중년여성의 폐경단계, 심리 및 건강행동 요인과 우울 간의 관계

Abstract

The purpose of the study was to investigate the association between menopausalstages, psychological and health behavior factors, and depressive symptoms ofmiddle-aged Korean women. This cross sectional study investigated 1,638 middle-aged women visiting 16KAHP health screening centers by self-administered questionnaires. Participants’menopausal status were categorized into premenopause, early/late perimenopause,and early/late postmenopause based on the stages of reproductive agingworkshop(STRAW) paradigm. Beck Depression Inventory(BDI), the Koreanversion for Brief Encounter Psychosocial Instrument(BEPSI-K) and State-TraitAnxiety Inventory(STAI) were used to assess women’s depressive symptoms, stressand trait anxiety. Health behaviors such as eating, physical activity, alcohol useand quality of sleep were also measured. High levels of depressive symptoms were present in 13.98% of middle-agedwomen. Multivariate logistic model suggested that high levels of depressivesymptoms were significantly associated with poor perceived health status(OR=2.49,p<.05), higher level of stress(OR=4.37, p<.001) and trait anxiety(OR=11.16, p<.001), fair eating habits(OR=1.64, p<.05), frequent alcohol drinking(OR=2.43,p<.05), and poor quality of sleep(OR=3.77, p<.001). This study suggested health promotion strategies for middle-aged womenshould incorporate stress/anxiety management and health behavior practices toprevent and manage depressive symptoms.