Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Affiliated Researcher, Department of Health Care Sciences, Palliative Research Center, Ersta Sköndal Bräcke University College, Campus Ersta, Stockholm-Sweden.
Pediatr Endocrinol Diabetes Metab. 2021;27(3):183-190. doi: 10.5114/pedm.2021.105634.
Osteoporosis is a preventable progressive metabolic disease. Girls have an increased risk of occurrence of osteoporosis in their old age. The BASNEF model can be employed to change behaviors related to health. The BASNEF model was employed to determine the predictors of osteoporosis preventive behaviors among adolescent girls.
This cross-sectional study was carried out on 209 adolescent girls selected from high schools in the Quchan County in 2016 using path analysis by stratified sampling. The data was collected through a demographic questionnaire and a 52-item researcher-made questionnaire, based on the BASNEF model constructs. The data was analyzed using Shapiro-Wilk test, bootstrapping, and path analysis.
The average age of the students was 16.10 ±0.59. The results of path analysis showed that Model 1 matched the BASNEF model relationships completely; however, it could not predict osteoporosis preventive behaviors. The constructs of Model 2 (modified) was able to predict 50% of variances in osteoporosis preventive behaviors. There were positive and direct relationships between the following pairs of constructs: knowledge and attitudes (B = 0.23, p < 0.001); attitudes and the intention of osteoporosis preventive behaviors (B = 0.37, p < 0.001); subjective norms and the intention of osteoporosis preventive behaviors (B = 0.53, p < 0.001); behavioral intention and osteoporosis preventive behaviors (B = 0.36, p < 0.001); subjective norms and osteoporosis preventive behaviors (B = 0.33, p < 0.001), and enabling factors and osteoporosis preventive behaviors (B = 0.29, p < 0.001).
The community health nurse can use the constructs of the BASNEF model to change the osteoporosis preventive behaviors like knowledge, attitudes subjective norms and enabling factors.
骨质疏松症是一种可预防的进行性代谢性疾病。女性在老年时发生骨质疏松症的风险增加。BASNEF 模型可用于改变与健康相关的行为。本研究采用路径分析法，以分层抽样的方式，于 2016 年选取库车县 209 名高中女生进行横断面研究，探讨青少年女性骨质疏松症预防行为的预测因素。
本研究采用横断面研究，以分层抽样的方式，于 2016 年选取库车县 209 名高中女生进行研究。通过问卷调查收集资料，问卷包括一般情况调查表和研究者根据 BASNEF 模型自行设计的 52 个条目的骨质疏松症预防行为问卷。采用 Shapiro-Wilk 检验、Bootstrap 法和路径分析对数据进行分析。
研究对象的平均年龄为 16.10±0.59 岁。路径分析结果显示，模型 1 完全符合 BASNEF 模型的关系，但无法预测骨质疏松症预防行为。模型 2（修正模型）能够预测 50%的骨质疏松症预防行为变异。以下各对结构之间存在正相关和直接关系：知识与态度（B=0.23，p<0.001）；态度与骨质疏松症预防行为意向（B=0.37，p<0.001）；主观规范与骨质疏松症预防行为意向（B=0.53，p<0.001）；行为意向与骨质疏松症预防行为（B=0.36，p<0.001）；主观规范与骨质疏松症预防行为（B=0.33，p<0.001）；促进因素与骨质疏松症预防行为（B=0.29，p<0.001）。
社区护士可以利用 BASNEF 模型的结构来改变知识、态度、主观规范和促进因素等骨质疏松症预防行为。
