DOI QR코드

DOI QR Code

Factors associated with health-related quality of life in Postmenopause over 10 Years Women Using National Health and Nutrition Examination Survey

국민건강영양조사를 활용한 폐경 여성의 삶의 질에 영향을 미치는 요인 ; 폐경 10년 이후 여성을 중심으로

  • Jung, Sun-Kyung (Nursing Administration, Chungnam National University Sejong Hospital) ;
  • Park, Keum-Ok (Department of Nursing, The College of Health and Welfare, Woosong University) ;
  • Lee, Yoon-Hee (Department of Nursing Science, Woosong College)
  • Received : 2022.01.19
  • Accepted : 2022.04.20
  • Published : 2022.04.28

Abstract

This study was conducted to identify the factors affecting the quality of life of women over 10 years after menopause using data from 2014 to 2019 of the National Health and Nutrition Examination Survey. The subjects were 6,330. The data were analyzed by frequency analysis, t-test and multiple regression analysis using SPSS 25. As a result of the study, the factors affecting the health-related quality of life of women 10 years after menopause were age(F=30.625, p<.001), educational level(F=20.106, p<.001), perceived health status(F=187.925, p<.001, activity limitation(t=201.051, p<.001), arthritis(t=91.131, p<.001), osteoporosis(t=4.709, p=.030), hand grip strength(t=22.151, p<.001), perceived stress(F=32.775, p<.001), and depression(t=20.117, p<.001). The factors accounted for 35.1%(F=110.393, p<.001). In order to improve the quality of life of postmenopausal women, it is necessary to continuously evaluate and improve the factors affecting the quality of life from the early menopause.

본 연구는 국민건강영양조사의 2014년도부터 2019년까지의 자료를 이용하여 페경 후 10년 이상 된 여성의 삶의 질에 영향을 미치는 요인을 확인하기 위한 복합표본 2차 분석연구이다. 연구대상자는 6,330명, 자료는 SPSS 25.0 프로그램으로 복합표본 빈도분석, t-test, ANOVA, 회귀분석을 실시하였다. 연구 결과, 폐경 이후 10년이 지난 여성의 건강 관련 삶의 질에 영향을 미치는 요인은 연령(F=30.625, p<.001), 교육수준(F=20.106, p<.001), 주관적 건강상태(F=187.925, p<.001, 활동제한(t=201.051, p<.001), 관절염(t=91.131, p<.001), 골다공증(t=4.709, p=.030), 악력 저하(t=22.151, p<.001), 스트레스 인지(F=32.775, p<.001), 우울증(t=20.117, p<.001)이었고 그 설명력은 35.1%이었다(F=110.393, p<.001). 폐경 이후 여성의 삶의 질을 향상시키기 위해서는 폐경 초기부터 관련요인들에 대한 지속적인 평가와 삶의 질 향상을 위한 노력이 필요할 것으로 사료된다.

Keywords

References

  1. Y. J. Kim, A. Cho, Y. S. Chang, J. H. Cho & S. H. Rhu. (2017). Prospective Observational Study on the Risk Factors for Chronic Disease in Menopausal Transition Women. Public Health Weekly Report, 10(3), 814-820.
  2. KOSIS(Korwan Statistical Information Service). (2021). 2020 Social IndicatiorsIn Korea. [Online]. https://kosis.kr/publication/publicationWord.do
  3. National Health Information Portal. (2021). Menopause. National Health Information Portal Medical Information 2021 [Online]. from: https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoView.do?cntnts_sn=421
  4. Asan Medical Center. (2021). Menopause. [Online]. http://www.amc.seoul.kr/asan/healthinfo/disease/diseaseDetail.do?contentId=31937
  5. E. A. Cho & K. W. Sung. (2019). Comparative Study on Depressive Symptoms, Marital Intimacy and Health-related Quality of Life according to the Severity of Menopausal Symptoms. Global Health and Nursing, 9(1), 1-9. DOI : 10.35144/ghn.2019.9.1.1
  6. The WHOQOL Group. (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41(10), 1403-1409. DOI : 10.1016/0277-9536(95)00112-k
  7. S. M. Moon. (2017). Gender Differences in the Impact of Socioeconomic, Health-related, and Health Behavioral Factors on the Health-related Quality of Life of the Korean elderly. Journal of Digital Convergence, 15(6), 259-271. DOI : 10.14400/JDC.2017.15.6.259
  8. E. H. Jo, S. J. Lee & Y. J. Kim. (2021). Factors Influencing the Quality of Life by Gender in Korean Youth(19-34 Years Old) - Using Data from the 7th Korea National Health and Nutrition Examination Survey (2016-2017). The Korean Journal of Health Service Management, 15(3), 117-128. DOI : 10.12811/kshsm.2021.15.3.117
  9. H. J. Yoo. (2021). Factors Influencing on Quality of Life in Korean Women with Breast Cancer and Cervical Cancer Using The 7th KNHANES. Journal of the Korea Convergence Society, 12(5), 365-372. DOI :10.15207/JKCS.2021.12.5.365
  10. J. E. Kwon. (2021). The Relationship of Osteoporosis and Period of Breast feeding in Premenopausal Women: : The 7th Korea National Health and Nutrition Examination Survey (7th KNHANES, 2016-2018). Master dissertation, Kemuung university, Deagu.
  11. S. M. Yang & J. S. Choi. (2021). Impact of Social Activities on Healthy Life Expectancy in Korean Older Adults: 13-Year Survival Analysis Focusing on Gender Comparison. The Korean Genotology Society, 41(4), 547-566. DOI : 10.31888/JKGS.2021.41.4.547
  12. A. S. Kim & H. J. Bea. (2021). Impact of Body Mass Index, Depression and Physical Activity on the Health Related Quality of Life according to the Level of Stress in the Middle-aged Women by Based on the Korea National Health and Nutrition Examination Survey(KNHANES VII). Journal of the Korea Academia-Industrial cooperation Society, 22(8), 566-575. DOI : 10.5762/KAIS.2021.22.8.566
  13. J. S. Lee. (2021). Factors related to Quality of Life among Older Women in South Korea: The Impact of Residential Areas. Journal of Korean Gerontological Nursing, 23(3), 285-296. DOI : 10.17079/jkgn.2021.23.3.285
  14. S. Basu, R. Pangtey, B. Banerjee & S. Kumar. (2021). Quality of Life Scale among Perimenopausal and Postmenopausal Women in a Rural Area of Delhi: A facility-based study. Journal of Public Health and Primary Care, 2(2), 46. https://doi.org/10.4103/jphpc.jphpc_28_20
  15. P. Thapa & P. Thebe. (2021). Quality of Life of Postmenopausal Women in Rural Area, Nepal. Post Reproductive Health, 27(3), 151-157. DOI : 10.1177/20533691211014741
  16. S. K. Sun, H. Y. Song, J. S. Kim, Y. K. Min, H. J. Oh & J. K. Lee. (2006). Decisional Conflict about Hormone Replacement Therapy in Postmenopausal Women and Its Related Factors. Journal of the Korean Academy of Family Medicine, 27(8), 629-636.
  17. L. F. S. de Oliveira, R. L. Wanderley, M. M. D. de Medeiros, O. M. C. de Figueredo, M. A. Pinheiro, R. C. M. R. Garcia & Y. W. Cavalcanti. (2021). Health-related Quality of Life of Institutionalized Older Adults: Influence of Physical, Nutritional and Self-perceived Health Status. Archives of Gerontology and Geriatrics, 92, 104278. DOI : 10.1016/j.archger.2020.104278
  18. B. Burstrom & P. Fredlund. (2001). Self Rated Health: Is It as Good a Predictor of Subsequent Mortality among Adults in Lower as Well as in Higher Social Classes?. Journal of Epidemiology and Community Health, 55(11), 836-840. DOI : 10.1136/jech.55.11.836
  19. E. S. Jung, S. H. Park, H. S. Kim, D, Jung & J. S. Lee. (2021). A Study on the Effect of Rheumatoid Arthritis and Life Behavior on Quality of Life in the Elderly People over 60 years old: Findings from the Korea National Health and Nutrition Survey(2015-2019). Journal of the Korea Academia-Industrial cooperation Society, 22(9), 56-64. DOI : 10.5762/KAIS.2021.22.9.56
  20. Y. J. Jung, Y. A. Kim & Y. C. Kwon. (2021). A Study on the Effect of Osteoporosis Knowledge, Osteoporosis Preventive Behaviors and Self-Efficacy of Middle Aged Women on Health-Related Quality of Life. The Journal of the Convergence on Culture Technology, 7(2), 107-116. DOI : 10.17703/JCCT.2021.7.2.107
  21. H. N Lee. (2021). Factors Influencing Health related Quality of Life in Older Women with Low Muscle Strength in Korea: The Convergence Study Using 7th KNHANES. Journal of the Korea Convergence Society, 12(1), 317-326. DOI : 10.15207/JKCS.2021.12.1.317
  22. F. S. Hussenoeder, D. Jentzsch, H. Matschinger, A. Hinz, R. Kilian, S. G. Riedel-Heller & I. Conrad. (2021). Depression and Quality of Life in Old Age: A closer look. European Journal of Ageing, 18, 75-83. https://doi.org/10.1007/s10433-020-00573-8