• Journal of Korean Academy of Nursing
• /
• v.35 no.2
• /
• pp.239-251
• /
• 2005

Purpose: This study was designed to construct a structural model for explaining mental health status in middle - aged women. Methods: The data was collected by self - reported questionnaires from 206 middle - aged women in Seoul. Data analysis was done with the SAS pc program for descriptive statistics and a PC - LISREL Program for finding the best fit model which assumes causal relationships among variables. Results: The overall fit of the hypothetical model to the data was good, but paths and variables of the model were modified by considering theoretical implications and statistical significances of parameter estimates. Thus it was modified by excluding 3 paths, The modified model showed was good fit to the data($x^2=177.55$, p=.00), GFI=0.908, AGFI=0.860, RMR=0.013, NFI=0.972, NNFI=0.982). Perceived stress, anger expression method, and self -esteem were found to have direct effects on mental health status in middle - aged women. These predictive variables of mental health status explained $66.6\%$ of the model. Conclusion: Programs to enhance mental health status in middle - aged women should include stress management skill, anger expression skill, and self -esteem enhancement skills to be effective.

• The Journal of Korean Society for School & Community Health Education
• /
• v.24 no.3
• /
• pp.13-22
• /
• 2023

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.

• Korean Journal of Adult Nursing
• /
• v.19 no.3
• /
• pp.413-421
• /
• 2007

Purpose: The purpose of this study was to explain the relationship between fatigue and other variables(perceived health status, marital adjustment and stress), and define the main factors influencing fatigue in middle aged women. Methods: Data were collected by self-reported questionnaires from 212 middle aged women. Data analysis was done with the SPSS 11.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The mean score of fatigue was 2.30(${\pm}0.46$), perceived health status was 2.82(${\pm}0.68$), marital adjustment was 2.86(${\pm}0.44$), and stress was 2.43(${\pm}0.61$). There were significant correlations between fatigue and the other variables(r=.56-.21, p=.00). The major factors that affect fatigue in middle aged women were stress, perceived health status, and marital adjustment, which explained 35.2% of fatigue. Conclusion: These variables have an effect on middle aged women's fatigue. Therefore, these findings can provide the basis for the development of nursing interventions to manage fatigue.

• The Korean Journal of Health Service Management
• /
• v.13 no.2
• /
• pp.81-92
• /
• 2019

Objectives: The purpose of this study was to discuss the overall and oral health conditions that affect obesity in middle-aged women in Jeju and to help them operate the effective obesity program in the future. Methods: Participants of this study were 171 middle-aged women living in Seogwipo City, Jeju Special Self - Governing Province. Data were collected through the convenience sampling method. Body mass index and waist circumference of each participant were measured, and a self-report questionnaire was applied. Results: The overall health status of obesity comprised depression, stress, diabetes, and menopause. The oral health conditions affecting obesity were bad breath and chewing. Hypertension was the main factor affecting body mass index and depression was the main factor influencing waist circumference. Obesity was more influenced by overall health status factors than by oral health status factors. Conclusions: The results of this study are expected to be useful as basic data for efficient health care services in the prevention of obesity.

• Research in Community and Public Health Nursing
• /
• v.33 no.1
• /
• pp.74-83
• /
• 2022

Purpose: The purpose of this study was to identify latent classes of health-related quality of life trajectories in middle-aged women and investigate predictors for latent classes. Methods: This study utilized data from the 2^nd, the 4^th to the 7^th Korean Longitudinal Survey of Women & Families. The subjects included 1,351 women aged 40~45 years. The data was analyzed using latent class growth analysis and logistic regression. Results: Two trajectories were identified for health-related quality of life in middle-aged women; 'persistently good' and 'increasing' groups. Predictors for the 'increasing' group were lower economic status, higher depression, and lower perceived health status. Conclusion: This study showed that characteristics of the individual, symptom status, and health perceptions were associated with health-related quality of life in middle-aged women. It is necessary to provide effective intervention for latent classes of health-related quality of life trajectories based on physical, mental, and social factors.

• Journal of the Korean Home Economics Association
• /
• v.37 no.4
• /
• pp.17-27
• /
• 1999

This study was performed to investigate the dietary habits, nutrient intake, and health status and to explore the relationship between dietary habits and health status in the middle-aged men and women. The subjects consisted of 220 men and 220 women aged 40-59 years old. Dietary habits and nutrient intake were assessed by self-administered questionnaire and 24 hours dietary recall method by personal interview. Percent of body fat, serum cholesterol, and serum triglyceride level were measured. The middle aged adults who had breakfast and meals irregularly were more than 60% of the study subjects. The middle aged men had meals habits significantly more irregularly than the middle aged women. The middle aged men had high fat meat intake more frequently than the middle aged women. The middle aged men had significantly high energy and protein intake more than the middle aged women but the middle aged women had significantly high carbohydrate intake more than the middle aged men and tended to consume milk higher than the middle aged men. The middle aged adults who had high body fat tended to overeat food, to have high fat meat and processed food intake more frequently than those who had low body fat. The middle aged adults who had high serum cholesterol and triglyceride level tended to overeat food and to have processed food intake more frequently than those who had low serum cholesterol and triglyceride level. The middle aged adults who had regular meals habits. tended to have low serum triglyceride level than those who had irregular meals habits.

• Korean Journal of Community Nutrition
• /
• v.21 no.1
• /
• pp.37-52
• /
• 2016

Objectives: This study was performed to develop an assessment tool for middle aged women's health status based on dietary patterns, which will have practical applications in the working field of health and hygiene, aiming at improving the middle aged women's quality of life through their health improvement. Methods: As a first step, a literature review was conducted and the original data of '2008~2009 Korea Health and Nutrition Examination Survey' were reanalyzed. This analysis identified 65 preliminary questions that may be relevant to the study. After verifying the content validity by experts, the 65 questions were reduced into 51 questions. In order to secure higher validity of the candidate items, verification of their clinical validity was conducted among women aged between 45 and 60 years. Finally, an assessment tool was developed by applying weight and scoring. Results: Selected 51 questions were used to verify clinical validity and the results showed that 20 questions were relevant, nine questions ('regular meal time', 'regular amount of meal', 'intake frequency of dairy products', 'intake frequency of fruits', 'intake frequency of meat products', 'intake frequency of high cholesterol foods', 'intake frequency of salty foods', 'appetite', 'eat breakfast everyday') were related to dietary life. Eleven other questions ('self-rated health status', 'deep sleep', 'smoking', 'frequency of drinking', 'stress levels', 'health-related fitness levels', 'pounding of the heart', 'strange feelings on the skin', 'interfere with daily life', 'menopause will bring you a chance to see the life in a different perspective', and 'body mass index') were selected as valid questions. For the response scale for each question, 5 point Likert scale was used to make total 100 point score. Conclusions: This study is the first attempt to develop a health status assessment tool for middle aged women based on their dietary patterns. We conclude that this tool is expected to be a useful and practical tool in the field.

• Journal of the Korean Applied Science and Technology
• /
• v.40 no.2
• /
• pp.277-289
• /
• 2023

This study is a descriptive research study to promote health behavior compliance and use it as basic data for the program development of nursing intervention by identifying the factors affecting middle-aged women's health behavior compliance. It was collected and analyzed 162 copies of the data for a total of 10 weeks from January 17 to March 28, 2022, targeting middle-aged women aged 50 to 59 living in D and B. As a result of the study, economic status(medium) had the highest impact on health behavior compliance, followed by economic status (low), self-efficacy, perceived health status, married status(married), and regular health checkup(yes). Therefore, it is needed promoting to get regular health checkups, increasing self-efficacy with financial support, and exploring the ways and the development of programs that can improve perceived health status in order to improve middle-aged women's health behavior compliance.

• Korea journal of population studies
• /
• v.35 no.2
• /
• pp.103-131
• /
• 2012

As divorce and singlehood have been on the rise over the last decades, marital statuses are more diverse than the past for middle-aged men and women in South Korea. While marital status is crucial for health behaviors and statuses, but few studies examine the associations between health differentials and marital status for the middle-aged in South Korea. Using the 2010 Social Survey collected by the Statistics Korea, this study analyzes how health behaviors and statuses vary by the marital status. In particular, this paper examines whether marital statuses and gender interact to influence health behaviors and statuses. I find that married middle-aged people are healthier than divorced, single, and widowed middle-aged people. But this the negative influence of the non-married status are much greater for men than women. Some female non-married groups do not differ from married middle-aged people in some indicators of health behaviors. Single female middle-aged people are better in general satisfaction levels than married middle-aged people.

• Korean Journal of Health Education and Promotion
• /
• v.17 no.1
• /
• pp.41-59
• /
• 2000

The purpose of this study was to examine the relationship among psychosocial well-being, perceived health status and health promoting lifestyle practices. Data has been collected from November 1, 1998 to April 30, 1999. One hundred and ninety eight middle-aged women completed a multiple self-reported questionnaire on psychosocial well-being, perceived health status and health promoting lifestyle profile. Collected data were analyzed with SPSS 7.5 for Windows using Pearson Correlation Coefficients, t-test, ANOVA, Scheffe test. The Major results of this study were as follows: 1. The average item score for psychosocial well-being was low at 54.49, the level of perceived health status was moderate at 5.74, and health promoting lifestyle practices were low at 112.05. Among the subscales of the health promoting lifestyle profile, self-actualization(3.08) and nutrition(2.92) were scored higher than exercise(1.81) and health responsibility(1.79). 2. The performance of health promoting lifestyle was positively correlated with perceived health status(r= .190) and psychosocial well-being(r= .497). Also, positive correlations were observed between perceived health status and psychosocial well-being(r= .181). 3. There were statistically significant differences for health promoting lifestyle, psychosocial well-being and perceived health status according to sociodemographic variables; the performance of health promoting lifestyle was significantly different according to education, economic status, exercise and smoking. Psychosocial well-being was also significantly different according to education, exercise and drinking. Perceived health status was significantly different according to religion, education, occupation and supporter. These findings help to understand relationships among psychosocial well-being, perceived health status, and health promoting lifestyle practices in middle-aged women in Korea. Therefore, the result of this study provide clues for encouraging people to adopt healthier lifestyles and constructing alternative strategies for promoting health practices.