Journal List > Korean J Women Health Nurs > v.23(3) > 1089569

Lee and Sung: Impacts of Health Perception, Aging Anxiety and Perception of Successful Aging on Health Promotion Behavior of Late Middle-Aged Women

Abstract

Purpose

The purpose of the study was to identify factors influencing health promotion behavior of late-middle aged women.

Methods

The subjects were 128 women who were attending a cultural center located in B metropolitan city. Data were collected from July 1 to July 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation coefficient, Stepwise multiple regression with SPSS/WIN 23.0 program.

Results

Health promotion behavior of later middle-aged women was different by general characteristics such as religion, exercise, economic satisfaction, life satisfaction, and leisure time activities. Health promotion behavior had a positive relationship with health perception and perception of successful aging, and a negative relationship with aging anxiety. Health perception, perception of successful aging, exercise, leisure time activities (exercise and social activity) were verified significant factors influencing health promotion behavior accounted for 38%.

Conclusion

The results indicate that health perception and perception of successful aging influence health promotion behavior of late-middle age women. It would provide the basic data for the development of program aimed at improving health promotion behavior of late-middle age women.

REFERENCES

1. Lee JH, Lee OS. Educational needs for aging of middle aged. Korean Journal of Research in Gerontology. 2007; 16:85–104.
2. Kang YJ. Late middle-aged women's life experiences in transition to old age: How do they adapt to “Aging” in Korean society? Family and Environment Research. 2004; 42(7):145–164.
3. Burger HG, Dudley EC, Robertson DM, Dennerstein L. Hormonal changes in the menopause transition. Recent Progress in Hormone Research. 2002; 57:257–275.
crossref
4. Choi YA. A Survey on the perceived health status and health behavior of the aged in an area. Journal of the Korea Gerontological Society. 2003; 23(3):129–142.
5. Kim ML, Lee DH. Difference in health promoting behaviors and happiness among middle aged women according to their regular excercise participation and perception of health condition. Korean Journal of Physical Education. 2014; 53(2):175–186.
6. Netz Y, Zach S, Dennerstein L, Guthrie JR. The menopausal transition: Does it induce women's worries about aging? Climacteric. 2005; 8(4):333–341.
crossref
7. Jung YO, Oh HS. The effects of social support, self-efficacy and perceived health status on aging anxiety of the middle-aged women. Journal of Korean Public Health Nursing. 2016; 30(1):30–41.
crossref
8. Shin YS, Kim EH. A study on health behaviors, health status and anxiety about aging for the elderly -Focused on the elderly in senior center-. Journal of Korean Academy of Community Health Nursing. 2009; 20(2):179–188.
9. Hong KH, Ha JY. Aging anxiety, factors of successful aging and preparation for aging in early and late middle age. Journal of Korean Public Health Nursing. 2015; 29(1):29–39.
crossref
10. Lee MJ, Yang JH. Recognition of successful aging among middle aged women. Journal of Korean Gerontological Nursing. 2012; 14(2):79–90.
11. Lee YJ, Park JS. Relationship between perception for successful aging and health promotion behavior of late middle aged women. Journal of the Korean Data Analysis Society. 2015; 17(2):1073–1086.
12. Britton A, Shipley M, Singh-Manoux A, Marmot MG. Successful aging: The contribution of early-life and midlife risk factors. Journal of the American Geriatrics Society. 2008; 56(6):1098–1105.
crossref
13. Lee GJ, Jang CJ, Yu JH. A study on the relationship among climacteric symptoms, knowledge of menopause and health promoting behavior in middle-aged women. Korean Journal of Women Health Nursing. 2003; 9(4):400–409.
crossref
14. Choi J. Effects of husband and wife compatibility and self-efficacy on health promotion behavior in middle aged women. The Korean Journal of Fundamentals of Nursing. 2007; 14(4):507–514.
15. Ware JE Jr. Scales for measuring general health perception. Health Services Research. 1976; 11(4):396–415.
16. Lee HR. A Study of the effects of health contracting on compliance with health behaviors in clients with hypertension. Journal of Korean Academy of Nursing. 1987; 17(3):204–217.
crossref
17. Lasher KP, Faulkender PJ. Measurement of aging anxiety: Development of the anxiety about aging scale. International Journal of Aging & Human Development. 1993; 37(4):247–259.
crossref
18. Kim W. A comparative study on anxiety about aging of older adults in Korea and the United States. Journal of Welfare for the Aged Institute. 2010; 47:71–94.
19. Paik JE. Successful aging perceived by Korean elderly: Cross-cultural perspectives [dissertation]. Seoul: Ewha Womans University;2006. p. 155.
20. Choi IY. Research on sense of value and perception on successful aging of Korean middle aged people [dissertation]. Seoul: Ewha Womans University;2007. p. 67.
21. Walker SN, Sechrist KP, Pender NJ. The health-promoting lifestyle profileII. Omaba: College of Nursing, University of Nebraska Medical Center;1995.
22. Seo HM. Construction of health promoting behaviors model in elderly [dissertation]. Seoul: Seoul National University;2001. p. 133.
23. Choi J, Ha NS. Effects of perceived health status and fatigue on family health in middle aged women. Journal of Korean Public Health Nursing. 2009; 23(1):5–16.
24. Barrett AE, Robbins C. The multiple sources of women's aging anxiety and their relationship with psychological distress. Journal of Aging and Health. 2008; 20(1):32–65.
crossref
25. Lee YM, Kim GM, Jung YH. Factors affecting a health promoting lifestyle in middle-aged women. The Journal of the Korea Contents Association. 2014; 14(10):570–582.
crossref
26. Statistics Korea. Population by age [Internet]. Seoul: Author;2016. [cited 2015 February 10]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35007_N002&vw_cd=MT_ZTITLE&list_id=350_35007_A001&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1#.
27. Lim EJ, Noh JH. The factors related to health promoting behaviors of late middle aged. Journal of the Korea Academia-Industrial Cooperation Society. 2012; 13(10):4694–4702.
28. National Pension Research Institute. Korean retirement and income study: KRelS [Internet]. Seoul: Author;2014. [cited 2014 March 12]. Available from:. http://www.nps.or.kr/jsppage/research/panel/panel_07.jsp.

Table 1.
General Characteristics of Subjects (N=128)
Variables Categories n (%) or M±SD
Age (year) 50~54 53 (41.4)
  55~59 75 (58.6)
    54.84±2.91
Marital status Married 113 (88.3)
  Other 15 (11.7)
Number of 0~1 27 (21.1)
children 2 81 (63.3)
  ≥3 20 (15.6)
    1.95±0.67
Family forms Couple 42 (32.8)
  Couple+children 64 (50.0)
  Couple+children+parents 4 (3.1)
  Etc 18 (14.1)
Religion Yes 86 (67.2)
  No 42 (32.8)
Education ≤Middle school 19 (14.8)
  High school 71 (55.5)
  ≥College 38 (29.7)
Occupation Yes 62 (48.4)
  No 66 (51.6)
Monthly ≤200 37 (28.9)
income 201~300 38 (29.7)
(10,000 won) 301~400 30 (23.4)
  ≥401 23 (18.0)
    328.59±172.98
Drinking Yes 54 (42.2)
  No 74 (57.8)
Smoking Yes 3 (2.3)
  No 125 (97.7)
Regular Yes 109 (85.1)
exercise No 19 (14.8)
Economic Dissatisfied 24 (18.8)
satisfaction Average 57 (44.5)
  Satisfied 47 (36.7)
Life satisfaction Dissatisfied 16 (12.5)
  Average 54 (42.2)
  Satisfied 58 (45.3)
Leisure time Housework 46 (35.9)
activities Social activity 60 (46.9)
  Exercise 22 (17.2)
Insurance Yes 110 (85.9)
  No 18 (14.1)
Disease Yes 42 (32.8)
  No 86 (67.2)
Menopause Yes No 95 (74.2) 33 (25.8)

Divorce, widow, separate;

Alone, only children, only parent.

Table 2.
Degree of Health Perception, Aging Anxiety, Perception of Successful Aging, and Health Promotion Behavior (N=128)
Variables Range Min Max M±SD
Health perception 1~5 2.09 4.17 3.19±0.41
Aging anxiety 1~5 2.00 4.30 3.00±0.49
Perception of successful aging 1~4 2.00 4.00 3.30±0.38
Health promotion behavior 1~4 1.42 3.72 2.45±0.46
Table 3.
Differences in Health Promotion Behavior by General Characteristics (N=128
Variable Categories Total
M±SD t or F (p)
Religion Yes 2.52±0.41 2.74 (.007)
  No 2.29±0.49  
Education ≤Middle schoola 2.31±0.47 2.39 (.096)
High schoolb 2.42±0.46
  ≥Collegec 2.57±0.43  
Occupation Yes 2.44±0.45 -0.20 (.840)
  No 2.46±0.46  
Monthly income ≤200 2.37±0.44 1.55 (.206)
(10,000 won) 201~300 2.50±0.42  
  301~400 2.37±0.41  
  ≥401 2.58±0.56  
Drinking Yes 2.42±0.46 -0.71 (.479)
  No 2.47±0.45  
Smoking Yes 2.28±0.26 -0.65 (.519)
  No 2.45±0.46  
Regular exercise Yes 2.51±0.43 4.08 (<.001)
  No 2.08±0.41  
Economic satisfaction Dissatisfieda 2.26±0.42 7.18 (.001)
  Averageb 2.38±0.39 c>a, b
  Satisfiedc 2.63±0.49  
Life satisfaction Dissatisfieda 2.17±0.42 8.04 (.001)
So sob 2.37±0.39 c>a
Satisfiedc 2.60±0.47
Leisure time activities Houseworka 2.18±0.40 16.56 (<.001)
  Social activityb 2.55±0.41 b, c>a
  Exercisec 2.73±0.42  
Insurance Yes 2.45±0.46 0.17 (.869)
  No 2.43±0.44  
Disease Yes 2.39±0.48 -1.02 (.311)
  No 2.48±0.44  
Menopause Yes 2.44±0.42 -0.39 (.695)
  No 2.48±0.56  

Scheffé test.

Table 4.
Relationship among Health Perception, Aging Anxiety, Perception of Successful Aging, and Health Promotion Behavior (N=128)
Variables Health perception Aging anxiety Perception of successful aging
r (p) r (p) r (p)
Aging anxiety -.34 (<.001) 1  
Perception of successful aging .12 (.196) -.22 (.014) 1
Health promotion behavior .45 (<.001) -.29 (.001) .39 (<.001)
Table 5.
Influencing Factors on Health Promotion Behavior (N=128)
Variables B SE β t p Tolerance VIF Adj. R2
(Constant) .01 .37   0.04 .968      
Health perception .31 .09 .28 3.64 <.001 .83 1.21 .19
Perception of successful aging .34 .09 .29 3.96 <.001 .92 1.09 .31
Regular exercise (Ref: no=0) .21 .10 .16 2.12 .036 .85 1.18 .34
Leisure time – exercise (Ref: no=0) .31 .10 .26 3.11 .002 .70 1.43 .36
Leisure time-social activity (Ref: housework=0) .18 .08 .20 2.39 .018 .69 1.44 .38
Adj. R2=.38, F=16.74, p<.001.

Ref=Reference; VIF=Variance inflation factor; Adj.=Adjusted.

TOOLS
Similar articles