Purpose
The subjective experiences of middle-aged individuals during the coronavirus disease 2019 (COVID-19) pandemic play a pivotal role in fostering resilience for reintegration into normal life post-pandemic and preparing for potential future infectious disease outbreaks. This study aimed to explore the experiences of middle-aged individuals during the COVID-19 pandemic using the Q methodology.
Methods
Forty-six middle-aged individuals from 10 cities in South Korea participated in this study. The participants arranged and ranked 39 Q statements describing their experiences with the COVID-19 pandemic using a Q-sort table. Subsequently, the data were analyzed using the PQ method.
Results
Three distinct viewpoints were identified: concerns regarding government policies related to COVID-19 (political perspective: consistent government policies are of utmost importance); concerns about personal loss related to COVID-19 (personal perspective: daily life is of the utmost importance); and concerns about social losses related to COVID-19 (social perspective: societal interests take precedence over individual needs).
Conclusion
The nursing interventions recommended for these three factors serve as a strategic blueprint for effectively addressing future outbreaks of infectious diseases. These nursing intervention strategies can significantly enhance positive perceptions of the three identified elements of the COVID-19 experience, providing an opportunity to transform negative outlooks into positive ones.

Purpose
The incidence of diabetes mellitus (DM) rises significantly in the post-middle-age population, and stress along with depressive symptoms hinders effective DM management. This study examined the mediating effect of social capital (trust in the physical environment, reciprocity, social participation, and social networks) on the relationship between perceived stress and depression among middle-aged adults with DM in Korea. It also aimed to provide data for developing targeted interventions to enhance blood glucose management in this population.
Methods
A descriptive correlational study using data from the 2019 Community Health Survey by the Korea Disease Control and Prevention Agency (KDCA) was conducted. Complex sample regression analysis and the Sobel test were employed for mediation analysis. The study included 9,394 middle-aged adults (aged 45-64 years) diagnosed with DM. The analysis assessed the effects of perceived stress on social capital and depression, as well as the mediating role of social capital.
Results
Perceived stress negatively impacted social capital (β=-0.16, p<.001) and positively influenced depression (β=0.37, p<.001). Both perceived stress and social capital significantly affected depression (F=998.83, p<.001), with social capital showing a partial mediating effect (z=2.65, p<.001).
Conclusion
Social capital partially mediated the relationship between stress and depression, suggesting its potential as a strategy for reducing stress and lowering depression among middle-aged adults with DM. These findings lay the groundwork for targeted interventions to improve blood glucose management in this population. Future research should explore the relationships among specific components of social capital, stress, and depression.

Purpose
This study aimed to construct and test the Actor and Partner Interdependence Mediation Model (APIMeM) of aging anxiety of middle-aged couples based on Social Cognitive Theory and the “Crossover” concept.
Methods
Couples’ data were collected from 192 middle-aged couples.
Results
Actor effects and partner effects were supported in the two APIMeM models. Regarding the wives' aging anxiety, the actor effect of their climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by their self-efficacy. Similarly, the partner effect of the husbands' cognition (wife climacteric symptoms) was also mediated by their husbands' self-efficacy. Considering the husbands' aging anxiety, the actor effect of the husbands' climacteric symptoms and the husbands' cognition (wife climacteric symptoms) was mediated by the wives' self-efficacy. The partner effect of the wives' climacteric symptoms and their cognition (husband climacteric symptoms) was mediated by the husbands' self-efficacy.
Conclusion
To reduce the aging anxiety of middle-aged couples and to reach a healthy old age, it is essential for a wife and husband to realize this together. It is considered that the aging anxiety of middle-aged couples will be more effectively prevented by implementing an interactive program to enhance self-efficacy, which has been identified as an important parameter of the actor-partner effect.

Purpose
To investigate the relationship between stigma, adjustment, and quality of life of middle-aged male patients with lung cancer and the influences of those factors on the patients’ quality of life.
Methods
A descriptive survey design was used. A total of 120 male patients between 45 to 64 years participated in the study. They answered a self-reported survey composed of Cataldo Lung Cancer Stigma Scale, Korean Mini-Mental Adjustment to Cancer Scale, and The Functional Assessment of Cancer Therapy Scale-General Version 4. The data were analyzed using Pearson’s correlation coefficients, stepwise multiple regression by the SPSS 25 version.
Results
The stigma showed a positive correlation with “helplessness-hopelessness” and “anxious preoccupation” (r=.30, p=.001; r=.41, p<.001, respectively), and a negative correlation with emotional well-being (r=-.24, p=.008). “Helplessness-hopelessness” and “anxious preoccupation” were negatively correlated with quality of life (r=-.61, p<.001; r=-.46, p<.001, respectively). “Fatalism”, “fighting spirit”, and “cognitive avoidance” showed positive correlations with quality of life (r=.37, p<.001; r=.42, p<.001; r=.19, p=.035, respectively). Factors influencing quality of life by multiple regression were identified as helpless-hopelessness, fatalism, performance status, and anxious preoccupation (F=35.76, p<.001, Adjusted R² =54%).
Conclusion
Maximizing positive adjustment response and improving performance status were effective in improving quality of life of middle-aged male patients with lung cancer. The development of nursing interventions focusing on psychological adjustment and physical activity should be warranted for the given patient population.

Citations

• Factors Affecting Quality of Life Among Patients with Primary Lung Cancer
  Mideum Kang, Myung Sun Hyun, Sun Hyoung Bae, Sunjoo Boo
  Asian Oncology Nursing.2024; 24(3): 144.     CrossRef

Purpose
The developmental tasks of the midlife are to integrate youth and aging, have a positive attitude to aging, and prepare for old age. The purpose of this study was to identify the influence of health condition and awareness of successful aging on preparation for old age of midlife in the community.
Methods
The participants in this study were 247 middle-aged people, aged between 40 and 64 years and living in Korea. The data collection period was from December 2019 to January 2020, and data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression with the SPSS Statistics 23.0.
Results
Results showed statistically significant correlations between health condition and awareness of successful aging (r=.19, p=.002), health condition and preparation for old age (r=.27, p<.001), and awareness of successful aging and preparation for old age (r=.58, p<.001). Age (β=-.11, p=.029), avocation (β=.12, p=.022), health condition (β=.13, p=.017), and awareness of successful aging (β=.53, p<.001) were all factors influencing preparation for old age in final model, and its explanatory power was adjusted R 2 of .39.
Conclusion
Intervention programs such as a regular mental and physical health checkups and tailored post-retirement plans for middle-aged people should be developed to promote health conditions and enhance awareness of successful aging.

Citations

• The Effects of Health Status and Social Support on Happiness in Middle­Aged Women
  Bok Hui Baek, So Young Choi
  Journal of Korean Public Health Nursing.2024; 38(1): 16.     CrossRef

Purpose
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.

PURPOSE
This study aimed to examine the effect of multidisciplinary lifestyle modification program in overweight or obese middle-aged women.
METHODS
This study was conducted from January 2 to June 5, 2018 at Jeonju city in South Korea. A non-equivalent control group quasi-experimental design was used. A total of 46 women were assigned to the experiment group (n=22) or the control group (n=24). The multidisciplinary lifestyle modification program for this study consisted of physical activity, nutritional management, stress management, health counseling, lifestyle monitoring, and affective support based on King's goal attainment theory, which was implemented for eight weeks.
RESULTS
Significant group differences were found in health- promoting behavior (p<.001), depression (p<.001), anxiety (p=.018), stress (p=.001), weight loss (p=.002) and reproductive symptoms (p=.020) among over-weight and obese middle-aged women.
CONCLUSION
Multidisciplinary lifestyle modification program is effective in improving health-promoting behavior, depression, anxiety, stress, weight loss and reproductive symptoms. Therefore, healthcare providers should develop strategies to expand and provide multidisciplinary lifestyle modification program through interaction and transaction for overweight or obese middle-aged women.

Citations

• The effects of a lifestyle intervention for men in infertile couples in South Korea: a non-randomized controlled trial
  Yun Mi Kim, Ju-Hee Nho
  Journal of Korean Academy of Nursing.2025; 55(2): 191.     CrossRef
• Research Trends of Lifestyle Intervention for Women With Obesity: A Text Network Analysis
  Sook Kyoung Park, Ju-Hee Nho
  Journal of Lifestyle Medicine.2023; 13(1): 44.     CrossRef
• Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017
  Ju-Hee Nho, Sook Kyoung Park
  Korean Journal of Women Health Nursing.2021; 27(2): 93.     CrossRef
• The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
  Su-Jin Seo, Ju-Hee Nho, Youngsam Park
  Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
• Effects of a Lifestyle Intervention on Health-Promoting Behavior, Psychological Distress and Reproductive Health of Overweight and Obese Female College Students
  Ju-Hee Nho, Soo-Wan Chae
  Healthcare.2021; 9(3): 309.     CrossRef
• The Effects of Lifestyle Interventions on the Health-Promoting Behavior, Type D Personality, Cognitive Function and Body Composition of Low-Income Middle-Aged Korean Women
  Eun-Jin Kim, Ju-Hee Nho, Hye-Young Kim, Sook-Kyoung Park
  International Journal of Environmental Research and Public Health.2021; 18(11): 5637.     CrossRef
• Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
  Bom-Mi Park
  Healthcare.2021; 9(6): 699.     CrossRef
• Development and Evaluation of an Antiviral Agent Medication Adherence Education Program for Patients with Chronic Hepatitis C
  Hoo Jeung Cho, Euna Park
  International Journal of Environmental Research and Public Health.2020; 17(18): 6518.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of health promotion program on healthy aging preparation for late middle aged women.
METHODS
The research design was a non-equivalent control group quasi-experimental study. Participants were recruited from K and Y cities in Gyeong-nam Province from October, 2013 to January, 2014. They were 26 for the experimental group and 31 for the control group. The experimental group participated in a health promotion program for healthy aging preparation. The program consisted of education, exercise, and small group discussion over 8 weeks. Data were analyzed by Chi-square, t-test and ANCOVA, using the PASW 18.0 program.
RESULTS
There were significant improvements in aging anxiety and general self-efficacy, health promoting behaviors in the experimental group compared to those of the control group. However, there was no significant differences in attitude toward older adults between the two groups.
CONCLUSION
The health promotion program on healthy aging preparation for late middle aged women was found to be effective in enhancing aging anxiety and self-efficacy, and health promoting behavior. Thus, the developed program is recommended for use in clinical practice as an effective nursing intervention for late middle aged women in order to keep up with their health in later life.

Citations

• The effect of multiple nursing interventions on physical activity and health promotion in the elderly: A randomized controlled trial
  Zeynep Saçıkara, Dilek Cingil
  Geriatric Nursing.2024; 59: 150.     CrossRef
• Effects of a Walking Exercise-Focused Health Promotion Program for Middle-Aged Women in the Korean Community
  Soojeong Yang, Hyunlye Kim
  International Journal of Environmental Research and Public Health.2022; 19(22): 14947.     CrossRef
• Concept Analysis of Health Promotion Activities in the Middle-aged Women
  Jeong-Soo KIM
  JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2020; 32(5): 1242.     CrossRef
• Effects of aromatherapy on stress, fructosamine, fatigue, and sleep quality in prediabetic middle-aged women: A randomised controlled trial
  Myung-Haeng Hur, Jun Hwa Hong, SeongHee Yeo
  European Journal of Integrative Medicine.2019; 31: 100978.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of emotional labor, somatic symptoms, and emotional support on quality of life among middle-aged women workers.
METHODS
The study design was a descriptive survey research. Data were collected from October 2013 to January 2014 in Korea. A self-reported questionnaire was administerd in a convenience sample of 264 middle aged women in various working places. The survey included socio-demographic and job-related factors, and the questionnaires about emotional labor, somatic symptoms, emotional support, and quality of life. Data were analyzed using descriptive statistics, t-test, ANOVA, pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that somatic symptoms had the greatest effect on quality of life (beta=-1.65, p<.001), followed by emotional support (beta=0.67, p<.001), and job satisfaction (beta=3.98, p<.001). And these variables accounted for 52% of quality of life among middle-aged women workers (F=97.14, p<.001).
CONCLUSION
These results suggest for clinical nurses to take somatic symptoms, emotional support, and job satisfaction into special account in order to improve the middle aged women worker's quality of life. Ultimately, a health promotion program focusing on these influential variables in workplace need to be developed for the given population.

Citations

• Determinants of Quality of Life (QoL) in Female Caregivers in Elderly Care Facilities in Korea
  Hee-Kyung Kim, Hye-Suk Oh
  Behavioral Sciences.2024; 14(1): 53.     CrossRef
• The Effects of Emotional Labor and Workplace Violence on the Somatic Symptoms of Customer Service Employees in Department Stores
  Bongsoon Ryu, Bo Hyun Park
  Research in Community and Public Health Nursing.2023; 34: 61.     CrossRef
• Somatic Symptoms and Quality of Life in Adults: Moderating Effect of Spiritual Well-being
  Youngrye Park, Hee Moon
  The Korean Journal of Rehabilitation Nursing.2018; 21(2): 132.     CrossRef
• Experiences in Self-leading Leisure Activities of Middle-aged Office Workers
  Jeong-Soo KIM
  Journal of Fisheries and Marine Sciences Education.2016; 28(5): 1348.     CrossRef

PURPOSE
The purpose of this study was to identify the reported factors influencing fatigue of middle aged women.
METHODS
Two hundred seven middle aged women between 40 and 59 years of age were recruited from five areas in Korea from March 1, 2010, to April 20, 2010. Data were collected by self-reported questionnaires. Data analysis was done using SPSS/WIN 15.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression.
RESULTS
The average score of fatigue was 2.34+/-0.40. There were significant differences in reported fatigue according to economic status and health status. The reported fatigue was significantly correlated with somatic attribution, psychological attribution, normalizing attribution, depression, marital adjustment, stress, and social support. The major factors that affect fatigue in middle aged women were stress, depression, and normalizing attribution, which explained 32.3% of fatigue.
CONCLUSION
The findings can reduce the fatigue by controlling stress and depression. Additionally, this study can understand the attribution of fatigue in middle aged women. More studies are needed to identify other variables that influence on the fatigue of middle aged women.

PURPOSE
The purpose of this study was to evaluate the influence of the Koryo Hand Acupuncture Therapy on middle-age women's obesity index.
METHODS
A total of 38 middle-age women were assigned to either a control or an intervention group. The intervention group received Koryo Hand Acupuncture Therapy three times a week for ten weeks. The two sample t-test was used to compare the body mass index, fat mass, and waist-to-hip ratio between the intervention (n=18) and the control group (n=20).
RESULTS
In both groups, body mass index did not change significantly following the intervention. The intervention group lost 1.00+/-1.10 kg of fat mass (p=.00) and the decrease was significant between the intervention and control group (p=.00). Both groups had increase in waist-to-hip ratio, however, the increase was only significant for the control group (p=.00).
CONCLUSION
The application of Koryo Hand Acupuncture Therapy influenced the change of fat mass, but not clinically significant. It may be useful to repeat the study and to examine other factors that may have interfered with the effectiveness of the intervention. The use of Koryo hand acupuncture therapy should be further studied.

PURPOSE
The aim of this study was to construct leisure physical activity model of middle-aged women in urban area. METHODS: Data were gathered by self-report questionnaire from 211 women aged between 41 and 59 years in urban community. The data were analyzed using the SPSS/WIN 10.0 program and the model was constructed using the LISREL 8.54 program. RESULTS: Variables that have direct effects on leisure physical activity were health state, past leisure physical activity, social support, self-efficacy, and affect. Perceived leisure state and behavioral leisure attitude also influenced leisure physical activity in an indirect way. Perceived leisure state had a direct effect on self-efficacy. Behavioral leisure attitude, past leisure physical activity, and experience of exercise effect had significantly direct effects on affect CONCLUSION: It will provide basic information for developing strategies of programs to enhance leisure physical activity of middle-aged women in urban area.

PURPOSE
This study was to examine the effects of Seogeum therapy for middle-aged abdominal obese women. METHODS: Seogeum therapy combined cupping, stepping on ion aluminum board, adhering to Seoam moxibustion and Seoam pellet. The subjects consisted of 30 middle-aged abdominal obese women between 40 and 59 years of age: fifteen were assigned to experimental group, fifteen to control group. The data collection and treatments were performed from June to October, 2007. The subjects of experimental group participated in Seogeum therapy for 5 times per week during 8 weeks. The data were analyzed with Chi-square test, Wilcoxon signed rank test and Wilcoxon rank-sum test with SPSS/Window 12.0 program. RESULTS: Seogeum therapy experimental group showed significant difference in change of general obesity indexes(body weight, body fat amount, body fat ratio, BMI) than control group supporting hypothesis 1. Experimental group showed significant difference in change of abdominal obesity indexes(abdominal fat ratio, waist circumference, hip circumference) than control group supporting hypothesis 2. CONCLUSION: Obesity management of Seogeum therapy had a positive effect for middle-aged obese women. Therefore, it is concluded that the obesity management of Seogeum therapy can be applied as a nursing intervention to decrease the obesity for middle-aged women.

PURPOSE
The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences.
METHOD
A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured question- naire. The data was analyzed using chi-square-test, Pearson correlation analysis and stepwise multiple regression.
RESULTS
chi-square-test revealed significant gender differences in socio- demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being.
CONCLUSIONS
The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self-efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.

PURPOSE
; This study was aimed to identify the effect of foot reflexology massage on climacteric symptom, fatigue and physiologic parameters of middle-aged women.
METHOD
; A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Forty participants were assigned to either an experimental group(20) or a control group(20). Foot reflexology massage was administered twice a week for 6 weeks in the participant in experimental group.
RESULTS
There were statistically significant differences in climacteric symptom, fatigue, total cholesterol and cortisol level. However, there were no statistically significant differences in triglyceride, high density lipoprotein and low density lipoprotein.
CONCLUSION
; These results suggest that foot reflexology massage could be utilized as an effective nursing intervention to reduce climacteric symptom and fatigue in middle-aged women.

PURPOSE
This research was done to explore the meaning of 'well-being' as experienced by middle aged people.
METHOD
The data were collected by individual in-depth interviews with 107 middle aged adults and it was analysed using qualitative content analysis.
RESULTS
4 components of the meaning of well-being as perceived by the participants were identified as follows: the life of free without physical discomfort and psychosocial distress; the life of comfort with plenty of time, space, material, and mind; the life of purity with natural material and honest mind; the life of harmony with extended consciousness.
CONCLUSION
Therefore the identified meanings of the well-being in this study should be reflected to the nursing education and the nursing practice.

PURPOSE
The purpose of this study was to investigate factors that have influence on a health examination among the middle aged living in Busan.
METHOD
The survey was conducted with 235 participants who were the parents of students of five nursing schools in Busan, living in Busan, and subjects to a health examination under the National Health Insurance Corporation. The data was collected from September to November 2004 using a structured self-administered questionnaire that contained general characteristics, characteristics related to a health examination, and health belief variables. Collected data were analyzed using SPSS/WIN 10.0.
RESULTS
Among the subjects, 122(51.9%) had performed a health examination in the past, and 113(48.1%) had not. Variables that have a significant influence on getting a health examination were: previous disease experience, perceived barrier and perceived seriousness. Those who did not have previous disease experience(2.6 times) and whose perceived seriousness was high(1.1 times) were more likely to have a health examination, and those with perceived barrier high(0.9 times) were less likely.
CONCLUSION
Therefore, to increase the rate of health examinations, it is necessary to advertise the importance of health examinations particularly for the people who had disease experience and the seriousness of target diseases; and furthermore, to remove barriers of a health examination.

PURPOSE
The purpose of this study was to investigate factors determining health behavior for middle-aged adults in relation to stress coping behaviors, cognitive factors, social support, and sociodemographic variables. METHOD: The questionnaire survey was carried out on a convenience sample of 203 middle aged in a community settings. The data analysis procedure included frequency, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regressions using health behavior as dependent variable. RESULT: Among the sociodemographic variables, factors such as sex, educational and eonomic levels were associated with the health behaviors. There were significant correlations between health behaviors and saliency of health, social support, and positive-stress coping behaviors. Stepwise multiple regression revealed that the factors such as positive-stress coping behaviors, saliency of health, sex, and education turned out to be significant affecting factors. Twenty eight percent of varience in health behavior was explained by these factors. CONCLUSION: Positive-stress coping methods were turned out to be the most important effective factors in practicing of health behaviors of middle aged. The necessity of an intervention considering the situation related to their stress and coping methods in middle aged so as to promote positive health behaviors was suggested.

PURPOSE
The study was performed to investigate the predictors associated transition with each stage of exercise behavior based to the Transtheoretical Model, and to provide basic data for exercise behavior programs for middle aged women.
Methods
The subjects consisted of 434 women residing in B city by convenience sampling. The collected data were analyzed with multiple logistic regression using SPSS/WIN program. RESULTS: The predictors of transition from precontemplation to contemplation were consciousness raising(OR=2.095, 95% CI: 1.305-3.363), Reinforcement management(OR= 1.903, 95% CI: 1.107-3.271), Stimulus control (OR=2.176, 95% CI:1.239-3.820), Menstrual status (OR=5.327, 95% CI: 1.110-25.562). The predictors of transition from contemplation to preparation were Helping relationship(OR= 1.671, 95% CI: 1.065-2.662), Pros(OR=2.500, 95% CI: 1.254-4.982), Perceived Health status (OR=.178, 95% CI: .041-.770). The predictor of transition from preparation to action was Stimulus control(OR=1.918, 95% CI: 1.103- 3.336). The predictors of transition from action to maintenance were Consciousness raising(OR= 1.939, 95% CI: 1.031-3.647), Dramatic relief (OR=2.249, 95% CI: 1.025-4.931). CONCLUSIONS: Adequate examination on the factors, which can predict the transitional stages of change exercise behaviors among middle aged women, which is presented in this study. The results of this study will become the pillar of exercise intervention program planning and application.

This study was the done to describe health behavior and determine affecting factors in middle aged women. The subjects of this study were 306 middle aged women, living in M city, during the period from June 28th to August. 31st 1999. The instruments for this study were Health Behavior Assesment tool developed by Kim (1998), Self esteem scale developed by Rosenberg(1965), the perceived health status scale by Lawston, et al.(1982), the Quality of life by Ro(1988), the attitude toward Climacteric symptom by Ji(1983). The data were analyzed using descriptive statistics, t-test, Pearson correlation coefficients and stepwise multiple regression. The result of this study are as follows; 1. The total mean score for Health behavior was 2.51(range 1-4). The mean scores on the subscale were 2.83 for nutrition, 2.81 for stress management, 2.71 for limitation of liking in the menstrual group, health behavior was 2.64. The mean scores on the subscale were 2.98 for nutrition, 2.85 for stress management, 2.82 for limitation of liking, 2.80 for energy conservation in the menopausal group, 2. The mean scores for cognitive-perceptual variables in the menstrual group were perception of health status: 2.61, quality of life: 3.17, self-esteem: 2.59, and attitude for climacteric symptom: 3.02. In the menopausal group the scores were perception of health status: 2.41, quality of life: 3.10, self-esteem: 2.62, attitude for climacteric symptom: 3.06. 3. Health behavior and self-esteem(r=.269, p=.000; r=.205, p=.042), attitude for climacteric symptom(r=.192, p=.005; r=.545, p=.000), quality of life(r=.385, p=.000; r= .195, p=.050) and health behavior were correlated positively, and the perception of health status and health behavior were correlated negatively(r=.-135, p=.050; r= -.207, p=.040 ) in the menstrual group and menopausal group. 4. Perception of health status, quality of life, age, self-esteem, job and marital status explained 33.7% of the variance for health behavior in the menstrual group; self-esteem and education explained 33.1% of the variance for health behavior in the menopausal group. In conclusion, health behavior should be considered when developing nursing strategies for middle-aged women, especially when dealing with perception of health status, quality of life, and self-esteem.