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Archives of Osteoporosis
Published in: Archives of Osteoporosis 1/2014

01-12-2014 | Original Article

Osteoporosis knowledge, self-efficacy, and health beliefs among Chinese individuals with HIV

Authors: Evelyn Hsieh, Liana Fraenkel, Elizabeth H. Bradley, Weibo Xia, Karl L. Insogna, Qu Cui, Kunli Li, Taisheng Li

Published in: Archives of Osteoporosis | Issue 1/2014

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Abstract

Summary

Individuals with HIV are at increased risk for osteoporosis and fracture. Using the Health Beliefs Model, we identified key relationships between knowledge, self-efficacy and health beliefs pertaining to physical activity and dietary calcium intake, two key modifiable preventive measures for osteoporosis.

Purpose

Individuals with HIV are at increased risk for osteoporosis and fracture. Few studies have systematically explored concerns related to osteoporosis prevention among this group. Applying the Health Beliefs Model (HBM), we examined associations between osteoporosis-related preventive health behaviors (i.e., physical exercise and dietary intake) and knowledge, self-efficacy and health beliefs in a large cohort of Chinese individuals with HIV.

Methods

We conducted a cross-sectional study with participants from an ongoing multi-center trial. Volunteers completed a questionnaire consisting of the International Physical Activity Questionnaire (IPAQ), a calcium and vitamin D intake assessment, the Osteoporosis Knowledge Test, Osteoporosis Self-Efficacy Scale, Osteoporosis Health Beliefs Scale, and relevant sociodemographic and clinical risk factors.

Results

A total of 263 of 297 eligible participants enrolled in this study. Mean age of participants was 38.4 ± 9.8 years, average BMI was 21.6 ± 2.6 kg/m2, and 76 % were men. About 30 % of the sample reported low physical activity. Consumption of foods from each calcium and vitamin D-rich category averaged between multiple times per month to weekly. Knowledge regarding osteoporosis was universally low and self-efficacy correlated directly with engagement in preventive behaviors. Women and individuals with lower education perceived greater barriers to adopting preventive behaviors. Multivariate logistic regression adjusted for age, sex and BMI showed that calcium and vitamin D intake was directly correlated with knowledge and self-efficacy, whereas physical activity correlated with manual labor occupation, perceived barriers to exercise and health motivation.

Conclusions

Behavioral frameworks such as the HBM may provide important insight into promoting adoption and maintenance of osteoporosis-related preventive behaviors among individuals with HIV.
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Metadata
Title
Osteoporosis knowledge, self-efficacy, and health beliefs among Chinese individuals with HIV
Authors
Evelyn Hsieh
Liana Fraenkel
Elizabeth H. Bradley
Weibo Xia
Karl L. Insogna
Qu Cui
Kunli Li
Taisheng Li
Publication date
01-12-2014
Publisher
Springer London
Published in
Archives of Osteoporosis / Issue 1/2014
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-014-0201-4

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