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Archives of Osteoporosis

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01-12-2023 | Osteoporosis | Original Article

“A natural consequence of aging in women?”: a mixed-method exploration on osteoporosis self-efficacy in Turkey

Authors: Sidar Gül, Zeliha Büyükbayram

Published in: Archives of Osteoporosis | Issue 1/2023

Abstract

Summary

The perception of osteoporosis self-efficacy is an important factor in coping with osteoporosis. Being older, not exercising regularly, inadequate consumption of milk and dairy products, inadequate exposure to sunlight, knowledge gaps, negative disease perceptions, and barriers to osteoporosis treatment adherence negatively affect osteoporosis self-efficacy levels of women (p < 0.001).

Purpose

The purpose of this study to determine the osteoporosis-related self-efficacy levels of women with osteoporosis and investigate the relationship between the characteristics of these women and their osteoporosis self-efficacy.

Methods

The study was conducted in Siirt province in the Southeastern Anatolia Region of Turkey. A mixed-method approach was selected. Data were collected with 280 surveys and 30 participants’ interviews.

Results

The mean total OSES score of the participants was 649.82 ± 221.09. Aging, not exercising regularly, inadequate consumption of milk and dairy products, and inadequate exposure to sunlight were significant predictors of low osteoporosis self-efficacy (p < 0.001), explaining 23.4% of the total variance. Knowledge gaps, disease perceptions, facilitators of treatment adherence, and barriers to treatment adherence affected the osteoporosis self-efficacy of the participants.

Conclusion

The osteoporosis-related self-efficacy levels of the participants of this study were low. The results suggest that a strategy to organize routine health education programs should be established in order to create a higher perception of osteoporosis self-efficacy in women with osteoporosis and to reduce knowledge gaps and barriers.

Sozen T, Ozisik L, CalikBasaran N (2017) An overview and management of osteoporosis. Eur J Rheumatol 4(1):46–56. https://doi.org/10.5152/eurjrheum.2016.048CrossRefPubMed

de Villiers TJ, Goldstein SR (2022) Bone health 2022: an update. Climacteric 25(1):1–3. https://doi.org/10.1080/13697137.2021.1965408CrossRefPubMed

Tuzun S, Eskiyurt N, Akarırmak U, Sarıdoğan M, Şenocak M, Johansson H, Kanis JA (2012) The impact of a FRAX-based intervention threshold in Turkey: the FRAX-TURK study. Arch Osteoporos 7:229–235. https://doi.org/10.1007/s11657-012-0101-4CrossRefPubMed

Rundasa DT, Ayisa AA, Mekonen EG (2022) Knowledge, health belief, and associated factors towards the prevention of osteoporosis among post-menopausal women in Metu Town, southwest Ethiopia: a community-based cross-sectional study. Int J Orthop Trauma Nurs 45:100905CrossRefPubMed

Mądry E, Fidler E (2010) Lactose intolerance–current state of knowledge. Acta Sci Pol Technol Aliment 9(3):343–350

Kaya S, Secginli S, Olsen JM (2020) An investigation of physical activity among adults in Turkey using the Omaha System. Public Health Nurs 37(2):188–197. https://doi.org/10.1111/phn.12672CrossRefPubMed

Olgun Z, Kutlu R (2022) The evaluation of the health perception and healthy lifestyle behavior of individuals who apply to the family medicine polyclinc. Turkish J Fam Med Primary Care 16(1):196–205CrossRef

Akkaya N, Akkaya S, Yıldız N, Atalay NŞ, Şahin F (2010) Compliance of postmenopausal osteoporotic and osteopenic patients with calcium and vitamin D therapy. J Dis Related Surg 21:130–135

Kirazlı Y, AtamazÇalış F, El Ö et al (2020) Updated approach for the management of osteoporosis in Turkey: a consensus report. Arch Osteoporos 15:137. https://doi.org/10.1007/s11657-020-00799-0CrossRefPubMedPubMedCentral

10.

Tuzun S, Eskiyurt N, Akarirmak U et al (2012) Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 23:949–955. https://doi.org/10.1007/s00198-011-1655-5CrossRefPubMed

11.

Kanis JA, Odén AEVMC, Johansson H, Wahl DA, Cooper C, IOF Working Group on Epidemiology and Quality of Life (2012) A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int 23:2239–2256. https://doi.org/10.1007/s00198-012-1964-3CrossRefPubMedPubMedCentral

12.

Ahn S, Oh J (2021) Effects of a health-belief-model-based osteoporosis- and fall-prevention program on women at early old age. Appl Nurs Res 59(March):151430. https://doi.org/10.1016/j.apnr.2021.151430CrossRefPubMed

13.

Kılıç D, Erci B (2004) The reliability and validity of the osteoporosis health belief scale, osteoporosis self-efficacy scale and osteoporosis knowledge test. J Atatürk Univ Sch Nurs 7(2):89–102

14.

Wright NC, Melton ME, Sohail M, Herbey I, Davies S, Levitan EB, Saag KG, Ivankova NV (2019) Race plays a role in the knowledge, attitudes, and beliefs of women with osteoporosis. J Racial Ethn Health Disparities 6(4):707–718. https://doi.org/10.1007/s40615-019-00569-wCrossRefPubMedPubMedCentral

15.

Schoonenboom J, Johnson RB (2017) How to construct a mixed methods research design. Kolner Z Soz Sozpsychol 69(Suppl 2):107–131. https://doi.org/10.1007/s11577-017-0454-1CrossRefPubMedPubMedCentral

16.

Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences franz. Behav Res Methods 39(2):175–191CrossRefPubMed

17.

Kim P, Horan K, Gendler ML (1991) Osteoporosis knowledge tests, osteoporosis health belief scale, and osteoporosis self-efficacy scale. Allendale MI Grand Valley State University

18.

Goldsmith L (2021) Using framework analysis in applied qualitative research. Qual Rep Jun. https://doi.org/10.46743/2160-3715/2021.5011CrossRef

19.

Creswell JW, Clark VLP (2010) Choosing a mixed methods design. In: Clark VLP (ed) Creswell JW. Designing and conducting mixed methods research, Sage Publications, pp 53–106

20.

Belgacem A, LaouaniKechrid C, Nouira A, Ben Dhiab M, Maatoug J, Chelbi S, Soussi S (2022) Effectiveness of an osteoporosis prevention educational program in Tunisian premenopausal women working in sedentary occupations: a quasi-experimental study. Arch Osteoporos 17(1):1–9. https://doi.org/10.1007/s11657-022-01119-4CrossRef

21.

Mohammed NS, ElKarmalwy EM, Amin NM (2018) Mohammed AH (2018) Knowledge and self-efficacy regarding osteoporosis prevention among multiparous women based on health belief model. Minia Sci Nurs J 4(December):124–132

22.

Janiszewska M, Kulik T, Żołnierczuk-Kieliszek D, Drop B, Firlej E, Gajewska I (2017) General self-efficacy level and health behaviours in women over the age of 45 years who have undergone osteoporosis treatment. Menopausal Rev 3:86–95. https://doi.org/10.5114/pm.2017.70584CrossRef

23.

Endicott RD (2013) Knowledge, health beliefs, and self-efficacy regarding osteoporosis in perimenopausal women. J Osteoporos. https://doi.org/10.1155/2013/853531CrossRefPubMedPubMedCentral

24.

Janiszewska M, Firlej E, Dziedzic M, Żołnierczuk-Kieliszek D (2016) Health beliefs and sense of one’s own efficacy and prophylaxis of osteoporosis in peri-and post-menopausal women. Ann Agric Environ Med 23(1):167–173. https://doi.org/10.5604/12321966.1196875CrossRefPubMed

25.

Jeihooni A, Hidarnia A, Kaveh M, Hajizadeh E, Askari A (2016) Application of the health belief model and social cognitive theory for osteoporosis preventive nutritional behaviors in a sample of Iranian women. Iran J Nurs Midwifery Res 21(2):131. https://doi.org/10.4103/1735-9066.178231CrossRefPubMedPubMedCentral

26.

Arslan S, Daşkapan A, Atalay D, Tüzün E, Korkem D (2015) Osteoporosis knowledge level of the women living in the city of Kırıkkale. Turk J Physiother Rehabil 26(3):120–127CrossRef

27.

Alami S, Hervouet L, Poiraudeau S, Briot K, Roux C (2016) Barriers to effective postmenopausal osteoporosis treatment: a qualitative study of patients’ and practitioners’ views. PLoS One 11(6):11CrossRef

28.

Barańska A, Religioni U, Kłak A, Merks P, Bogdan M, Firlej E, Sokołowska A, Kowalska W, Drop B (2022) Coping strategies preferred by patients treated for osteoporosis and analysis of the difficulties resulting from the disease. Int J Environ Res Public Health 19(9). https://doi.org/10.3390/ijerph19095677

29.

Raybould G, Babatunde O, Evans AL, Jordan JL, Paskins Z (2018) Expressed information needs of patients with osteoporosis and/or fragility fractures: a systematic review. Arch Osteoporos 13:55. https://doi.org/10.1007/s11657-018-0470-4CrossRefPubMedPubMedCentral

30.

Ansari A, Fahimfar N, Noruzi A, Fahimifar S, Hajivalizadeh F, Ostovar A, Larijani B, Sanjari M (2021) Health information–seeking behavior and self-care in women with osteoporosis: a qualitative study. Arch Osteoporos 16:78. https://doi.org/10.1007/s11657-021-00923-8CrossRefPubMed

Title: “A natural consequence of aging in women?”: a mixed-method exploration on osteoporosis self-efficacy in Turkey
Authors: Sidar Gül
Zeliha Büyükbayram
Publication date: 01-12-2023
Publisher: Springer London
Keywords: Osteoporosis
Osteoporosis
Published in: Archives of Osteoporosis / Issue 1/2023
Print ISSN: 1862-3522
Electronic ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-023-01239-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

“A natural consequence of aging in women?”: a mixed-method exploration on osteoporosis self-efficacy in Turkey

Abstract

Summary

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Summary

Purpose

Methods

Results

Conclusion

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