Korean J Community Nutr.  2012 Jun;17(3):290-301. 10.5720/kjcn.2012.17.3.290.

The Related Factors Influencing on Self-rated Health Level of Middle-aged Women

• Lee H
• Lee KH
• Kim E
• Kim MJ
• Hwang SM

• KMID: 2267403
• DOI: http://doi.org/10.5720/kjcn.2012.17.3.290

Abstract

This survey of 836 midlife women (51.0 +/- 4.0 yrs) was undertaken by exclusively a face to face interview by well-trained interviewers guarantying data collection of higher quality. This survey data was analyzed using the SPSS program. The main purpose of this study was to describe the factors affecting self-rated health status, including dietary habits and physical . mental . social factors. In the self-rated health status of a 'good' group, age was lower (p < 0.05), monthly income was higher (p < 0.01), dietary habits score (p < 0.001) and appetite (p < 0.001) and the degree of movement (p < 0.001) and life satisfaction (p < 0.001), marital intimacy (p < 0.001) and relationship satisfaction with their children (p < 0.001) were significantly higher than the 'bad' group. The level of depression (p < 0.001) and severe feeling of menopausal symptoms (p < 0.001) were significantly higher in the 'poor' group. The results of correlation analysis demonstrated that educational level (r = 0.069, p < 0.05),income (r = 0.157, p < 0.001), eating habits (r = 0.235, p < 0.001), appetite (r = 0.263, p < 0.001), life satisfaction (r = 0.197, p < 0.001), marital intimacy (r = 0.167, p < 0.001), child relationship satisfaction (r = 0.149, p < 0.001), positive attitude toward menopause (r = 0.070, p < 0.05) showed a positive correlation, but depression (r = -0.122, p < 0.001) and menopausal symptoms (r = -0.292, p < 0.001) showed a negative association with self-rated health status. The predictable factors affecting the self-rated health status of middle-aged women were examined by multiple regression analysis. The 'menopausal symptoms - physical discomfort' was the most important variables followed by the 'appetite', 'eating habits', 'menopause symptoms - sensory problems', 'BMI', 'positive attitude toward menopause' and 'high marital intimacy'. These results showed that the 'appetite' and 'eating habits' are important factors affecting the self-rated health status. Therefore, a program of dietary education must be considered for the effective health education and counseling of middle-aged women.

Keyword

middle-aged women; women's health; self-rated health status; menopausal women

MeSH Terms

Appetite
Child
Counseling
Surveys and Questionnaires
Depression
Eating
Female
Food Habits
Health Education
Health Status
Humans
Menopause
Women's Health

Reference

1. American Dietetic Association. Position of the American dietetic association: food fortification and dietary supplements. J Am Diet Assoc. 2001. 101(1):115–125.

2. Appels A, Bosma H, Grabauskas V, Gostautas A, Strumans F. Self-rated health and mortality in a Lithuanian and Dutch population. Soc Sci Med. 1996. 42:681–689.

3. Baek SS. An analysis of the relationship of menopausal symptoms of midwife women between urban area. J Korean Acad Womens Health Nurs. 1998. 4(3):332–347.

4. Bailis DS, Segall A, Chipperfield JG. Two views of self-rated general health status. Soc Sci Med. 2003. 56:203–217.

5. Bowling A. Measuring Disease. 2001. 2nd edition. Buckingham · Philadelphia: Open University;2–8.

6. Chang HK, Han YB. A study on the climacteric symptoms and dietary patterns in middle-aged women. J Korean Home Econ Assoc. 2002. 40(1):125–134.

7. Choi IR. Anger expression type and mental health in middle aged women. J Korean Acad Nurs. 2009. 39(4):602–612.

8. Feeny D, Torrance GW, Furlong W, Goldsmith C. Health utilities index mark 3: utility scores for 74 prevalent health states. Quality Life Res. 1995. 4(5):424.

9. Fylkesnes K, Forde OH. The tromoso study; predictors of self-evaluated health-Has society adopted the expanded health concept? Soc Sci Med. 1991. 32(2):141–146.

10. Gander J, Lee D, Sui X, Hbert JR, Hooker SP. Self-rated health status and cardiorespiratory fitness as predictors of mortality in men. Br J Sports Med. 2011. 45(14):1095–1100.

11. Goodwin DK, Knol LL, Eddy JM, Fitzhugh EC, Kendrick OW, Donahue RE. The relationship between self-rated health status and the overall quality of dietary intake of US adolescents. J Am Diet Assoc. 2006. 106:1450–1453.

12. Grant MD, Piotrowski ZH, Chappell R. Self-related health and survival in the logitudinal study of aging, 1984-1986. J Clin Epidemiol. 1995. 48(3):375–387.

13. Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssend E, Guyatt GH, Norton PG, Dunn E. A menopause-specific quality of life questionnaire: Development and psychometric properties. Maturitas. 1996. 24(3):161–175.

14. Idler EL, Benyamini Y. Self-rated health and mortality - A review of twenty-seven community studies. J Health Soc Behav. 1997. 38:21–37.

15. Kim AK. Yangsaeng and health related quality of life (HRQOL) in middle aged women. Korean J Women Health Nurs. 2010. 16(3):297–306.

16. Kim HC, Kim MR. A study on health-functional foods intake pattern of consumers in Busan and Gyeongnam area. Korean J Hum Ecol. 2006. 15(2):341–352.

17. Kim HJ. Comparison of the level of marital intimacy according to the level of stress among middle-aged women. J Korean Soc Matern Child Health. 2001. 5(1):123–136.

18. Kim HS, Yoon KH, Lee MJ, Seo BH. Intake and awareness of the functional health food among housewives in Cheongju area. J Hum Ecol. 2005. 9(2):179–196.

19. Kim MY, Han SY, Jeong JH, Kim SH, Lee JK, Park ES, Zhang XH, Seo JS. Effectiveness of nutrition-exercise education program on weight control of adult women. Korean J Community Nutr. 2009. 14(2):168–174.

20. Koo NS, Park JY. Health states and health-related lifestyle of middle-aged people in Daejon. Korean J Diet Cult. 2001. 16(2):137–146.

21. Kwak EK. The middle life women's menopause knowledge, attitude, symptom and management. 2006. Graduate School of KonKuk University;7–16. MS thesis.

22. Lee JY. A study on wives' marital satisfaction and related variables. J Korean Home Econ Assoc. 1987. 25(1):105–119.

23. Lee JY, Chae SK, Kim KD. The perceptions and purchase intentions of health food consumers. Korean J Food Preserv. 2011. 18(1):103–110.

24. Lee PS. Correlational study among anger, perceived stress and mental health status in middle aged women. J Korean Acad Nurs. 2003. 33(6):856–864.

25. Lee YR, Kim MJ. A transition of health habits and self-rated health status of women aged in early adulthood. J Korean Acad Public Health Nurs. 2009. 23(2):199–206.

26. Lobo RA, Whitehead MI. Is low-dose hormone replacement therapy for postmenopausal women efficacious and desirable? Climacteric. 2001. 4(2):110–119.

27. Miilunpalo S, Vuori I, Pasanen M, Urponen H. Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol. 1997. 50(5):517–528.

28. Mishra N, Mishra VN, Devanshi . Exercise beyond menopause: dos and dont's. J Midlife Health. 2011. 2(2):51–56.

29. Nam BH, Lee SW. Testing the validity of the Korean SF-36 health survey. J Korean Soc Health Stat. 2003. 28(2):3–24.

30. Oh YH, Bae HO, Kim YS. A study on physical and mental function affecting self-perceived health of older persons in Korea. J Korean Gerontol Soc. 2006. 26(3):461–476.

31. Pakzad K, Boucher BA, Kreiger N, Cotterchio M. The use of herbal and other non-vitamin, non-mineral supplements among pre- and post-menopausal women in Ontario. Can J Public Health. 2007. 98(5):383–388.

32. Park GJ. A structure model for depression in middle-aged women. 1999. The graduate school of Ewha women's University;44–45. 100MS thesis.

33. Park GJ, Lee KH. A structural model for depression in middle-aged women. Korean J Women Health Nurs. 2002. 8(1):69–84.

34. Park HS, Lee YM, Cho GY. A study on climacteric symptoms, knowledge of menopause, menopausal management in middle-aged women. Korean J Women Health Nurs. 2002. 8(4):521–528.

35. Pyun JS, Kim MJ, Lee KH. Climacteric and menopausal women's beliefs on daily meals and food supplements-a focus group interview study-. Korean J Community Nutr. 2011. 16(2):239–252.

36. Schleifer SJ, Keller SE, Meyerson AT, Raskin MJ, Davis L, Stein M. Lymphocyte fanction in major depressive disorder. Arch Gen Psychiatry. 1984. 41:484–486.

37. Seidell JC, Bakx KC, Deurenberg P. The relation between overweight and subjective health according to age, social class, slimming behavior and smoking habits in Dutch adults. Am J Public Health. 1986. 76(12):1410–1415.

38. Shin JM. An analysis of intake of health foods and supplements and its associated factors in middle · old aged adults living in Seoul and Kyon-gi region. 2002. Graduate School of Yonsei University;23–42. MS thesis.

39. Smith EL, Reddan W, Smith DE. Physical activity and calcium modalties for bone mineral increase in aged women. Med Sci Sports Exerc. 1981. 13(1):60–64.

40. Song AR. Health factors related to management of menopause among climacteric women. Korean J Women Health Nurs. 2005. 11(1):12–19.

41. Sowers M, Zheng H, Tomey K, Karvonen-Gutierrex C, Jannausch M, Li X, Yosef M, Symons J. Changes in body composition in women over six years at midlife: ovarian and chronological aging. J Clin Endocrinol Metab. 2007. 92(3):895–901.

42. Statistics Canada. Indicators of well-being in Canada. Human resources and skills development Canada. 2012. cited 2012 March 10. Available from http://www4.hrsdc.gc.ca/[e-mail]?cid=14.

43. Svedberg P, Bardage C, Sandin S, Pedersen NL. A prospective study of health, life-style and psychosocial predictors of self-rated health. Eur J epidemiol. 2006. 21:767–776.

44. Ware JE. Scales for measuring general health perceptions. Health Serv Res. 1976. 11(4):396–415.

45. Ware JE Jr. Standards for validating health measures: definition and content. J Chronic Dis. 1987. 40(6):473–480.

46. Ware JE, Sherboume CD. The MOS 36-Item short-form health survey (SF-36). Medical Care. 1992. 30(6):473–483.

47. Yang JH. A study on health behavior experience of middle-aged women in rural area. J Korean Acad Nurs. 2002. 32(5):694–705.

48. Yoo YJ, Hong WS, Youn SJ, Choi YS. The experience of health food usage for adults in Seoul. Korean J Soc Food Cookery Sci. 2002. 18(2):136–146.