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经济活动参与对中年女性人口统计学特征、健康行为及健康状况与健康相关生活质量的影响:来自韩国的面板证据

Effects of Middle-Aged Women's Demographics, Health Behavior, And Health Status on Health-Related Quality of Life by Economic Activity Participation: Panel Evidence from Korea.

作者信息

Park Min-Jeong, Wee Hwee

机构信息

School of Nursing, Kunsan National University, Gunsan, Republic of Korea.

出版信息

Iran J Public Health. 2024 Apr;53(4):809-817. doi: 10.18502/ijph.v53i4.15557.

Abstract

BACKGROUND

Middle-aged women have lower health-related quality of life (HRQoL) than men, and women's participation in economic activities is an important issue. In this study, the middle-aged female population was classified by economic activity participation to explore HRQoL and to identify related factors.

METHODS

We obtained data from the 2017 Korea Health Panel Survey ( = 1857 women aged 50-64 years), analyzed with chi-squared tests, -tests, analyses of variance, and multiple regression analyses. HRQoL was measured with the Euro QoL-5 Dimensions index, and four demographic factors, four health behavior factors, and ten health status factors were entered.

RESULTS

HRQoL was lower in the economically inactive group compared to the active group. Education, physical activity, chronic disease, vision problem, dental problem, activity restriction, frustration, and anxiety were associated with HRQoL in both groups. Spouse and household income were additional predictors identified only in the economically inactive group, and the 10 factors explained 36.0% of the variance. In the economically active group, drinking, sleeping time, hearing problem, stress, and depression were additional predictors identified, and the 13 factors explained 23.0% of the variance.

CONCLUSION

Healthcare providers should consider both common predictors between economically active and inactive middle-aged women as well as predictors that were unique to each group to improve their HRQoL.

摘要

背景

中年女性的健康相关生活质量(HRQoL)低于男性,女性参与经济活动是一个重要问题。在本研究中,根据经济活动参与情况对中年女性人群进行分类,以探讨健康相关生活质量并确定相关因素。

方法

我们从2017年韩国健康面板调查中获取数据(n = 1857名年龄在50 - 64岁的女性),采用卡方检验、t检验、方差分析和多元回归分析进行分析。使用欧洲五维健康量表指数测量健康相关生活质量,并纳入四个人口统计学因素、四个健康行为因素和十个健康状况因素。

结果

与经济活动活跃组相比,经济活动不活跃组的健康相关生活质量较低。教育程度、体育活动、慢性病、视力问题、牙齿问题、活动受限、沮丧和焦虑在两组中均与健康相关生活质量相关。配偶和家庭收入是仅在经济活动不活跃组中识别出的额外预测因素,这10个因素解释了36.0%的方差。在经济活动活跃组中,饮酒、睡眠时间、听力问题、压力和抑郁是额外识别出的预测因素,这13个因素解释了23.0%的方差。

结论

医疗保健提供者应考虑经济活动活跃和不活跃的中年女性之间的共同预测因素以及每组特有的预测因素,以提高她们的健康相关生活质量。

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