Osteoporosis Health Beliefs Research Articles

Knowledge, attitude regarding osteoporosis, dietary calcium intake and food sources of calcium among Chinese young adults in Klang Valley, Malaysia

BackgroundOsteoporosis is a major public health issue with huge socioeconomic implications. Adequate knowledge and a positive attitude regarding osteoporosis with sufficient dietary calcium intake are important to prevent osteoporosis, especially in young adults. Nonetheless, data on the knowledge and attitude regarding osteoporosis, dietary calcium intake and its food sources among the high-risk population, including Malaysian Chinese are limited.ObjectiveThe study aimed to determine the knowledge and attitude regarding osteoporosis, dietary calcium intake, and food sources of calcium among young Malaysian Chinese.MethodsA total of 130 Malaysian Chinese aged 18 to 26 years living in Klang Valley were recruited. Knowledge and attitude regarding osteoporosis were assessed using the Osteoporosis Prevention and Awareness Tool (OPAAT) and Osteoporosis Health Belief Scale (OHBS). Dietary calcium intake and food sources were obtained from a 7-day diet history.ResultsParticipants had low knowledge regarding osteoporosis (48.8% ± 16.6), but moderate knowledge (53.2% ± 17.9) regarding preventive measures of osteoporosis. The median dietary calcium intake was 546 mg/day and only 6.2% of the participants achieved the Recommended Nutrients Intake (RNI). There was a discernible weak positive correlation between knowledge and dietary calcium intake (r = 0.192, p = 0.029).ConclusionYoung Malaysian Chinese adults exhibited low knowledge about osteoporosis and reported inadequate dietary calcium intake. Thus, there is a need for community-based health education programs focusing on osteoporosis awareness among Malaysian young adults.

Osteoporosis knowledge and awareness among rheumatoid arthritis patients: A cross-sectional controlled study

Objectives: The aim of this study was to investigate the levels of knowledge and awareness of osteoporosis (OP) in patients with rheumatoid arthritis (RA). Patients and methods: The cross-sectional study included 100 RA patients (26 males, 74 females; mean age: 51±11 years; range, 28 to 67 years) who had not been diagnosed with OP and a control group of 50 healthy subjects (16 males, 34 females; mean age: 53±11 years; range, 29 to 70 years) between February 2022 and June 2022. The demographic data of age, sex, and education level of all the participants were recorded. Disease duration and the drugs used were recorded for the RA patients. The revised Osteoporosis Knowledge Test and the Osteoporosis Health Belief Scale questionnaires were completed by the participants. Results: There was no significant difference determined between the RA patients and the control group in OP knowledge levels. A positive correlation was determined between education level and OP knowledge level and between disease duration and OP awareness level. RA patients with a family history of OP, those in the postmenopausal period, and those using biological disease-modifying drugs thought they were at risk of OP at a higher rate. Conclusion: While the levels of knowledge and awareness of OP were determined to be similar in the RA patients and the control group, the vast majority of RA patients did not know that they were at risk of developing OP. In addition, when the data obtained in this study are taken into consideration, there appears to be a need for health strategies such as educational programs and informing RA patients about OP.

Assessing Osteoporosis Knowledge and Beliefs Among Adults Living in Saudi Arabia: A Cross-Sectional Study.

Knowledge and beliefs about osteoporosis have been considered one of the vital parts of early prevention against it. This study aimed to evaluate knowledge and beliefs toward osteoporosis using the Osteoporosis Knowledge Assessment Tool (OKAT) and Osteoporosis Health Belief Scale (OHBS) questionnaires among the public in Jeddah, Saudi Arabia. This cross-sectional study was conducted from March 2019 to April 2019 among adults aged 15 years and above. A validated questionnaire was allocated electronically to the participants through social platforms (such as Twitterand WhatsApp) using a convenience sampling technique. A total of 754 participants completed the questionnaire. The majority were females 481 (63.8%). A total of 34 (4.1%) have not heard about osteoporosis before. Respondents scored a total mean of 7.92±3.0for the OKAT questionnaire and a mean score of 126.74±22.38for the OHBS questionnaire. These two scores were significantly associated with age groups and gender (P < 0.05). Although there is a relative increase in the knowledge of our sample, the belief towardosteoporosis is evidently lower. Therefore, implementing educational programs that tackle belief perception and other preventive measures such as healthy eating habits, physical activities, and educational materials are needed in the future.

Gender Disparities in Osteoporosis Knowledge, Health Beliefs and Preventive Behaviors in Najran City, Saudi Arabia.

Osteoporosis is a chronic bone disease affecting both men and women, but it is more prevalent in women. Promoting a healthy lifestyle among adults, particularly women, is crucial in preventing and reducing the osteoporosis impact. This study aimed to compare the osteoporosis knowledge, health beliefs and preventive behaviors among adult male and female in Najran city Saudi Arabia. This cross-sectional study was performed on 516 males and 581 females in Najran City, Saudi Arabia, from January to April 2023. The data collection instrument is a self-reported online questionnaire consisting of basic data, the Osteoporosis Preventive Behavior (OPB) scale, the osteoporosis knowledge assessment tool, and the osteoporosis health belief scale. The results revealed that male participants had a higher OPB (26.70) than females (20.32). However, females have a higher knowledge (10.71), perceive themselves as more susceptible to osteoporosis (20.34) and had higher exercise barriers (20.11) compared to males (9.97, 18.79 and 19.20, respectively). Statistically significant correlations (p < 0.001) were observed between OPB, osteoporosis knowledge (r = 0.26), perceived susceptibility (r = 0.33), severity (r = 0.53), exercise (r = 0.54) and calcium (r = 0.33) benefits, exercise (r = 0.40) and calcium (r = 0.81) barriers and health motivation (r = 0.37). The study concluded significant disparities between males and females regarding osteoporosis-related knowledge, preventive behaviors, perceived susceptibility, severity, and exercise perceived barriers. The results suggest gender-based educational interventions to enhance OPB by addressing osteoporosis-related knowledge, perceived susceptibility, seriousness, benefits, and health motivation.

Assessment of Knowledge and Beliefs toward Osteoporosis among Iraqi Perimenopausal Women

Background: Osteoporosis is becoming more common, especially among women. Prevention through educational initiatives is the best way to lower the disease burden. Objective: To estimate perimenopausal women's knowledge and attitudes concerning osteoporosis and their relation to specific sociodemographic characteristics. Methods: 391 perimenopausal women who were utilizing the outpatient clinic facilities at the hospitals in Al-Najaf City participated in a cross-sectional study. Starting in May 2022, data was gathered for six months. Data were gathered using a questionnaire that asked about sociodemographic factors, the Osteoporosis Knowledge Assessment Tool, and the Osteoporosis Health Belief Scale. Results: In this study, a substantial proportion of the participants have poor knowledge (61.89%), while average and good knowledge encompass 31.97% and 6.10% of the participants, respectively. The mean score for osteoporosis knowledge was 7.18±3.49. About osteoporosis health beliefs, the best belief of women is in perceiving the benefits of calcium intake; the mean score was 20.32±4.69. A significant positive correlation (p&lt;0.001) was found between knowledge and exercise benefits, calcium intake benefits, perceived severity, and health motivation, whereas a significant negative correlation (p&lt;0.001) was found between knowledge and barriers to calcium intake and exercise. Conclusion: The participants have below-average knowledge and beliefs regarding osteoporosis. Knowledge of osteoporosis correlates positively with health beliefs, including perceived susceptibility, health motivation, the benefit of calcium intake, and the benefit of exercise, whereas it correlates negatively with barriers to calcium and barriers to exercise.

Determinant of Osteoporosis Preventive Behaviors among Perimenopausal Women: A Cross-Sectional Study to Explore the Role of Knowledge and Health Beliefs.

Osteoporosis is a silent chronic disease, and many people did not discover it until they were diagnosed with a fracture. Therefore, regular scanning and appropriate Osteoporosis Preventive Behaviors (OPB) are the management cornerstone. OPB is strongly affected by personal knowledge and health beliefs. This study explores the role of knowledge and health beliefs as determinants of OPB among perimenopausal women. This cross-sectional study was performed on 1075 perimenopausal women in Najran City, Saudi Arabia, from January 2023 to March 2023. The data collection instrument is a self-reported questionnaire consisting of basic data, the OPB scale, an osteoporosis knowledge assessment tool, and the osteoporosis health belief scale. The current study results showed that approximately one-quarter (27.8%) of the study participants had high OPB with an overall mean of 20.83 ± 5.08 grade. The group practicing high OPB demonstrated a higher knowledge mean (11.37 ± 2.99) than the low OPB group (9.93 ± 3.51). In addition, all health beliefs constructs significantly differed among the low and high OPB groups (p ˂ 0.05). The participant's age, occupational status, educational level, attendance of training courses, and history of bone fractures were significantly associated with high OPB. Osteoporosis knowledge, perceived susceptibility, perceived seriousness, exercises' perceived benefits, and health motivations are positive predictors of high OPB (p ˂ 0.05). The study concluded that osteoporosis-related knowledge and health beliefs-especially perceived susceptibility, perceived seriousness, exercises' perceived benefits, and health motivations-are positive predictors of high OPB. The health belief model can be an effective tool used to determine high-risk groups who practice low OPB and build need-based educational interventions.

Effects of an 18-month community-based, multifaceted, exercise program on patient-reported outcomes in older adults at risk of fracture: secondary analysis of a randomised controlled trial

SummaryThis study identified that an 18-month community-based, multifaceted, exercise program consisting of resistance, weight-bearing impact, and balance/mobility training combined with osteoporosis education and behavioural support can improve health-related quality of life (HRQoL) and osteoporosis knowledge in older adults at risk of fracture, but only for those adherent to the exercise regime.PurposeTo evaluate the effects of an 18-month community-based exercise, osteoporosis education and behaviour change program (Osteo-cise: Strong Bones for Life) on HRQoL, osteoporosis knowledge and osteoporosis health beliefs.MethodsThis was a secondary analysis of an 18-month randomised controlled trial in which 162 older adults aged ≥ 60 years with osteopenia or increased falls/fracture risk were randomized to the Osteo-cise program (n = 81) or control group (n = 81). The program consisted of progressive resistance, weight-bearing impact and balance training (3 days/week); osteoporosis education to facilitate self-management of musculoskeletal health and behavioural support to enhance adherence to exercise. HRQoL, osteoporosis knowledge and osteoporosis health beliefs were assessed using the EuroQoL questionnaire (EQ-5D-3L), Osteoporosis Knowledge Assessment Tool and Osteoporosis Health Belief Scale, respectively.ResultsOverall, 148 participants (91%) completed the trial. Mean exercise adherence was 55% and mean attendance for the three osteoporosis educational sessions ranged from 63-82%. After 12 and 18 months, there were no significant effects of the Osteo-cise program on HRQoL, osteoporosis knowledge or health beliefs relative to controls. Per protocol analyses (≥ 66% exercise adherence; n = 41) revealed a significant net benefit in EQ-5D-3L utility for the Osteo-cise group relative to controls after 12 months (P = 0.024) and 18 months (P = 0.029) and a significant net improvement in osteoporosis knowledge scores at 18 months (P = 0.014).ConclusionThis study supports the importance of adherence to exercise regimes, as adherence to the Osteo-cise: Strong Bones for Life program was associated with improvements in HRQoL and osteoporosis knowledge in older adults at increased risk for falls and fractures.Trial registration number: ACTRN12609000100291.

KNOLWEDGE AND BELIEF TOWARDS OSTEOPOROSIS AMONG FEMALE NURSING STUDENTS OF SELECTED NURSING COLLEGE, MANGALORE

Osteoporosis continues to be underrecognized condition that can be avoided by adopting a healthy lifestyle at younger age. A cross sectional descriptive study was conducted to assess knowledge and belief towards osteoporosis among 142 nursing college students. The data collection instrument used were by OKAT (Osteoporosis Knowledge assessment tool) for knowledge assessment and belief by OHBS (Osteoporosis Health belief scale) and subjects were selected by convenient sampling. The study results found that mean age of students were 19.95± 1.2 years, a small proportion of students 3% &amp; 14.7% of subjects had family history of osteoporosis and personal fracture. 44.36% &amp; 54.92% of subjects were not sure whether they are getting adequate sun exposure or intake of calcium rich foods. 46.47% of students reported they have never consumed calcium supplements. 11.97% had good knowledge, majority 69.01% had satisfactory knowledge and 19.01% had poor knowledge regrading osteoporosis. Belief towards osteoporosis overall mean score obtained by the students were 157.4 ± 13.78, the result revealed that there is no much difference among subdomain scores of beliefs regarding osteoporosis. The study nding points that students are aware about the condition but needs to incorporate healthy lifestyle at younger age that will enable to have optimal life in later years.

Awareness of Osteoporosis among Indian Women Aged 30 Years &amp; Above by Using Osteoporosis Health Belief Scale - A Cross Sectional Study

Background: Osteoporosis is a prominent condition present in ageing females characterised by decreased bone mass and micro-architectural deterioration of bone tissue, leading to fractures and disability. Osteoporosis is on rise due to increased life expectancy because of good medical care, it has become crucial to know awareness about osteoporosis in women aged 30 years and above so that preventive steps can be taken, therefore, objective of the study was to evaluate the awareness in Indian women by using Osteoporosis Health Belief Scale. Methods: 219 women volunteered in the study with mean age of 49.07 years. Cross sectional descriptive study was conducted by collecting convenient sample at V.S.P. M’s College of Physiotherapy and Lata Mangeshkar hospital, Nagpur between 2021-2022 as per covid19 norms. Result and Discussion: The result revealed that surveyed population was aware about osteoporosis, but overall bone health was the new concept. Osteoporosis Health Belief Scale fetched the data about knowledge of participants about lifestyle modifications, dietary changes, weight gain, at the same time they were knowing about importance of physical activity, but implementation of these activities in their daily routine was a difficult task. All participants were very much positive about improving bone health. The study indicated adequate knowledge on osteoporosis in the age group of 40-50 years. Conclusion: Majority of the population had modest knowledge on osteoporosis. Overall affirmative response was observed on osteoporosis health belief scale. Perceived susceptibility for osteoporosis was low. Practices towards preventing osteoporosis were adequate. Keywords: Osteoporosis Health Belief Scale.

Osteoporosis knowledge and health beliefs among middle-aged men and women in the Southern United States.

The most common skeletal disease, osteoporosis, causes bone fragility due to decreased bone mass and bone microarchitecture destruction. The health belief model isoften applied to asymptomatic, prevention-related diseases such as osteoporosis. Steps to mitigate the insidious nature of osteoporosis, including education, motivation, and monitoring of bone mineral density, must begin at an earlier age. This study evaluates the knowledge and health beliefs surrounding osteoporosis in a population of males and females 35-50 years old to determine sex-based differences in osteoporosis knowledge and beliefs and to assess the correlation between perceptions and health motivation. Participants (81 males, 92 females) completed two questionnaires: the Osteoporosis Knowledge Test and the Osteoporosis Health Belief Scale. Descriptive statistics were performed along with Pearson product-moment correlation analysis to determine the relationships between the variables. Sex-based differences were calculated utilizing independent t-tests. We discovered a statistically significant negative correlation between the barriers to exercise and health motivation (-0.434, p<0.001) and a statistically significant positive correlation between the benefits of exercise and health motivation (0.385, p<0.001). However, there was nota statistically significant correlation between health motivation with the following: the benefits of calcium, susceptibility, and the seriousness of osteoporosis. Between males and females, there was a statistically significant difference in exercise and calcium knowledge, susceptibility, and the benefits of both exercise and calcium (p<0.05). Males and females 35-50 years old perceive themselves to have a low susceptibility to osteoporosis. They do not consider osteoporosis a serious disease and have little motivation to mitigate its inception or progression. Their perceptions show that barriers to exercise impact health motivation more than the perceived benefits of exercise.

Osteoporosis knowledge, health beliefs, and self-efficacy in Hong Kong Chinese men.

Male osteoporosis had long been neglected despite one-third of fractures occurring in men. Lifestyle modification through education is the main tactic in osteoporosis prevention, but current programs and strategies are designed for postmenopausal women. Understanding men's knowledge, health belief, and self-efficacy in adopting osteoporosis prevention strategies can help to design a specific program for men. A prospective cohort study was conducted in three men's health clinics in Hong Kong from September to October 2020, recruiting 277 men aged ≥ 20years. They completed a questionnaire consisting of sociodemographic data, 14 general questions from the Facts on Osteoporosis Quiz (FOOQ), Male Osteoporosis Knowledge Quiz (MOKQ), Osteoporosis Health Belief Scale (OHBS), and Osteoporosis Self-Efficacy Scale (OSES). Scores from these scales and their association with sociodemographic data were reported. Correlations between age, knowledge, health beliefs, and self-efficacy were studied using the Health Belief Model. The mean age was 36.4years old, and 52% had university education. Their mean FOOQ + MOKQ score was 10.8 out of 20; mean OHBS score was 129.2 out of 210; and mean OSE-Exercise and OSE-Calcium scores were 66.4 and 68.9 out of 100 respectively. Self-efficacy of exercise was correlated with young age, perceived exercise benefits, and little barriers to exercise (p < 0.01). Self-efficacy of calcium intake was positively correlated with health motivation and self-efficacy of exercise and negatively correlated with barriers to calcium intake (p < 0.01). Male osteoporosis awareness programs should focus on improving knowledge, enhancing awareness on susceptibility, promoting benefits of lifestyle modification, and helping men overcome perceived barriers.

Evaluation of Bone Health among Type 2 Diabetes Mellitus Patients

Background: Type 2 diabetes mellitus (T2DM) and osteoporosis remain one of the major public health problems worldwide with a considerable burden on society. Health belief toward osteoporosis is fundamental to all osteoporosis management programs and is often a pre-requisite for initiating desired behavioral changes. The aim of this study was to assess: the level of the Malay version of the Osteoporosis Health Belief Scale (OHBS-M) among T2DM patients; the relation of socio-demographic characteristics, clinical data with OHBS-M level and the correlation between OHBS-M score and T-score. Methods: An observational, cross-sectional study design was conducted among T2DM patients. Socio-demographic and clinical data were collected using a convenient sampling method. All T2DM patients underwent the bone mineral density measurement using a quantitative ultrasound scan (QUS). Results: The result showed the average age of the participants was 62.67± 9.24 years. The study findings revealed that the average total score of OHBS-M 143.08±24.22 (median 141.50) with 85.60% of T2DM patients had a low level of osteoporosis health belief. Moreover, a significant correlation was found between the QUS T-scores and osteoporosis health beliefs. Conclusions: The study findings revealed that the assessment of T2DM patients’ bone health and health belief toward osteoporosis is crucial to improve an osteoporosis preventive strategy for high-risk populations.

Osteoporosis Preventive Behavior Among Female Healthcare Students in Da Nang, Vietnam

Background: Osteoporosis prevention at young ages is crucial to diminish the risk of the disease and its complication in later years of life. Having good osteoporosis knowledge and positive health belief may lead to better preventive behavior which then contributes to build and maintain bone health throughout life.&#x0D; Objective: To investigate knowledge, health belief, and behavior of osteoporosis prevention among female healthcare students.&#x0D; Methods: The descriptive cross-sectional study was conducted in a public medical university in Da Nang of Vietnam. Four hundred participants were selected by applying the multistage sampling technique. Data were collected from May 2020 to June 2020 through the questionnaire that consists of 4 parts including the demographic data form, the osteoporosis knowledge assessment tool, the osteoporosis health belief scale, and the exercise and calcium behaviors scale. Data were analyzed using descriptive statistics and Pearson correlation test.&#x0D; Results: Participants had poor osteoporosis knowledge (mean [SD], 37.8 [16.0]; range, 0 - 75) and low preventive behavior (mean [SD], 5.7 [3.5]; range, 0 - 25). Osteoporosis health belief was found at a moderate level with a mean (SD) of 126.7 (12.9) (range, 84 - 187). There were positive significant correlations between knowledge and health belief, knowledge and behavior of osteoporosis prevention (P &lt; .05).&#x0D; Conclusions: Osteoporosis preventive behavior of female healthcare students was low. Osteoporosis education programs should be developed for female healthcare students to improve their knowledge and health belief that would then lead to their better preventive behavior.&#x0D;

The Hungarian adaptation and validation of the Osteoporosis Health Belief Scale

In the international literature, several disease-specific questionnaires are available for many diseases. The opportunities of validated questionnaires are incomplete about osteoporosis in Hungarian language. The aim of the study was to validate the Osteoporosis Health Belief Scale (OHBS) into Hungarian that would make it possible to measure the osteoporosis-related attitude for Hungarian-speaking women. The questionnaire was validated into Hungarian according to the six-step guideline outlined in 2000. The Osteoporosis Knowledge Assessment Tool (OKAT) questionnaire was used to examine external validity. Our sample consisted of 600 women. We performed descriptive statistics; Cronbach's alpha value was calculated for internal consistency, we calculated Spearman's correlation coefficient to examine external validity. We carried out factor analysis (Kaiser-Meyer-Olkin [KMO] test, Bartlett test) to examine whether the new questionnaire is suitable for measurements in the given language the same way as the original questionnaire. Our sample (37.7 ± 13.15 years of age) achieved low score for both OHBS (126.28 ± 14.85) and OKAT (8.78 ± 3.1). The Cronbach's alpha value was 0.802. Factor analysis (KMO = 0.886; Bartlett test p<0.001) identified 7 factors that can be similar to the original factors. During the test-retest, the Spearman correlation coefficient showed a value between 0.921 and 1.000. When comparing the OKAT and OHBS dimensions we found several significant relationships. The results of the study are similar to the results of the original questionnaire validation as well as to other OHBS validation studies. Based on the results, we consider that the Hungarian form of the OHBS is a reliable and valid questionnaire. Orv Hetil. 2021; 162(37): 1494-1501.

Effect of Educational Program regarding Prevention of Osteoporosis among Employees Women at South Valley University

Osteoporosis is a “silent” disease most common among women. Therefore, women need to provide them with enough amount of information about the prevention of this disease. Aim of the study: Evaluate the effect of educational program regarding prevention of osteoporosis among employees women at South Valley University.Study design: A quasi-experimental research design (pre posttest) was utilized in this study on a convenient sample of 227 employees women who worked at South Valley University. Method: Data were collected by using a self-administered questionnaire pre and post applying the educational program included osteoporosis knowledge assessment, osteoporosis health belief scale, and osteoporosis self-efficacy scale. Results: The mean age of the studied sample was 37.14±10.8 years. There was an improvement in women's total knowledge level after application of the educational program, as well as improvement in all items of the osteoporosis health belief scale. Also, there was an improvement in self-efficacy scale mean scores after application of the educational program. Conclusion: The study found that women's information improved after providing them with an education program on osteoporosis as well as self-efficacy and health belief. Recommendations: an educational program for women should be applied on a regular basis to improve knowledge and health beliefs regarding osteoporosis prevention.

The association of osteoporosis knowledge and beliefs with preventive behaviors in postmenopausal breast cancer survivors

BackgroundPostmenopausal breast cancer survivors (PBCS) are at increased risk of bone loss and fractures due to age-related decline of estrogen, and this risk is compounded by aromatase inhibitor cancer therapy. Several patient-level targetable risk factors can mitigate osteoporosis risk; however, adequate health behavior and risk perception in this population are underreported. The goal of this study was to evaluate osteoporosis knowledge and beliefs and assess their association with engagement in osteoporosis preventive behaviors among PBCS.MethodsIn this cross-sectional descriptive study, early stage I–IIIA PBCS (ages 55–86 years) completed the Facts on Osteoporosis Quiz, Osteoporosis Health Beliefs Scale, and Osteoporosis Preventive Behaviors questionnaires. Participants who were non-English speaking or declined to participate were excluded. Clinical and sociodemographic information were obtained from chart review and baseline questionnaire, respectively. Fisher’s exact test, Student t-test, and Wilcoxon Mann–Whitney tests were used where appropriate to assess the association between knowledge and beliefs with engagement in osteoporosis preventive behaviors.ResultsThe mean participant age was 66.1 years with 20% self-reporting as non-Hispanic White, 40% non-Hispanic Black, 27% Hispanic, and 13% other. Approximately 83% of the cohort had estrogen receptor positive breast cancer and received a bone density scan within the last six years. Osteoporosis knowledge (10.5 ± 3.4), seriousness (14.9 ± 3.8), and susceptibility (14.0 ± 3.5) mean scores were low among PBCS. Most PBCS (75%) were adherent to calcium and vitamin D supplements, but only 47% reported engagement in strength-training exercises. Married/partnered, higher osteoporosis knowledge and health motivation scores were associated with strength-training exercise. After adjustment for marital status and osteoporosis knowledge, only health motivation score remained significantly associated with strength-training exercise (OR 5.56, 95% CI 1.35–22.93).ConclusionsPBCS are highly motivated to keep a healthy lifestyle despite limited osteoporosis knowledge, perceived risk, and susceptibility. However, < 50% participated in strength-training exercise. Our findings suggest that oncologic care should include osteoporosis and fracture prevention strategies, directed at encouraging cancer survivors to increase their engagement in osteoporosis preventive behaviors, particularly strength-training exercises.

Lack of calcium rich foods in the diet, low knowledge on calcium level recommendations and severe food insecurity predicts low calcium intake among Vietnamese women

ObjectiveTo assess nutrition knowledge related to osteoporosis and calcium, osteoporosis health beliefs, dietary calcium intake and household food insecurity among adult women in Vietnam. MethodsTwo hundred fifty-one women aged 30–65 years living in a rural district in Hanoi -Vietnam were recruited. A questionnaire was used to collect information on nutrition knowledge related to osteoporosis and calcium intake, health beliefs, household food security, and dietary calcium intake. Data analysis included descriptive statistics and regressions. ResultsMajority of the participants did not know calcium recommendations (95%) and recommended daily servings of calcium-rich foods (60%). In addition, majority of the participants (83.7%) were not aware of osteoporosis risk factors. Slightly less than half of the participants (46.2%) reported that they would have difficulties changing their current diets to consume more calcium rich foods. Half of the participants (50.4%) reported being food insecure, with 22% of them reporting having severe food insecurity. Mean dietary calcium intake was 534.5 mg/day, of which milk and dairy products contributed only 4%. Nutrition knowledge, perceived benefits, and self-efficacy were positively associated with calcium intake (p < 0.05); whereas perceived barriers and severe food insecurity were significantly associated with low dietary calcium intake (p < 0.05). ConclusionsThe results of this study showed calcium intake among the participating Vietnamese women was lower than the national recommendation, indicating the need for nutrition programs and promotions to increase calcium intake. These programs should aim at increasing awareness on national calcium recommendations and skills to obtain and consume calcium-rich foods while considering development of safety nets for food insecure households, as pertaining to adequate dietary calcium intake.

The Influence of Osteoporosis Knowledge, Health belief and Self efficacy on Osteoporosis Prevention Behavior Osteoporosis in Middle-aged Men

The Influence of Osteoporosis Knowledge, Health belief and Self efficacy on Osteoporosis Prevention Behavior Osteoporosis in Middle-aged Men

Knowledge and Beliefs on Osteoporosis among African Postmenopausal Women in a Kenyan Semi-Rural County of Kiambu

BackgroundAssessing people’s knowledge and beliefs about osteoporosis is fundamental to the formulation of preventive strategies for this condition. To our knowledge, no randomized community survey has been conducted using Facts on Osteoporosis Quiz (FOOQ) and Osteoporosis Health Belief Scale (OHBS) exclusively in the postmenopausal women in Kenya. This study aimed to assess postmenopausal women’s knowledge and beliefs concerning osteoporosis in semirural Kiambu County, Kenya.MethodsA cross-sectional study involving face-to-face interviews with 254 African postmenopausal women was conducted between October 2017 and February 2018. The questionnaire explored the socio-demographic characteristics; FOOQ was used to evaluate the knowledge these women had about osteoporosis, while OHBS was used to assess their beliefs.ResultsThe mean age of the participants was 64.6±10.7 years. About 26.4% (67/254) of the participants had no formal education, while 3.1% (8/254) were in formal employment. About 54.3% (138/254) of the women were married, and 51.2% (130/254) were in the lowest and lower wealth quintile. FOOQ had a mean score of 8.6 (standard deviation±1.8; range, 0–17). OHBS revealed a low level of perceived susceptibility to osteoporosis. Perceived benefits of exercising and calcium intake as well as perceived seriousness of osteoporosis as a disease were at moderate levels. The level of health motivation was also moderate.ConclusionsThe women in this study demonstrated limited knowledge about osteoporosis. The low susceptibility score makes the prevention and treatment of osteoporosis in this population challenging. We recommend public health education for all postmenopausal women in this setting.

Impact of health promotion model and self efficacy based education intervention on women’s knowledge, beliefs and clinical outcomes regarding osteoprosis prevention

Osteoporosis causes almost 9 million fractures worldwide each year, accounting for considerable costs to health care systems and substantial disability and mortality of women .Few studies to date have applied the HBM framework to study the role of knowledge, self-efficacy, and health beliefs in osteoporosis-related preventive behaviors among women. Aim of the study was to determine the impact of health promotion model and self-efficacy based education intervention on women’s knowledge beliefs and clinical outcomes regarding osteoporosis prevention. The research design quasi experimental design was utilized. Setting: It was conducted at ante-natal and rheumatoid clinics at Beni-Suef University Hospital, Egypt. Sample: A convenient sample included 128 women divided into control and study groups. Tools of data collection: Four data collection tools were used: I) Structured interview questionnaire, II) Osteoporosis knowledge assessment sheet (OKAT), II) Osteoporosis health belief scale (OHBS) IV) Factor loadings for the osteoporosis self-efficacy scale (OSES). The results: Showed that; There was a highly significant difference existed between the two groups regarding their knowledge, beliefs and their self-efficacy post intervention which in turn lead to better clinical outcomes among study group versus control group with P&lt;0.001.