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韩国中年绝经后女性临床预防服务的使用情况及相关因素

Use of Clinical Preventive Service and Related Factors in Middle-Aged Postmenopausal Women in Korea.

作者信息

Kim Kisook

机构信息

College of Nursing, Chung-Ang University, Heuksoekro 84, Dongjak gu, Seoul 06974, Korea.

出版信息

Healthcare (Basel). 2020 Apr 1;8(2):83. doi: 10.3390/healthcare8020083.

Abstract

Postmenopausal women experiencing health transitions can improve health-related quality of life through clinical health service use. The aim of this study was to investigate the factors affecting clinical preventive service use, focusing on a multi-dimensional approach among middle-aged postmenopausal women. This descriptive study is a secondary analysis of the seventh Korea National Health and Nutrition Examination Survey (KNHANESⅦ-1) in 2016. Among the 8150 participants, our analysis included 771 naturally menopausal women aged 40-65. National health insurance (OR = 1.659, 95% CI = 1.080-2.550), private health insurance (OR = 2.877, 95% CI = 1.665-4.971), needs for health service (OR = 2.363, 95% CI = 1.332-4.195), cardiovascular disease (OR = 1.570, 95% CI = 1.009-2.445), hospital admission (OR = 3.054, 95% CI = 1.298-7.184), smoking (OR = 0.262, 95% CI = 0.144-0.477), drinking (OR = 0.573, 95% CI = 0.335-0.979), and depression (OR = 0.535, 95% CI = 0.340-0.841) were associated with clinical preventive service use among middle-aged postmenopausal women. To promote clinical preventive service use among postmenopausal women, policies promoting health behavior expansion should be introduced and should consider the predictive variables revealed by this study.

摘要

经历健康转变的绝经后女性可以通过使用临床健康服务来改善与健康相关的生活质量。本研究的目的是调查影响临床预防服务使用的因素,重点关注中年绝经后女性的多维度方法。这项描述性研究是对2016年第七次韩国国家健康与营养检查调查(KNHANESⅦ-1)的二次分析。在8150名参与者中,我们的分析纳入了771名年龄在40-65岁的自然绝经女性。国民健康保险(OR = 1.659,95%CI = 1.080-2.550)、私人健康保险(OR = 2.877,95%CI = 1.665-4.971)、健康服务需求(OR = 2.363,95%CI = 1.332-4.195)、心血管疾病(OR = 1.570,95%CI = 1.009-2.445)、住院(OR = 3.054,95%CI = 1.298-7.184)、吸烟(OR = 0.262,95%CI = 0.144-0.477)、饮酒(OR = 0.573,95%CI = 0.335-0.979)和抑郁(OR = 0.535,95%CI = 0.340-0.841)与中年绝经后女性的临床预防服务使用有关。为了促进绝经后女性使用临床预防服务,应出台促进健康行为扩展的政策,并应考虑本研究揭示的预测变量。

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