rakhshandehrou S, Mansorian M. Effects of brief intervention on the osteoporosis-related knowledge of middle school girl students. J Ilam Univ Med Sci. 2013;21(4):37-44. [Persian]
[8]Shobeiri F, Hesami E, Khodakarami B, Soltanian A. Effect of counseling on preventive behaviors of osteoporosis in women referred to health centers in Hamedan, Iran in 2015. J Educ Community Health. 2015;2(3):51-7. [Persian]
[9]Ebadifard Azar F, Solhi M, Zohoor A, Alihosseini M. The effect of health belief model on promoting preventive behaviors of osteoporosis among rural women of Malayer. J Qazvin Univ Med Sci. 2012;16(2):58-64. [Persian]
[10]Mousaviasl S, Alijani Renani H, Gheibizadeh M, Saki Malehi A. The effect of education based on the health belief model on osteoporosis prevention behaviors in female high school students. Jundishapur J Chron Dis Care . 2016;5(4):1-7.
[11]Afrasiabi S, Gashmard R, Malchi F, Rabiei Z, Bagherzadeh R, Hosseinnezhad A, et al. Evaluation of knowledge, attitude and performance of high school girls about osteoporosis in 2011. Iran J Obstet Gynecol Infertil. 2016;18(184):20-8. [Persian]
[12]Mohammadi S, Ghofranipour F, Gholami-Fesharaki M. The effect of osteoporosis prevention education on knowledge, attitude and behavior of adolescent female students in Kermanshah, Iran. J Educ Community Health. 2015;2(2):47-55. [Persian]
[13]Yeke Fallah L, Vaezi A, Pazookian M, Yeke Fallah F, Samieifard F. Study of lifestyle and preventive behaviors of osteoporosis among adolescents in Qazvin. J Shahid Sadoughi Univ Med Sci. 2012;20(3):259-68. [Persian]
[14]Yeke Fallah L, Pazookian M, Vaezi AA, Yeke Fallah F, Samieifard F. The relationship between teenagers’ lifestyle and osteoporosis in Qazvin, Iran. Int J Community Based Nurs Midwifery. 2013;1(3):173-81.
[15]Niazi S, Ghaffari M, Noori A, Khodadoost M. Impacts of a health belief model-based education program about osteoporosis prevention on junior high school students’ physical activity, Kalaleh, Iran, 2012. Jorjani Biomed J. 2013;1(1):1-9. [Persian]
[16]Pour Namdar Z, Khamarnia M, Razavi Amin M. Effects of training course on the knowledge and attitudes towards risk factors and preventive methods of osteoporosis in female high school students in Shiraz-Iran. J Rafsanjan Univ Med Sci. 2012;11(3):285-92. [Persian]
[17]Khodamoradi F, Mozafar Saadati H, Nabavi SH, Hosseini SH. The survey level of physical activity and stage of change among high school. J North Khorasan Univ Med Sci. 2014;6(2):289-95. [Persian]
[18]Yeke Fallah L, Dehghankar L, Aliakbari M, Mafi M. Lifestyle and preventive behaviors of osteoporosis among women of reproductive age in Qazvin-Iran: a cross sectional study. Soc Health Behav. 2019;2(2):70-5.
[19]Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010;13(5):654-62.
[20]Mahdavi S, Karimzadeh Shirazi K, Malekzadeh J, Fararooei M. Preventing of osteoporosis: applying the health belief model. Adv Nurs Midwifery. 2015;24(87):15-22. [Persian]
[21]Mohamed SG, Tayel DI. Dietary behavior toward osteoporosis among women in a slum area influenced by nutritional knowledge and stages of precaution adoption model. J Am Sci. 2012;8(8):222-7.
[22]Gheysvandi E, Eftekhar Ardebili H, Azam K, Vafa M R, Azadbakht M, Babazadeh T, et al. Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils. J Sch Public Health and Inst Public Health Res. 2015;13(2):45-54. [Persian]
[23]Kamran M, Iftikhar A, Awan AA. Knowledge and behavior regarding osteoporosis in women. Pak Armed Forces Med J. 2016;66(6):927 32.
[24]EL Sayed Hossein Y. Osteoporosis: knowledge practices and prevention among female adolescent in El Minia, Egypt. J Res Nurs Midwifery. 2014;3(4):66 72.
[25]Kaheni F, Kaheni S, Sharifzadeh G, Nasiri Foorg A, Avan M. Consumption amount of milk and dairy products in school children of 6-11 year olds in Birjand during 2007. J Birjand Univ Med Sci. 2009;16(2):61-7. [Persian]
[26]Panahi R, Ramezankhani A, Haerimehrizi AA, Tavousi M, Khalilipour Darestani M, Niknami S. Which dimensions of Health Literacy predict the adoption of Smoking Preventive Behaviors? J Health Field. 2018;5(4):8-17. [Persian]
[27]Sukhee A, Jiwon O. Relationships among knowledge, self-efficacy, and health behavior of osteoporosis and fall prevention in old aged women. Korean J Women Health Nurs. 2018;24(2):209-18.
[28]Kasper MJ, Peterson MG, Allegrante JP. The need for comprehensive educational osteoporosis prevention programs for young women: results from a second osteoporosis prevention survey. Arthritis Rheum. 2001;45(1):28-34.
[29]Idrees Z, Zakir U, Khushdil AR, Shehzadi H. Osteoporosis: knowledge and practices among females of reproductive age group. Rawal Med J. 2018;43(1):56 60.
[30]El-Tawab SS, Aziz Saba EK, Taha Elweshahi HM, Hamdy Ashry Mona. Knowledge of osteoporosis among women in Alexandria (Egypt): A community based survey. The Egyptian Rheumatologist. 2016;38(3):225-31.
[31]Etehadnezhad S, Moradi Z, Kashfi SM, Khani-Jeihooni A, khiyali Z. Predictors of osteoporosis preventive behaviors among women: an application of the transtheoretical model. J Educ Community Health. 2018;5(3):48-56. [Persian]
[32]Khani Jeihooni A, Heidarnia AR, Kaveh MH, Hajizadeh E, Gholami T. Survey of osteoporosis preventive behaviors among women in Fasa: The application of the health belief model and social cognitive theory. Iran South Med J. 2016;19(1):48-62. [Persian]
[33]Menshadi F, Azari A, Kouhpayehzadeh J, Ghasemi M. Knowledge, attitude and practice of osteoporosis among a group of Iranian adolescent females (2007). J Mod Rehibilit. 2009;2(3 and 4):47-54. [Persian]
[34]Min H, Young Oh H. A study on osteoporosis knowledge, health beliefs and health behaviors among female college students. J Korean Acad Community Health Nurs. 2011;22(2):111-20.
[35]Hosseini Z, Karimi Z, Mohebi S, Sharifirad G, Rahbar A, Gharlipour Z. Nutritional preventive behavior of osteoporosis in female students: applying Health Belief Model (HBM). International Journal of Pediatrics. 2017;5(1):4137-44.
[36]Hernandez-Rauda R, Martinez-Garcia S. Osteoporosis-related life habits and knowledge about osteoporosis among women in El Salvador: a cross-sectional study. BMC Musculoskelet Disord. 2004;5:29.
[37]Peyman N, Amani M, Esmaeili H. The relationship between health literacy and the theory of planned behavior on breast cancer screening programs among rural women in Roshtkhar, Iran 2015. Iran J Breast Dis. 2016;9(3):60-9. [Persian]
[38]Panahi R, Ramezankhani A, Javanmardi E, Pishvaei M, Niknami SH. Adoption of smoking preventive behaviors and its related factors among Dormitory Students of Shahid Beheshti University of Medical Sciences in Tehran in 2016. J Health Field. [In Press]