American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Nursing Research. 2018, 6(6), 344-349
DOI: 10.12691/ajnr-6-6-1
Open AccessArticle

Nurses' Health Beliefs and Their Preventive Measures Regarding Osteoporosis: Comparative Study

Magda Aly Mohamed1, , Eman SM Shahin2, Amal bakr Abo El- ata2 and Saadia Abdallah Gesm Elseed3

1Lecturer in Community & family Health Nursing, Faculty of Nursing, Port Said University, Egypt

2Medical Surgical Nursing Department, Faculty of Nursing, Port Said University, Egypt

3Community Health Nursing Faculty of Nursing Sciences Al-Neelain University -Sudan

Pub. Date: August 27, 2018

Cite this paper:
Magda Aly Mohamed, Eman SM Shahin, Amal bakr Abo El- ata and Saadia Abdallah Gesm Elseed. Nurses' Health Beliefs and Their Preventive Measures Regarding Osteoporosis: Comparative Study. American Journal of Nursing Research. 2018; 6(6):344-349. doi: 10.12691/ajnr-6-6-1


Background: Osteoporosis is one of the most common bone metabolic disorders which have been associated with significant disability and mortality. Osteoporosis has been recognized as a major public health problem by nurses’ providers in Egypt. Therefore, this study aims to compare between nurses' health beliefs and their Preventive Measures regarding osteoporosis in Egypt and Sudan. Method: A descriptive research design was used in the current study. Setting: The study was conducted in internal medicine and orthopedic units and medical and orthopedic out patients' clinic at three hospitals affiliated to the Ministry of Health named Port-Said General Hospital, Port -Fouad General Hospital, and El-Zohor central Hospital. In addition to out- patient Clinics (MCH center) at Khartoum, Bihari and Omdurman in Sudan country. Sample; A convenient sample used for this research which consists of all nurses working in the previous mentioned settings, total number of 170 nurse, distributed as the following; 90 from Egypt and 80 from Sudan from different hospital specialties were included in the study. Tool; questionnaire about preventive measures regarding osteoporosis and osteoporosis health beliefs scale (OHBS) were used for collecting data of the current study. Results; the study results revealed significant differences between Egypt and Sudan regarding some subscales of health beliefs regarding osteoporosis as susceptibility, seriousness, barrier of calcium intake and health motivation with P-value of 0.027, 0.013,059 and 0.024 respectively. However, there were no significant differences between both countries regarding nurse action to prevent osteoporosis. Conclusion: there were no significant differences between Egypt and Sudan regarding preventive measures applied by nurses to prevent osteoporosis in spite of the significant differences between both countries regarding health beliefs about osteoporosis. Recommendations: An educational program for the nurses to raise their awareness regarding causes, prevention & early detection and proper treatment of osteoporosis. Additionally, the nursing college curriculum committee should be focus on osteoporosis management.

Egypt health beliefs nurses osteoporosis prevention measures Sudan

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Darba J, Kaskens L, Perez-Alvarez N, Palacios S, Neyro JL, Rejas J., (2015): Disability-adjusted-life-years losses in postmenopausal women with osteoporosis: A burden of illness study. BMC Public Health; 15:324.
[2]  National osteoporosis foundation (2011). Available at. 11 January 2013).
[3]  Betancourt Ortiz SL. (2014): [Bone mineral density, dietary calcium and risk factor for presumptive osteoporosis in Ecuadorian aged women]. Nutr Hosp.; 30(2): 372-84.
[4]  International osteoporosis foundation (2010). Available at (accessed 13 Feb. 2013).
[5]  ElTohami K., Sami W., AL EidanA (2015). Study of Knowledge, Attitude and Practice of Osteoporosis among Adult Women in Majmaah City, Saudi Arabia. International Journal of Health and Rehabilitation Sciences, 4 (3, September 2015): 185-93. 4.
[6]  Chen SW, Yang SC, Wang RH, Lin ML. (2012). Osteoporosis prevention behaviors practiced among youth in Taichung City, Taiwan. American Journal of Health Behavior, 36: 736-45.
[7]  Franzén M., (2011). Osteoporosis prevention education for young women, Bachelor’s thesis, Degree Programme in Nursing., 25 pages, appendices 2.
[8]  National Osteoporosis Foundation (2014). Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporosis Australia (2011). Available at (accessed 8 December 2012).
[9]  Puttapitakpong P, Chaikittisilpa S, Panyakhamlerd K, Nimnuan C, Jaisamrarn U, &Taechakraichana N., (2014). Inter-correlation of knowledge, attitude, and osteoporosis preventive behaviors in women around the age of peak bone mass. BMC Women's Health; 14: 35.
[10]  Cook, A.O. (2016): Healthy Living: Three tips to promote healthier bones, The orange county register,
[11]  Barzanji AT, Alamri FA, Mohamed AG. (2013). Osteoporosis: A Study of Knowledge, Attitude and Practice among adults in Riyadh, Saudi Arabia. J. Community Health. 38:1098-1105
[12]  Zohrehkhoshnood, Anoosheh M, Mohammadi E, & Haji Zadeh E., (2015). Comparative survey the effect of education-based program on health belief model for the use osteoporosis preventive behaviors of the girl’s osteoporotic and non-osteoporotic mothers. Sch. J. App. Med. Sci; 3(6A): 2200-2206.
[13]  Sanaeinasab H, Tawakoni R., Karimizarchi A., Haji Amini Z, Farokhian A, &RahmatiNajarkolaei F., (2013). The effectiveness of education using the health belief model in preventing osteoporosis among female students. Eastern Mediterranean Health Journal; 19: 38-44.
[14]  Gamal, A, and Rashed A., (2015). Effect of systematic health education on perimenopausal rural women’s knowledge and practices regarding osteoporosis: Journal of Nursing and Health Science; 4(3): 31-41.
[15]  Kim, K.K., Horan, M.L. and Gendler, P. (1991). Development and Evaluation of the Osteoporosis Health Belief Scale. Research in Nursing & Health, 14, 155-163.
[16]  Edmonds, E., Turne, L.W. and Usdan, S.L. (2012). Osteoporosis Knowledge, Beliefs, and Calcium Intake of college Students: Utilization of the Health Belief Model. Open Journal of Preventive Medicine, 2, 27-34.
[17]  Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., Blair, S. N. (1985). Physical activity assessment methodology in the Five-City Project. American Journal of Epidemiology, 121, 91-106.
[18]  Morrow, J.R., Jackson, A.W., Disch, J.G., & Mood, D.P. (2005). Measurement and evaluation in human performance (3rded.). Human Kinetics: IL.
[19]  Stretcher, V., & Rosenstock I.M. (1997). The Health Belief Model.In Glanz K., Lewis F.M., &Rimer B.K., (Eds.). Health Behavior and Health Education: Theory, Research and Practice. San Francisco: Jossey-Bass.
[20]  El-Sayed MMA., & Abdel Megeid FY. Osteoporosis-Related Life Habits, Knowledge and Attitude among Group of Female Employees in King Saud University. World Applied Sciences Journal, 2013, 22 (7), 919-925.
[21]  Dange A. K., Premch P. and Cont J. (2016). Knowledge, attitude and practice of General Medical Practitioners and Nursing professionals regarding osteoporosis, J Cont Med A Dent, 4 (1), 45-49.
[22]  Hossien, Y.E., Tork, H. M. M., El-Sabeely, A. Ali (2014). Osteoporosis knowledge among female adolescents in Egypt, American Journal of Nursing Science 2014; 3(2): 13-17.
[23]  Bone Health and Osteoporosis (2004). A Report of the Surgeon General health
[24]  United State Department of Health and Human Services. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD (2004). U.S. Department of Health and Human Services, Office of the Surgeon General.
[25]  World Health Organization, (2012). WHO scientific group on the assessment of osteoporosis at primary health care level: summary meeting report. Available at: Osteoporosis.pdf, accessed on 12 November 2016.
[26]  Zhang R. F. and Chandran M. (2011). Knowledge of osteoporosis and its related risk factors among nursing professionals, Singapore Med J., 52(3):158-62.
[27]  Jeihooni A, Hidarnia A, Kaveh M, Hajizadeh E, and Askari A., (2015). Effects of an osteoporosis prevention program based on health belief model among females. Nurs Midwifery Stud; 4(3): e2673.