[논문]생태체계 이론을 적용한 기혼 폐경 여성의 주관적 건강상태에 대한 궤적: 잠재성장모형을 이용한 종단연구

김은진; 노주희

doi:10.4069/kjwhn.2022.05.24

생태체계 이론을 적용한 기혼 폐경 여성의 주관적 건강상태에 대한 궤적: 잠재성장모형을 이용한 종단연구
Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model 원문보기

KJWHN : Korean journal of women health nursing, v.28 no.2, 2022년, pp.123 - 133

김은진 (전북대학교 간호대학) , 노주희 (전북대학교 간호대학)

Abstract ▼ AI-Helper

Purpose: This study investigated the trajectory of subjective health status in married postmenopausal women and aimed to identify predictive factors affecting subjective health status. Methods: Data were obtained from women who participated in wave 4 (2012) of the Korean Longitudinal Survey of Women & Families Longitudinal Study and continued to the latest phase (wave 7, 2018). A latent growth model (LGM) was used to analyze data from 1,719 married postmenopausal women in the framework of the ecological system theory. Results: The mean age of the participants at wave 4 was 56.39±4.71 years, and the average subjective health status was around the midpoint (3.19±0.84). LGM analysis confirmed that subjective health status decreased over time (initial B=3.21, slope B=-0.03). The factors affecting initial subjective health were age, body mass index, frequency of vigorous physical activity (microsystem level), marital satisfaction (mesosystem level), and medical service utilization (macrosystem level). Medical service utilization and the frequency of vigorous physical activity were identified as predictive factors affecting the slope in subjective health status. The model fit was satisfactory (TLI=.92, CFI=.95, and RMSEA=.04). Conclusion: This analysis of the trajectory of subjective health status of married postmenopausal women over time confirmed that subjective health is influenced by overall ecological system factors, including the microsystem, mesosystem, exosystem, macrosystem, and chronosystem. Therefore, it is necessary to assess physical activity and support policies promoting access to medical services in order to improve the subjective health status of married postmenopausal women.

주제어

표/그림 (5)

그림 Figure 1. Flowchart of the study sample. KLoWF: Korean Longitudinal Survey of Women & Families Longitudinal Study.
표 Table 1. General characteristics of participants at wave 4 (N=1,719)
표 Table 2. Means and variance of the initial intercept and the slope of the unconditional growth model (N=1,719)
그림 Figure 2. Growth models of this study. (A) Unconditional growth model. (B) Final conditional growth model. BMI: Body mass index; CS: community service; MS: marital satisfaction; MSU: medical service utilization; PA: physical activity.
표 Table 3. Factors influencing the trajectory of subjective health status (N=1,719)

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표제어: PCR

동의어: Packet Collision Rate

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