Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Gender-based differences in cognitive needs of Iranian rural health workers to perform osteoporosis prevention educational programs: an application of health belief model

(2020) Gender-based differences in cognitive needs of Iranian rural health workers to perform osteoporosis prevention educational programs: an application of health belief model. International Journal of Health Promotion and Education.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Rural health workers play a detrimental role in implementing rural osteoporosis prevention programs. To successfully implement such programs, addressing their gender-based cognitive needs seems to be necessary. Our aim in the present study was to investigate gender-based differences in determinants of educating rural communities on osteoporosis prevention among Iranian rural health workers (RHWs) applying the health belief model (HBM). In this cross-sectional study, conducted in 2017, 280 RHWs were recruited to participate in the study, through random sampling. An HBM-based researcher-made questionnaire was developed to collect data. Face, content, construct and convergent validity and reliability of the scales were approved. After splitting data by gender, hierarchical linear regression was used to investigate the predictors of RHWs’ performance on osteoporosis prevention education programs (OPEPs). In Confirmatory Factor Analysis (CFA), the measurement model was found to be with a good fit to the data in the assumed model (χ2 [466] = 999.466, p < 0.001, CFI = 0.921, NFI = 0.821, TLI = 0.913, RMSEA = 0.048[0.043–0.054]). Among male RHWs, perceived barriers (p < 0.01), knowledge (p < 0.05) and the mean distance of health house from the marginal villages (p < 0.05) were significant predictors of the RHWs’ performance on OPEPs (cumulative adjusted R2 = 0.790). Among female RHWs, perceived barriers (p < 0.01), self-efficacy (p < 0.05) and cues to action (p < 0.05) were significant predictors of the outcome variable (cumulative adjusted R2 = 0.404). The findings of the present study are informative for the development of targeted interventions aimed at fostering RHWs’ performance on OPEPs.

Item Type: Article
Keywords: education; health belief model; osteoporosis; prevention; Rural health workers
Divisions: Research Vice-Chancellor Department > Social Determinants of Health Research Center
Journal or Publication Title: International Journal of Health Promotion and Education
Journal Index: ISI, Pubmed, Scopus
Publisher: Institute of Health Promotion and Education
Identification Number: 10.1080/14635240.2020.1759442
ISSN: 14635240
Depositing User: دکتر علیرضا غریب
URI: http://eprints.muk.ac.ir/id/eprint/4651

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