Browse > Article
http://dx.doi.org/10.4069/kjwhn.2022.05.24

Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model  

Kim, Eun Jin (College of Nursing, Jeonbuk National University)
Nho, Ju-Hee (College of Nursing, Jeonbuk National University)
Publication Information
Women's Health Nursing / v.28, no.2, 2022 , pp. 123-133 More about this Journal
Abstract
Purpose: This study investigated the trajectory of subjective health status in married postmenopausal women and aimed to identify predictive factors affecting subjective health status. Methods: Data were obtained from women who participated in wave 4 (2012) of the Korean Longitudinal Survey of Women & Families Longitudinal Study and continued to the latest phase (wave 7, 2018). A latent growth model (LGM) was used to analyze data from 1,719 married postmenopausal women in the framework of the ecological system theory. Results: The mean age of the participants at wave 4 was 56.39±4.71 years, and the average subjective health status was around the midpoint (3.19±0.84). LGM analysis confirmed that subjective health status decreased over time (initial B=3.21, slope B=-0.03). The factors affecting initial subjective health were age, body mass index, frequency of vigorous physical activity (microsystem level), marital satisfaction (mesosystem level), and medical service utilization (macrosystem level). Medical service utilization and the frequency of vigorous physical activity were identified as predictive factors affecting the slope in subjective health status. The model fit was satisfactory (TLI=.92, CFI=.95, and RMSEA=.04). Conclusion: This analysis of the trajectory of subjective health status of married postmenopausal women over time confirmed that subjective health is influenced by overall ecological system factors, including the microsystem, mesosystem, exosystem, macrosystem, and chronosystem. Therefore, it is necessary to assess physical activity and support policies promoting access to medical services in order to improve the subjective health status of married postmenopausal women.
Keywords
Health status; Longitudinal studies; Postmenopause; Women;
Citations & Related Records
Times Cited By KSCI : 10  (Citation Analysis)
연도 인용수 순위
1 Pfefferbaum RL, Jacobs AK, Noffsinger MA, Pfefferbaum B, Sherrieb K, Norris FH. The burden of disaster: part II. applying interventions across the child's social ecology. Int J Emerg Ment Health. 2012;14(3):175-187.
2 Mathew DJ, Kumar S, Jain PK, Srivastava DK, Singh V, Krishnappa K. Morbidity patterns among menopausal women in rural Uttar Pradesh, India: A Cross-Sectional Study. J Menopausal Med. 2021;27(1):24-31. https://doi.org/10.6118/jmm.19022   DOI
3 Idiana HI, Nik Hazlina NH, Zaharah S, Azidah AK, Mohd Zarawi MN. Developing and validating the Menopausal Spousal Support Questionnaire (MSSQ) for menopausal women. Maturitas. 2022;158:1-9. https://doi.org/10.1016/j.maturitas.2021.10.005   DOI
4 Yazdkhasti M, Simbar M, Abdi F. Empowerment and coping strategies in menopause women: a review. Iran Red Crescent Med J. 2015;17(3):e18944. https://doi.org/10.5812/ircmj.18944   DOI
5 Kim E, Kim H, Yoon JY. Trajectories of self-rated health among one-person households: a latent class growth analysis. J Korean Acad Community Health Nurs. 2019;30(4):449-459. https://doi.org/10.12799/jkachn.2019.30.4.449   DOI
6 Silva VH, Rocha JS, Caldeira AP. Factors associated with negative self-rated health in menopausal women. Cien Saude Colet. 2018;23(5):1611-1620. https://doi.org/10.1590/1413-81232018235.17112016   DOI
7 Yang HM, Choo J. Socioeconomic inequalities in self-rated health: role of work-to-family conflict in married Korean working women. Women Health. 2019;59(8):921-936. https://doi.org/10.1080/03630242.2019.1567648   DOI
8 Lee GR, Choi HK. Factors influencing happiness among pregnant women in the ecological systems theory. J Korean Acad Community Health Nurs. 2019;30(1):11-24. https://doi.org/10.12799/jkachn.2019.30.1.11   DOI
9 Cooper J. Examining factors that influence a woman's search for information about menopause using the socio-ecological model of health promotion. Maturitas. 2018;116:73-78. https://doi.org/10.1016/j.maturitas.2018.07.013   DOI
10 Hellgren MI, Kitsche E, Groot-Zevert M, Lindblad U, Daka B. Association between body mass index and self-rated health: a Swedish population-based longitudinal study. Scand J Public Health. 2021;49(4):369-376. https://doi.org/10.1177/1403494819875012   DOI
11 Choi HG, Kim HJ. Comparison of health-related habits and metabolic syndrome risk factors according to obesity type in Korean postmenopausal women. Menopause. 2020;27(9):1022-1029. https://doi.org/10.1097/GME.0000000000001569   DOI
12 Bae GI. An ecosystematic approach to childbirth of married women: comparison between the first childbirth and the second childbirth. Korean J Soc Welf Stud. 2020;51(1):275-301.   DOI
13 Glanz K, Rimer BK, Viswanath K. Health behavior: theory, research, and practice. 5nd ed. San Francisco: Wiley; 2015.
14 Korean Women's Development Institute. Korean Longitudinal Survey of Women & Families [Internet]. Seoul: Author; 2021 [cited 2022 Feb 1]. Available from: http://klowf.kwdi.re.kr/portal/mainPage.do
15 Chae D, Kang KH. Factors associated with the self-rated health of married immigrant women in South Korea. J Korean Public Health Nurs. 2021;35(2):224-238. https://doi.org/10.5932/JKPHN.2021.35.2.224   DOI
16 Karmakar N, Majumdar S, Dasgupta A, Das S. Quality of life among menopausal women: a community-based study in a rural area of West Bengal. J Midlife Health. 2017;8(1):21-27. https://doi.org/10.4103/jmh.JMH_78_16   DOI
17 Jeong YR, Jeong SH, Han SS. The relationship between husband support and depression in Korean married women: the mediating effects of connubial bliss. J Korea Content Assoc. 2018;18(12):263-271. https://doi.org/10.5392/JKCA.2018.18.12.263   DOI
18 Freidoony L, Chhabi R, Kim CS, Park MB, Kim CB. The components of self-perceived health in the Kailali district of Nepal: a cross-sectional survey. Int J Environ Res Public Health. 2015;12(3):3215-3231. https://doi.org/10.3390/ijerph120303215   DOI
19 Kim YT, Cha C, Lee MR. Factors related to age at menopause among Korean women: the Korean longitudinal survey of women and families. Menopause. 2019;26(5):492-498. https://doi.org/10.1097/GME.0000000000001268   DOI
20 Yang HM. How work environment, work-family conflict, and job satisfaction are relevant to the self-rated health of married working women. Women Stud. 2020;105(2):105-131. https://doi.org/tws.2020.105.2.004
21 Fu Y, Lin W, Yang Y, Du R, Gao D. Analysis of diverse factors influencing the health status as well as medical and health service utilization in the floating elderly of China. BMC Health Serv Res. 2021;21(1):438. https://doi.org/10.1186/s12913-021-06410-7   DOI
22 Park SY, Park SY. A longitudinal study on ecological determinants associated with middle-aged and elderly women's life satisfaction and depressive symptoms. Health Soc Welf Rev. 2018;38(4):129-163. https://doi.org/10.15709/hswr.2018.38.4.129   DOI
23 Korean Society for the Study of Obesity. Obesity treatment guidelines [Internet]. Seoul: Author; 2020 [cited 2022 Jan 5]. Available from: http://general.kosso.or.kr/html/?pmode=BBBS0001300003&page=1&smode=view&seq=1358&searchValue=&searchTitle=strTitle
24 Kim J. Influential factors of social relation on the change in the depression level of elderly: longitudinal analysis using a latent growth model. J Korea Contents Assoc. 2019;19(7):138-148. https://doi.org/10.5392/JKCA.2019.19.07.138   DOI
25 Gomina M, Ele RN, Imorou RS, Alassani A, Djidonou G, Sina H, et al. Prevalence and factors associated with dyslipidemia among menopausal women in the city of Parakou (Benin). Int Res J Biochem Bioinform. 2017;7(1):12-18. https://doi.org/10.14303/irjbb.2017.011   DOI
26 Bronfenbrenner U, Morris PA. Handbook of child psychology. The bioecological model of human development. 6th ed. Lerner RM, Damon W, translator. Hoboken, NJ: John Wiley & Sons; 2006. p. 793-828.
27 Lee Y, Kang J. Related factors of turnover intention among Korean hospital nurses: a systematic review and meta-analysis. Korean J Adult Nurs. 2018;30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1   DOI
28 Gold EB, Crawford SL, Avis NE, Crandall CJ, Matthews KA, Waetjen LE, et al. Factors related to age at natural menopause: longitudinal analyses from SWAN. Am J Epidemiol. 2013;178(1):70-83. https://doi.org/10.1093/aje/kws421   DOI
29 Lee HM, Chung HJ, Jung IK. Relationships among metabolically healthy status, physical activity, and sedentary behavior according to obesity in low-income menopause women. Asian J Phys Educ Sports Sci. 2020;8(2):75-89. https://doi.org/10.24007/ajpess.2020.8.2.007   DOI
30 Du Bois SN, Yoder W, Ramos SD, Grotkowski K, Sher TG. Unexpected gender moderation of marital satisfaction-health associations in long-distance relationships. Fam J. 2019;27(2):133-141. https://doi.org/10.1177/1066480719826300   DOI
31 Del Sueldo M, Martell-Claros N, Abad-Cardiel M, Zilberman JM, Marchegiani R, Fernandez-Perez C. Health perception in menopausal women. Int J Womens Health. 2018;10:655-661. https://doi.org/10.2147/IJWH.S173891   DOI
32 Bae BR. Structural equation modeling with Amos 23: Principles and practice. Seoul: Chungram; 2018.
33 Campbell KE, Dennerstein L, Finch S, Szoeke CE. Impact of menopausal status on negative mood and depressive symptoms in a longitudinal sample spanning 20 years. Menopause. 2017;24(5):490-496. https://doi.org/10.1097/GME.0000000000000805   DOI
34 Bronfenbrenner U. Contexts of child rearing: problems and prospects. Am Psychol. 1979;34(10):844-850. https://doi.org/10.1037/0003-066X.34.10.844   DOI
35 Jeong J, Kim M. Awareness and related factors of dyslipidemia in menopausal women in Korea. Healthcare (Basel). 2022;10(1):112. https://doi.org/10.3390/healthcare10010112   DOI
36 Kim KA, Hwang SY. Effects of a daily life-based physical activity enhancement program for middle-aged women at risk for cardiovascular disease. J Korean Acad Nurs. 2019;49(2):113-125. https://doi.org/10.4040/jkan.2019.49.2.113   DOI
37 Cho OH, Hwang KH. Comparison of quality of life and related factors according to premature menopause using the Korea National Health and Nutrition Examination Survey (2014-2017). Korean J Women Health Nurs. 2020;26(2):131-140. https://doi.org/10.4069/kjwhn.2020.03.27   DOI
38 Choi YJ, Kim HY. Analyzing changes and determinants of self-rated health during adolescence: a latent growth analysis. Child Health Nurs Res. 2018;24(4):496-505. https://doi.org/10.4094/chnr.2018.24.4.496   DOI
39 Yang H, Deng Q, Geng Q, Tang Y, Ma J, Ye W, et al. Association of self-rated health with chronic disease, mental health symptom and social relationship in older people. Sci Rep. 2021;11(1):14653. https://doi.org/10.1038/s41598-021-94318-x   DOI
40 Lee Y. Childbirth and change in marital satisfaction of wives: the mediating effects of changes in leisure with husbands and in their housework. Korean J Fam Welf. 2019;24(4):519-538. https://doi.org/10.13049/kfwa.2019.24.4.4   DOI
41 Chen GC, Arthur R, Iyengar NM, Kamensky V, Xue X, Wassertheil-Smoller S, et al. Association between regional body fat and cardiovascular disease risk among postmenopausal women with normal body mass index. Eur Heart J. 2019;40(34):2849-2855. https://doi.org/10.1093/eurheartj/ehz391   DOI
42 Naworska B, Brzek A, Bak-Sosnowska M. The relationship between health status and social activity of perimenopausal and postmenopausal women (health status and social relationships in menopause). Int J Environ Res Public Health. 2020;17(22):8388. https://doi.org/10.3390/ijerph17228388   DOI
43 JafariNasabian P, Inglis JE, Reilly W, Kelly OJ, Ilich JZ. Aging human body: changes in bone, muscle and body fat with consequent changes in nutrient intake. J Endocrinol. 2017;234(1):R37-R51. https://doi.org/10.1530/JOE-16-0603   DOI
44 Chae H. Relationships between obesity and physical activities and prevalence of osteoarthritis in menopause women. J Digit Converg. 2020;18(3):217-225. https://doi.org/10.14400/JDC.2020.18.3.217   DOI