Abstract: Objective · To investigate the correlation between knowledge, self-efficacy and prevention management behaviour of osteoporosis among middle-aged and elderly community residents in Shanghai, based on the knowledge, attitude, and practice (KAP) theory. Methods ·using convenient sampling, a cross-sectional study was conducted to obtain information of 2 058 residents 20 communities in Shanghai, concerning socio-demographics, osteoporosis knowledge scale, osteoporosis self-efficacy scale and osteoporosis prevention management behaviour scale questionnaires. The structural equation model was applied to correlation analysis and path analysis. Results · A total of 2 001 valid questionnaires were collected, the average age being (62.12±12.08) years; female osteoporosis prevention self-management behaviour (17.25±5.35) was shown to be better mens (t3.78, PF26.93, Pt3.89, PF8.66, Pβ0.27, 95% CI 0.22-0.32; β1.01, 95% CI 0.92-1.11). Path analysis showed that relevant knowledge (β0.169, Pβ0.410, PConclusion · Male, low education, no family history of osteoporosis and low income are the risk factors for the decrease of osteoporosis prevention and management behaviour.

Key words: knowledge, attitude, and practice (KAP), osteoporosis, knowledge, self-efficacy, behaviour