Browse > Article
http://dx.doi.org/10.5392/IJoC.2017.13.3.065

Factors Affecting Health Related Quality of Life in Korean Perimenopausal Women Using Hierarchical Regression Analysis  

Jeong, Ae-Suk (Nursing Department Cheongju University)
Publication Information
Abstract
Women's menopause is a natural process that every woman must eventually experience, but changes in hormones before and after menopause can serve to produce life-threatening crises in some situations, with individual differences. Data for the study was elicited from 22,610 Korean women ranging in age from 45 to 55 years in the 2013 Korean Community Health Survey. Statistical analyses was performed using descriptive, t-test, ANOVA, and hierarchical regression analysis using SPSS IBM 20.0 version. Individual characteristics, lifestyle, history of chronic disease(s), psychological and environmental factors were included as independent and EQ5D weights of Koreans were used as dependent variables. The survey subjects consisted of a total 15,505(58.3%) in their 50s, 1,765 (66.5%) in middle and high school dropouts or graduates, 22,174 (83.3%) living in spouses and 10,534(39.6%) in wages. There was a significant difference in HRQOL among all independent variables except drinking and residential areas. Hierarchical regression analysis showed that age, smoking, obesity and other incidental disease factors (fall, angina, asthma, arthritis, osteoporosis, stroke) had a negative effect on HRQOL. The selected independent variables accounted for 22.7% of HRQOL. It is necessary to find a way to improve HRQOL of Korean perimenopausal women, focusing on the significant variables revealed by the study results.
Keywords
Community Health Survey; Health-related Quality of Life; Perimenopausal Women; EQ5D;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 G. S. Lim, "Recognition of Local Residents on Quality and Its Influencing Factors - Focused on the Cities and Counties in Gangwon Province," Journal of Public Administration Research and Theory, vol. 10, no. 1, 2012, pp. 47-89.
2 M. Kim, D. H, Kim, J. S. Kim, K. Y. Park, and N. H. Park, "Health-Related Quality of Life among Women Caregivers of Older Adults with Dementia," Korean Journal of Adult Nursing, vol. 19, no. 1, 2007, pp. 24-34.
3 Y. Bae, "Social Network Types and Quality of Life of the Elderly with Dementia," Journal of the Korea Academia-Industrial cooperation Society, vol. 13, no. 11, 2012, pp. 5218-5228.   DOI
4 G. Neal-Perry, E. Nejat, and C. Dicken, "The neuroendocrine physiology of female reproductive aging: an update," Maturitas, vol. 67, no. 1, 2010, pp. 34-38.   DOI
5 Menopause and Postmenopause Working Group, Spanish Society of Gynecology and Obstetrics, Spanish Association for the Study of Menopause, Spanish Society of Family and Community Medicine, and Iberoamerican Cochrane Centre, Clinical Practice Guideline of Menopause and Postmenopause, Barcelona, 2004.
6 Y. F. Zollner, C. Acquadro, and M. Schaefer, "Literature review of instruments to assess health related quality of life during and after the menopause," Qual Life Res, vol. 14, no. 2, 2005, pp. 309-327.   DOI
7 O. Lee, J. K. Kim, H. Lee, and Y. W. Cho, "A Study on the Nutrient Intake Patterns, Quality of Eating and Quality of Life according to the Intake Patterns of Food Groups in Postmenopausal Women with Moderate Menopausal Symptoms," Korean Society of Community Nutrition, vol. 17, no. 1, 2012, pp. 69-80.   DOI
8 C. Rigg, "Common problems of the menopause," InnovAiT: The RCGP Journal for Associates in Training, vol. 5, no. 9, 2012, pp. 541-546.   DOI
9 Y. Huang, K. E. Malone, K. L. Cushing-Haugen, J. R. Daling, and C. I. Li, "Relationship between menopausal symptoms and risk of postmenopausal breast cancer," Cancer Epidemiol Biomarkers Prev, vol. 20, no. 2, 2011, pp. 379-388.   DOI
10 B. Ayers and M. S. Hunter, "Health-related quality of life of women with menopausal hot flushes and night sweats," Climacteric, vol. 16, no. 2, 2013, pp. 235-239.   DOI
11 AHA Scientific Statement, "Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association Nutrition Committee," Circulation, vol. 114, 2006, pp. 2-96.   DOI
12 J. Kim, Effects of Yoga on Menopausal Symptoms and Quality of Life in Middle-Aged Women, Master's Thesis, Chonnam National University, 2005.
13 North American Menopause Society, "The role of calcium in peri- and postmenopausal women," 2006 position statement of the North American Menopause Society, Menopause, vol. 13, 2006, pp. 862-877.   DOI
14 K. L. Tucker, K. Morita, N. Qiao, M. T. Hannan, and L. A. Cupples, "Colas, but not other carbonated beverages, are associated with low bone mineral density in older women: The Framingham Osteoporosis Study," Am J Clin Nutr, vol. 84, 2006, pp. 936-942.   DOI
15 W. M. Kohrt, S. A. Bloomfield, K. D. Little, M. E. Nelson, and V. R. Yingling, "American College of Sports Medicine Position Stand: physical activity and bone health," Med Sci Sports Exerc, vol. 36, 2004, pp. 1985-1996.   DOI
16 H. Chung, L. Kwak, and Y. Baek, "Effects of Aquarix Exercise on Quality of Life and Depression, Physical Fitness and Serum Lipids in Climacteric Women," Research in Women's Studies, vol. 21, no. 2, 2011, pp. 237-261.
17 H. Kim, "The Effects of Sport Dance Program on Depression, Quality of Life, and Flexibility in Climacteric Women," Korean Journal of Maternal and Child Health, vol. 7, no. 2, 2003, pp. 243-259.
18 R. Song, S. Ahn, H. So, I. Park, and H. Kim, "Effects of Tai Chi Exercise on Cardiovascular Risk Factors and Quality of Life in Post-menopausal Women," Journal of Korean Nursing, vol. 39, no. 1, 2009, pp. 136-144.   DOI
19 R. M. Seong, "Effects of bicycle exercise on the quality of life of postmenopausal women," Korean Journal of Developmental Development, vol. 17, no. 4, 2009, pp. 281-286.
20 I. Umit, D. Hulya, O. Ferda, C. Ayden, and N. Sevgi, "Factors Affecting the Quality of Life in Climacteric Women in Manisa Region," Balkan Medical Journal, vol. 27, no. 2, 2010, pp. 111-116.
21 G. H. Chitra, N. S. Kubera, and M. Pranathi, "Quality of life after menopause: Effects of hormone replacement therapy, vitamin E and sudarhana kriya yoga practice: A comparative study," Biomedical Research, vol. 25, no. 2, 2014, pp. 240-242.
22 L. Kuo, H. Liu, T. Xun, W. Jinwei, and L. Na, "Relationship between menopause and health-related quality of life in middle-aged Chinese women: a cross-sectional study," BMC Women's Health, vol. 14, no. 7, 2014.
23 M. Evans, H. H. Jensen, M. Bogelund, J. Gundgaard, and B. Chubb, "Flexible Dosing Improves Health_Related Quality of Life(HRQOL): A Time Trade-off Survey," Journal of Medical Economics, vol. 16, no. 11, 2013, pp. 1357-1365.   DOI
24 J. M. Moilanen, A. M. Aalto, J. Raitanen, E. Hemminki, A. R. Aro, and R. Luoto, "Physical activity and change in quality of life during menopause- an 8-year follow-up study," Health and Quality of Life Outcomes, vol. 10, 2012, pp. 1-8.   DOI
25 O. M. Kim and Y. S. Lee, "Menopausal symptoms and quality of life of menopausal women according to hormone replacement therapy," Journal of Women's Health Nursing, vol. 7, no. 4, 2001, pp. 642-656.
26 E. D. Staren and S. Omer, "Hormone replacement therapy in postmenopausal women," The American Journal of Surgery, vol. 188, 2004, pp. 136-149.   DOI
27 P. W. Michelle and S. Halpert, "Hormone Replacement Therapy; controversies Pros and Cons," Best Practice & Research Clinical Endocrinology & Metabolism, vol. 18, no. 3, 2004, pp. 317-332.   DOI
28 A. R. Genazzani and M. Gambacciani, "Hormone replacement therapy: the perspectives for the 21st century," Maturitas, vol. 32, 1999, pp. 11-17.   DOI
29 B. Ottesen and A.T. Pedersen, "Physiological effects of ovarian hormones: clinical aspects and compliance," Eur Heart J, vol. 17, 1996, pp. 20-26.
30 R. A. Lobo and L. Speroff, "International consensus conference on postmenopausal hormone therapy and the cardiovascular system," Fertil Steril, vol. 61, 1994. pp. 592-595.   DOI
31 The Writing Group for the PEPI Trial, "Effects of estrogen or estrogen/progestin regimens on heart disease risk factors in postmenopausal women," J Am Med Assoc, vol. 273, 1995, pp. 199-208.   DOI
32 A. Cagnacci, R. Soldani, and P. L. Carriero, "Effects of low doses of transdermal 17 beta-estradiol on carbohydrate metabolism in postmenopausal women," J Clin Endocrinol Metab, vol. 74, 1992, pp. 1396-1400.
33 T. L. Bush and E. Barrett-Connor, "Noncontraceptive estrogen use and cardiovascular disease," Epidemiol Rev, vol. 7, 1985, pp. 80-104.   DOI
34 J. N. Lai, H. J. Chen, P. C, Chen, and J. D. Wang, "Quality of life and climacteric complaints amongst women seeking medical advice in Taiwan: assessment using the WHOQOL-BREF questionnaire," CLIMACTERIC, vol. 9, 2006, pp. 119-128.   DOI
35 S. Jang, "The Relationship Between Structural and Functional Aspects and Subjective Quality of Life in the Elderly Social Network - Focusing on the Elderly and Sexual Comparison of the Elderly," Social Science Research, vol. 26, no. 1, 2010, pp. 75-100.
36 H. Lee, Y. Yang, M. Kum, and Y. Eun, Introduction to nursing research, Hyunmosa, 2014.
37 Y. K. Lee, H. S. Nam, L. H. Cheong, and K. Y. Kim, "South Korean Time Trade-off Values for EQ-5D Health States; Modeling with Observed Values for 101 Health States," Value of Health, vol. 12, no. 8, 2009, pp. 1187-1193.   DOI
38 H. Wang, D. A. Kindig, and J. Mullahy, "Variation in Chinese population health related quality of life: results from a EuroQol study in Beijing, China," Qual Life Res, vol. 14, no. 1, 2005, pp. 119-132.   DOI
39 R. Rabin and F. Charro, "EQ-5D: A measure of health status from the EuroQol Group," Ann Med, vol. 33, no. 5, 2001, pp. 337-343.   DOI
40 H. M. Wang, D. L. Patrick, T. C. Edwards, A. M. Skalicky, H. Y. Zeng, and W. W. Gu, "Validation of the EQ-5D in a general population sample in urban China," Qual Life Res, vol. 21, no. 1, 2012, pp. 155-160.   DOI
41 G. R. Barton, T. H. Sach, M. Doherty, A. J. Avery, C. Jenkinson, and K. R. Muir, "An assessment of the discriminative ability of the EQ-5D index, SF-6D, and EQ VAS, using sociodemographic factors and clinical conditions," Eur J Health Econ, vol. 9, no. 33, 2008, pp. 237-249.   DOI
42 J. Whiteley, J. S. Wagner, A. Bushmakin, L. Kopenhafer, and M. Dibonaventura, "Impact of the severity of vasomotor symptoms on health status, resource use, and productivity," Menopause, vol. 20, no. 5, 2013, pp. 518-524.
43 Korea Center for Disease Control and Prevention, 2013 Guideline for Use of Raw Material for Regional Health Survey, 2015.
44 Wikipedia, http://wikipedia.org. Accessed 25 Jun. 2015.
45 Y. H. Chung, "Health-related quality of life of Korean adults with Korean medical panel," Health and Welfare Forum, 2011, pp. 6-14.
46 J. Forugh, K. Farahbakhsh, A. Shafiabadi, and A. Delavar, "Quality of life and menopause: Developing a theoretical model based on meaning in life, self-efficacy beliefs, and body image," Aging & Mental Health, vol. 15, no. 5, 2011, pp. 630-637.   DOI
47 D. Jacqueline, K. T. Kloss, and G. Kelly, "Psychological Factors Associated With Sleep Disturbance Among Perimenopausal Women," BEHAVIORAL SLEEP MEDICINE, vol. 2, no. 4, 2004, pp. 177-190.   DOI
48 H. Lee, "Factors influencing health-related quality of life in elderly people: general characteristics, lifestyle, mental health, chronic diseases, nutritional status," Korean Journal of Community Nutrition, vol. 19, no. 5, 2014, pp. 479-489.   DOI
49 P. Llaneza, M. P. Garcia-Portilla, D. Llaneza-Suarez, B. Armott, and F. R. Perez-Lopez, "Depressive disorders and the menopause transition," Maturitas, vol. 71, no. 2, 2012, pp. 120-130.   DOI
50 S. Li, S. Ho, A. Sham, and S. Li, "Relationship between menopause status, attitude toward menopause, and quality of life in Chinese midlife women in Hong Kong," Menopause, vol. 23, no. 1, 2016, pp. 67-73.   DOI
51 H. C. Wu, J. N Lai, and J. C. Hwang, "Quality of life and sleep quality amongst climacteric women seeking medical advice in Northern Twaian," Sleep Medicine, vol. 13, 2012, pp. 906-912.   DOI
52 N. Bahri, N. Yoshany, M. A. Morowatisharifabad, and A. D. Noghabi, "The effects of menopausal health training for spouses on women's quality of life during menopause transitional period," MENOPAUSE, vol. 23, no. 2, 2016, pp. 183-188.   DOI
53 E. O. Yanikkerem, S. A. Koltan, G. Tamay, and S. Dikayak, "Relationship between women's attitude towards menopause and quality of life," CLIMACTERIC, vol. 15, 2012, pp. 552-562.   DOI