Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Prevalence of Menstrual Disorders according to Body Mass Index and Lifestyle Factors: The National Health Insurance Service-National Health Screening Cohort in Korea, 2009~2016

체질량 지수와 생활습관에 따른 한국 가임 여성의 월경장애 유병률과 변화 추이: 국민건강보험공단 국가건강검진(2009~2016) 자료 활용

  • Park, SoMi (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Yoon, Tae Woong (Department of Biostatistics, Wonju College of Medicine, Yonsei University) ;
  • Kang, Dae Ryong (Department of Precision Medicine, Wonju College of Medicine, Yonsei University) ;
  • Chung, ChaeWeon (College of Nursing.Research Institute of Nursing Science, Seoul National University)
  • 박소미 (연세대학교 원주의과대학 간호학과) ;
  • 윤태웅 (연세대학교 원주의과대학 의생명통계학과) ;
  • 강대용 (연세대학교 원주의과대학 정밀의학과) ;
  • 정재원 (서울대학교 간호대학.간호과학연구소)
  • Received : 2020.02.26
  • Accepted : 2020.04.27
  • Published : 2020.06.30
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Abstract

Purpose: This study was performed to identify the prevalence of menstrual disorders in Korean women based on body mass index (BMI) and lifestyle factors, by utilizing the Korean National Health Insurance Database. Methods: A retrospective observational study design was used for the secondary data analysis. Data of women aged 15 to 49 years who were diagnosed with menstrual disorders were extracted from The National Health Insurance Service-National Health Screening Cohort in Korea from 2009 to 2016. The age-standardized prevalence rate of menstrual disorders was calculated using SAS version 9.4, and a Chi-square test and Cochran-Armitage test were performed. Results: In total, 2,219,445 cases were extracted from the database. The prevalence of menstrual disorders significantly increased from 8.6% to 11.6% (Z=135.16, p for trend <.001) over the past eight years. In particular, it was higher in underweight women than in women with normal weight across all years (Z=-4.18~-14.72, p<.001). Moreover, statistically significant differences in the prevalence of menstrual disorders were found to be associated with drinking and smoking in all years and with physical activity levels in part (p<.05~.001). Conclusion: These findings present compelling evidence on the prevalence of menstrual disorders based on a national database. Since the prevalence of menstrual disorders has steadily increased and differs based on BMI and lifestyle factors, educational and clinical interventions are necessary to promote risk awareness and appropriate behavioral changes among Korean women.

Keywords

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