Factors Affecting Health Related Quality of Life in Korean Perimenopausal Women Using Hierarchical Regression Analysis
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초록
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.
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.
참고문헌 (53)
- R. Rabin, "EQ-5D : A measure of health status from the EuroQol Group", Ann Med, 33(5), pp.337~343 (2001)
- H. M. Wang, "Validation of the EQ-5D in a general population sample in urban China", Qual Life Res, 21(1), pp.155~160 (2012)
- H. Wang, "Variation in Chinese population health related quality of life : results from a EuroQol study in Beijing, China", Qual Life Res, 14(1), pp.119~132 (2005)
- G. R. Barton, "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, 9(33), pp.237~249 (2008)
- J. Whiteley, "Impact of the severity of vasomotor symptoms on health status, resource use, and productivity", Menopause, 20(5), pp.518~524 (2013)
- 2013Guideline for Use of Raw Material for Regional Health Survey, "Korea Center for Disease Control and Prevention", ~ (2015)
- "Wikipedia"[URL]
- Y. H. Chung, "Health-related quality of life of Korean adults with Korean medical panel", Health and Welfare Forum, pp.6~14 (2011)
- J. Forugh, "Quality of life and menopause : Developing a theoretical model based on meaning in life, self-efficacy beliefs, and body image", Aging & Mental Health, 15(5), pp.630~637 (2011)
- 이혜상, "우리나라 노인의 건강관련 삶의 질에 영향을 주는 요인- 일반 특성, 생활습관, 정신건강, 만성질환, 영양섭취상태를 중심으로: 제5기 국민건강영양조사자료, 2010~2012", 대한지역사회영양학회지, 19(5), pp.479~489 (2014), 대한지역사회영양학회
- P. Llaneza, "Depressive disorders and the menopause transition", Maturitas, 71(2), pp.120~130 (2012)
- S. Li, "Relationship between menopause status, attitude toward menopause, and quality of life in Chinese midlife women in Hong Kong", Menopause, 23(1), pp.67~73 (2016)
- D. Jacqueline, "Psychological Factors Associated With Sleep Disturbance Among Perimenopausal Women", BEHAVIORAL SLEEP MEDICINE, 2(4), pp.177~190 (2004)
- H. C. Wu, "Quality of life and sleep quality amongst climacteric women seeking medical advice in Northern Twaian", Sleep Medicine, 13, pp.906~912 (2012)
- 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, 10(1), pp.47~89 (2012)
- 김명수, "치매노인을 부양하는 여성의 건강관련 삶의 질", 성인간호학회지, 19(1), pp.24~34 (2007), 한국성인간호학회
- 배윤조, "사회 연결망 유형과 치매노인의 삶의 질", 한국산학기술학회논문지, 13(11), pp.5218~5228 (2012), 한국산학기술학회[DOI]
- G. Neal-Perry, "The neuroendocrine physiology of female reproductive aging : an update", Maturitas, 67(1), pp.34~38 (2010)
- Menopause and Postmenopause Working Group, "Clinical Practice Guideline of Menopause and Postmenopause", ~ (2004)
- Y. F. Zöllner, "Literature review of instruments to assess health related quality of life during and after the menopause", Qual Life Res, 14(2), pp.309~327 (2005)
- 이옥화, "중등도 갱년기 증상을 가진 폐경 후 여성에서 식품군별 섭취패턴에 따른 영양소 섭취상태, 식사의 질 및 삶의 질에 관한 연구", 대한지역사회영양학회지, 17(1), pp.69~80 (2012), 대한지역사회영양학회
- C. Rigg, "Common problems of the menopause", InnovAiT : The RCGP Journal for Associates in Training, 5(9), pp.541~546 (2012)
- Y. Huang, "Relationship between menopausal symptoms and risk of postmenopausal breast cancer", Cancer Epidemiol Biomarkers Prev, 20(2), pp.379~388 (2011)
- B. Ayers, "Health-related quality of life of women with menopausal hot flushes and night sweats", Climacteric, 16(2), pp.235~239 (2013)
- AHA Scientific Statement, "Diet and lifestyle recommendations revision 2006 : a scientific statement from the American Heart Association Nutrition Committee", Circulation, 114, pp.2~96 (2006)
- North American Menopause Society, "The role of calcium in peri- and postmenopausal women, 2006 position statement of the North American Menopause Society", Menopause, 13, pp.862~877 (2006)
- K. L. Tucker, "Colas, but not other carbonated beverages, are associated with low bone mineral density in older women : The Framingham Osteoporosis Study", Am J Clin Nutr, 84, pp.936~942 (2006)
- W. M. Kohrt, "American College of Sports Medicine Position Stand : physical activity and bone health", Med Sci Sports Exerc, 36, pp.1985~1996 (2004)
- J. Kim, "Effects of Yoga on Menopausal Symptoms and Quality of Life in Middle-Aged Women", Master, pp.2005
- 정향미, "갱년기 여성의 삶의 질과 우울, 체력과 혈청 지질대사에 미치는 아쿠아로빅스 운동의 효과", 여성학연구, 21(2), pp.237~261 (2011), 여성연구소
- 김혜자, "갱년기여성의 스포츠 댄스 프로그램이 우울, 삶의 질, 유연성에 미치는 효과", 한국모자보건학회지, 7(2), pp.243~260 (2003), 한국모자보건학회
- 송라윤, "타이치 운동이 폐경기 여성의 심혈관 위험도와 삶의 질에 미치는 효과", Journal of Korean Academy of Nursing, 39(1), pp.136~144 (2009), 한국간호과학회
- 성락민, "자전거 운동이 폐경기 여성의 건강관련 요인과 삶의 질에 미치는 효과", 한국발육발달학회지, 17(4), pp.281~286 (2009), 한국발육발달학회
- I. Ümit, "Factors Affecting the Quality of Life in Climacteric Women in Manisa Region", Balkan Medical Journal, 27(2), pp.111~116 (2010)
- L. Kuo, "Relationship between menopause and health-related quality of life in middle-aged Chinese women : a cross-sectional study", BMC Women's Health, 14(7) (2014)
- M. Evans, "Flexible Dosing Improves Health_Related Quality of Life(HRQOL) : A Time Trade-off Survey", Journal of Medical Economics, 16(11), pp.1357~1365 (2013)
- J. M. Moilanen, "Physical activity and change in quality of life during menopause-an 8-year follow-up study", Health and Quality of Life Outcomes, 10, pp.1~8 (2012)
- G. H. Chitra, "Quality of life after menopause : Effects of hormone replacement therapy, vitamin E and sudarhana kriya yoga practice : A comparative study", Biomedical Research, 25(2), pp.240~242 (2014)
- O. M. Kim, "Menopausal symptoms and quality of life of menopausal women according to hormone replacement therapy", Journal of Women's Health Nursing, 7(4), pp.642~656 (2001)
- E. D. Staren, "Hormone replacement therapy in postmenopausal women", The American Journal of Surgery, 188, pp.136~149 (2004)
- P. W. Michelle, "Hormone Replacement Therapy; controversies Pros and Cons", Best Practice & Research Clinical Endocrinology & Metabolism, 18(3), pp.317~332 (2004)
- A. R. Genazzani, "Hormone replacement therapy : the perspectives for the 21st century", Maturitas, 32, pp.11~17 (1999)
- B. Ottesen, "Physiological effects of ovarian hormones : clinical aspects and compliance", Eur Heart J, 17, pp.20~26 (1996)
- R. A. Lobo, "International consensus conference on postmenopausal hormone therapy and the cardiovascular system", Fertil Steril, 61, pp.592~595 (1994)
- The Writing Group for the PEPI Trial, "Effects of estrogen or estrogen", progestin regimens on heart disease risk factors in postmenopausal women, 1995, pp.273, 199~208
- A. Cagnacci, "Effects of low doses of transdermal 17 beta-estradiol on carbohydrate metabolism in postmenopausal women", J Clin Endocrinol Metab, 74, pp.1396~1400 (1992)
- T. L. Bush, "Noncontraceptive estrogen use and cardiovascular disease", Epidemiol Rev, 7, pp.80~104 (1985)
- J. N. Lai, "Quality of life and climacteric complaints amongst women seeking medical advice in Taiwan : assessment using the WHOQOL-BREF questionnaire", CLIMACTERIC, 9, pp.119~128 (2006)
- 장수지, "노년기 사회적 관계망의 구조적, 기능적 측면과 주관적 삶의 질의 관계 −전후기노인 및 성별에 따른 비교를 중심으로−", 사회과학연구, 26(1), pp.75~100 (2010), 사회과학연구소
- H. Lee, "Introduction to nursing research" (2014), Hyunmosa
- Y. K. Lee, "South Korean Time Trade-off Values for EQ-5D Health States;Modeling with Observed Values for 101 Health States", Value of Health, 12(8), pp.1187~1193 (2009)
- N. Bahri, "The effects of menopausal health training for spouses on women's quality of life during menopause transitional period", MENOPAUSE, 23(2), pp.183~188 (2016)
- E. O. Yanikkerem, "Relationship between women’s attitude towards menopause and quality of life", CLIMACTERIC, 15, pp.552~562 (2012)
