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

Kisook Kim

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.

Highlights

Preventive health behaviors are actions taken to prevent diseases or detect them early; examples of such behaviors include a balanced diet, exercise, and health screening
In this study, we aimed to identify the factors associated with clinical preventive service use among middle aged postmenopausal women by a multidimensional approach including the health environment, current health status, health behavior and psychological health-related factors
Preventive health behaviors began to gain attention when the Ottawa Charter for Health Promotion was adopted at the International Conference on Health Promotion held in Canada in 1986; in Korea, the Health Promotion Act of 1995 marked their increasing importance [20,21]

Summary

Introduction

Preventive health behaviors are actions taken to prevent diseases or detect them early; examples of such behaviors include a balanced diet, exercise, and health screening. Among various types of health behaviors, preventive health behaviors include activities such as vaccination and health screening [1]. For the middle aged—the 50 to 64 age group—maintaining a healthy lifestyle with regularly recommended screenings and vaccinations is important for healthy aging and preventing the leading causes of death and disability [5]. Health policy is undergoing a paradigm shift from acuteand treatment-focused care to preventive health care [1]. Based on this trend, preventive health behavior is considered important at all ages, but especially, the period of menopause is psychologically difficult and changes women’s lifestyles in various domains, increasing vulnerability to physical and mental health problems [6,7,8]

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