Effects of Breastfeeding, Menopause Age, and Oral Health Behaviors on the Quality of Life among Middle-Aged and Older Women: An Analysis Based on the Korea National Health and Nutrition Examination Survey
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Objectives: This study examined the associations of breastfeeding experience, menopause age, and oral health behaviors with health-related quality of life (HRQoL), assessed using the EQ-5D index, among middle-aged and older Korean women. Methods: Data from 3,634 women aged ≥40 years who participated in the 2019, 2020, and 2022 Korea National Health and Nutrition Examination Survey were analyzed. Breastfeeding experience, menopause age, oral health behaviors, and functional oral health indicators were included as independent variables. Results: Breastfeeding experience was positively associated with HRQoL in unadjusted and partially adjusted models, but the association was not significant after full adjustment. Menopause age showed no significant association with HRQoL. In contrast, functional oral health indicators—particularly the absence of chewing discomfort and a greater number of remaining teeth—were consistently associatedwith higher HRQoL. Conclusions: Breastfeeding experience was not independently associated with HRQoL after accounting for socioeconomic and health-related factors, and menopause age showed no association with HRQoL. Functional oral health, especially chewing ability and tooth retention, emerged as a key determinant of HRQoL among middle-aged and older women.
Abstract
Objectives: This study examined the associations of breastfeeding experience, menopause age, and oral health behaviors with health-related quality of life (HRQoL), assessed using the EQ-5D index, among middle-aged and older Korean women. Methods: Data from 3,634 women aged ≥40 years who participated in the 2019, 2020, and 2022 Korea National Health and Nutrition Examination Survey were analyzed. Breastfeeding experience, menopause age, oral health behaviors, and functional oral health indicators were included as independent variables. Results: Breastfeeding experience was positively associated with HRQoL in unadjusted and partially adjusted models, but the association was not significant after full adjustment. Menopause age showed no significant association with HRQoL. In contrast, functional oral health indicators—particularly the absence of chewing discomfort and a greater number of remaining teeth—were consistently associatedwith higher HRQoL. Conclusions: Breastfeeding experience was not independently associated with HRQoL after accounting for socioeconomic and health-related factors, and menopause age showed no association with HRQoL. Functional oral health, especially chewing ability and tooth retention, emerged as a key determinant of HRQoL among middle-aged and older women.
