Key result
Low health literacy linked to ~42% lower odds of recognizing all early MI symptoms.
Why the study?
This study was conducted to identify factors associated with awareness of early symptoms of myocardial infarction among postmenopausal women in Korean communities.
Cross-Sectional (n=84,076)
Only 51.5% of postmenopausal women in Korea recognized all five early symptoms of myocardial infarction, with significantly lower awareness among those with lower educational attainment and difficulty understanding written health information, highlighting the need for tailored public health education.
Answers are grounded in this paper and cite their sources.
Low literacy and education associated with reduced MI symptom recognition in postmenopausal Korean women; hypothesis-generating, requiring prospective confirmation before informing interventions.
초록·키워드 본 연구는 우리나라 지역사회 폐경 후 여성의 심근경색증 조기증상 인지와 관련된 요인을 확인하기 위해 수행되었다. 2025년 지역사회건강조사에 참여한 폐경 후 여성 84,076명의 자료를 분석하였다. 심근경색증 조기증상 인지는 5가지 조기증상을 모두 인지한 경우를 ‘인지’로 정의하였으며, 복합표본설계를 반영한 다중 로지스틱 회귀분석을 실시하였다. 연구결과, 심근경색증의 5가지 조기증상을 모두 인지한 대상자는 51.5%였다. 증상별 인지율은 가슴 통증이 88.9%로 가장 높았고, 팔 또는 어깨의 통증이나 불편감이 61.3%로 가장 낮았다. 심근경색증 조기증상 인지는 특히 문서건강정보를 쉽게 이해한다고 응답하지 않은 여성과 초등학교 이하 학력 여성은 각각의 기준집단에 비해 심근경색증 조기증상 인지 오즈가 뚜렷하게 낮았다. 이 외에도 연령, 혼인상태, 직업, 월 가구소득, 거주지역, 흡연상태, 음주상태, 신체활동, 주관적 건강상태 및 고혈압 진단 여부가 조기증상 인지와 유의한 관련이 있었다. 이상의 결과는 폐경 후 여성의 심근경색증 조기증상 인지가 인구사회학적 특성, 건강행태 및 건강관련 특성과 관련되어 있음을 보여주며, 이러한 특성을 고려한 맞춤형 건강교육이 필요함을 시사한다. This study aimed to identify factors associated with awareness of early symptoms of myocardial infarction(MI) among postmenopausal women in Korean communities. Data from 84,076 postmenopausal women who participated in the 2025 Korea Community Health Survey were analyzed. Awareness of early MI symptoms was defined as recognition of all five symptoms, and complex sample multiple logistic regression analysis was performed. Overall, the weighted proportion of participants who recognized all five early symptoms of MI was 51.5%. Among individual symptoms, awareness was highest for chest pain (88.9%) and lowest for pain or discomfort in the arms or shoulders (61.3%). In the adjusted analysis, women who did not report that written health information was easy to understand (OR=0.58) and those with an elementary school education or less (OR=0.67) had notably lower odds of recognizing all five early MI symptoms than their respective reference groups. Other factors significantly associated with awareness included age, marital status, occupation, monthly household income, residential area, smoking status, drinking status, physical activity, subjective health status, and hypertension diagnosis. These findings suggest that awareness of early MI symptoms among postmenopausal women is associated with sociodemographic, health behavioral, and health-related characteristics, highlighting the need for tailored health education strategies that consider these factors.
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Yeong-Suk Lee (2026) conducted a cross-sectional in Awareness of early symptoms of myocardial infarction among postmenopausal women (n=84,076). Difficulty understanding written health information and elementary school education or less vs. Reference groups (women who reported written health information was easy to understand; higher education levels) was evaluated on Awareness of all five early symptoms of myocardial infarction (OR 0.58). Difficulty understanding written health information and elementary education or less were associated with lower odds of recognizing all 5 early MI symptoms.
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