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

• Journal of Preventive Medicine and Public Health
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• v.34 no.4
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• pp.323-330
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• 2001

Objective : To examine the association between age at menopause and mortality in a population-based sample of women in Kangwha, Korea. Methods : From the Kangwha Cohort, followed-up from 1985 to 1999, the data of the over 55 year old female group(n=3,596) was used in this study to examine the association between age at menopause and mortality. We calculated the all causes mortality risk ratio and the cancer mortality risk ratio by age at menopause grouping using the Cox Proportional Hazards Model with adjustments for age, BMI, smoking, education, chronic disease, self-rated health status, alcohol consumption and age at first birth. Result and conclusion : Compared to women who had menopause at 45-49 years, the all causes mortality risk ratio was 1.24 for women with menopause at less than 40 years(95% CI=1.01-1.53) and 1.05 for women with menopause at over 50 years(95% CI=0.92-1.20). Also, compared to women who had menopause at 45-49 years, the cancer mortality risk ratio was 1.53 for women with menopause at less than 40 years(95% CI=0.78-2.98) and 1.17 for women with menopause at over 50 years(95% CI=0.77-1.80).

• Women's Health Nursing
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• v.11 no.1
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• pp.27-37
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• 2005

Purpose: This study compared climacteric symptoms, knowledge of menopause and menopausal management of middle aged women living in urban and rural areas. Method: The study subjects included 287 women aged 40-64 years in P city and G town. The instruments used in this study were a climacteric symptoms scale and knowledge of menopause and a menopausal management scale. Data was analyzed with SPSS Win 10.0. Result: The mean age of middle-aged women living in urban areas was 47.9 years and that of women in rural areas was 48.0 years. The mean score of the climacteric symptoms of middle-aged women living in urban and rural areas was 48.8 and 50.4 respectively, and was not significantly different. The mean score of the knowledge of menopause of middle-aged women living in urban areas was higher than that of women in rural areas (p=.017). In addition, the mean score of the menopausal management of middle-aged women living in rural areas was higher than that of women in urban areas. Conclusion: This study suggests that not only general characteristics but also living areas should be considered in developing nursing interventions to manage the climacteric symptoms of middle aged women.

• Women's Health Nursing
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• v.28 no.3
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• pp.210-221
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• 2022

Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results: The model fit indices were considered acceptable: 𝛘²/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.

• Women's Health Nursing
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• v.8 no.4
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• pp.521-528
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• 2002

The purpose of this study was to identify the relationship between self reported climacteric symptoms, knowledge of menopause, menopausal management, in middle-aged women. The subjects of this study were 209 women from 40 to 64 years of age. The data was analyzed using SPSS program for t-test, ANOVA and Pearson's correlation coefficients. The results of the study were as follows : 1. The characteristic variables significantly related to self reported climacteric symptoms were education(F=6.371, p<0.001), income (F=4.481, p<0.05), mensturation state(t=-2.004, p<0.05), mensturation cycle(t=-2.039, p<0.05), hormone therapy(t=2.107, p<0.05), health condition(F=21.111, p<0.001). 2. The characteristic variables significantly related to knowledge of menopause were education(F=6.580, p<0.001), health condition (F=3.487, p<0.05). 3. The characteristic variable significantly related to menopausal management was income(F=3.080, p<0.05). 4. The relationship between self reported climacteric symptoms and menopausal management was statistically significant with a negative correlation(r=-0.323, p<0.05). In conclusion, climacteric symptoms - based complaints by middle-aged women was negatively correlated to menopausal management. Therefore, health promotions designed to increase climacteric women's health should be a planned program based on results of the study.

• Journal of Families and Better Life
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• v.9 no.1 s.17
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• pp.65-80
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• 1991

The purpose of this study is to search a tendency of adjustment of mid-life women and to identify the variables that influence the adjustment of mid-life women. For this purpose, attitudes toward the menopause(ATM) scale, Korean Sex-Role Inventory(KSRI) scale, General Well-Being(GWB) scale, and Center for Epidemiological Studies Depression(CESD) scale were developed. The sample was selected from the 331 women living in Seoul, whose age was from 40-59, and whose last child was older than 13 years of age. The main results were as follows : 1) The level of well-being that the mid-life women was average and the level of depression was above average. 2) the attitudes of the mid-life women about menopause were a litte negative in both physical and psychological sides. 3) As for the related variables, frequency of leasure activies was significant to the well-being level of the mid-life women. And age, Socio-Economic Status(SES), status of last child have a significant influence on the depression level of them. 4) The attitudes toward menopause had insignificant influence on their adjustment and menopause status was irrelevant to it. 5) In the case that the mid-life women have high sex-role identity, that they have androgyny or masculinity, they appeared well adjusted. 6) In the result of mulitiple regressing analysis, the influence that the variables had on the mid-life women's well-being will be presented as fallows in order of importance: Sex-role identity, frequency of leasure activies and age. Above 3 variables explain 24% of adjustment of mid-life.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.2
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• pp.45-57
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• 2024

Objectives: The purpose of this study is to determine the impact of artificial menopause on the diagnosis of thyroid cancer, breast cancer, and cervical cancer, and to provide basic data for cancer prevention and early diagnosis in women. Methods: Analysis was conducted using raw data from the 2011-2020 National Health and Nutrition Examination Survey. Among the 79,262 people surveyed in the 2011-2020 National Health and Nutrition Examination Survey, 10,207 people were selected as the final research subjects, excluding men, those under 18 years old, those over 80 years old, those who did not participate in the health survey, those with missing data, and those who were not in menopause. Among them, 248 people were diagnosed with thyroid cancer (2.7%), 225 people were diagnosed with breast cancer (2.5%), and 143 people were diagnosed with cervical cancer (21.5%). Results: First, there appeared to be differences between the thyroid cancer diagnosed group and the non-diagnosed group depending on educational level, childbirth experience, and menopause type. Second, there appeared to be differences between the breast cancer diagnosis group and the non-diagnosis group depending on educational level, menopause age, pregnancy experience, childbirth experience, subjective health status, and menopause type. Third, there appeared to be differences between the cervical cancer diagnosis group and the non-diagnosis group depending on menopause age, subjective health status, and menopause type. Fourth, compared to natural menopause, in the case of artificial menopause, the diagnosis probability of women increased by 2.010 times for thyroid cancer, 3.872 times for breast cancer, and 14.902 times for cervical cancer. Conclusion: For thyroid cancer, breast cancer, and cervical cancer, the probability of cancer diagnosis increases in the case of artificial menopause compared to natural menopause, so it is considered important to avoid experiencing artificial menopause to prevent cancer.

• Journal of Industrial Convergence
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• v.21 no.6
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• pp.81-90
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• 2023

This study was attempted to confirm the menopause experience of middle-aged marriage migrant women residing in Korea. The participants in the study were six married immigrant women aged 45 or older who had lived in Korea for more than 15 years and had reached menopause. Interviews with particlpants were conducted from February 27, 2022 to April 20, 2022. The data were analyzed following the five steps of Downe-Wambolt(1992). As a result of the analysis, the category of experience was 4 categories and 10 sub-categories. The main categories appeared as suffering from various postmenopausal changes, trying to overcome menopause symptoms, menopause is coming positively, passive acceptance of menopause. It was confirmed that not only individual nursing approaches for middle-aged married migrant women but also overall nursing considering individual socio-cultural contexts were needed.

• Journal of Digital Convergence
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• v.18 no.3
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• pp.217-225
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• 2020

This study was a secondary analysis research using data from the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), 2017 to identify the relationships between obesity and physical activities and prevalence of osteoarthritis in menopause women. The subjects were 1,516 menopause women aged over 19 years who participated in the KNHANES VII-2, 2017. Data were downloaded from the KNHANES website and analysed through complex sampling design data analysis using IBM SPSS 21.0 program. Prevalence of osteoarthritis is 1.88 times higher in women with body mass index (BMI) above pre-obesity and non-abdominal obesity and 1.98 times higher in women with BMI above pre-obesity and abdominal obesity than in women with BMI normal or low weight and non-abdominal obesity. These results indicate that obesity prevention and management should be provided to prevention of osteoarthritis for menopause women and obesity should be considered body mass index and abdominal obesity.

• Women's Health Nursing
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• v.5 no.2
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• pp.230-246
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• 1999

The purpose of this study was to identify the degree of hardiness, knowledge of menopause, menopausal management of the middle aged women to identify the variables that show differences in the hardiness, knowledge of menopause and menopausal management of middle aged women and to investigate the relation ship among hardiness, menopausal knowledge and menopausal management of the middle aged women. The subjects were 132 middle-aged women and belonged to the age between 40 and 60. They were selected in Pusan, Korea. Data were collected from Oct. to Nov., 1998 by means of a structured questionnaire. The instruments used for this were the hardiness scale developed by Song In Sook and Song Ae Ri and the menopausal management scale developed by Song Ae Ri. The results were as follows 1. The mean score of hardiness was 2.83, in minimum score 1.24 tomaximun score 5.04. The mean score of knowledge of menopausal was 0.68, in minimum score 0.21 to maximum score 0.71. the mean score of menopausal management was 2.26, in minimum score 1.35 to maximum score 3.18. 2. In the relation between social demographic and hardiness there were significant differences in the health condition, income, supportive person. In relation between social demographic and menopausal knowledge there were significant differences in the health condition, family members. In the menopausal management there was significant differences in the marital state. 3. There was significant correlation between the hardiness and menopausal management of middle aged women (r=-0.208, p=0.017). 4. There was not significant correlation between the knowledge of menopause and menopausal management (r=0.001, p=0.992). These findings suggest the need to develop nursing strategy to improve the power of hardiness in middle aged women. hardiness is important to improve the menopausal management of middle aged women.