Takenaka Kanae, Sakai Hiroko
Graduate School of Nursing, Kansai Medical University.
Faculty of Nursing/Graduate School of Nursing, Kansai Medical University.
Nihon Eiseigaku Zasshi. 2021;76(0). doi: 10.1265/jjh.20004.
The aim of this study was to clearly identify the relationships among health literacy, social determinants of health, health behaviors, menopausal symptoms, lifestyle-related diseases, and depression in healthy menopausal women.
A cross-sectional study was conducted using a questionnaire among menopausal women (45 to 60 years of age) who visited a facility offering various medical checkups to receive a specific medical checkup.Logistic regression was used to analyze the association of health literacy and social determinants of health with health behaviors for 162 subjects adjusted for age. Moreover, the association of several factors (health literacy, social determinants of health, and health behaviors) with menopausal symptoms, borderline zones for lifestyle-related diseases, and depression was also analyzed in the same way.
It was shown that educational history was associated with smoking habit with an age-adjusted odds ratio OR of 3.23 (95% confidence interval [CI]: 1.103-9.443). It was shown that health literacy was associated with smoking habit, age-adjusted OR 4.07 (95% CI: 1.337-12.388), menopausal symptoms, age-adjusted OR 2.48 (95% CI: 1.177-5.235), and depression, age-adjusted OR 6.24 (95% CI: 2.421-16.092).
It was found that poor health literacy was associated with smoking habit and the severity of menopausal symptoms and depression.
本研究旨在明确健康素养、健康的社会决定因素、健康行为、更年期症状、生活方式相关疾病以及健康绝经后女性的抑郁之间的关系。
采用问卷调查法，对前往提供各种体检服务的机构进行特定体检的45至60岁绝经后女性开展横断面研究。对162名受试者进行年龄调整后，使用逻辑回归分析健康素养和健康的社会决定因素与健康行为之间的关联。此外，还以同样的方式分析了几个因素（健康素养、健康的社会决定因素和健康行为）与更年期症状、生活方式相关疾病的临界区域以及抑郁之间的关联。
结果显示，教育史与吸烟习惯相关，年龄调整后的优势比（OR）为3.23（95%置信区间[CI]：1.103 - 9.443）。结果显示，健康素养与吸烟习惯相关，年龄调整后的OR为4.07（95%CI：1.337 - 12.388），与更年期症状相关，年龄调整后的OR为2.48（95%CI：1.177 - 5.235），与抑郁相关，年龄调整后的OR为6.24（95%CI：2.421 - 16.09）。
研究发现，健康素养低下与吸烟习惯、更年期症状的严重程度以及抑郁有关。
