Vol.9, No.2, , (, 1996). 38%. 2,000 (Wilson et c., 1998), 2001),. 535 (, 1995). (Margaret, 1996)

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1 Vol.9, No.2, , :,,,, 1 ) 1 ) 2 ) 3 ) 3 ) 4 ) 4 ). 1., (, 2001). 40 8,998 38% (, 2001),..., (Margaret, 1996).,,,,, 5 (, 1996) %. 2,000 (Wilson et c., 1998), (, 1995).,.. 1) 2) 3) 4)

2 9 2.,,., D,,, (, 2001 ;,, 2001 ;, 200 1)., (, 1998).,,, (Bandura, 1986)..,,,,.,,,.. 2.,. 1). 2). 3). 3. 1) : (Kanis et c., 1994 ), CUBA Clinical Bone Sonomet er T score - 2.0, T scor e (Ost eopenia ), T scor e (Ost eoporosis). 2) :, (Pender & Pender, 1987), Walker (1987) Singler (1982) (1996),,,,,,, 7. 3) : (Bandur a, 1977) (Bandur a, 1986). Kim, Horan Gendler (199 1) ,

3 K ) K ,. 2) CUBA Clinical Bone Sonom et er.,. CUBA Clinical Bone Sonomet er BUA (Broadband Ultr asonic At t enuation :, db/ M H z) VO S (Velocit y of Ult rasonic:, m/ sec), BUA, VOS ( ). CUBA Clinical CUBA Clinical tr ansdu cer s ( ) (Gel). CUBA Clinical. Z score T scor e T score :, T scor e : (Ost eopenia ), T scor e : (Ost eoporosis). 3. 1),,,,,,,. 2) Chronbach Alpha = ). 2),,,,,. 3) t-t est.. 1. < 1> (59.1%), 50 (40.9%) (62.8%), 148 (31.8%), 25 (5.4%). 81.3%, 9 1.0%. 244 (52.5%),

4 (38.3%), 43 (9.5%) (26.4%) (42.5%), (19.1%), 56 (12.0%) (15.5%), (6.35%), (1.58%). 54 (11.6%). 2. CUBA Clinical Bone Sonomet er < 1>., ( :1.09). 57 (12%), 60 (13%) 25%. < 1> (N = ) ( ) (%) Mean±SD 46.69± ( ) < 1> BM D a cc o rd ing t o T s c o re < 2>, (t = 22.05, p = 0.000). < 2 > ( ) t p *** ,,,,, < 3>. 385 (82.8%), 29 1 (62.6%) 37.4 % (89.2%), 50 (10.8%)

5 (60.9%), 182 (39.1%), 446 (93.5%). 20% 80%. 171 (36.8%), 294 (63.2%). < 3 > ( N = ) ( ) (%) ( ) , < 4>.,,,. (t = 5.63, p =.018). (t = 6.65, p =.010). (t = 10.80, p =.001), (t = 10.23, p =.001). < 4 > t p * ** *** *** * p<.05 ** p<.01 *** p< ( : 1.09). 12.3%, 12.9% 25.2%.. T- scor e (2001) T- score

6 9 2.,,,,. 82.8% % % (, 2000),. (, 1994), 10.8%. 6.5%, 39.1% %. (1998) 26.6%, % (, 1995)., 20% 80% %, 63.2%. (, 2000), (, 1996 ; Sandler, 1985)., 1021 Gallup (Th e Gallu p Or ganizat ion, 1993) Laurie (1996) (1999) Laurie (1996), (1999). (1998).,, (,

7 ).,.,,, K CUBA Clinical Bone Sonomet er. SAS- P C Progr am (59.1%), 50 (40.9%) , ( :1.09). 57 (12%), 60 (13%) 25% %, 37.4 %, 36.8%, 6.5%, 39.1%, 80.0%, 10.8% , 3.4 3,, (t = 5.63, p =.018 ; t = 6.65, p =.010 ; t = 10.80, p =.001 ; t = 10.23, p =.001) Re f e re n c e s (1999).,.,. (1998).,.,. (1998).., 12 (1), , (200 1).,., 8 (2), (2000). (1996)..,, (2001).., 2 (1), (1996). :.,. (1998)

8 9 2., 5 (2), (200 1).,., 8 (1), (1995).., 35, (200 1).., 2 (1), (1994 ).., 26 (2), (200 1) (1995). Bandur a, A. (1986). Social foundat ion of t hou ght and action. New J er sey : Pr ent ice- Hall Inc, E nglewood cliffs. Bandur a, A. (1977). Self- efficacy : t owar d a u nifying t heory of behavioral ch ange. Psy chological Review, 84 (2), Kanis JA, and t he WHO group (1994 ). Assessment of fr acture risk and it s applicat ion t o scr eening for post menopausal ost eoporosis : Synopsis of a WHO r eport. Ost eopor osis Int 4, Kim. K., Horan, M. & Gendler. P. (1991). Refinem ent of t he Ost eoporosis Healt h Belief Scale. Sigm a Th et a Tau Int er national Resear ch Confer ence, Columbu s, Ohio. Laurie, A. S. (1996). Relationships of age, ost eoporosis knowledge, self- efficacy, and h ealt h beliefs in adult women. Unpublish ed m ast er ' s th esis, Clarkson College, USA. Margaret Chamberlain Wilmot h (1996). Th e Middle Years : Women Sexu alit y, and t he Self. JOGN N, 25 (7), Pender N. J. & Pender. A. R. (1987). Healt h prom otion in nursing pract ice. New York : A Century Creft. Sandler R. B. (1985). P ostmenopau sal bone densit y and milk consum pt ion in childh ood and adolescence. Am erican J ournal of Clinical Nut rition, 42, Th e Gallu p Organization (Conduct ed for weight Wat cher s and The American Diet et ic Associat ion (1993). Wom en' s Knowledge and Behavior Regarding Health and Fit ness. Princet on, NJ. Wilson J. D., F ost er D. W., Kr onenberg H. M., La r sen P. R. (19 98 ). Willia m s t ext book of E n docrinology. 9t h ed philadelphia, sau nders. - Ab s t ra ct - Key w o rds : BMD, Health pr omot ing beh avior, Self- efficacy, Women Bon e Min e r a l Den s it y, Hea lt h - p r om ot in g Beh a vior s, a n d Self- effic a cy in Mid d le- a ged Wom en Jeong, Geum Hee 1 ) Y ang, Soon Ok 1 ) Lee, Kw ang Ok 2 ) Py e, Ok Jung 3 ) Lee, Mira 3 ) Baik, Sung Hee 4 ) Kim, Kyu ng W on 4 ) To identify ost eoporosis and examine t he r elat ionship between h ealth beh avior and t he self- efficacy of middle- aged wom en, a descriptive survey was conduct ed. The subj ect s were 465 h ealt hy female resident s of Kyu nggido, Kor ea, wh o u nderwent ultr asound measur ement and a h ealt h examinat ion at th e Kangm eung- Ci Healt h Cent er bet ween J uly and August Th ey wer e 40 t o 60 years old, with a m ean age of year s. Th e su bj ect s com plet ed a self- 1) Associat ed Professor, Department of Nursing Science, Hallym University (Corresponding author : ghj ) 2) Professor, College of Nur sing Science, Ewh a Women s Universit y 3) Public Health Nurse, Kangmeung- Si Health Cent er 4) Graduat e Student, College of Nursing Science, Ewha Wom ens Univer sit y

9 report ed quest ionnair e t hat consist ed of seven it ems concer ning healt h beh avior and twelve it ems concerning self- efficacy relat ed t o ost eopor osis. Bone densit y was evalu at ed fr om ultr asound measurement s of t he right heel. All th e dat a wer e analyzed using th e progr am SAS- P C. Th e st udy fou nd t hat t he mean T score relat ed t o bone densit y was , and ranged from t o Based on th e T score, 74.8% of t he subj ect s were normal, 12.9% had ost eopenia, and 12.3% h ad ost eoporosis. The m ean ost eopor osis self- efficacy score was and r anged fr om 12 t o 60. Ost eoporosis self- efficacy differed significant ly with healt h beh avior r elat ed t o health supplement ary food (t = 5.63, p =.018), exer cise (t = 6.65, p =.010), alcohol drinking(t = 10.80, p =.001), and sm oking (t = 10.23, p =.00 1). A community-based health promotion progr am should be developed t o prevent ost eoporosis in middle- aged women

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