Influencing Factors of Health Promoting Behavior Among Women at High Risk of Primary Oste-oporosis Based on Structural Equation Model
Objective To explore the influencing factors of health promoting behavior in women at high risk of primary osteoporosis based on structural equation model,and to provide reference for developing ef-fective intervention programs.Methods Convenience sampling method was used to select a total of 400 women at high risk of primary osteoporosis from four community health service centers in Hengyang from February to May 2023 as survey objects.They were surveyed by using a General Information Question-naire,E-Health Literacy Scale,Perceived Social Support Scale,Osteoporosis Self-efficacy Scale and Health Promoting Lifestyle Profile-Ⅱ.The structural equation model was used to analyze the influencing factors.Results Working status,literacy,disease cognition level,perceived social support and self-efficacy had a di-rect positive effect on health promoting behavior of women at high risk of primary osteoporosis(the effect values were 0.199,0.109,0.155,0.263 and 0.207,respectively).E-health literacy not only directly influenced health promoting behavior,but also caused partial mediating effects through perceived social support and self-efficacy(with the direct effect value of 0.515 and the total mediating effect value of 0.231).Conclusions The health promoting behavior of women at high risk of primary osteoporosis is comprehensively affect-ed by various factors.Community healthcare workers should focus on those who are on the job and those with low education level and disease cognition level.Their health promoting behavior can be improved by carrying out E-health intervention,mobilizing social support system and enhancing self-efficacy.
primary osteoporosishigh-risk womenhealth promoting behaviorE-health literacystructur-al equation model