Abstract
Objectives The purpose of this study is to identify menopausal symptoms, self-efficacy, aging anxiety, self-acceptance, and health promotion behavior in menopausal women and to identify factors that affect health promotion behavior.
 Methods Data was collected from May 20 to July 20, 2023 through a self-written survey of 125 women aged 45-56 enrolled in educational programs operated by three community autonomy centers in Chungcheongnam-do. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS 29.0/SAS 9.4 statistical program.
 Results Health promotion behavior had significant negative correlation with aging anxiety (r=-.287, p=.001). Health promotion behavior also had significant positive correlation with self-acceptance (r=.192, p=.032) and self-efficacy (r=.415, p<.001). As a result of multiple regression analysis, the factors that significantly influence health promotion behavior are self-efficacy (β=.374, p<.001), occupation (β=.209, p=.010), aging anxiety (β =-.237, p=.020) was significant, and the explanatory power was 26% (F=8.14, p<.001).
 Conclusions There is a need for a health promotion behavior improvement program that helps individual menopausal women promote high self-efficacy and relieve anxiety about aging by fully recognizing and exploring their health.
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