Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Study on the osteoporosis knowledge, concern about osteoporosis factors, and health behavior to prevent osteoporosis of women in Jeonbuk area

전북지역 성인여성의 골다공증 지식, 골다공증관련 요인에 대한 관심 및 예방적 건강행동에 관한 연구

  • Lee, Hyun Ju (Major of Nutrition Education, The Graduate School of Education, Chonbuk National University) ;
  • Rho, Jeong Ok (Department of Food Science and Human Nutrition, Chonbuk National University)
  • 이현주 (전북대학교 교육대학원 영양교육전공) ;
  • 노정옥 (전북대학교 식품영양학과)
  • Received : 2018.09.06
  • Accepted : 2018.11.10
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of the study was to identify women's osteoporosis knowledge, concerns about osteoporosis factors, and health behavior as well as to examine the relationship between these variables. Methods: The participants were 394 women in the Jeonbuk area. The data were analyzed using a t-test, ANOVA, Duncan test, and hierarchical regression analysis with SPSS v. 24.0. Results: The score for osteoporosis knowledge was 6.21 points out of a possible 12, the score for concern about osteoporosis factors was 26.50 points out of a possible 40. The score for the health behavior was 57.26 points out of a possible 85. The knowledge showed significant differences according age (p < 0.01), income (p < 0.05), education level (p < 0.01), drinking milk in childhood (p < 0.05), health interest (p < 0.05), and osteoporosis information (p < 0.01). The concern showed significant differences according to age (p < 0.001), income (p < 0.05), health interest (p < 0.001), osteoporosis information (p < 0.001), family history of osteoporosis (p < 0.05), and calcium medications (p < 0.001). The health behavior showed significant differences according to age (p < 0.001), income (p < 0.01), drinking milk in childhood (p < 0.05), health interest (p < 0.001), osteoporosis information (p < 0.01), and calcium medications (p < 0.01). Regression analysis showed that the concern about osteoporosis factors was the most influential variable on health behavior, followed by health interest of the subjects, age, and the osteoporosis knowledge. Conclusion: Therefore, it is necessary to consider educational programs on increasing interest in osteoporosis according to the age and health for improving the health behavior to prevent osteoporosis.

본 연구는 전북지역 394명의 성인여성을 대상으로 골다공증 지식, 관련요인에 대한 관심 및 예방적 건강행동의 수준을 조사 하였으며, 그 결과를 요약하면 다음과 같다. 골다공증 지식의 총점은 12점 중 6.21점으로 '보통' 수준이며 전체 평균값은 0.59점, 평균정답률은 60.9%이었다. 골다공증관련 요인에 대한 관심의 총점은 40점 만점 기준 26.50점으로 '보통' 수준이었으며 전체 평균값은 3.31점이었다. 골다공증 예방을 위한 식습관은 31.92점, 운동습관 9.77점, 기호식품 제한은 15.57점이었으며 총점은 85점 기준 57.26점으로 '보통' 수준이었다. 조사대상자의 일반적인 특성에 따른 골다공증관련 지식은 '연령', '월수입', '교육수준', '어릴 때 우유섭취', '건강관심도', '골다공증 정보'에서 유의한 차이가 있었다. 골다공증관련 요인에 대한 관심은 '연령', '월수입', '건강관심도', '골다공증 정보', '골다공증 가족력', '칼슘제 복용'에서 유의한 차이가 있었다. 골다공증 예방을 위한 건강행동은 '연령', '월수입', '어릴 때 우유섭취', '건강관심도', '골다공증 정보', '칼슘제 복용'에서 유의한 차이가 있었다. 골다공증 예방을 위한 건강행동 실천에 미치는 관련변수들의 상대적 영향력을 알아본 결과, 골다공증 예방적 건강행동 전체 1단계에서 설명해주는 변인은 '건강관심도'가 '많음', '연령', '건강관심도'가 '보통'의 순이며, 설명력은 28.5%이었다. 2단계에서는 골다공증관련 지식 투입에 따른 총 설명력은 30.1%이며 '건강관심도'가 '많음'의 영향력이 가장 크며, 그 다음이 '연령', '건강관심도'가 '보통', '골다공증 지식'의 순이었다. 3단계 골다공증요인 관심 투입에 따른 총 설명력은 41.1%이었다. 골다공증 예방 건강 행동에 대한 예측변인의 영향력은 '골다공증 요인 관심', '건강관심도'가 '많음', '연령', '건강관심도'가 '보통', '골다공증 지식'의 순이었다. 이상의 결과, 전북지역 성인여성의 골다공증에 대한 관심수준과 예방적 건강행동의 실천은 보통수준이었다. 그러나 골다공증관련 지식수준은 높은 수준은 아니었으나 골다공증예방을 위한 건강행동을 실천하는데 어느 정도의 영향력을 가지고 있었다. 따라서 골다공증관련 교육은 이를 실생활에 적용하기 위하여 골다공증 교육내용 및 교육 매체에 대한 재검토가 필요하겠다. 골다공증은 더 이상 중년이후에 관심을 가져야하는 질병이 아닌 성장기부터 예방관리가 필요하므로 학교의 영양교육과정에 포함하여 청소년기부터 올바른 식습관 및 운동습관 등을 포괄적으로 지도할 수 있도록 학교, 보건소 및 교육청 등의 관련기관의 적극적인 지원이 필요하겠다.

Keywords

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