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Psychometric properties and assessment of the Osteoporosis Health Belief Scale among the general Arabic population

Authors Sahib MN

Received 25 October 2017

Accepted for publication 11 December 2017

Published 31 January 2018 Volume 2018:12 Pages 223—232

DOI https://doi.org/10.2147/PPA.S155152

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Johnny Chen


Mohanad Naji Sahib

Faculty of Pharmacy, Al-Rafidain University College, Baghdad, Iraq

Background: Any educational program should be implemented with a good understanding of the population’s beliefs. Therefore, the aims of this study were to validate the Arabic version of the Osteoporosis Health Belief Scale (OHBS-A) and assess the osteoprotective attitude among the Iraqi population.
Methods: A cross-sectional design, with a random cluster sampling method from the community, was used. The forward–backward–forward translation method was used to translate the questionnaire from English to Arabic. In addition, the Arabic version of Osteoporosis Knowledge Tool (OKT-A) and the Arabic version of Osteoporosis Self-Efficacy Scale (OSES-A) were used to assess the osteoprotective behaviors.
Results: The results showed good face validity and reliability. The construct validity analysis showed seven factors that explain 72.82% of the variance. In addition, the results revealed a low health belief score (149.95±35.936) with only 36.67% of the study population found to have a high OHBS-A level. The results showed significant differences among employment status, marital status, and osteoporosis (OP) awareness groups in relation to total OHBS-A scores. In addition, there were significant associations between age groups and OP awareness with health belief levels. Moreover, both exercise and calcium intake subscales of the Osteoporosis Knowledge Tool (OKT) positively correlated with all OHBS-A subscales. Exercise and calcium intake subscales of Osteoporosis Self-Efficacy Scale (OSES) positively correlated with the perceived susceptibility and perceived barriers toward exercise and calcium intake. The binary logistic regression analysis showed that OKT levels, OSES levels, and age were predictors of OHBS-A levels.
Conclusion: Besides cultural obstacles, an educational program for both genders and all age groups is important and should be tailored according to culture needs.

Keywords: health belief, osteoporosis, osteoprotective behavior

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