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KMID : 1039620230130010047
Korean Journal of Family Practice
2023 Volume.13 No. 1 p.47 ~ p.54
Stress-Related Factors in Korean Middle-Aged and Older Adults: The 8th Korea National Health and Nutrition Examination Survey (2020)
Lee Min-Jeong

Shin Jeong-Ho
Kang Jin-Hoon
Jun Sung-Hyun
Abstract
Background: Stress reactions are related to physical illness and may induce psychosocial and biological changes. Illnesses caused by chronic stress mayhave negative effects. To minimize such effects, systemized care management for stress is required. This study aimed to comprehend stress-relatedfactors in middle-aged and older adults and mitigate them in clinical practice.

Methods: A total of 1,956 adults aged 40?64 years from the 8th Korea National Health and Nutrition Examination Survey were included. Subjects weredivided into two groups based on stress level and their general characteristics, health-related factors, and lifestyle-related factors compared. Amultiple logistic regression analysis was performed to evaluate the effect of each factor on perceived stress level.

Results: Weighted multiple logistic regression analysis revealed that depression (odds ratio [OR], 3.556; P<0.001), unmet medical needs (OR, 2.264;P<0.001), dinner frequency (OR, 2.116; P=0.016), breakfast frequency (OR, 1.438; P=0.024), age (OR, 1.427; P=0.003), frequency of alcoholconsumption (OR, 1.345; P=0.022), and physical activity (OR, 1.305; P=0.013) were correlated with perceived stress level.

Conclusion: Health screening, unmet medical needs, meal frequency, physical activity, alcohol consumption, and smoking are modifiable factorsaffecting perceived stress level. Implications derived from study results may be utilized as structured data for systematic stress management byprimary care professionals.
KEYWORD
Psychological Stress, Middle Age, Mental Health, Health Behavior, Primary Healthcare
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