Determinants of Bone Mineral Screening Behavior among Three Ethno-Cultural Groups of Women in Israel

Offer E. Edelstein, Netta Achdut, Iris Vered and Orly Sarid
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Offer E. Edelstein: Spitzer Department of Social Work, Ben-Gurion University of the Negev, Be’er Sheva 8410501, Israel
Netta Achdut: Spitzer Department of Social Work, Ben-Gurion University of the Negev, Be’er Sheva 8410501, Israel
Iris Vered: Division of Endocrinology, Diabetes and Metabolism, The Chaim Sheba Medical Centre, Tel Hashomer, Ramat Gan 5262000, Israel
Orly Sarid: Spitzer Department of Social Work, Ben-Gurion University of the Negev, Be’er Sheva 8410501, Israel

IJERPH, 2020, vol. 17, issue 17, 1-17

Abstract: Bone mineral density (BMD) screening is one of the main means to detect and treat osteoporosis. Yet, the manner in which ethno-cultural background is associated with BMD health cognitions and screening behavior remains limited. Several ethno-cultural groups ( n = 100 in each group)—Israeli-born Jews, Israeli-born Bedouin-Muslims, and Jewish immigrants from the Former Soviet Union (FSU), mean age 70 (SD = 7.1)—participated in face-to-face interviews in a cross-sectional survey, using valid and reliable questionnaires on BMD screening behavior, knowledge about osteoporosis, and theory of planned behavior (TPB) components. FSU immigrants reported the lowest BMD screening behavior. The multivariate analysis showed that higher knowledge level, positive attitudes, supportive subjective norms, and greater intentions increase the probability of BMD screening behavior. The TPB attitude component had a more pronounced effect on the probability of undergoing BMD screening among Israeli-born Bedouin-Muslims compared to Israeli-born Jews. Our findings contribute to the TPB by deepening our understanding of the associations between TPB components and BMD screening behaviors, from an ethno-cultural perspective. To assure sufficient BMD screening behavior among all ethno-cultural groups, intervention programs—suited to address the unique characteristics of each ethno-cultural group—are required.

Keywords: BMD; ethno-cultural background; TPB; knowledge (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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