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갱년기 중년의 알코올과 정신건강의 연관성 : 젠더 차이를 중심으로

Association between alcohol and mental health in menopause and andropause middle-aged : Focusing on gender difference

  • 이경희 (을지대학교 의료경영학과) ;
  • 황지은 (단국대학교 공공.보건과학대학 보건행정학과)
  • Kyunghee Lee (Department of Healthcare Management, Eulji University) ;
  • Jieun Hwang (Department of Health Administration, College of Health and Welfare, Dankook University)
  • 투고 : 2023.07.15
  • 심사 : 2023.08.03
  • 발행 : 2023.08.31

초록

Objectives: The purpose of this study was to provide baseline data for management policies by exploring the association between alcohol and mental health in menopause and andropause middle-aged Methods: This study used the data from from the 8th National Health and Nutrition Examination Survey (2019-2021). Adults between the ages of 40 and 64 were considered menopause and andropause middle-aged and 7,704 of the total number of 8,549 subjects were selected as the final study subjects without missing data. Mental health was defined as depression diagnosis and suicidal thoughts, and drinking was defined as current drinking and high-risk drinking. SAS 9.4 was used for all statistical analyses. Results: There were significant differences between menopause middle-aged men and women in current drinking (83.4% for men and 66.6% for women) and in high-risk drinking (24.2% for men and 4.9% for women). The significant factors affecting the depression diagnosis were identified as economic activity, income level, and subjective health status for men and economic activity, income level, subjective health status, and smoking for women (p < .05). The significant factors affecting suicidal ideation included economic activity, income level, and subjective health status for men and economic activity, high-risk drinking, current smoking, and subjective health status for women (p < .05). Conclusion: As a result of analyzing the association between alcohol and mental health in menopause and andropause middle-aged adults, Drinking alcohol and high-risk drinking in women were associated with mental health, but insignificantly in men. Based on this study, it is necessary to program development and health education for the physical and mental health of menopausal middle-aged women exposed to alcohol, and to develop menopausal mental health management policies that take into account the gender differences.

키워드

과제정보

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. RS-2022-00165715)

참고문헌

  1. 권미영, 김지인. (2023). 의사결정나무분석을 이용한 성인의 알코올사용장애 위험요인. 한국학교지역보건교육학회지, 24(1), 47-59. 
  2. 권영은. (2022). 갱년기 증상을 경험하는 중년 남성의 삶의 질 영향요인. 한국산학기술학회논문지, 23(2), 146-154. 
  3. 김보라, 성경미. (2021). 기혼 중년 남성의 갱년기 증상이 자살 사고에 미치는 영향에서 주관적 행복감의 매개효과. Journal of Digital Convergence, 19(4). 
  4. 김수진, 김세영. (2013). 중년여성의 부부친밀감, 우울과 갱년기 증상의 관계. 여성건강간호학회지, 19(3). 
  5. 김은영, 장미영, & 정은영. (2014). 직장남성의 주관적인 건강상태, 갱년기 증후군, 대응행위가 중년위기감에 미치는 영향. 스트레스硏究, 22(2), 77-86. 
  6. 김지희. (2020). 중년여성의 갱년기 증상 수준에 따른 자기조절 능력의 차이 분석. 뇌교육연구, 25, 83-102. 
  7. 빈성오. (2020). 한국 성인들의 흡연유형과 정신건강과의 관계. 한국학교지역보건교육학회지, 21(1), 1-14. 
  8. 손정남. (2018). 중년여성의 우울에 영향을 미치는 요인: 갱년기 삶의 질을 중심으로. 한국보건정보통계학회지, 42(2), 148-157. 
  9. 이슬기. (2022). 우울과 문제음주의 관계에서 성별의 조절효과: 남성우울 프레임워크의 부분적 검정. 사회과학연구, 61(3), 321-343. 
  10. 인구총조사.(2020). Retrived from dhttp://kostat.go.kr. 
  11. 임지혜. (2014). 노인의 우울증세와 만성질환과의 관련성. 디지털융복합연구, 12(6), 481-490. 
  12. 채현주. (2020). 중년 여성의 수면시간과 우울 및 자살생각의 관계. Journal of Digital Convergence, 18(4). 
  13. 서울아산병원. (2023). 폐경기 및 여성의 갱년기 상태. 서울아산병원 의료건강정보. 
  14. Ahuja, M. (2016). Age of menopause and determinants of menopause age: A PAN India survey by IMS. Journal of mid-life health, 7(3), 126. 
  15. Bosworth, H. B., Bastian, L. A., Kuchibhatla, M. N., Steffens, D. C., McBride, C. M., Skinner, C. S., Rimer, B. K., Siegler, I. C. (2001). Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife. Psychosomatic Medicine, 63(4), 603-608.  https://doi.org/10.1097/00006842-200107000-00013
  16. Chang, H. K., & Cha, B. K. (2003). Influencing factors of climacteric women's depression. Journal of Korean Academy of Nursing, 33(7), 972-980. 
  17. Cho, Y. J., Lee, G. H. (2016). Relationship between Exercise Frequency and Stress in Korean Postmenopausal Women. STRESS, 24(3), 161-166.  https://doi.org/10.17547/kjsr.2016.24.3.161
  18. Doshi, S. B., Agarwal, A. (2013). The role of oxidative stress in menopause. Journal of mid-life health, 4(3), 140. 
  19. Gill, J. (2000). The effects of moderate alcohol consumption on female hormone levels and reproductive function. Alcohol and Alcoholism, 35(5), 417-423.  https://doi.org/10.1093/alcalc/35.5.417
  20. Hakimi, S., Ghasemi, L., Mirghafourvand, M., Hassanzadeh, K., Ghasemi, F. (2019). The prevalence of andropause symptoms and the role of social determinants of health on its severity in healthy men: A community-based study in Northwest Iran. Crescent Journal of Medical and Biological Sciences, 6(3), 341-345. 
  21. Kim, J.-S., Choe, J.-P., Park, J.-H., Yoo, E., Lee, J.-M. (2021). The comparison of physical activity, sedentary behavior, and mental health between early menopausal women and age-matched General middle-aged women. International Journal of Environmental Research and Public Health, 18(14), 7256. 
  22. Kwon, M.-H., Oh, J.-H. (2020). Subjective Health Status, Job Stress and Andropause Symptoms among Middle-aged Male who Work. Journal of The Korea Society of Computer and Information, 25(9), 109-116.
  23. Milic, J., Glisic, M., Voortman, T., Borba, L. P., Asllanaj, E., Rojas, L. Z., Troup, J., Kiefte-de Jong, J. C., van Beeck, E., Muka, T. (2018). Menopause, ageing, and alcohol use disorders in women. Maturitas, 111, 100-109.  https://doi.org/10.1016/j.maturitas.2018.03.006
  24. Muti, P., Trevisan, M., Micheli, A., Krogh, V., Bolelli, G., Sciajno, R., Schunemann, H. J., Berrino, F. (1998). Alcohol consumption and total estradiol in premenopausal women. Cancer epidemiology, biomarkers & prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 7(3), 189-193. 
  25. Peltier, M. R., Verplaetse, T. L., Roberts, W., Moore, K., Burke, C., Marotta, P. L., ... & McKee, S. A. (2020). Changes in excessive alcohol use among older women across the menopausal transition: a longitudinal analysis of the Study of Women's Health Across the Nation. Biology of sex Differences, 11, 1-7. 
  26. Pimenta, F., Leal, I., Maroco, J., Ramos, C. (2012). Menopausal symptoms: do life events predict severity of symptoms in peri-and post-menopause? Maturitas, 72(4), 324-331.  https://doi.org/10.1016/j.maturitas.2012.04.006
  27. Rezaei, N., Azadi, A., Pakzad, R. (2020). Prevalence of andropause among Iranian men and its relationship with quality of life. The Aging Male, 23(5), 369-376.  https://doi.org/10.1080/13685538.2018.1490951
  28. Saalu, L., Osinubi, A. (2022). Andropause (male menopause): valid concepts, fables and controversies. University of Lagos Journal of Basic Medical Sciences, 1(1). 
  29. Shuster, L. T., Rhodes, D. J., Gostout, B. S., Grossardt, B. R., Rocca, W. A. (2010). Premature menopause or early menopause: long-term health consequences. Maturitas, 65(2), 161-166.  https://doi.org/10.1016/j.maturitas.2009.08.003