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.
Lin JS, Evans CV, Grossman DC, Tseng C-W, Krist AH. Framework for using risk stratification to improve clinical preventive service guidelines. Am J Prev Med. 2018;54(1S1):S26–S37.
