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The Influencing Factors of Subjective Health and Health-Related Quality of Life in Middle-Aged Women

중년여성의 주관적 건강 및 건강관련 삶의 질 영향요인

  • 박혜선 (경남도립거창대학 사회복지보육학부) ;
  • 김상미 (연세학교 AI보건정보관리학과)
  • Received : 2024.03.05
  • Accepted : 2024.04.25
  • Published : 2024.05.31

Abstract

This study utilized data from 1,068 women aged 40-59, drawn from the 8th Korea National Health and Nutrition Examination Survey (KNHANES) conducted in 2020, to investigate factors impacting subjective health perception and health-related quality of life. Methodologically, STATA 15.0 was employed for complex sample mean and standard deviation calculations, complex sample weighted percentages, complex sample t-tests, and multiple regression analyses. Common factors influencing both subjective health and health-related quality of life included education level, household size, depression, and stress. Age, binge drinking, and physical activity were identified as factors influencing subjective health perception. Insurance type, employment status, and sleep disorders emerged as factors impacting health-related quality of life. Recognizing middle age as a crucial transitional phase into old age, the development of health policy programs aimed at enhancing subjective health and health-related quality of life during this period is deemed essential.

건강한 노년을 위하여 중년의 건강을 관리하는 것이 필요하다. 본 연구는 주관적 건강인지와 건강관련 삶의 질에 영향을 미치는 요인을 2020년 국민건강영양조사(KNHANES) 제8기 자료를 이용하여 40-59세 중년 여성 1068명의 데이터를 분석하였다. 연구방법은 STATA 15.0을 이용하여 복합표본 평균과 표준편차, 복합표본 가중치 백분율, 복합표본 t-test, 다중회귀분석을 수행 하였다. 주관적 건강과 건강관련 삶의 질에 영향을 미치는 복합공통요인은 교육수준, 가구원수, 우울증, 스트레스이었다. 연령, 폭음, 신체활동은 주관적 건강인지, 보험유형, 취업여부, 수면장애는 건강관련 삶의 질에 영향을 미치는 요인이었다. 중년기는 노년기로 넘어가는 전 단계로 중년의 주관적 건강 및 건강 관련 삶의 질을 향상시킬 수 있는 보건정책 프로그램을 개발하여야 할 것이다.

Keywords

References

  1. M. Park, "Influencing factors on the subjective health status of middle-aged women - Utilizing the second year data of the 6th National Health and Nutrition Examination Survey (2013-2016)", Multimedia Journal of Arts Humanities and Social Convergence, Vol. 9, No. 6, pp. 451-458, 2019. https://doi.org/10.14257/AJMAHS.2017.01.78
  2. S.Y. Bang, and Y.S. Do, "Health-related Quality of Life of Physical and Mental Health in Middle-aged Women", Journal of Korea Academia-Industrial Cooperation Society, Vol. 21, No. 6, pp. 161-169, 2020.
  3. I. Eriksson, A.L. Unden, and S. Elofsson, S. "Self-rated health. Comparisons between three different measures. Results from a population study", International Journal of Epidemiology, Vol. 30, No. 2, pp. 326-333, 2001. https://doi.org/10.1093/ije/30.2.326
  4. J.E. Bernard, "Depression a review of its definition", MOJ Addiction Medicine & Therapy , Vol. 5, No. 1, pp. 6-7, 2018.
  5. J.S. Kwon, "Influencing Factors on Health-related Quality of Life in Middle and Old Adult One-Person Households", The Journal of the Convergence on Culture Technology, Vol. 5, No. 1, pp. 153-167, 2019. https://doi.org/10.17703/JCCT.2019.5.1.153
  6. Y.G. Kim, and K.M. Koo, "Effects of physical activity participation on subjective health status in older adults", Korean Journal of Specialized Physical Education, Vol. 29, No. 1, pp. 169-177, 2021.
  7. M., Shin, H.S. Choi, "Subjective health influencing factors of postmenopausal women", Humanities and Society, Vol. 13, No. 4, pp. 2159-2172, 2022. https://doi.org/10.22143/HSS21.13.4.150
  8. M.A. Kim, S.E. Choi, and J.H. Moon, "Effect of Heath behavior, Physical health and Mental health on Heath-related Quality of Life in Middle aged Women : By using the 2014 Korea Health Panel Data", Korean Academic Society of Home Health Care Nursing, Vol. 26, No. 1, pp. 72-80, 2019.
  9. K.E. Lee, E.H. Cho, "Factors affecting health-related quality of life in hypertensive patients", Journal of the Korean Contents Society, Vol. 16, No. 5, pp. 399-409, 2016. https://doi.org/10.5392/JKCA.2016.16.05.399
  10. K.L. Shin, Y.S. Byun, Y.H. Kang, and J.W. Ok. "Subjective physical symptoms, activities of daily living, and health-related quality of life in homebound elderly", Journal of Korean Academy of Nursing, Vol. 38, No. 3, pp. 437-444, 2008. https://doi.org/10.4040/jkan.2008.38.3.437
  11. H.J. Koo, "Analysis of health-related quality of life influencing factors in Korean single-person households', Digital Convergence Research, Vol. 17, No. 8, pp. 453-463, 2019.
  12. Korea Centers for Disease Control and Prevention, "The Eighth Korea National Health and Nutrition Examination Survey (KNHANES) 2019-2021", . 출처 https://knhanes.kdca.go.kr/knhanes/sub03/sub03_02_05.do
  13. J. Kim, "Effect of Subjective Health Perception and Mental Health Status on the Quality of Life in the Late Middle Age", International Journal of Advanced Culture Technology, Vol. 8, No. 2, pp. 18-27, June 2020. https://doi.org/10.17703/IJACT.2020.8.2.18
  14. S.I. Lee, "Validity and reliability evaluation for EQ-5D in Korea", Cheongju: Korea Disease Control and Prevention Agency, 2011-12.
  15. N.F. Watson, M.S. Badr, G. Belenky, D.L. Bliwise, O.M. Buxton, D. Buysse, D.F. Dinges, J. Gangwisch, M.A. Grandner, C. Kushida, R.K. Malhotra, J.L. Martin, S.R. Patel, S.F. Quan, and E. Tasali, "Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society", Sleep, Vol. 38, No. 6, pp. 843-844, 2015. https://doi.org/10.5665/sleep.4716
  16. Ministry of Health and Welfare. "The physical activity guide for Koreans", Sejong: Ministry of Health and Welfare, p. 7, 2013.
  17. C.W. Son, D.S. Yang, "Difference in risk factors for metabolic syndrome according to the condition and type of physical activity in middle age: Data from the Korea National Health and Nutrition Examination Survey (2014-2017)", Korean Journal of Sport Science, Vol. 28, No. 4, pp. 967-984, 2019. https://doi.org/10.35159/kjss.2019.08.28.4.967
  18. J.A. Kim, S.Y. Lee, "The Study of Dietary Habits and Health Behaviors according to Physical Activity Type in Korean Adults-Based on the 2016~2018 Korea National Health and Nutrition Examination Survey", Korean Journal of Community Nutrition, Vol. 26, No. 2, pp. 122-133, 2021. https://doi.org/10.5720/kjcn.2021.26.2.122
  19. K.H. Ngamaba, M. Panagioti, and C.J. Armitage, "How strongly related are health status and subjective well-being? Systematic review and meta-analysis.", European Journal of Public Health, Vol. 27, No. 5, pp. 879-885, 2017. https://doi.org/10.1093/eurpub/ckx081
  20. H. Liu, Q .Gan, J. Tan, X. Sun, Y. Liu, and C. Wan, "The association between quality of life and subjective wellbeing among older adults based on canonical correlation analysis", Frontiers in public health, 11, 1235276. https://doi.org/10.3389/fpubh.2023.1235276
  21. L. Maniscalco, S. Miceli, F. Bono, and D. Matranga, "Self-Perceived Health, Objective Health, and Quality of Life among People Aged 50 and Over: Interrelationship among Health Indicators in Italy, Spain, and Greece", International Journal of Environmental Research and Public Health, Vol. 17, No. 7, 2414. doi.org/10.3390/ijerph17072414
  22. S.N. Yang, "Factors Associated with Depression among Middle Aged Adults in Their 40s and 50s", Studies on Life and Culture, Vol. 68, pp. 247-271, Mat 2023. https://doi.org/10.17924/solc.2023.68.247
  23. E.J. Lee, "Factors Influencing Health-related Quality of Life in Middle-aged Women : the sixth Korea National Health and Nutrition Examination Survey", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology (AJMAHS), Vol. 7, No. 2, pp. 659-670, 2017. https://doi.org/10.14257/AJMAHS.2017.02.33
  24. N. Son, K. Kim and Y.J. Seo ."Health-related quality of life factors in middle-aged and older adults", Korean Journal of Health Research, Vol. 48, No. 2, pp. 19-32, 2022.
  25. S.Y. Kim, M.Y. Jung, and K.N. Kim, "Factors associated with Suicidal Ideation by Age Group among Korean Adults Using the Fifth Korea National Health and Nutrition Examination Survey(KNHANES V, 2012)", Korean Journal Health Education Promotion, Vol. 31, No 2, pp. 1-14, 2014. https://doi.org/10.14367/kjhep.2014.31.2.1
  26. I.H. Yoo, S.J, Kwon, J.S. Ham, D. Jeong, and J.S. Lee, "An interdisciplinary study on the effects of chronic diseases and quality of life on subjective health perception among women aged 60 and older living alone", Journal of the Korean Convergence Society, Vol. 12, No 9, pp. 49-56, 2021.
  27. S. Tanaka, S. Muraki, Y. Inoue, K. Miura, and E. Imai, "The association between subjective health perception and lifestyle factors in Shiga prefecture, Japan: a cross-sectional study", BMC Public Health Vol. 20, No 1, 1786, doi.org/10.1186/s12889-020-09911-y