- 作者：Charrlotte Seib ; Debra Anderson ; Kathryn Lee ; Janice Humphreys
- 关键词：Mental health ; Depressive symptoms ; Sleep ; Modifiable lifestyle factors ; Women
- 刊名：Maturitas
- 出版年：December, 2013
- 年：2013
- 卷：76
- 期：4
- 页码：377-383
- 全文大小：776 K
Objective
To examine the extent to which socio-demographics, modifiable lifestyle, and physical health status influence the mental health of post-menopausal Australian women.Methods
Cross-sectional data on health status, chronic disease and modifiable lifestyle factors were collected from a random cross-section of 340 women aged 60-70 years, residing in Queensland, Australia. Structural equation modeling (SEM) was used to measure the effect of a range of socio-demographic characteristics, modifiable lifestyle factors, and health markers (self-reported physical health, history of chronic illness) on the latent construct of mental health status. Mental health was evaluated using the Medical Outcomes Study Short Form 12 (SF-12庐) and Center for Epidemiologic Studies Depression Scale (CES-D).
Results
The model was a good fit for the data (蠂2 = 4.582, df = 3, p = 0.205) suggesting that mental health is negatively correlated with sleep disturbance (尾 = 鈭?.612, p < 0.001), and a history of depression (尾 = 鈭?.141, p = 0.024).While mental health was associated with poor sleep, it was not correlated with most lifestyle factors (BMI, alcohol consumption, or cigarette smoking) or socio-demographics like age, income or employment category and they were removed from the final model.
Conclusion
Research suggests that it is important to engage in a range of health promoting behaviors to preserve good health. We found that predictors of current mental health status included sleep disturbance, and past mental health problems, while socio-demographics and modifiable lifestyle had little impact. It may be however, that these factors influenced other variables associated with the mental health of post-menopausal women, and these relationships warrant further investigation.