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Lee, Lee, Kim, Kim, and Hwang: The Related Factors Influencing on Self-rated Health Level of Middle-aged Women
Original Article
Korean Journal of Community Nutrition

Korean Journal of Community Nutrition 2012; 17(3): 290-301.

Published online: 30 June 2012

DOI: https://doi.org/10.5720/kjcn.2012.17.3.290

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

Hyejin Lee, Kyung-Hea Lee, Eunkyung Kim1, Mi-Jung Kim2, Suk-Man Hwang3

Department of Food and Nutrition, Changwon National University, Gyeongnam, Korea

1Department of Child and Family, Changwon National University, Gyeongnam, Korea.

2Department of Food and Nutrition, Silla University, Busan, Korea.

3Department of Sociology, Changwon National University, Gyeongnam, Korea.

Corresponding author: Kyung-Hea Lee, Department of Food and Nutrition, Changwon National University, 9 Sarimdong, Uichanggu, Changwon, Gyeongnam 641-773, Korea. Tel: (055) 213-3514, Fax: (055) 281-7480, khl@changwon.ac.kr

Received 19 March 2012       Revised 19 April 2012       Accepted 14 May 2012

Copyright © 2012 The Korean Society of Community Nutrition

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.

Keywords: middle-aged women, women's health, self-rated health status, menopausal women

Figures and Tables

Table 1
General Informations of subjects by self-rated health levels
kjcn-17-290-i001

1) Values are Mean ± SD.

2) N (%)

*: p < 0.05: Significantly different by Student's t-test

**: p < 0.01: Significantly different by Student's t-test

Table 2
Dietary related factors by self-rated health levels
kjcn-17-290-i002

1) Values are Mean ± SD.

2) 4-point scale (1: Not at all, 2: Tend to not well, 3: Tend to well, 4: Very well)

3) 4-point scale (1: No, 2: Less, 3: Good, 4: Very well)

4) N (%)

***: p < 0.001: Significantly different by Student's t-test

Table 3
Scores of dietary habits by self-rated health levels
kjcn-17-290-i003

1) Values are Mean ± SD.

*: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 4
BMI and menopausal symptoms by self-rated health levels
kjcn-17-290-i004

1) BMI = kg/m2

2) 5-point Likert scale (1: Not at all, 5: Very well)

3) 5-point Likert scale (1: Not at all, 5: Very much)

***: p < 0.001: Significantly different by Student's t-test

Table 5
Comparisons in life style by self-rated health levels
kjcn-17-290-i005

1) Values are Mean ± SD.

2) N (%)

***: p < 0.001: Significantly different by Student's t-test

Table 6
Mental health scores by self-rated health levels
kjcn-17-290-i006

1) 5-point Likert scale (1: Not at all, 5: Very well)

2) 4-point Likert scale (1: Not at all, 4: Always)

***: p < 0.001: Significantly different by Student's t-test

Table 7
Familial characteristics by self-rated health levels
kjcn-17-290-i007

1) 5-point Likert scale (1: Not at all, 2: Tend to not well, 3: Common, 4: Tend to well, 5: Very well)

2) 5-point Likert scale (1: Not at all, 2: Tend to not satisfied, 3: Common, 4: Tend to satisfied, 5: Very satisfied)

3) Values are Mean ± SD.

***: p < 0.001: Significantly different by Student's t-test

Table 8
Correlation in variables with the self-rated health levels
kjcn-17-290-i008

*: p < 0.05, ***: p < 0.001

Table 9
Related factors influencing on self-rated health status by multiple regression analysis
kjcn-17-290-i009

Notes

This study was financially supported by the 2009 research fund(09-41) from Management Center for Health Promotion in Republic of Korea and by Changwon National University in 2011.

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